Thanks Neil, this is an interesting question. How to localise guidelines which draw on international evidence / best practice but are localised to suit the realities of different contexts? The PCI clinical team debated the new hypertension guidance at length recently in order to inform our own guidance – it is clear that what may be considered cost effective in one setting may not be cost effective in another setting – and the weight of actual clinical evidence is yet a different consideration. Anyone looking for help in developing locally appropriate clinical guidelines might be interested to read a recent blog which describes PCI’s iterative, collaborative approach to co-creation of clinical guidelines with the WHO and the MoH in South Sudan – feel free to contact me for more info. https://pci-360.com/pcis-teamwork-supports-development-of-national-guide...
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