Guidelines in Low and Middle Income Countries Paper 1: Scoping clinical practice guidelines in Chile and the Philippines

Dans, Antonio L.; Dans, Leonila F.; Lanas, Fernando

doi:10.1016/j.jclinepi.2020.07.008

Cited by 4 publications

(1 citation statement)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Low- and middle-income countries (LMICs) often lack resources and/or skills to develop local guidelines and instead rely on guidelines developed by WHO and other international organizations [ 3 ]. Constraints in guideline development in LMICs include methodological problems and inadequate resources [ 4 , 5 ]. Scholars have critically argued that the adoption of guidelines in LMICs, in merely attempting to emulate “ clinical guidelines developed in rich countries, risks placing unnecessary strains on their health services ” [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Improving WHO’s understanding of WHO guideline uptake and use in Member States: a scoping review

Saluja

Reddy

Wang

et al. 2022

Health Res Policy Sys

View full text Add to dashboard Cite

Background WHO publishes public health and clinical guidelines to guide Member States in achieving better health outcomes. Furthermore, WHO’s Thirteenth General Programme of Work for 2019–2023 prioritizes strengthening its normative functional role and uptake of normative and standard-setting products, including guidelines at the country level. Therefore, understanding WHO guideline uptake by the Member States, particularly the low- and middle-income countries (LMICs), is of utmost importance for the organization and scholarship. Methods We conducted a scoping review using a comprehensive search strategy to include published literature in English between 2007 and 2020. The review was conducted between May and June 2021. We searched five electronic databases including CINAHL, the Cochrane Library, PubMed, Embase and Scopus. We also searched Google Scholar as a supplementary source. The review adhered to the PRISMA-ScR (PRISMA extension for scoping reviews) guidelines for reporting the searches, screening and identification of evaluation studies from the literature. A narrative synthesis of the evidence around key barriers and challenges for WHO guideline uptake in LMICs is thematically presented. Results The scoping review included 48 studies, and the findings were categorized into four themes: (1) lack of national legislation, regulations and policy coherence, (2) inadequate experience, expertise and training of healthcare providers for guideline uptake, (3) funding limitations for guideline uptake and use, and (4) inadequate healthcare infrastructure for guideline compliance. These challenges were situated in the Member States’ health systems. The findings suggest that governance was often weak within the existing health systems amongst most of the LMICs studied, as was the guidance provided by WHO’s guidelines on governance requirements. This challenge was further exacerbated by a lack of accountability and transparency mechanisms for uptake and implementation of guidelines. In addition, the WHO guidelines themselves were either unclear and were technically challenging for some health conditions; however, WHO guidelines were primarily used as a reference by Member States when they developed their national guidelines. Conclusions The challenges identified reflect the national health systems’ (in)ability to allocate, implement and monitor the guidelines. Historically this is beyond the remit of WHO, but Member States could benefit from WHO implementation guidance on requirements and needs for successful uptake and use of WHO guidelines.

show abstract

Section: Introductionmentioning

confidence: 99%

Improving WHO’s understanding of WHO guideline uptake and use in Member States: a scoping review

Saluja

Reddy

Wang

et al. 2022

Health Res Policy Sys

View full text Add to dashboard Cite

show abstract

Consumer engagement in living evidence “a beautiful opportunity”: International qualitative study with patients and methodologists

Synnot,

Weeks,

Hill

et al. 2024

Clinical and Public Health Guidelines

View full text Add to dashboard Cite

ObjectiveWe aimed to explore the opportunities, challenges and practical strategies for consumer engagement (i.e., patient and public involvement) in living evidence (systematic reviews, guidelines and health technology assessments that are continually updated with the latest evidence).Study Design and SettingIn this international qualitative study, methodologists (producers of systematic reviewers, guidelines and health technology assessments) with an interest in living evidence, and consumers (patients, informal carers, the public and their representatives) with experience contributing to evidence synthesis production participated in either a face‐to‐face workshop, online focus group or semistructured interview. We analysed data using descriptive synthesis.ResultsForty‐one methodologists and seven consumers from nine countries participated. A minority of participants in both groups had direct experience with living evidence synthesis. We identified seven themes: harnessing consumer enthusiasm in recruitment; ‘better’ consumer engagement based on deeper relationships; improved and ongoing orientation, support and remuneration; maintaining an ongoing commitment; potentially different guideline development stages and tasks; larger groups of consumers and multiple roles; and ongoing incorporation of consumer insights.ConclusionMethodologists and consumers believe living evidence approaches present an imperative and an opportunity to explore new models of consumer engagement, bringing together larger and more diverse communities of consumers in true partnerships with methodologists. Consumer engagement strategies for living evidence allow ongoing improvement to engagement methods and ongoing incorporation of consumer experiences, preferences and values as they develop and change over time.

show abstract

Farewell and thanks to Tony and Inday Dans

Tovey,

Tricco,

Knottnerus

et al. 2024

Journal of Clinical Epidemiology

View full text Add to dashboard Cite

Guidelines in Low and Middle Income Countries Paper 1: Scoping clinical practice guidelines in Chile and the Philippines

Cited by 4 publications

References 3 publications

Improving WHO’s understanding of WHO guideline uptake and use in Member States: a scoping review

Improving WHO’s understanding of WHO guideline uptake and use in Member States: a scoping review

Consumer engagement in living evidence “a beautiful opportunity”: International qualitative study with patients and methodologists

Farewell and thanks to Tony and Inday Dans

Contact Info

Product

Resources

About