Table 2. Results on three exemplars applied to six evidence frameworks.
Exemplar | Outcomes | Tang et al. [12] | GRADE [13] | HASTE [14] | USCPSTF [15] | NHMRC [16] | NHS Health Development Agency [17] |
Household water chlorination | Diarrhea | Grade 2b level 1 possible | ⊕⊕⊕ Moderate quality of evidence | Grade 2b - Possible | Strong | “C” - Satisfactory | “B” |
Preventing mother-to-child transmission, all regimens included | HIV infection in child within year of birth | Grade 2b level 1 possiblea | ⊕⊕⊕⊕ High quality of evidence | Grade 1- Strong | Strong | “A” - Excellent | “A” |
Lay health workers in primary or community health care to reduce morbidity in children under age 5, compared to usual care | Morbidity in children under 5 | Grade 2b level 2 possibleb | ⊕⊕ Low quality of evidence | Grade 3 - Insufficient | Strong | “B” - Good | “C” |
Tang et al. grade for PMTCT is due to strict rule that only interventions with relative risk (RR)>2 qualify as “strong” evidence. If this rule is flexible we would rate PMTCT as “Grade 1 Level 1 Strong” by Tang et al. categorizations.
Grade 2c level 2 if repeatability outside Southeast Asia is not considered acceptable.