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Table 2 Factors that favor guidelines influencing practice

From: Do guidelines influence the implementation of health programs? — Uganda’s experience

Development group ▪ Right people with appropriate skills in the group
  ▪ Including representatives of people expected to implement the guidelines and beneficiaries
  ▪ Working of the group – group process, dialogue, consensus building, effective leadership
Development and presentation of guidelines ▪ Are end users clearly defined?
  ▪ Is the problem or issue clearly defined?
  ▪ Is the presentation clear? Do we need to test for clarity?
  ▪ How we should we present the guidelines for the different target audiences?
  ▪ Will the chosen medium (booklet, posters, pocket card) be sufficiently durable?
Dissemination of guidelines ▪ Are we sure about the target users of the guidelines? How can we best reach them?
  ▪ In what form should the guidelines be published and disseminated?
  ▪ Systems of regular dissemination may be considered
  ▪ Monitoring and evaluating dissemination
  ▪ Planning for financial costs of dissemination
Implementing guidelines ▪ Having means to support implementation
  ▪ Incentives to implement guidelines
Evaluation and revision of guidelines ▪ How will we know the guidelines have been received, read, respected, and locally promoted?
  ▪ Methods required for assessment
  ▪ Is there a clear means of evaluation?
  ▪ Are there key indicators to measure implementation?
  ▪ What is the expected outcome and how can it be measured
  ▪ How often should the guidelines be reviewed or reformulated?
  ▪ Who is responsible for initiating review?
  ▪ How will reviewed guidelines be disseminated to replace redundant versions?
  1. Adapted from Thomson et al. 1995 [3].