ArticleHealth research policy and systems2020
Development of the WHO Antenatal Care Recommendations Adaptation Toolkit: a standardised approach for countries.
Article in Health research policy and systems, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Maternal and perinatal outcomes following a diagnosis of Hodgkin lymphoma during or prior to pregnancy: A systematic review.BJOG : an international journal of obstetrics and gynaecology · 2023Pooled it
- New Antenatal Model in Africa and India (NAMAI) study: implementation research to improve antenatal care using WHO recommendations.Health research policy and systems · 2023Trial
- Implementation and evaluation of a technical support center for the Research to Enhance the Adaptation and Implementation of Health Systems Guidelines in LMICs [RAISE] initiative.Health research policy and systems · 2026Article
- Article
- Reporting Digital Health Implementations Based on the iCHECK-DH Guidelines and Checklist: Development of an Interactive Toolkit.Journal of medical Internet research · 2025Article
- Adapting the WHO ANC digital module for the NAMAI study: Formative research to inform implementation science interventions for enhanced quality service delivery following the WHO SMART guidelines approach.PLOS digital health · 2025Article
- Interactive Toolkit for Classifying Digital Health Interventions, Services, and Applications Based on the WHO Framework.Journal of medical systems · 2025Article
- Evaluating the impact of the global evidence, local adaptation (GELA) project for enhancing evidence-informed guideline recommendations for newborn and young child health in three African countries: a mixed-methods protocol.Health research policy and systems · 2024Article
- Assessing unConventional Evidence (ACE) tool: development and content of a tool to assess the strengths and limitations of 'unconventional' source materials.Health research policy and systems · 2024Article
- Sex Disparities: Couple's Knowledge and Attitude Towards Obstetric Danger Signs and Maternal Health Care: in Rural Jimma Zone of Ethiopia.International journal of women's health · 2024Article
- Sociodemographic and health-related factors associated with exclusive breastfeeding in 77 districts of Uganda.International breastfeeding journal · 2023Article
- Missed Opportunity of Antenatal Care Services Utilization and Associated Factors among Reproductive Age Women in Eastern Hararghe Zone, Eastern Ethiopia: Mixed Methods Study.Journal of pregnancy · 2023Article
- Article
- Process of developing models of maternal nutrition interventions integrated into antenatal care services in Bangladesh, Burkina Faso, Ethiopia and India.Maternal & child nutrition · 2022Article
- World Health Organization and knowledge translation in maternal, newborn, child and adolescent health and nutrition.Archives of disease in childhood · 2022Review
- Transitioning to Digital Systems: The Role of World Health Organization's Digital Adaptation Kits in Operationalizing Recommendations and Interoperability Standards.Global health, science and practice · 2022Article
- Quality of antenatal care and associated factors in public health centers in Addis Ababa, Ethiopia, a cross-sectional study.PloS one · 2022Article
- Enhancing narrative clinical guidance with computer-readable artifacts: Authoring FHIR implementation guides based on WHO recommendations.Journal of biomedical informatics · 2021Article
- Barriers to the Digitization of Health Information: A Qualitative and Quantitative Study in Kenya and Lao PDR Using a Cloud-Based Maternal and Child Registration System.International journal of environmental research and public health · 2021Article
- Implementing antenatal care recommendations, South Africa.Bulletin of the World Health Organization · 2021Article
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Authors and funding
7 authors.
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Abstract
backgroundIncreasingly, WHO recommendations are defined by context-specific factors and WHO is developing strategies to ensure that recommendations are successfully adapted and implemented at country level. This manuscript describes the development of a toolkit to support governments to adapt the WHO recommendations on antenatal care (ANC) for a positive pregnancy experience for their context in a systematic manner.
methodsThe toolkit was developed in three steps. It was created with input from methodologists and regional implementation experts (Step 1) followed by a user-testing phase (Step 2), implemented during country stakeholder meetings. User testing consisted of stakeholder interviews that were transcribed, and data was categorised according to the content analysis method. Suggestions for toolkit improvement and issues identified during the interviews were assessed as serious, moderately serious or minor/cosmetic.
resultsA total of 22 stakeholders - comprising five Ministry of Health (MoH) consultants, four MoH policy-makers, and 13 advisors/implementers - from Burkina Faso, India, Rwanda and Zambia participated in user-testing interviews during stakeholder meetings held in each country between August 2018 and February 2019. Most stakeholders had a medical or nursing background and half were women. Overall, responses to the toolkit were positive, with all stakeholders finding it useful and desirable. User testing interviews highlighted four serious, four moderately serious and five minor/cosmetic issues to be managed. These were addressed in the final step (Step 3), an updated version of the WHO ANC Recommendations Adaptation Toolkit, comprised of two main components - a baseline assessment tool with spreadsheets for data entry and a Slidedoc
conclusionsThe WHO ANC Recommendations Adaptation Toolkit was developed to support countries to systematically adapt the WHO ANC recommendations for country contexts. Using this approach, similar tools can be developed to support guideline implementation across different health domains and the continuum of care.
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