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Development of the WHO Antenatal Care Recommendations Adaptation Toolkit: a standardised approach for countries

BACKGROUND: Increasingly, 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...

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Autores principales: Barreix, Maria, Lawrie, Theresa A., Kidula, Nancy, Tall, Fatim, Bucagu, Maurice, Chahar, Ram, Tunçalp, Özge
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7310220/
https://www.ncbi.nlm.nih.gov/pubmed/32564777
http://dx.doi.org/10.1186/s12961-020-00554-4
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author Barreix, Maria
Lawrie, Theresa A.
Kidula, Nancy
Tall, Fatim
Bucagu, Maurice
Chahar, Ram
Tunçalp, Özge
author_facet Barreix, Maria
Lawrie, Theresa A.
Kidula, Nancy
Tall, Fatim
Bucagu, Maurice
Chahar, Ram
Tunçalp, Özge
author_sort Barreix, Maria
collection PubMed
description BACKGROUND: Increasingly, 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. METHODS: The 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. RESULTS: A 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(®), a dual-purpose document for reading and presentation, outlining the qualitative data that shaped the women-centred perspective of the guidelines, accompanied by an instruction manual detailing the components’ use. CONCLUSIONS: The 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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spelling pubmed-73102202020-06-23 Development of the WHO Antenatal Care Recommendations Adaptation Toolkit: a standardised approach for countries Barreix, Maria Lawrie, Theresa A. Kidula, Nancy Tall, Fatim Bucagu, Maurice Chahar, Ram Tunçalp, Özge Health Res Policy Syst Research BACKGROUND: Increasingly, 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. METHODS: The 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. RESULTS: A 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(®), a dual-purpose document for reading and presentation, outlining the qualitative data that shaped the women-centred perspective of the guidelines, accompanied by an instruction manual detailing the components’ use. CONCLUSIONS: The 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. BioMed Central 2020-06-22 /pmc/articles/PMC7310220/ /pubmed/32564777 http://dx.doi.org/10.1186/s12961-020-00554-4 Text en © The Author(s) 2020 This is an open access article distributed under the terms of the Creative Commons Attribution IGO License (https://creativecommons.org/licenses/by/3.0/igo/legalcode), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. In any reproduction of this article there should not be any suggestion that WHO or this article endorse any specific organisation or products. The use of the WHO logo is not permitted.
spellingShingle Research
Barreix, Maria
Lawrie, Theresa A.
Kidula, Nancy
Tall, Fatim
Bucagu, Maurice
Chahar, Ram
Tunçalp, Özge
Development of the WHO Antenatal Care Recommendations Adaptation Toolkit: a standardised approach for countries
title Development of the WHO Antenatal Care Recommendations Adaptation Toolkit: a standardised approach for countries
title_full Development of the WHO Antenatal Care Recommendations Adaptation Toolkit: a standardised approach for countries
title_fullStr Development of the WHO Antenatal Care Recommendations Adaptation Toolkit: a standardised approach for countries
title_full_unstemmed Development of the WHO Antenatal Care Recommendations Adaptation Toolkit: a standardised approach for countries
title_short Development of the WHO Antenatal Care Recommendations Adaptation Toolkit: a standardised approach for countries
title_sort development of the who antenatal care recommendations adaptation toolkit: a standardised approach for countries
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7310220/
https://www.ncbi.nlm.nih.gov/pubmed/32564777
http://dx.doi.org/10.1186/s12961-020-00554-4
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