Developing HIV/AIDS Treatment Guidelines (UNAIDS, 1999, 43 p.): Part 2: Developing valid HIV/AIDS guidelines: Steps in developing HIV/AIDS treatment guidelines: 13. Budgeting for guideline development

Developing HIV/AIDS Treatment Guidelines (UNAIDS, 1999, 43 p.)

Part 2: Developing valid HIV/AIDS guidelines

Steps in developing HIV/AIDS treatment guidelines

		1. Target groups and type of guideline
		2. Stakeholder mapping exercise
		3. Setting up a guideline development committee
		4. Role of the committee members
		5. Guideline scope
		6. Identifying and applying scientific evidence
		7. Methods of establishing consensus
		8. Deriving recommendations
		9. Drafting guidelines
		10. Involving external reviewers
		11. Disseminating and implementing guidelines
		12. Workplan for guideline development
		13. Budgeting for guideline development
		14. Public policy implications of HIV/AIDS treatment guidelines

13. Budgeting for guideline development

The budget provision for the development of clinical guidelines should cover all the activities planned. The cost of full production of a guideline can be substantial as it is dependent on the methods applied in its development. Some of the practical details and difficulties in developing guidelines were identified in the development of evidence-based guidelines for the primary care management of asthma in adults and stable angina in the north of England. The article identifies the difficulties in estimating the cost of the exercise²⁶. A theoretical example of a typical budget with specific line items from such a workplan follows.

Model budget line items for guideline development

Activity	Details	*Estimated cost(US$)**
1. Appoint guideline development committee	· administrative costs for committee meetings for the duration of the guideline development	5 000
	· reimbursement of costs to members/fee	5 000
2. Review existing literature	· library and database search	-
	· compilation of findings	1 000
	· committee meetings as in 1. above	-
3. Assess scientific evidence	· methodology for review and analysis by specialists	1 000
	· summarizing of findings	1 000
	· deriving of recommendations	-
	· committee meetings as in 1. above	-
4. Hold consensus workshop	· invitation of presenters and participants	500
	· per diem for participants	5 000
	· conference room	500
	· refreshments	1 000
	· transportation, fuel	2 000
5. Edit draft guidelines	· committee meetings as in 1. above and other administrative costs	1 000
6. Field test	· development of methodology for assessment	1 000
	· conduct of the assessment	5 000
	· analysis and reporting of findings	2 000
7. Alter standard treatments	· committee meetings for inclusion of guidelines into national treatment guidelines	-
	· cost of the inclusion process	5 000
8. Estimate drug supplementation	· required AIDS drugs quantified and costed	Cost to NEDP
9. Publish guidelines	· production costs	10 000
10. Disseminate guidelines	· distribution costs	10 000
11. Train in standardized treatment	· cost of establishing and implementing training programmes at various levels	10 000
12. Purchase and supply drugs	· cost of drugs and distribution to health centres	Cost to NEDP
13. Monitor guideline and drug use	· cost of establishing monitoring system for guideline and drug utilization	Cost to NEDP

*Example only, costs will vary from country to country