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dc.contributor.authorSurgey, Gavin
dc.contributor.authorChalkidou, Kalipso
dc.contributor.authorReuben, William
dc.contributor.authorSuleman, Fatima
dc.contributor.authorMiot, Jacqui
dc.contributor.authorHofman, Karen
dc.date.accessioned2020-05-05T04:06:19Z
dc.date.available2020-05-05T04:06:19Z
dc.date.issued2020
dc.identifier.issn0266-4623
dc.identifier.doi10.1017/S0266462319000588
dc.identifier.urihttp://hdl.handle.net/10072/393591
dc.description.abstractObjectives: Health technology assessment (HTA) is a cost-effective resource allocation tool in healthcare decision-making processes; however, its use is limited in low-income settings where countries fall short on both absorptive and technical capacity. This paper describes the journey of the introduction of HTA into decision-making processes through a case study revising the National Essential Medicines List (NEMLIT) in Tanzania. It draws lessons on establishing and strengthening transparent priority-setting processes, particularly in sub-Saharan Africa. Methods: The concept of HTA was introduced in Tanzania through revision of the NEMLIT by identifying a process for using HTA criteria and evidence-informed decision making. Training was given on using economic evidence for decision making, which was then put into practice for medicine selection for the NEMLIT. During the revision process, capacity-building workshops were held with reinforcing messages on HTA. Results: Between the period 2014 and 2018, HTA was introduced in Tanzania with a formal HTA committee being established and inaugurated followed by the successful completion and adoption of HTA into the NEMLIT revision process by the end of 2017. Consequently, the country is in the process of institutionalizing HTA for decision making and priority setting. Conclusion: While the introduction of HTA process is country-specific, key lessons emerge that can provide an example to stakeholders in other low- and middle-income countries (LMICs) wishing to introduce priority-setting processes into health decision making.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherCambridge University Press (CUP)
dc.relation.ispartofpagefrom1
dc.relation.ispartofpageto7
dc.relation.ispartofjournalInternational Journal of Technology Assessment in Health Care
dc.subject.fieldofresearchHealth services and systems
dc.subject.fieldofresearchPublic health
dc.subject.fieldofresearchApplied economics
dc.subject.fieldofresearchcode4203
dc.subject.fieldofresearchcode4206
dc.subject.fieldofresearchcode3801
dc.subject.keywordsEssential medicines list
dc.subject.keywordsHealth technology assessment
dc.subject.keywordsLow- and middle-income countries
dc.subject.keywordsPriority setting
dc.subject.keywordsSub-Saharan Africa
dc.titleIntroducing health technology assessment in Tanzania
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationSurgey, G; Chalkidou, K; Reuben, W; Suleman, F; Miot, J; Hofman, K, Introducing health technology assessment in Tanzania., International Journal of Technology Assessment in Health Care, 2019, pp. 1-7
dcterms.licensehttp://creativecommons.org/licenses/by/4.0/
dc.date.updated2020-05-05T04:01:17Z
dc.description.versionVersion of Record (VoR)
gro.rights.copyright© Cambridge University Press 2019. This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence, which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
gro.hasfulltextFull Text
gro.griffith.authorChalkidou, Kalipso


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