The missing link between clinical guidelines and clinical realities
The PartoMa team participated in the International Maternal Newborn Health Conference (IMNHC) in Cape Town 8-11 May 2023. Here follows the video recording of their Critical Conversation Session titled "The Missing Link between Clinical Guidelines and Clinical Realities: Aligning together".
Timely, evidence-based and cost-efficient healthcare is crucial for women and children. Yet, health providers in low-resource settings - key agents for improvement - are left with poorly fitting clinical guidelines. Such guidance is often disseminated top-down without pilot testing or post-implementation testing of effects, and side-effects.
We here unfold this injustice through four presentations moving from the frontline to the global level by including: 1. Voices from the ground; 2. Experiences with guidelines creation and adaptation at facility-based and national levels; and 3. A human rights perspective on implementation and aspiration gaps in guidelines creation and implementation.
After the four presentations, the audience, together with the panel of speakers, actively participated in a 45 minutes debate, which is not a part of the video.
- Brenda Sequera Dmello, Obstetrician and Technical Advisor for Maternal and Newborn Health at Comprehensive Community Based Rehabilitation Tanzania (CCBRT)
- Nanna Maaløe, MD, Ass. Professor, Co-Principal Investigator of the PartoMa Project in Tanzania
- Mike English, Pediatrician, Professor, the KEMRI-Wellcome Trust Research Programme (KWTRP) in Kenya, Centre for Tropical Medicine and Global Health, Oxford University
- Lynn Freedman, JD, MPH, Professor and Director of the Mailman School's Averting Maternal Death and Disability (AMDD) Program, Columbia University