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Government policy interventions to reduce human antimicrobial use: A systematic review and evidence map

Van Katwyk, S. R.; Grimshaw, J. M.; et al (2019) C2

BACKGROUND: Growing political attention to antimicrobial resistance (AMR) offers a rare opportunity for achieving meaningful action. Many governments have developed national AMR action plans, but most have not yet implemented policy interventions to reduce antimicrobial overuse. A systematic evidenc...e map can support governments in making evidence-informed decisions about implementing programs to reduce AMR, by identifying, describing, and assessing the full range of evaluated government policy options to reduce antimicrobial use in humans. METHODS AND FINDINGS: Seven databases were searched from inception to January 28, 2019, (MEDLINE, CINAHL, EMBASE, PAIS Index, Cochrane Central Register of Controlled Trials, Web of Science, and PubMed). We identified studies that (1) clearly described a government policy intervention aimed at reducing human antimicrobial use, and (2) applied a quantitative design to measure the impact. We found 69 unique evaluations of government policy interventions carried out across 4 of the 6 WHO regions. These evaluations included randomized controlled trials (n = 4), non-randomized controlled trials (n = 3), controlled before-and-after designs (n = 7), interrupted time series designs (n = 25), uncontrolled before-and-after designs (n = 18), descriptive designs (n = 10), and cohort designs (n = 2). From these we identified 17 unique policy options for governments to reduce the human use of antimicrobials. Many studies evaluated public awareness campaigns (n = 17) and antimicrobial guidelines (n = 13); however, others offered different policy options such as professional regulation, restricted reimbursement, pay for performance, and prescription requirements. Identifying these policies can inform the development of future policies and evaluations in different contexts and health systems. Limitations of our study include the possible omission of unpublished initiatives, and that policies not evaluated with respect to antimicrobial use have not been captured in this review. CONCLUSIONS: To our knowledge this is the first study to provide policy makers with synthesized evidence on specific government policy interventions addressing AMR. In the future, governments should ensure that AMR policy interventions are evaluated using rigorous study designs and that study results are published. more

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ECDC/EFSA/EMA first joint report on the integrated analysis of the consumption of antimicrobial agents and occurrence of antimicrobial resistance in bacteria from humans and food-producing animals

European Centers for Disease Control and Prevention ECDC (2015) C2

The ECDC, the EFSA and the EMA have for the first time jointly explored associations between consumption of antimicrobials in humans and food-producing animals, and antimicrobial resistance in bacteria from humans and food-producing animals, using 2011 and 2012 data currently available from their re... more

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Posttraumatic Stress Disorder: Overview of Evidence-Based Assessment and Treatment

Lancaster, C.L., Teeters, J.B., Gros, D.F., Back, S.E. Journal of Clinical Medicine (2016) CC

Abstract: Posttraumatic stress disorder (PTSD) is a chronic psychological disorder that can develop after exposure to a traumatic event. This review summarizes the literature on the epidemiology, assessment, and treatment of PTSD. We provide a review of the characteristics of PTSD along with associa... more

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Surveillance, prevention and control of leishmaniases in the European Union and its neighbouring countries

European Centre for disease prevention and control (ECDC) European Centre for disease prevention and control (ECDC) (2022) C_CDC

This technical report presents the epidemiology of human and animal leishmaniases in the EU and its neighbouring countries and concludes that the disease remains widespread and underreported in many countries of southern Europe, northern Africa, and the Middle East and that there is a need to improv... more

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Living Planet Report 2020 - Bending the curve of biodiversity loss

World Wildlife Fund for Nature WWF (2020) C2

At a time when the world is reeling from the deepest global disruption and health crisis of a lifetime, this year’s Living Planet report provides unequivocal and alarming evidence that nature is unraveling and that our planet is flashing red warning signs of vital natural systems failure. The ... more

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Manual Lineamientos Base Para La Formulación De Definiciones De Caso En Vigilancia En Salud Pública Aplicación en COVID-19

Ministerio de Salud y Protección Social Bogotá, Colombia (2020) CC

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Genomic sequencing of SARS-CoV-2: a guide to implementation for maximum impact on public health

