Improving the use of research evidence in guideline development: 13. Applicability, transferability and adaptation

Schünemann, Holger J; Fretheim, Atle; Oxman, Andrew D

Indeed, the need for international development with local adaptation is expressed in WHO statements such as "The strategy recommends a prevention-oriented approach that emphasizes the need for countries to develop coherent, multi-sectoral national strategies with a long-term, sustainable perspective, to make the healthy choices the preferred alternatives at both the individual and community level. We welcome the commitment shown by Member States to the strategy and will be working closely with them to help them implement its recommendations [9] ." For example, the Global Strategy on Diet, Physical Activity and Health states that "the purpose of the Regional Consultations with Member States is for countries in each region to provide information on the extent of the problem associated with diet, physical activity and chronic disease, and appropriate prevention strategies for their particular countries. The consultation will focus on the discussion of national, regional and international interventions that will be effective within individual countries and that will take account of national, social, cultural and economic realities. Regional differences, common concerns, or international consensus, will be noted and serve as the basis of the development of the Global Strategy. This consultation process will build on past and current activities and programmes on the issue carried out by WHO Regional Offices and by Member States [10] ."