1. Introduction
In recognition of the unique challenges faced by resource-limited contexts in addressing dental and public health issues, this policy aims to guide the development of evidence-based clinical guidelines. These guidelines will serve as essential tools to improve oral and public health outcomes in settings with limited resources.
2. Objectives
- Develop contextually appropriate clinical guidelines for dental and public health practice in resource-limited contexts.
- Ensure the guidelines are evidence-based, practical, and feasible for implementation.
- Foster collaboration among stakeholders to address the specific needs and challenges of resource-limited settings.
3. Composition and Membership
- The Clinical Guidelines Steering Group shall comprise experts in dentistry, public health, epidemiology, community health, and other relevant disciplines.
- Membership criteria shall include expertise in guideline development, experience working in resource-limited contexts, and representation from diverse geographical areas.
- Stakeholder engagement, including representatives from government agencies, NGOs, academia, and local communities, shall be integral to the Steering Group.
4. Roles and Responsibilities
- Chairperson: Lead meetings, coordinate activities, and ensure adherence to timelines.
- Members: Contribute expertise, review evidence, provide feedback, and participate in decision-making.
- Secretariat: Provide administrative support, maintain records, and facilitate communication within the group.
5. Guideline Development Process
- Identify priority areas based on epidemiological data and stakeholder consultation.
- Conduct systematic reviews of existing evidence and literature.
- Adapt or develop guidelines considering local context, available resources, and cultural considerations.
- Validate guidelines through pilot testing and stakeholder feedback.
- Incorporate cost-effectiveness analysis to guide resource allocation.
6. Evidence-Based Approach
- Grade the quality of evidence and strength of recommendations using established frameworks.
- Consider local epidemiological data and contextual factors in guideline development.
- Balance clinical effectiveness with feasibility and affordability in resource-limited settings.
7. Dissemination and Implementation
- Publish guidelines in peer-reviewed journals and online platforms.
- Develop user-friendly tools and resources for healthcare providers.
- Conduct training workshops and capacity-building initiatives.
- Advocate for policy changes to support guideline implementation.
8. Monitoring and Evaluation
- Monitor adherence to guidelines in clinical practice.
- Surveillance of key indicators to measure improvements in oral and public health outcomes.
- Periodic review and update of guidelines based on emerging evidence and stakeholder feedback.
9. Ethical Considerations
- Ensure patient confidentiality and informed consent.
- Disclose conflicts of interest among Steering Group members.
- Respect cultural sensitivities and local norms in guideline recommendations.
10. Resource Mobilization
- Secure funding and resources to support guideline development, dissemination, and implementation efforts.
- Establish partnerships with government agencies, NGOs, academia, and other stakeholders.
11. Review and Revision
- Regularly review and revise the policy to ensure its relevance and effectiveness.
- Solicit feedback from stakeholders and incorporate lessons learned from guideline development and implementation experiences.
12. Conclusion
This policy underscores our commitment to collaboratively develop evidence-based clinical guidelines tailored to the unique needs of resource-limited contexts. By adhering to this policy framework, the Clinical Guidelines Steering Group will contribute to improving oral and public health outcomes and advancing health equity worldwide.