EDITOR—The paper on implementing research findings in developing countries sets out a clear framework for getting research findings into practice.1 With the creation of systematic reviews and guidelines, and implementation programmes through workshops and published work, the framework is in line with the process in Western countries. However, one element that we would add is the development of skills to find and appraise the scientific evidence.

We know that on its own the dissemination of guidelines and other educational materials has only a small impact on practice2 and that approaches have to be multifaceted to work. Yet for many parts of the developing world access to evidence will be through literature in one form or another, and there …