Table 2.
Challenges encountered and suggested solutions
| Category of Challenge | Specific Challenge | Suggested Solution |
|---|---|---|
| Resources | Dearth of literature pertinent to our locationb | Extensive review and utilization of available evidence |
| Shortage of team membersa | Recruiting volunteers with the required level of expertise in tasks | |
| Insufficient available fundsa | Apply for grants or request external funding | |
| Stake Holder Support and Involvement | Inadequate support from government, external organizations, and different stake holdersb |
-Involve all stakeholders from beginning -Emphasize on mutual interest -Send invitation to stakeholders participation in GRADE-ADOLOPMENT process |
| Unavailability of general practitioner representationb | ||
| Unavailability of patient population representationa | ||
| Resistance to Change | Difficulty in coordination between panel for availability for data review and guideline developmentb | Regular reminders with encouragement for timely task completion |
| Time consuming review for data from outside our institutiona | Employee volunteers for data extraction and search | |
| Experts’ doubt regarding need for local CPG, GRADE-ADOLOPMENT process credibility and feasibilitya | Presentation to emphasize need and utility of GRADE-ADOLOPMENT process | |
| Methodological Limitations | Individual level biasb |
-Increase number of participants -Receive feedback to assess validity of recommendation reviews |
| Group level biasb | ||
| Suboptimal conviction when reaching consensus among panela | Maximize collection of quality literature for evidence |
aMinor challenge; bMajor Challenge