An extensive review and synthesis(Frasure, 2006) evaluated evidence of the effectiveness of the four translation strategies of educational materials, educational meetings, reminders. and audit and feedback Evidence demonstrated that all four strategies were effective in improving patient outcomes by targeting provider behavior. In most studies, these strategies were used in combination with each other or in combination with other strategies. Educational materials are defined as the distribution of published or printed recommendations for clinical care. Educational meetings include lectures, workshops conferences, or m-services for HCPs. Reminders involve information intended to prompt an HCP to perform or avoid some action relevant to individual patient care. Audit and feedback denote summaries and reports of clinical performance of healthcare over a time period Grimshaw et al, 2004) Evidence from a recent meta-analysis indicated that educational materials alone had a modest effect(>5% and S10%) on guideline implementation; educational meetings had a small effect(s5%: audit and feedback had a modest effect and reminders, the most commonly studied single strategy, had a moderate effect(>10% and 20%). Other important findings from the same meta-analysis were as follows: (a) the grouping of educational materials and reminders appeared to be more effective than materials only. (b) educational meetings and reminders appeared more effective than meetings alone: and(c) the combination of educational materials. meetings, and reminders were possibly more effective than the combined use of educational materials and