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Published on: January 12, 2018
Successful priority setting in low and middle income countries: a framework for evaluation.
Lydia Kapiriri1, Douglas K Martin
1Health, Aging & Society, Mcmaster University, 1280 Main St. W.KTH 236, Hamilton, ON, L8S 4M4, Canada. kapirir@mcmaster.ca
Summary
This study presents a framework for evaluating health priority setting in low and middle-income countries. It identifies key measures and prerequisites for successful priority setting to improve health outcomes.
Area of Science:
- Health Policy and Systems Research
- Global Health
- Health Management
Background:
- Priority setting is a critical challenge for health managers globally.
- There is a significant gap in the literature regarding the evaluation of priority-setting processes.
- Effective priority setting is crucial for optimizing resource allocation in healthcare.
Purpose of the Study:
- To propose a comprehensive framework for evaluating health priority setting specifically in low and middle-income countries (LMICs).
- To identify measurable outcomes and essential prerequisites for successful priority setting in LMICs.
Main Methods:
- A qualitative research approach was employed.
- The study involved a thorough review of existing literature on priority setting.
- Delphi interviews were conducted with experts knowledgeable in priority setting within LMICs.
Main Results:
- Measures of successful priority setting were categorized into immediate/delayed and internal/external outcomes.
- Immediate internal measures include enhanced decision-making efficiency and quality.
- External measures encompass improved public trust, understanding, and participation; delayed measures relate to policy impact, population health, and health system strengthening.
- Pre-requisites identified include credible institutions, incentives, resources, capacity, and political will within a supportive context.
Conclusions:
- The developed framework offers a practical approach for planning and evaluating health priority setting in LMICs.
- Successful priority setting requires attention to both immediate and delayed outcomes, as well as foundational prerequisites.
- The framework aims to guide health managers and planners in LMICs towards more effective and equitable health systems.
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