The results of the internal and external evaluations were then combined and are shown in Table 1, according to the program levels and indicators (in descending order of level of evidence) adapted from Suvedi and Morford (2003) [ 18] and according to each Phase of the study in which they occurred.
This data has already proven to be extremely useful to programme staff, highlighting misconceptions of the lives of adolescent girls and providing clear evidence for adapting the programme model "on the fly".
The results could provide evidence for adapting the WHO growth standards in the member country with a local growth reference.
Hence, the proposed model should be updated by modulating clinical weights with new empirical evidence to adapt the change.
New studies from Ghana and South Africa have since provided evidence on adapted community-based newborn care packages in Africa, with promising results but less dramatic impact (10, 11).
A second questionnaire was administered for discordant items related to recommendations; non-consensual states of scientific knowledge and rated evidence were adapted.
Both the evidence-based medicine and knowledge translation movements have encouraged health care professionals and their organizations to seek out relevant research evidence and adapt it for internal decision-making for the eventual purposes of improved health outcomes.
The new guidelines are an update of the first Dutch guidelines on Neonatal Resuscitation published in 2004 and are mainly based on the ILCOR 2005 Consensus on Resuscitation Science and Treatment Recommendations [ 1], supplemented with the latest evidence and adapted to local practices.
The quantity, quality, and consistency of the best available evidence was graded by adapting an evidence-grading scheme recommended in the Agency for Healthcare Research and Quality: Methods Guide for Conducting Comparative Effectiveness Reviews.
The evidence was graded (strong, moderate, limited, conflicting, inconclusive or no evidence from trials) adapting criteria developed by the Cochrane Collaboration Back Review Group (Table 1; Van Tulder 2003).
