4.6 Review

Development, implementation and validation of resource-stratified guidelines in low-income and middle-income countries: a scoping review protocol

Journal

BMJ OPEN
Volume 12, Issue 9, Pages -

Publisher

BMJ PUBLISHING GROUP
DOI: 10.1136/bmjopen-2021-059603

Keywords

protocols & guidelines; quality in health care; international health services

Funding

  1. NIHR Global Health Research Group on Neurotrauma
  2. UK aid from the UK Government [16/137/105]
  3. Gates Cambridge Trust [OPP1144]
  4. NIHR
  5. NIHR Cambridge Biomedical Research Centre
  6. European Union Seventh Framework Program grant (CENTER-TBI) [602,150]
  7. Royal College of Surgeons of England
  8. School of Clinical Medicine, University of Cambridge

Ask authors/readers for more resources

This article discusses the importance of using resource-stratified guidelines in low-income and middle-income countries. It highlights the need for guidelines tailored to local healthcare needs and available resources. The review aims to investigate the development methods, implementation status, and validation of existing guidelines.
Introduction Nearly every field of medicine has some form of clinical practice guidelines. However, only within the past 5-10 years has the medical community acknowledged the need for well-developed guidelines tailored to the local healthcare needs and the resources available. In most low-income and middle-income countries (LMICs), healthcare workers depend on guidelines developed in high-income countries (HICs), yet many interventions validated in a HIC are ineffective when implemented in an LMIC. The variation in infrastructure, medical personnel, technology and environmental conditions exhibited in LMICs relative to HICs necessitates a careful appraisal of the evidence base used in clinical guideline recommendations. This review aims to map the use of resource-stratified guidelines across all fields of medicine. The review seeks to answer three questions for the identified guidelines: (1) what was the method of development, (2) have they been implemented and, if so, (3) have they been validated. Methods The search strategy will aim to locate studies from inception to November 2021. An initial limited search of PubMed and Scopus was undertaken to identify articles on the topic. The text words contained in the titles and abstracts of relevant articles, and the index terms used to describe the articles were used to develop a full search strategy for PubMed and Scopus. This scoping review will be conducted in accordance with the Joanna Briggs Institute (JBI) methodology for scoping reviews. Data to be extracted from each study will include population characteristics of both developers and intended implementation population, medical specialty, validation status, method of guideline development, whether the study is consensus or evidence-based in addition to a summary of recommendations for practice. Ethics and dissemination Ethical approval is not required for this review. The plan for dissemination is to publish review findings in a peer-reviewed journal.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.6
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

No Data Available
No Data Available