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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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Predisaster Activities

World Health Organization (2004)

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India: Guidelines on "other cases" unter NLEP

Directorate General of Health Services, National Leprosy Eradication Programme, New Delhi (2007) C1

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National Programme for Prevention and Control of Diabetes, Cardiovascular Disease and Stroke

World Health Organization WHO (2019) C_WHO

A Manual for Medical Officer Developed under the Government of India – WHO Collaborative Programme 2008-2009 Accessed: 11.03.2019

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COVID-19 vaccine tracker and landscape
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World Health Organization WHO (2022) C_WHO

The COVID-19 vaccine tracker and landscape compiles detailed information of each COVID-19 vaccine candidate in development by closely monitoring their progress through the pipeline. The COVID-19 vaccine tracker: Provides summary tables of COVID-19 vaccine candidates in both clinical and pre-... more

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Emergency in Ukraine: external situation report
recommended

World Health Organization WHO (2022) C_WHO

Here you can download the latest Situation Reports Weekly updates on the current situation in Ukraine and refugee-receiving countries, priority public health concerns and WHO’s actions to rapidly respond to the health emergency triggered by the conflict and to minimize disruptions to the delivery... more

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For Proper Disposal Hospital Waste

Jorge Emmanuel and Ruth Stringer Health Care Without Harm (2007)

A Global Inventory of Alternative Medical Waste Treatment Technologies

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Tuberculosis control in prisons

A. Bone; A. Aerts, M. Grzemska World Health Organization; International commitee of the Red Cross (2000) C_WHO

A manual for programme managers. БОРЬБА С ТУБЕРКУЛЕЗОМ В ТЮРЬМАХ Руководство для руководителей программ

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Plan Operationnel du Groupe de Responsabilité Sectorielle "Cluster" Santé en Republique Centrafricaine

Health Cluster (2018) C1

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Initial Rapid Assessment (IRA): Field Assessment Form

World Health Organization; IASC (2009)

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Guidelines for Management of Healthcare Waste as per Biomedical Waste Management Rules

Directorate General of Health Services Ministry of Health & Family Welfare ,India (2016) CC

Health Care Facilities (HCFs) are primarily responsible for management of the healthcare waste generated within the facilities, including activities undertaken by them in the community. The health care facilities, while generating the waste are responsible for segregation, collection, in-house trans... more

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WHO High-level meeting on Ebola vaccines access and financing. Summary Report

World Health Organization (2014)

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Guidelines for operationalising first referral units

Maternal Health Division Department of Family Welfare Ministry of Health & Family Welfare Government of India Maternal Health Division Department of Family Welfare Ministry of Health & Family Welfare Government of India (2004) C1