Table 2 Guiding principles for guideline adaptation

1.

Respect for evidence-based principles in the development of guidelines

The evidence on which the recommendations are based is included in the guidelines

2.

Ensuring that the quality of guidelines is high

Well-known frameworks for guideline development were used to guide and assess the quality of the adaptation process

3.

Participation of key stakeholders to foster acceptance and ownership of the adapted guideline and ultimately promote its use

The involvement of stakeholders was acknowledged in reports of the adaptation process

4.

Consideration of context during adaptation to ensure relevance for local practice and policy

The context of application of the guidelines has been explicitly stated and the content adapted for the Kenyan health system

5.

Transparency to promote confidence in the guideline development process

The methodology in the adaptation process has been documented so that it is accessible and reproducible

6.

Flexibility to accommodate specific needs and circumstances in the health system

The guideline presents recommendations for diverse categories of PLWD (such as those with different stages of DR or comorbidities) who receive service in different clinical settings

7.

Respect for and acknowledgement of guideline materials used as sources

Citation and referencing have been used to acknowledge all source documents