Measurement of and training for NCD guideline implementation in LMICs: a scoping review protocol

Elissa Faro, Oluwafemi Adeagbo, Mafuno Grace Mpinganjira, Tobias Chirwa, Beatrice Matanje, Mary Mayige, Bazil Baltazar Kavishe, Blandina Mmbaga, Joel M. Francis

Research output: Contribution to journalArticlepeer-review


Introduction Globally, non-communicable diseases (NCDs) are the leading causes of morbidity and mortality with an estimated 41 million deaths (74% of all global deaths) annually. Despite the WHO's Global Action Plan for the Prevention and Control of NCDs since 2013, progress on implementation of the guidelines has been slow. Although research has shown success of some NCD prevention and treatment interventions, there is a dearth of research on NCD care delivery approaches, cost-effectiveness and larger implementation research, especially in low/middle-income countries (LMICs). The objective of this scoping review is to identify the existing variation in how, why and by whom implementation of NCD guidelines is measured as part of implementation research or non-research programme improvement. Methods and analysis Using the methods established by Arksey and O'Malley, the search strategy was developed in consultation with a research librarian together with stakeholder feedback from content experts. We will apply the search to multiple electronic databases and grey literature sources. Two reviewers will independently screen title and abstract for inclusion followed by a full-text screening and all included records will be abstracted using a standardised tool that will be piloted with a sample of articles before application to all records. We will conduct a narrative synthesis of abstracted data and simple quantitative descriptive statistics. Dissemination The results will enable stakeholders in LMICs to leverage existing tools and resources for implementation and ongoing evaluation of NCD guidelines, to improve education and capacity building, and ultimately NCD care across the lifespan.

Original languageEnglish
Article numbere073550
JournalBMJ Open
Issue number7
Publication statusPublished - 4 Jul 2023


  • Guidelines
  • Implementation
  • LMIC
  • Measurement
  • s: Noncommunicable Diseases

ASJC Scopus subject areas

  • General Medicine


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