World Health Organization WHO (2021) C_WHO

8 January 2021 Sequencing enabled the world to rapidly identify SARS-CoV-2 and develop diagnostic tests and other tools for outbreak management. Continued genome sequencing supports the monitoring of the disease’s spread and evolution of the virus. Accelerated integration of genome sequencing int... more

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Social science and behavioural data compilation, DRC Ebola outbreak, June - August 2019

Bardosh, K.; T. Jones and J. Bedford Social Science in Humanitarian Action: A Communication for Development Platform (2019) C1

This rapid compilation of data analyses provides a ‘stock-take’ of social science and behavioural data related to the on-going outbreak of Ebola in North Kivu, South Kivu and Ituri provinces. Based on data gathered and analysed by organisations working in the Ebola response and in the region mor... more

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Operational principles for good pharmaceutical procurement

WHO (1999) C_WHO

This document introduces four strategic objectives and twelve operational principles for good pharmaceutical procurement. These objectives and principles have been developed and endorsed by the Interagency Pharmaceutical Coordination Group (IPC), involving the pharmaceutical advisers of the United ... more

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Managment of Tuberculosis Training Health Facility Staff. Part A

World Health Organization,et al. (2010) C_WHO

Second Edition

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Psychosocial Intervention in Complex Emergencies: A Framework for Practice

The Psychosocial Working Group ICRc; Mercy Corps; MSF; et al. (2003) C2

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Disaster Risk Management Strategy: Towards Resilient Communities

Agency for Technical Cooperation and Development (ACTED) (2013)

Between 1992 and 2012, disasters caused more than 1.3 million deaths, affected more than 4.4 billion people and led to US$ 2 trillion in economic damages and losses around the world. This Disaster Risk Management Strategy explains how the Agency for Technical Cooperation and Development (ACTED) anti... more

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Integrating severe acute malnutrition into the management of childhood diseases at community level in South Sudan

Emily Keane, Andrea King, Anthony Awira et al. Malaria Consortium South Sudan (2013) C1

Since December 2010, Malaria Consortium has been implementing an innovative approach to community management of severe acute malnutrition, together with an existing integrated community case management (ICCM) programme in South Sudan. This learning paper considers Malaria Consortiums experience of t... more

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Guide pédagogique de l’OMS pour la sécurité des patients

World Health Organisation (WHO) (2011) C_WHO

Le secteur de la santé a beaucoup évolué au cours des 20 dernières années. Les innovations technologiques ainsi que notre connaissance des maladies ont contribué à allonger l’espérance de vie au 20ème siècle. Cependant, l’un des plus grands défis aujourd’hui n’est pas de rester a... more

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Humanitarian Needs Assessment: The Good Enough Guide
recommended

Currion, P. The Assessment Capacities Project and Emergency Capacity Building Project (2014) C2

Needs assessment is essential for programme planning, monitoring and evaluation, and accountability, however needs assessment is still a critical weakness of humanitarian response. Organisations need to improve how they do assessments. The Assessment Capacities Project (ACAPS) and the Emergency Capa... more

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Guidelines to reduce stigma Guide 1: What is health-related stigma?

ILEP International Federation of Anti-Leprosy Associations (2011)

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Crisis Emergency Risk Communication. Manual
recommended

Centers for Disease Control and Prevention; US Dept. of Health and Human Services (2014) CC

External Link

Preparedness Planning

IFRC - International Federation of Red Cross Red Cresent Societies (2000) CC

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View PDF (2005)

Improving Basic Training Skills

IFRC - International Federation of Red Cross Red Cresent Societies (2000) CC

Disaster Preparedness Training Programme

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Surveillance tools for meningitis sentinel hospital surveillance: field guide to rapidly estimate the hospital catchment population (denominator) and the annual rate of hospitalisations

World Health Organization WHO (2015) C_WHO

The document will provide information for Ministries of Health and hospital sentinel sites on why and how to determine the denominator of at-risk children <5 years of age and rate of meningitis hospitalizations for a sentinel hospital site conducting IB-VPD surveillance. Such a methodology is curren... more

Humanitarian Needs Assessment: The Good Enough Guide recommended

Crisis Emergency Risk Communication. Manual recommended

Humanitarian Needs Assessment: The Good Enough Guide
recommended

Crisis Emergency Risk Communication. Manual
recommended