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Developing WHO guidelines with pragmatic, structured, evidence-based processes: A case study
L W Chang1, C E Kennedy, G E Kennedy
1Cochrane HIV/AIDS Group, University of California, San Francisco, CA, USA. lchang8@jhmi.edu
Global Public Health
|February 16, 2010
Summary
Developing World Health Organization (WHO) HIV guidelines involved experts and evidence reviews. This process highlights lessons for improving future guideline development rigor and quality.
Area of Science:
- Public Health
- Evidence-Based Medicine
- Guideline Development
Background:
- Many guidelines, including those from the World Health Organization (WHO), lack rigorous methodological standards.
- Operational examples are crucial for improving the quality of future guidelines.
Purpose of the Study:
- To describe the process of developing WHO guidelines for HIV prevention and care interventions.
- To identify successes and challenges in guideline development for future improvement.
Main Methods:
- A pragmatic, structured, evidence-based approach was employed.
- Key steps included forming a committee, systematic reviews, expert identification, evidence summary distribution, and a consensus conference with voting and refinement.
- A post-conference team finalized the guidelines incorporating external feedback.
Main Results:
- A draft version of the guidelines was completed through expert consensus and refinement.
- The process identified specific successes and challenges encountered during development.
Conclusions:
- The described process offers valuable lessons for enhancing the rigor and quality of future WHO guideline development.
- Addressing identified challenges is critical for improving the overall guideline development process.
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