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Infrastructure, policy and regulatory interventions to increase physical activity to prevent cardiovascular diseases and diabetes: a systematic review

Durão, S.; Burns, J.; Schmidt, B. et al. BMC Public Health (2023) CC

Background Noncommunicable diseases are major contributors to morbidity and mortality worldwide. Modifying the risk factors for these conditions, such as physical inactivity, is thus essential. Addressing the context or circumstances in which physical activity occurs may promote physical activity a...t a population level. We assessed the effects of infrastructure, policy or regulatory interventions for increasing physical activity. Methods We searched PubMed, Embase and clinicaltrials.gov to identify randomised controlled trials (RCTs), controlled before-after (CBAs) studies, and interrupted time series (ITS) studies assessing population-level infrastructure or policy and regulatory interventions to increase physical activity. We were interested in the effects of these interventions on physical activity, body weight and related measures, blood pressure, and CVD and type 2 diabetes morbidity and mortality, and on other secondary outcomes. Screening and data extraction was done in duplicate, with risk of bias was using an adapted Cochrane risk of bias tool. Due to high levels of heterogeneity, we synthesised the evidence based on effect direction. Results We included 33 studies, mostly conducted in high-income countries. Of these, 13 assessed infrastructure changes to green or other spaces to promote physical activity and 18 infrastructure changes to promote active transport. The effects of identified interventions on physical activity, body weight and blood pressure varied across studies (very low certainty evidence); thus, we remain very uncertain about the effects of these interventions. Two studies assessed the effects of policy and regulatory interventions; one provided free access to physical activity facilities and showed that it may have beneficial effects on physical activity (low certainty evidence). The other provided free bus travel for youth, with intervention effects varying across studies (very low certainty evidence). Conclusions Evidence from 33 studies assessing infrastructure, policy and regulatory interventions for increasing physical activity showed varying results. The certainty of the evidence was mostly very low, due to study designs included and inconsistent findings between studies. Despite this drawback, the evidence indicates that providing access to physical activity facilities may be beneficial; however this finding is based on only one study. Implementation of these interventions requires full consideration of contextual factors, especially in low resource settings. more

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UNAIDS Data 2020
recommended

UNAIDS (2020) C_WHO

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Household Nucleation, Dependency and Child Health Outcomes in Ghana.

Annim, Samuel Kobina, Kofi Awusabo-Asare, and Joshua Amo-Adjei (2013) C2

DHS Working Papers No. 98.

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COVID-19: Are children able to continue learning during school closures? A global analysis of the potential reach of remote learning policies using data from 100 countries

UN Children's Fund UNICEF (2020) C_UNICEF

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Trends in Demographic and Reproductive Health Indicators in Ethiopia

Zachary, Blake, Zhuzhi Moore, and Pav Govindasamy ICF International (2013) C2

Data from the 2000, 2005, and 2011 Demographic and Health Surveys. DHS Trend Reports No. 7

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Core Indicators. Health Situation in the Americas, 2018

Pan American Health Organization (PAHO); Organización Panamericana de la Salud (2019) C_WHO

For the 24th consecutive year, PAHO has published the report Health Situation in the Americas: Core Indicators featuring the latest information on key indicators for the Region of the Americas. This 2018 edition includes data on the 82 core indicators for the countries, territories, and sub regions ... more

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RCCE for COVID-19 vaccine demand in Eastern and Southern Africa : Special Edition on older persons

HelpAge; UNICEF; RCC Service (2022) C_UNICEF

Data for Action March 2022, Issue 5

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Quality of Care and Client Satisfaction with Maternal Health Services in Nepal

Acharya, S., S. Sharma, B. Dulal, K. Aryal DHS; USAID (2018) CC

This report presents further analysis of the 2015 Nepal Health Facility Survey. Data analysis is based on the Donabedian framework for assessing quality of care in health services, which divides the indicators into three groups: structure, process, and outcome. The World Health Organization Service ... more

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Living conditions among people with disabilities in Southern Africa

SAF OD, FFO and SINTEF (2017)

Accessed November 2, 2017

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In Danger: UNAIDS Global AIDS Update 2022
recommended

