The Clinical Guidelines and Protocols Dashboard

The Clinical Guidelines and Protocols dashboard maps official recommendations from PAHO and WHO, compiling over 300 guidelines, protocols and clinical pathways from 22 countries up to 2025. These guidelines and protocols range from clinical flowcharts for managing patients with diabetes, hypertension, and respiratory diseases to recommendations for integrated care of multiple comorbidities in primary care. By consolidating regional and national guidance, the dashboard highlights both similarities and differences across documents, allowing users to compare clinical algorithms, care pathways, and referral criteria adopted in various contexts.

In addition to providing easy access to the full texts, the dashboard flags which guidelines have been officially adopted in each country and points out gaps in updates or standardization. This approach simplifies the search for the most recent protocols and facilitates evaluation of their alignment with the objectives of the Better Care Initiative, while revealing opportunities to harmonize clinical practices among member states. Emphasizing the immediate priority of standardizing clinical algorithms, this resource supports both the technical quality of care and the training of health teams as well as the development of decision support tools based on evidence.

By making the geography of guidelines, their versions, and their distinctions available in one place, this dashboard becomes an indispensable resource for policymakers, program managers, and health professionals. It provides the foundation for drafting national guides, developing standardized training programs, and integrating digital protocols into electronic health record systems. In doing so, it contributes to strengthening primary care by promoting consistency and continuous updating of clinical practices, ensuring that patients throughout the Americas receive safe, effective care grounded in the best available evidence.

Data Sources: The regional portal draws on data from multiple sources compiled by PAHO/WHO and other reliable sources.

Mapping of Normative Documents in Primary Care

This interactive dashboard provides an overview of the normative development in the countries of the Region of the Americas in relation to the care of non-communicable diseases (NCDs). It presents the distribution by country of the number of normative documents (guidelines, protocols, guidelines, clinical pathways) in force with national scope, organized by priority condition. The objective of this compilation is to provide an updated and comparative view of regulatory efforts in the prevention, diagnosis, management and treatment of NCDs. This resource seeks to support the identification of best practices, detect possible gaps in the development of guidelines/protocols and strengthen evidence-informed decision making.

Methodology of the normative concordance analysis.

A systematic search was conducted of national normative documents (guidelines, protocols, guidelines and clinical pathways) for the management of cardiovascular diseases (arterial hypertension), cancer (preneoplastic cervical lesions), diabetes (type 2 diabetes mellitus), chronic diseases (chronic obstructive pulmonary disease, chronic renal disease, asthma, obesity, smoking cessation) and health promotion (nutrition, physical activity) in primary care. Documents published between 2020 and 2025 were included, identified through searches in the BIGG database (https://bigg.bvsalud.org), the Virtual Health Library of PAHO, regional databases and official portals of governmental entities responsible for the development of guidelines and protocols. The process was validated with the support of technical advisors from PAHO Country Offices and developers of technical documents in the region.

Concordance of PAHO/WHO Recommendations with National Recommendations

The purpose of this dashboard is to systematically evaluate the level of concordance (degree of agreement) between the clinical recommendations contained in current national normative documents with national scope for the management of cardiovascular diseases (arterial hypertension), cancer (preneoplastic cervical lesions), diabetes (type 2 diabetes mellitus), chronic diseases (chronic obstructive pulmonary disease, chronic kidney disease, asthma, obesity, smoking cessation) and health promotion (nutrition, physical activity) in primary care, and the technical recommendations issued by PAHO/WHO. The results obtained from this analysis provide relevant information for updating national documents, as well as for strengthening regulatory frameworks, promoting the adoption of evidence-informed interventions, and the standardization of care at the national level in accordance with the PAHO/WHO Better Care for Noncommunicable Diseases (NCDs) initiative.

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