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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 at 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

Cost Benefit Analysis of NMT Infrastructure Projects

UNEP (2021) C1

Non-Motorized Transport (NMT) has immense benefits for individual users, as well as society at large, through improvements to physical health, air quality, the environment, climate change, personal finance, accessibility, mobility and the empowermen ... more

RWANDA VISION 2020 Revised 2012

Republic of Rwanda (2012) C2

The Vision 2020 is a reflection of our aspiration and determination as Rwandans, to construct a united, democratic and inclusive Rwandan identity, after so many years of authoritarian and exclusivist dispensation. We aim, through this Vision, to transform our country into middle - income nation in w ... more

Principles to guide health system recovery and transformation in Ukraine

World Health Organization WHO (2022) C_WHO

Despite the continuing war in Ukraine, the Government is preparing for the country’s recovery and reconstruction. Given the magnitude of the attacks on the health infrastructure and consequent disruption to health system functioning, reconstructio ... more

Security Survey for Health Facilities
recommended

International Committee of the Red Cross (ICRC) (2017) C1

The purpose of the survey is to identify the level of preparedness required by a health-care facility to be able to continue operating during, or following a conflict-related security event.
The survey method provides a measure of the security and preparedness of a given health facility in it ... more

Health equity for persons with disabilities: guide for action: executive summary

World Health Organization WHO (2024) CC

The Disability inclusion guide for action supports ministries of health and their partners in both advancing health equity for persons with disabilities by identifying entry points, and planning appropriate actions that strengthen the health system through disability inclusion. It focuses on address ... more

Guidelines for essential trauma care
recommended

Mock, C et al World Health Organization (WHO) (2004) C_WHO

The Guidelines for essential trauma care seek to set achievable standards for trauma treatment services which could realistically be made available to almost every injured person in the world. They then seek to define the resources that would be necessary to assure such care. These include human res ... more

Ethiopia Emergency Health Appeal

World Health Organisation (WHO) (2023) C_WHO

Ethiopia faces unprecedented public health risks with over 17.4 million people in need of health assistance due to a compounded security, epidemiological, environmental and socio-economic hardships throughout the country. Specifically, the prolonged drought and localized conflicts have negatively im ... more

Stronger Together: Building Individual and Social Resilience to Cope with the Impacts of Natural Hazard Events

Pan American Health Organization (PAHO) and the Caribbean Development Bank (CDB) (2019) CC

Under the theme “Stronger Together”, the campaign aims to offer information and strategies to assist communities in the region in better coping with the psychological impact of adverse events before, during and after a disaster situation. It also aims to raise awareness to reduce the stigma abou ... more

Prevalence of Physical Disability among Urban Community-dwelling Adults in Sri Lanka

Weerasinghe, I.F., Foneska, P., Dharmaratne, S.D., & Jayatilake, J.A.M.S. Disability, CBR & Inclusive Development Journal (DCIDJ) (2015)

Assessment of physical disability at the community level is essential for rehabilitation and supply of services. This study aimed to assess the prevalence of physical disability among adults in an ... more

Global status report on physical activity 2022: country profiles

World Health Organisation (WHO) (2023) C_WHO

These country profiles present progress on implementation of policy recommendations of the Global Action Plan on Physical Activity (GAPPA) 2018-2030 in each country. They also present an estimate of the cost to health systems of not taking action t ... more

Health and Socio-Economic Impacts of Physical Distancing for Covid-19 in Africa

Barasa, E.; et al. KEMRI-Wellcome Trust Research Programme and African Academy of Sciences (2020) CC

Physical distancing measures are important to reduce COVID-19 transmission. However, when stringently applied, they can result in negative health and socio-economic impacts. This report draws on a rapid review of available literature, case studies f ... more

Rapid Review of Physical Distancing and Alternative Disease Control Measures in South Asia

Divya Nair, Nisha Hariharan, Raghav Adlakha, et al. Department for International Development DFID (2020) CC

Policy Brief

Health and Socio-Economic Impacts of Physical Distancing for Covid-19 in Africa. Policy Brief

Barasa, E.; et al. KEMRI-Wellcome Trust Research Programme and African Academy of Sciences (2020) CC

Physical distancing measures are important to reduce COVID-19 transmission. However, when stringently applied, they can result in negative health and socio-economic impacts. This report draws on a rapid review of available literature, case studies f ... more

National Physical Activity Action Plan 2018-2023

Republic of Kenya, Ministry of Health (2018) CC

Although Kenyans enjoy comparatively good health, the prevalence of chronic disease is increasing and our ageing population is placing evergrowing pressures on the finite resources of our health system.

Global action plan on physical activity 2018–2030: more active people for a healthier world

World Health Organisation WHO (2018) C_WHO

Regular physical activity is proven to help prevent and treat noncommunicable diseases (NCDs) such as heart disease, stroke, diabetes and breast and colon cancer. It also helps to prevent hypertension, overweight and obesity and can improve mental h ... more

The role of physical therapists in disaster management

World Confederation for Physical Therapy (2016) CC

South Africa: Integrated assessment and management of health care infrastructure and technology

Erasmus, L., Poluta, M. & Weeks, R. University of Pretoria (2012) C2

Innovate, Issue: 7

Strategy for Quality Health infrastructure in Africa 2021-2030 Revised Version

AHVPAHHD Departments African Development Bank Group (2021) CC

The African Development Bank has launched a consultation process with health ministers and other partners as it develops a strategy to drive enhanced access to health services across Africa through 2030. Input from ministers in the Bank’s 54 regional member countries, development partners and c ... more

Capacity Building for Physical Activity of Older People

German Gymnastics Federation (Deutscher Turner-Bund, DTB) German Gymnastics Federation (Deutscher Turner-Bund, DTB) (2014) CC

The “ActiveAge Handbook” is an outcome of the “ActiveAge Project, which was carried out from January 2013 until June 2014 in the frame of “2012 Preparatory Actions in the Field of Sport” of the European Commission Directory General Education and Cul- ture (DG EAC) in cooperation with 13 E ... more