Table 1 Acceptability of the information and development process for each country
CriteriaKey questionsTanzaniaEthiopia
Acceptability of the information needed for guideline appraisal
    Transparency1) Are the inclusion and exclusion criteria transparent, and is their rationale stated explicitly?3333
    Justification2) Are the inclusion or exclusion criteria discussed and justified with reference to:
  • medical criteria?

  • costs and opportunity costs?

  • non-medical criteria such as age, income, social status and gender?

    Universal validity and relevance3) Are the reasons for exclusion and inclusion stated in a form that can be recognised as valid and relevant?2222
    Accessibility4) Is information in 1) accessible to all key stakeholders in written and understandable form?2222
Acceptability of the development procedure
    Information5) Does the Methods section of the guideline include information on development?2424
    Indirect representation6) Did the guideline development group include representatives of all key disciplines?1413
    Representation of competing interests7) Was input from patient representatives obtained or were other efforts made to include perspectives of patients and public?1312
    Representation of competing interests8) Has the guideline been subject to consultation among key stakeholders?2424
    Transparency9) Are the recommendations influenced directly by resource scarcity or political decisions, and are these influences recognised and discussed?2323
  • 1, not considered acceptable at all; 2, lacking several elements essential to be considered fully acceptable; 3, lacking some elements essential to be considered fully acceptable; 4, fully acceptable. Criteria for acceptability based on theoretical ethical framework.20