UNAIDS (2022) C_WHO

Progress in prevention and treatment is faltering around the world, putting millions of people in grave danger. Eastern Europe and central Asia, Latin America, and the Middle East and North Africa have all seen increases in annual HIV infections over several years. In Asia and the Pacific, UNAIDS da... more

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Injury Prevention and Environmental Health. Disease Control Priorities, Third Edition : Volume 7

Mock, Charles N.; Nugent, Rachel; Kobusingye, Olive; et al. World Bank (2017) CC

The substantial burden of death and disability that results from interpersonal violence, road traffic injuries, unintentional injuries, occupational health risks, air pollution, climate change, and inadequate water and sanitation falls disproportionally on low- and middle-income countries. Injury Pr... more

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Rwanda Demographic and Health Survey 2014- 15, District Profile Chart Book, Southern Province

National Institute of Statistics of Rwanda (NISR) [Rwanda], Ministry of Health (MOH) [Rwanda], and ICF International (2015) C2

The National Institute of statistics of Rwanda (NISR) in collaboration with the worldwide Demographic and Health Surveys Program implemented the 2014-15 Rwanda Demographic and Health Survey (RDHS) to collect data for monitoring progress on health programs and policies in Rwanda. This publication ill... more

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Composite water management index: a tool for water management

National Institute for Transforming India (NITI) Aayog (2018)

The National Institute for Transforming India (NITI) Aayog has developed the Composite Water Management Index (CWMI) to enable effective water management in Indian states in the face of extreme water stress. The Index and this associated report are expected to: (1) establish a clear baseline and ben... more

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Global monitoring report on financial protection in health 2021

World Health Organisation (WHO) (2021) C_WHO

The 2021 Global monitoring report on financial protection in health shows that before the COVID-19 pandemic, the world was off-track to reduce financial hardship due to health expenditures because trends in catastrophic health spending were going in the wrong direction and the number of people incur... more

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Immunization as an essential health service: guiding principles for immunization activities during the COVID-19 pandemic and other times of severe disruption

World Health Organization WHO (2020) C_WHO

This document, endorsed by the WHO Strategic Advisory Group of Experts on Immunization, provides guiding principles to support countries in their decision-making regarding provision or resumption of immunization services during severe disruptive events such as COVID-19, natural disasters or humanita... more

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Rwanda Demographic and Health Survey 2014- 15, District Profile Chart Book, City of Kigali.

National Institute of Statistics of Rwanda (NISR) [Rwanda], Ministry of Health (MOH) [Rwanda], and ICF International. (2015) C2

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Rwanda Demographic and Health Survey 2014- 15, District Profile Chart Book, Northern Province

National Institute of Statistics of Rwanda (NISR) [Rwanda], Ministry of Health (MOH) [Rwanda], and ICF International (2015) C2

he National Institute of statistics of Rwanda (NISR) in collaboration with the worldwide Demographic and Health Surveys Program implemented the 2014-15 Rwanda Demographic and Health Survey (RDHS) to collect data for monitoring progress on health programs and policies in Rwanda. This publication illu... more

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Rwanda Demographic and Health Survey 2014- 15, District Profile Chart Book, Eastern Province.

National Institute of Statistics of Rwanda (NISR) [Rwanda], Ministry of Health (MOH) [Rwanda], and ICF International. (2015) C2

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Venezuela’s Humanitarian Emergency

Human Rights Watch (2019) C1

Large-Scale UN Response Needed to Address Health and Food Crises This report is based on interviews with more than 150 health care professionals, Venezuelans seeking or in need of medical care who recently arrived in Colombia and Brazil, representatives from international and nongovernmental humani... more

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Sierra Leone National Nutrition Survey 2017

Government of Sierra Leone, Action Contre la Faim France, Irish Aid (2018) C1

(August 28 – October 10, 2017)
A nutrition and mortality assessment using SMART methodology was applied and the survey covered 15 statistical (14 districts plus 1) domains countrywide. The main objective of the survey was to assess the current nutrition status of the population, especially ch... more

UNAIDS Data 2020 recommended

In Danger: UNAIDS Global AIDS Update 2022 recommended

UNAIDS Data 2020
recommended

In Danger: UNAIDS Global AIDS Update 2022
recommended