ArticleArchives of disease in childhood2017
Developing guidelines in low-income and middle-income countries: lessons from Kenya.
Article in Archives of disease in childhood, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Epidemiology, risk factors, and strategies to prevent and manage poisonings due to pharmaceuticals in children in low income and low-middle income countries: A systematic review.Journal of global health · 2023Pooled it
- The Dilemmas and Opportunities of Co-Creating Health Interventions to Fit Local Contexts: An Ethnographic Study on the Adaptation of Clinical Guidelines in Tanzania.Health expectations : an international journal of public participation in health care and health policy · 2024Trial
- National guideline development and adaptation, Egypt.Bulletin of the World Health Organization · 2026Article
- Emergency, critical and operative care in Afghanistan: pathways to overcoming fragmentation and strengthening access in a post-conflict setting-a mixed-method study.BMJ public health · 2026Article
- "Though there are some challenges, we try our best to follow the guidelines": a qualitative study exploring determinants of providing guideline-adherent care to hospitalized children in Kenya.Implementation science communications · 2025Article
- First referral hospitals in low-resource settings: a narrative review of expectations for clinical service provision.Health policy and planning · 2025Review
- From guideline to bedside, improving evidenced-base care.Trauma surgery & acute care open · 2025Article
- Guidance for engagement in health guideline development: A scoping review.Campbell systematic reviews · 2024Article
- International evidence-based guidelines on hypertension and type 2 diabetes mellitus: A systematic review.Journal of public health research · 2023Review
- International collaboration for the development of clinical guidelines in low and middle-income countries: case study on the development of a national framework and clinical guidelines for diabetic retinopathy in Ghana.Eye (London, England) · 2022Article
- Identifying the research, advocacy, policy and implementation needs for the prevention and management of respiratory syncytial virus lower respiratory tract infection in low- and middle-income countries.Frontiers in pediatrics · 2022Article
- The injustice of unfit clinical practice guidelines in low-resource realities.The Lancet. Global health · 2021Review
- Employing learning health system principles to advance research on severe neonatal and paediatric illness in Kenya.BMJ global health · 2021Review
- Using treatment guidelines to improve antibiotic use: insights from an antibiotic point prevalence survey in Kenya.BMJ global health · 2021Article
- Antibiotic use in Kenyan public hospitals: Prevalence, appropriateness and link to guideline availability.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2020Article
- Examining which clinicians provide admission hospital care in a high mortality setting and their adherence to guidelines: an observational study in 13 hospitals.Archives of disease in childhood · 2020Observational
- Missed nursing care in newborn units: a cross-sectional direct observational study.BMJ quality & safety · 2020Observational
- Programme theory and linked intervention strategy for large-scale change to improve hospital care in a low and middle-income country - A Study Pre-Protocol.Wellcome open research · 2020Article
- Lessons from a Health Policy and Systems Research programme exploring the quality and coverage of newborn care in Kenya.BMJ global health · 2020Review
- Variability in the use of pulse oximeters with children in Kenyan hospitals: A mixed-methods analysis.PLoS medicine · 2019Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
There are few examples of sustained nationally organised, evidence-informed clinical guidelines development processes in Sub-Saharan Africa. We describe the evolution of efforts from 2005 to 2015 to support evidence-informed decision making to guide admission hospital care practices in Kenya. The approach to conduct reviews, present evidence, and structure and promote transparency of consensus-based procedures for making recommendations improved over four distinct rounds of policy making. Efforts to engage important voices extended from government and academia initially to include multiple professional associations, regulators and practitioners. More than 100 people have been engaged in the decision-making process; an increasing number outside the research team has contributed to the conduct of systematic reviews, and 31 clinical policy recommendations has been developed. Recommendations were incorporated into clinical guideline booklets that have been widely disseminated with a popular knowledge and skills training course. Both helped translate evidence into practice. We contend that these efforts have helped improve the use of evidence to inform policy. The systematic reviews, Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approaches and evidence to decision-making process are well understood by clinicians, and the process has helped create a broad community engaged in evidence translation together with a social or professional norm to use evidence in paediatric care in Kenya. Specific sustained efforts should be made to support capacity and evidence-based decision making in other African settings and clinical disciplines.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.