Maternal and perinatal guideline development in hospitals in South East Asia: results from the SEA-ORCHID project

Jadsada Thinkhamrop,Sivasangari Subramaniam,Tari Turner

doi:10.1186/1478-4505-7-9

Abstract

BackgroundRecognising the potential of clinical practice guidelines (CPGs) to improve practice, one of the strategies of the SEA-ORCHID project was to facilitate the development of evidence-based CPGs, and to support clinical staff in each of the four countries to build their skills in development of CPGs in the nine participating hospitals in Thailand, Malaysia, Philippines and Indonesia. This study was undertaken to investigate the impact of the SEA-ORCHID project on development of evidence-based CPGs.MethodsData on the CPGs available to support maternal and perinatal healthcare were collected by SEA-ORCHID team members at each hospital before and after the intervention period of the project.ResultsThere were only a few evidence-based CPGs available in the SEA-ORCHID hospitals before the intervention period. After the intervention period, in the SEA-ORCHID hospitals in Malaysia and Indonesia there was no change in evidence-based CPG development activity in maternal and perinatal care. In Thailand and The Philippines there was a small increase in evidence-based CPG development activity in maternal and perinatal care.ConclusionDespite the wide range of interventions to support evidence-based CPG development implemented in the hospitals participating in the SEA-ORCHID, very little change was seen in the development of evidence-based CPGs.

Highlights

Recognising the potential of clinical practice guidelines (CPGs) to improve practice, one of the strategies of the SEA-ORCHID project was to facilitate the development of evidencebased CPGs, and to support clinical staff in each of the four countries to build their skills in development of CPGs in the nine participating hospitals in Thailand, Malaysia, Philippines and Indonesia
The South East Asia Optimising Reproductive and Child Health in Developing Countries (SEA-ORCHID, http:// www.seaorchid.org) project is a five-year collaborative project (2004–08) between four countries in South East Asia (Thailand, Malaysia, Philippines and Indonesia) and Australia funded by the Wellcome Trust and the Australian National Health and Medical Research Council
By establishing a network of researchers and teachers of evidence-based health care across Thailand, Malaysia, Philippines and Indonesia, supported from Australia, SEA ORCHID aims to examine whether the health of mothers and babies in the four South East Asian countries can be improved by increasing the capacity for research synthesis and improving the implementation of effective clinical practices. [3]

Summary

Introduction

Recognising the potential of clinical practice guidelines (CPGs) to improve practice, one of the strategies of the SEA-ORCHID project was to facilitate the development of evidencebased CPGs, and to support clinical staff in each of the four countries to build their skills in development of CPGs in the nine participating hospitals in Thailand, Malaysia, Philippines and Indonesia. The South East Asia Optimising Reproductive and Child Health in Developing Countries (SEA-ORCHID, http:// www.seaorchid.org) project is a five-year collaborative project (2004–08) between four countries in South East Asia (Thailand, Malaysia, Philippines and Indonesia) and Australia funded by the Wellcome Trust and the Australian National Health and Medical Research Council. By establishing a network of researchers and teachers of evidence-based health care across Thailand, Malaysia, Philippines and Indonesia, supported from Australia, SEA ORCHID aims to examine whether the health of mothers and babies in the four South East Asian countries can be improved by increasing the capacity for research synthesis and improving the implementation of effective clinical practices. While the number of published CPGs is increasing [5,7] there is evidence from a range of settings that the quality of CPGs is often low and the link between research and recommendations is an area of particular weakness. [8,9,10]

Methods

Results

Discussion

Conclusion