The injustice of unfit clinical practice guidelines in low-resource realities.

ABSTRACT: To end the international crisis of preventable deaths in low-income and middle-income countries, evidence-informed and cost-efficient health care is urgently needed, and contextualised clinical practice guidelines are pivotal. However, as exposed by indirect consequences of poorly adapted COVID-19 guidelines, fundamental gaps continue to be reported between international recommendations and realistic best practice. To address this long-standing injustice of leaving health providers without useful guidance, we draw on examples from maternal health and the COVID-19 pandemic. We propose a framework for how global guideline developers can more effectively stratify recommendations for low-resource settings and account for predictable contextual barriers of implementation (eg, human resources) a

SUBMITTER: Maaloe N 

PROVIDER: S-EPMC7984859 | biostudies-literature | 2021 Jun

REPOSITORIES: biostudies-literature