It is well recognised that there is a gap (or at least a delay) between the publication of WHO guidelines and the subsequent revision of national guidelines. There is an even larger gap between the national guidelines and their availability and use at the front lines of health care. This work from Burkina Faso is interesting because the training of a core group at country level included ‘a module on how to update colleagues in their respective facilities’. It would be interesting to hear more about how effective this was and whether it might be applied routinely in other countries.

‘To align with the latest WHO guidance, the Burkina Faso Ministry of Health, with support from the USAID-funded Improving Malaria Care (IMC) project, revised national malaria guidelines in March 2014. 68 trainers from 9 health regions were trained on the revised national malaria guidelines….’

‘From June to September 2014, 744 providers from 524 health facilities in 21 districts (33%) were trained on the prevention and management of malaria cases. To ensure updated guidance reaches all health workers, the training included a module on how to update colleagues in their respective facilities…’

[1] Ousman Badolo, Stanislas Nebie, Moumouni Bonkoungou, Mathurin Dodo, Thierry Ouedraogo, Rachel Waxman, William R. Brieger

Full text: http://malariamatters.org/improving-provision-of-malaria-services-through-provider-training-in-burkina-faso/

Best wishes, Neil

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