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   WHO/HIV/2012.24	
  
Annex	
  3:	
  GRADE	
  notation	
  and	
  language	
  
	
  
Grade	
  Methodology	
  Notation	
   Interpretation	
   Language	
  used	
  in	
  the	
  Guidelines	
  
Strong	
  recommendation	
  for	
   The	
  panel	
  concluded	
  that	
  the	
  availability	
  
and	
  quality	
  of	
  relevant	
  scientific	
  evidence,	
  
together	
  with	
  data	
  on	
  cost	
  and	
  feasibility	
  
issues,	
  and	
  community	
  preferences	
  and	
  
values,	
  were	
  enough	
  to	
  categorically	
  
support	
  the	
  intervention	
  under	
  review.	
  
An	
  intervention	
  is	
  recommended	
  
(or	
  We	
  recommend….).	
  	
  
Strong	
  recommendation	
  against	
   The	
  panel	
  concluded	
  that	
  the	
  availability	
  
and	
  quality	
  of	
  relevant	
  scientific	
  evidence,	
  
together	
  with	
  data	
  on	
  cost	
  and	
  feasibility	
  
issues,	
  and	
  community	
  preferences	
  and	
  
values,	
  were	
  enough	
  to	
  categorically	
  
recommend	
  against	
  the	
  intervention	
  under	
  
review.	
  
An	
  intervention	
  is	
  not	
  
recommended	
  (We	
  recommend	
  
against…).	
  	
  
Conditional	
  recommendation	
  
for	
  
The	
  panel	
  concluded	
  that	
  the	
  availability	
  
and	
  quality	
  of	
  relevant	
  scientific	
  evidence,	
  
together	
  with	
  data	
  on	
  cost	
  and	
  feasibility	
  
issues,	
  and	
  community	
  preferences	
  and	
  
values,	
  were	
  not	
  enough	
  to	
  categorically	
  
support	
  the	
  intervention	
  under	
  review.	
  
However,	
  benefits	
  may	
  outweigh	
  
costs/risks,	
  and	
  this	
  intervention	
  should	
  be	
  
considered	
  in	
  light	
  of	
  locally	
  relevant	
  needs,	
  
resources	
  and	
  priorities.	
  
An	
  intervention	
  is	
  suggested	
  (or	
  
We	
  suggest…).	
  
Conditional	
  recommendation	
  
against	
  
The	
  panel	
  concluded	
  that	
  the	
  availability	
  
and	
  quality	
  of	
  relevant	
  scientific	
  evidence,	
  
together	
  with	
  data	
  on	
  cost	
  and	
  feasibility	
  
issues,	
  and	
  community	
  preferences	
  and	
  
values,	
  were	
  not	
  enough	
  to	
  categorically	
  
recommend	
  against	
  the	
  intervention	
  under	
  
review.	
  However,	
  costs/risks	
  may	
  outweigh	
  
benefits,	
  and	
  the	
  decision	
  on	
  whether	
  or	
  
not	
  to	
  implement	
  it	
  should	
  be	
  made	
  in	
  light	
  
of	
  locally	
  relevant	
  needs,	
  resources	
  and	
  
priorities,	
  particularly	
  if	
  better	
  
interventions	
  are	
  not	
  available.	
  
An	
  intervention	
  is	
  not	
  suggested	
  
(or	
  We	
  suggest	
  against…).	
  	
  
	
  
	
   	
  
  2	
  
© World Health Organization 2012
All rights reserved. Publications of the World Health Organization are available on the WHO web site
(www.who.int) or can be purchased from WHO Press, World Health Organization, 20 Avenue Appia,
1211 Geneva 27, Switzerland (tel.: +41 22 791 3264; fax: +41 22 791 4857; e-mail:
bookorders@who.int).
Requests for permission to reproduce or translate WHO publications – whether for sale or for
noncommercial distribution – should be addressed to WHO Press through the WHO web site
(http://www.who.int/about/licensing/copyright_form/en/index.html).
The designations employed and the presentation of the material in this publication do not imply the
expression of any opinion whatsoever on the part of the World Health Organization concerning the legal
status of any country, territory, city or area or of its authorities, or concerning the delimitation of its
frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may
not yet be full agreement.
The mention of specific companies or of certain manufacturers’ products does not imply that they are
endorsed or recommended by the World Health Organization in preference to others of a similar nature
that are not mentioned. Errors and omissions excepted, the names of proprietary products are
distinguished by initial capital letters.
All reasonable precautions have been taken by the World Health Organization to verify the information
contained in this publication. However, the published material is being distributed without warranty of
any kind, either expressed or implied. The responsibility for the interpretation and use of the material
lies with the reader. In no event shall the World Health Organization be liable for damages arising from
its use.
	
  
	
  

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GRADE Methodology Guideline Recommendations

  • 1.     WHO/HIV/2012.24   Annex  3:  GRADE  notation  and  language     Grade  Methodology  Notation   Interpretation   Language  used  in  the  Guidelines   Strong  recommendation  for   The  panel  concluded  that  the  availability   and  quality  of  relevant  scientific  evidence,   together  with  data  on  cost  and  feasibility   issues,  and  community  preferences  and   values,  were  enough  to  categorically   support  the  intervention  under  review.   An  intervention  is  recommended   (or  We  recommend….).     Strong  recommendation  against   The  panel  concluded  that  the  availability   and  quality  of  relevant  scientific  evidence,   together  with  data  on  cost  and  feasibility   issues,  and  community  preferences  and   values,  were  enough  to  categorically   recommend  against  the  intervention  under   review.   An  intervention  is  not   recommended  (We  recommend   against…).     Conditional  recommendation   for   The  panel  concluded  that  the  availability   and  quality  of  relevant  scientific  evidence,   together  with  data  on  cost  and  feasibility   issues,  and  community  preferences  and   values,  were  not  enough  to  categorically   support  the  intervention  under  review.   However,  benefits  may  outweigh   costs/risks,  and  this  intervention  should  be   considered  in  light  of  locally  relevant  needs,   resources  and  priorities.   An  intervention  is  suggested  (or   We  suggest…).   Conditional  recommendation   against   The  panel  concluded  that  the  availability   and  quality  of  relevant  scientific  evidence,   together  with  data  on  cost  and  feasibility   issues,  and  community  preferences  and   values,  were  not  enough  to  categorically   recommend  against  the  intervention  under   review.  However,  costs/risks  may  outweigh   benefits,  and  the  decision  on  whether  or   not  to  implement  it  should  be  made  in  light   of  locally  relevant  needs,  resources  and   priorities,  particularly  if  better   interventions  are  not  available.   An  intervention  is  not  suggested   (or  We  suggest  against…).          
  • 2.   2   © World Health Organization 2012 All rights reserved. Publications of the World Health Organization are available on the WHO web site (www.who.int) or can be purchased from WHO Press, World Health Organization, 20 Avenue Appia, 1211 Geneva 27, Switzerland (tel.: +41 22 791 3264; fax: +41 22 791 4857; e-mail: bookorders@who.int). Requests for permission to reproduce or translate WHO publications – whether for sale or for noncommercial distribution – should be addressed to WHO Press through the WHO web site (http://www.who.int/about/licensing/copyright_form/en/index.html). The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. The mention of specific companies or of certain manufacturers’ products does not imply that they are endorsed or recommended by the World Health Organization in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary products are distinguished by initial capital letters. All reasonable precautions have been taken by the World Health Organization to verify the information contained in this publication. However, the published material is being distributed without warranty of any kind, either expressed or implied. The responsibility for the interpretation and use of the material lies with the reader. In no event shall the World Health Organization be liable for damages arising from its use.