Maternal and perinatal guideline development in hospitals in South East Asia: results from the SEA-ORCHID project

doi:10.1186/1478-4505-7-9

Health Research Policy and Systems

Volume 7

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Research

Maternal and perinatal guideline development in hospitals in South East Asia: results from the SEA-ORCHID project

Jadsada Thinkhamrop¹ , Tari Turner² and Sivasangari Subramaniam³ for The SEA-ORCHID Study Group

¹Department of Obstetrics and Gynecology, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand

²Monash Institute of Health Services Research, Monash University, Monash Medical Centre, Clayton, Victoria, Australia

³Department of Obstetrics and Gynecology, Hospital Ipoh, 30990 Ipoh, Perak, Malaysia

author email corresponding author email

Health Research Policy and Systems 2009, 7:9doi:10.1186/1478-4505-7-9


Published:	8 May 2009

Abstract

Background

Recognising the potential of clinical practice guidelines (CPGs) to improve practice, one of the strategies of the SEA-ORCHID project was to facilitate the development of evidence-based CPGs, and to support clinical staff in each of the four countries to build their skills in development of CPGs in the nine participating hospitals in Thailand, Malaysia, Philippines and Indonesia. This study was undertaken to investigate the impact of the SEA-ORCHID project on development of evidence-based CPGs.

Methods

Data on the CPGs available to support maternal and perinatal healthcare were collected by SEA-ORCHID team members at each hospital before and after the intervention period of the project.

Results

There were only a few evidence-based CPGs available in the SEA-ORCHID hospitals before the intervention period. After the intervention period, in the SEA-ORCHID hospitals in Malaysia and Indonesia there was no change in evidence-based CPG development activity in maternal and perinatal care. In Thailand and The Philippines there was a small increase in evidence-based CPG development activity in maternal and perinatal care.

Conclusion

Despite the wide range of interventions to support evidence-based CPG development implemented in the hospitals participating in the SEA-ORCHID, very little change was seen in the development of evidence-based CPGs.