How do we measure the implementation of the World Health Assembly resolution on rheumatic fever and rheumatic heart disease in African countries? Rationale and design of an evidence-based scorecard.

Background This article aims to explain the rationale and design for developing an evidence-based scorecard to monitor country-level implementation of the 71st World Health Assembly resolution on rheumatic fever and rheumatic heart disease (RHD) in Africa. Rationale A scorecard provides a simple and reliable tool for tracking progress over time and establishing accountability mechanisms. Methods Development of the scorecard will incorporate engaging RHD stakeholders identified and categorised at a country level. We will conduct individual interviews to understand the barriers and facilitators to implementing the resolution. The Delphi technique will facilitate structured group discussions to develop appropriate indicators. Indicators will be linked to the resolution's goals to create strategic lines of action, to inform the scorecard. The scorecard will be quantitatively validated in real-life settings. Discussion We deem that the rigor of the development process of this study will produce an evidence-based scorecard that is fit for purpose across Africa.