Chipojola Roselyn, Kunje Gertrude, Lakudzala Suzgika, Mthethwa Mashudu, Mbeye Nyanyiwe Masingi
Evidence Informed Decision-making Centre, School of Community and Environmental Health, Kamuzu University of Health Sciences, Lilongwe, Malawi.
Cochrane South Africa, South African Medical Research Council, Cape Town, South Africa.
Int Health. 2025 Apr 10. doi: 10.1093/inthealth/ihaf029.
Clinical practice guidelines (CPGs) are essential for standardizing healthcare, but their adoption, updating and adaptation remain inconsistent in Malawi. This review evaluated publicly available newborn and child health CPGs from 2017 to 2022, identifying relevant guidelines and assessing their quality using the Appraisal of Guidelines, Research and Evaluation (AGREE) II tool. Key gaps were found in stakeholder involvement and accessibility, highlighting the need to strengthen CPG development and dissemination to improve health outcomes.
A total of 322 records were identified through Google Scholar, Google, the Ministry of Health (MOH) website and MOH offices using predetermined search terms. Hand searches were also conducted. The quality of reporting was appraised using the AGREE II tool.
Six CPGs met the eligibility criteria, five covering child health from the perinatal period onwards. CPGs targeted healthcare providers (n=6), program managers (n=2) and researchers (n=2). Topics included prevention, management and treatment. Reporting quality was generally poor, particularly regarding methodological rigour and editorial independence.
A collaborative effort including the MOH, non-governmental organizations, professional associations and researchers in developing and adapting newborn and child health CPGs could yield large benefits in improving the quality of care of children in Malawi.
临床实践指南（CPGs）对于规范医疗保健至关重要，但在马拉维，其采用、更新和调整情况仍不一致。本综述评估了2017年至2022年公开可用的新生儿和儿童健康临床实践指南，识别相关指南并使用指南研究与评价（AGREE）II工具评估其质量。发现利益相关者参与和可及性方面存在关键差距，凸显了加强临床实践指南制定和传播以改善健康结果的必要性。
通过谷歌学术、谷歌、卫生部（MOH）网站和卫生部办公室，使用预先确定的搜索词共识别出322条记录。还进行了手工检索。使用AGREE II工具评估报告质量。
六项临床实践指南符合纳入标准，五项涵盖从围产期开始的儿童健康。临床实践指南的目标受众包括医疗保健提供者（n = 6）、项目管理人员（n = 2）和研究人员（n = 2）。主题包括预防、管理和治疗。报告质量总体较差，尤其是在方法严谨性和编辑独立性方面。
卫生部、非政府组织、专业协会和研究人员共同努力制定和调整新生儿和儿童健康临床实践指南，可能会在提高马拉维儿童护理质量方面带来巨大益处。
