Malawi newborn and child health national clinical practice guidelines: a landscape analysis.

IF 2.3 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

International Health Pub Date : 2025-04-10 DOI:10.1093/inthealth/ihaf029

Roselyn Chipojola, Gertrude Kunje, Suzgika Lakudzala, Mashudu Mthethwa, Nyanyiwe Masingi Mbeye

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引用次数: 0

Abstract

Background: Clinical practice guidelines (CPGs) are essential for standardizing healthcare, but their adoption, updating and adaptation remain inconsistent in Malawi. This review evaluated publicly available newborn and child health CPGs from 2017 to 2022, identifying relevant guidelines and assessing their quality using the Appraisal of Guidelines, Research and Evaluation (AGREE) II tool. Key gaps were found in stakeholder involvement and accessibility, highlighting the need to strengthen CPG development and dissemination to improve health outcomes.

Methods: A total of 322 records were identified through Google Scholar, Google, the Ministry of Health (MOH) website and MOH offices using predetermined search terms. Hand searches were also conducted. The quality of reporting was appraised using the AGREE II tool.

Results: Six CPGs met the eligibility criteria, five covering child health from the perinatal period onwards. CPGs targeted healthcare providers (n=6), program managers (n=2) and researchers (n=2). Topics included prevention, management and treatment. Reporting quality was generally poor, particularly regarding methodological rigour and editorial independence.

Conclusions: A collaborative effort including the MOH, non-governmental organizations, professional associations and researchers in developing and adapting newborn and child health CPGs could yield large benefits in improving the quality of care of children in Malawi.

查看原文本刊更多论文

马拉维新生儿和儿童健康国家临床实践指南：景观分析。

背景：临床实践指南（CPGs）是标准化医疗保健必不可少的，但他们的采用，更新和适应在马拉维仍然不一致。本综述评估了2017年至2022年可公开获得的新生儿和儿童健康CPGs，确定了相关指南，并使用指南评估、研究和评估（AGREE） II工具评估了其质量。在利益攸关方参与和可及性方面存在重大差距，突出表明需要加强CPG的制定和传播，以改善健康结果。方法：通过谷歌Scholar、谷歌、Ministry of Health (MOH) website和MOH office使用预定检索词对322份病历进行检索。还进行了手部搜查。使用AGREE II工具评估报告的质量。结果：6个CPGs符合资格标准，5个涵盖围产期以后的儿童健康。CPGs的目标是医疗保健提供者（n=6）、项目经理（n=2）和研究人员（n=2）。主题包括预防、管理和治疗。报告质量普遍较差，特别是在方法的严谨性和编辑独立性方面。结论：包括卫生部、非政府组织、专业协会和研究人员在内的合作努力，在制定和调整新生儿和儿童保健CPGs方面可以在提高马拉维儿童护理质量方面产生巨大效益。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

4.50

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： International Health is an official journal of the Royal Society of Tropical Medicine and Hygiene. It publishes original, peer-reviewed articles and reviews on all aspects of global health including the social and economic aspects of communicable and non-communicable diseases, health systems research, policy and implementation, and the evaluation of disease control programmes and healthcare delivery solutions. It aims to stimulate scientific and policy debate and provide a forum for analysis and opinion sharing for individuals and organisations engaged in all areas of global health.