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close this bookDeveloping HIV/AIDS Treatment Guidelines (UNAIDS, 1999, 43 p.)
close this folderPart 2: Developing valid HIV/AIDS guidelines
close this folderSteps in developing HIV/AIDS treatment guidelines
View the document1. Target groups and type of guideline
View the document2. Stakeholder mapping exercise
View the document3. Setting up a guideline development committee
View the document4. Role of the committee members
View the document5. Guideline scope
View the document6. Identifying and applying scientific evidence
View the document7. Methods of establishing consensus
View the document8. Deriving recommendations
View the document9. Drafting guidelines
View the document10. Involving external reviewers
View the document11. Disseminating and implementing guidelines
View the document12. Workplan for guideline development
View the document13. Budgeting for guideline development
View the document14. Public policy implications of HIV/AIDS treatment guidelines

12. Workplan for guideline development

Getting a timeframe agreed upon by all the interested parties and the committee members requires considerable planning and timetabling. This timeframe would include details of the activities to be conducted and the individuals and institutions responsible for those activities. Deadlines for the review of evidence and draft documents should also be included. A simple implementation plan can be developed to help guide the process of guideline development and to show in a quick way the activities to be conducted and who is responsible. The plan covering the development of the guidelines could take up to a year to complete as the example below shows. This is based on the WHO guidelines for adapting HIV guidelines to country needs.

Model implementation plan

Month

Activity

Objective/Result

Group responsible*

0

Appoint guideline development committee

Committee in place with clear terms of reference

NACP, NEDP

1-2

Review existing literature

Scientific evidence identified

Guideline committee

3-4

Assess scientific evidence

Recommendations based on evidence synthesized

Guideline committee

5

Hold consensus workshop

Clinical guidelines drafted

MOH, NACP

6

Edit draft guidelines

Guidelines edited

Guideline committee

7-8

Field test

Guidelines finalized

NACP

9-10

Alter standard treatments

Guidelines included in national treatment guidelines

NACP, NEDP

11

Estimate drug supplementation

AIDS drugs quantified and costed

NEDP

12

Publish guidelines

National document

NACP, NEDP

13-14

Disseminate guidelines

Health facilities

NEDP, NACP

15-ongoing

Train in standardized treatment

Health care personnel

NEDP, NACP

16-ongoing

Purchase and supply drugs

Distribution to health centres

NEDP, MOH

17-ongoing

Monitor guideline and drug use

Feedback received on guideline use and drug utilization

NEDP

*NACP: National AIDS Control Programme
*NEDP: National Essential Drugs Programme
*MOH: Ministry of Health