A consensus process to adapt the World Health Organization selected practice recommendations for UK use

A. Glasier, Susan Brechin, R. Raine, Gillian Penney

    Research output: Contribution to journalArticlepeer-review

    27 Citations (Scopus)


    The nominal group technique for consensus development was used to consider the World Health Organization Selected Practice Recommendations for Contraceptive Use for adoption or adaptation in the United Kingdom. The nominal group comprised 11 opinion leaders who agreed that 74% of the WHO recommendations were consistent with current UK practice. Of 63 recommendations considered by the group to be at odds with current practice, 23 were adopted with advice that United Kingdom practice should change in line with WHO. Twenty-five were adopted because, although the group felt that the WHO recommendation differed from practice in the UK, it was unable to reach a consensus on an alternative recommendation. Thirteen WHO recommendations underwent minor revision for UK use. The group rejected two further WHO recommendations [on the timing of starting low-dose progestogen-only contraception (POC) during lactation] but was unable to reach consensus on any alternative guidance. It was agreed clinicians should be left to decide for themselves how to advise breastfeeding women about when to start low-dose POC. A UK version of the WHO Selected Practice Recommendations should help to standardize practice and improve the quality of care for couples using contraception. (C) 2003 Elsevier Inc. All rights reserved.

    Original languageEnglish
    Pages (from-to)327-333
    Number of pages6
    Issue number5
    Publication statusPublished - 2003


    • contraception
    • use
    • guidelines
    • WHO
    • UK

    Cite this