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Developing clinical guidelines

Commercialization of traditional medicine and Universal Health Coverage (8) Regulation of health care (3)

Herbal medicine has been accepted as a component of global health. The current investment going into research and development of herbal products is unprecedented. It is very sad to note that in country like Nigeria where over 80% of her population relies on herbs for daily health needs, only few of such herbs have been validated using research. In a recent study conducted in Ibadan, it was discovered that of the herbal products evaluated, only about 20% of the products were validated using clinical trial. In spite of this, over 80% of the manufacturers made various treatment claims.

Large-Scale Evaluation of Quality of Care in 6 Countries of Eastern Europe and Central Asia Using Clinical Performance and Value Vignettes

Background:

A significant determinant of population health outcomes is the quality of care provided for noncommunicable diseases, obstetric, and pediatric care. We present results on clinical practice quality in these areas as measured among nearly 4,000 providers working at more than 1,000 facilities in 6 Eastern European and Central Asian countries.

Methods:

Knowledge translation: a case study on pneumonia research and clinical guidelines in a low- income country

ABSTRACT
Background: The process and effectiveness of knowledge translation (KT) interventions targeting policymakers are rarely reported. In Cambodia, a low-income country (LIC), an intervention aiming to provide evidence-based knowledge on pneumonia to health authorities was developed to help update pediatric and adult national clinical guidelines. Through a case study, we assessed the effectiveness of this KT intervention, with the goal of identifying the barriers to KT and suggest strategies to facilitate KT in similar settings.

The role of The Cochrane Collaboration in support of the WHO Nutrition Guidelines

This article describes the background and contribution of The Cochrane Collaboration to the WHO Nutrition Guidelines program. Systematic reviews, augmented by the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) methodology for assessing the quality of a body of evidence, form the evidence basis for WHO guidelines.

Malaria treatment policy change in Uganda: what role did evidence play?

Background: Although increasing attention is being paid to knowledge translation (KT), research findings are not being utilized to the desired extent. The present study explores the roles of evidence, barriers, and factors facilitating the uptake of evidence in the change in malaria treatment policy in Uganda, building on previous work in Uganda that led to the development of a middle range theory (MRT) outlining the main facilitatory factors for KT. Application of the MRT to a health policy case will contribute to refining it.
 

Appraisal of guidelines developed by the World Health Organization

ABSTRACT
 
OBJECTIVE: To appraise the quality of guidelines developed by the World Health Organization (WHO) that were approved by its Guidelines Review Committee (GRC) and identify strengths and weaknesses in the guideline development process.
 
STUDY DESIGN: Cross-sectional.
 

Patient and public attitudes to and awareness of clinical practice guidelines: a systematic review with thematic and narrative syntheses

Background: Clinical practice guidelines are typically written for healthcare providers but there is increasing interest in producing versions for the public, patients and carers. The main objective of this review is to identify and synthesise evidence of the public's attitudes towards clinical practice guidelines and evidence-based recommendations written for providers or the public, together with their awareness of guidelines.
 

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