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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 Limitations of our study include the possible omission of unpublished initiatives, and that policies not evaluated with respect to antimicrobial use have not been captured in this review.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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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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TOWARDS A DISABILITY INCLUSIVE EDUCATION

Sæbønes, A., Bieler, R. B., Baboo, N., et al Norwegian Ministry of Foreign Affairs (2015) C2

Background paper for the Oslo Summit on Education for Development

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Guideline: implementing effective actions for improving adolescent nutrition

World Health Organization (WHO) (2018) C_WHO

The purpose of this publication is to facilitate the implementation of existing WHO guidelines on nutrition-specific and nutrition-sensitive actions required for improving health and well-being of adolescents. Implementing these actions should explicitly take into account the heterogeneity of adoles... more

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Developmental disabilities among children younger than 5 years in 195 countries and territories, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016

Global Research on Developmental Disabilities Collaborators (2018) CC

The Lancet Global Health, Vol. 6, No. 10 Published: August 29, 2018

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Adolescent HIV Care and Treatment: A Training Curriculum for Health Workers (Zambia) Participant Manual

ICAP, et al. (2011) C1

The curriculum, which complements the national pediatric ART training, was finalized in 2011 and was subsequently implemented nationally. The training curriculum includes a 15-module Trainer Manual, a Participant Manual, and accompanying PowerPoint slides.

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The National Roadmap Strategic Plan to improve Reproductive, Maternal, Newborn, Child & Adolescents Heatlh in Tanzania (2016-2020) One Plan II

Ministry of Health, Community Development, Gender, Elderly and Children, Government of Tanzania (2016) C1

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Not all that bleeds is Ebola
recommended

International Rescue Committee (2020) C1

How has the DRC Ebola outbreak impacted Sexual and Reproductive Health in North-Kivu? Recommendations (more specifics found in the assessment): 1. Sexual and reproductive health needs and services are to be embedded in the EVD response from the outset. 2. Reduce delays at every stage of the patie... more

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Surgical Care At The District Hospital
recommended

WHO (2003) C_WHO

Promotion of the quality of clinical care through the identification, promotion and standardization of appropriate procedures, equipment and materials, particularly at district hospital level.

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Global Nutrition Report

Haddad L., Verburg G., Fore H., et al. Development Initiatives Poverty Research Ltd. (2020) CC

As the COVID-19 pandemic continues to threaten health and food systems around the world, the 2020 Global Nutrition Report calls on governments, businesses and civil society to step up efforts to address malnutrition in all its forms.

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Sphere for Monitoring and Evaluation
recommended

The Sphere Project (2015) CC

Sphere Unpacked

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Global consultation on lessons from sexual and reproductive health programming to catalyse HIV prevention for adolescent girls and young women

S. Vermund; C. Venkatraman; L. McGrory; et al, World Health Organization; hrp human reproduction programme (research for impact) (2016) C_WHO

World Health Organization Department of Reproductive Health and Research Brocher Foundation, Hermance, Geneva, Switzerland, 27–29 April 2016

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Counselling for maternal and newborn health care

World Health Organization World Health Organization (2013) C_WHO

A handbook for building skills, Updated 2013

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Global Technical Strategy for Malaria 2016–2030, 2021 Update

Pedro Alonso, Kevin Baird, David Brandling-Bennett et al. World Health Organization (WHO) (2022) C_WHO

This updated version, endorsed by the World Health Assembly in May 2021 through resolution WHA74.9, reflects lessons learned in the global malaria response over the last 5 years. While the milestones and targets remain the same, the approaches to tackling the disease, in some areas, have evolved to ... more

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South Sudan Regional Refugee Response Plan January 2020 — December 2021

Office for the Coordination of Humanitarian Affairs OCHA (2020) CC

Addendum: 2020 mid-year COVID-19 resvision, summary of the reprioritisation & additional requirements in response to COVID-19 In June and July 2020, a mid-year revision of the 2020 South Sudan Regional Refugee Response Plan (RRRP) was undertaken as an inter-agency consultative process to discuss ... more

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Strengthening HIV Primary Prevention: Five Thematic Discussion Papers to Inform Country Consultations and the Development of a Global HIV Prevention Roadmap

Joint United Nations Programme on HIVAIDS (UNAIDS) (2017) C1

The five thematic discussion papers in this collection were prepared by members of the Global Prevention Coalition Steering Group and other experts from various institutions and countries. Contributors are listed in alphabetical order. The five papers are meant to inform country consultations and th... more