Evidence-Based Priority Setting for Health Care and Research: Tools to Support Policy in Maternal, Neonatal, and Child Health in Africa

Rudan, Igor; Kapiriri, Lydia; Tomlinson, Mark; Balliet, Manuela; Cohen, Barney; Chopra, Mickey

doi:10.1371/journal.pmed.1000308

Cited by 87 publications

(97 citation statements)

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“…For example, the Marginal Budgeting for Bottlenecks (MBB) tool was developed by UNICEF and The World Bank [20], WHO-CHOICE (Choosing Interventions that are Cost-Effective) was developed by the World Health Organization [21], and Lives Saved Tool (LiST) developed by Johns Hopkins University scientists and the Futures Institute [22]. The DCPP authors correctly note that factors other than cost-effectiveness influence priority setting in the real world, so the available evidence has to be considered in the context of local realities [12,19]. Both MBB and WHO-CHOICE provide appropriate contextualization tools.…”

Section: Figures 5 Andmentioning

confidence: 99%

“…Both MBB and WHO-CHOICE provide appropriate contextualization tools. However, the LiST software goes further than other existing tools in several dimensions [12]. LiST contains an expansive evidence base of context-specific intervention effectiveness, generated by researchers from the WHO/UNICEF's Child Health Epidemiology Reference Group (CHERG) [23].…”

Section: Figures 5 Andmentioning

confidence: 99%

“…Neglect (or improper understanding) of these complexities can lead to decisions which result in maternal and child mortality reduction not being achieved in the most cost-effective way, or being associated with increases in health inequity within communities. The present set of tools does not sufficiently capture the full array of factors [12].…”

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confidence: 93%

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Understanding the determinants of the complex interplay between cost-effectiveness and equitable impact in maternal and child mortality reduction

2012

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Section: Figures 5 Andmentioning

confidence: 99%

Section: Figures 5 Andmentioning

confidence: 99%

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Understanding the determinants of the complex interplay between cost-effectiveness and equitable impact in maternal and child mortality reduction

2012

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“…This provides an opportunity for mapping stakeholder interests across several levels in service delivery. Given the potential effects of effective stakeholder collaboration for delivering effective maternity health services, few studies have investigated policy gaps and priority settings to improve safe motherhood interventions in Ghana (Madi et al, 2007;Rudan et al, 2010;Witter & Adjei, 2007; Sophie Witter et al, 2007). Most studies on shortcomings for maternity care analyze users of maternal care as a single group, and provide trends over a specific period.…”

Section: Research Question 1: What Is the Adequacy Of Outcome Measurementioning

confidence: 99%

“…Earlier studies in Ghana have investigated policy bottlenecks and priority settings for improving safe motherhood interventions (Madi et al, 2007;Rudan et al, 2010;Witter & Adjei, 2007;Sophie Witter et al, 2007). Other studies assessed the drivers of maternity service utilization (d ' Ambruoso, Abbey, & Hussein, 2005;Yakong, Rush, Bassett-Smith, Bottorff, & Robinson, 2010), whiles others analyzed the views of district level health providers and decision-makers on determinants of maternity service utilization (Banchani & Tenkorang, 2014;Ganle, 2014;Witter, Garshong, & Ridde, 2013).…”

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confidence: 99%

Unmet reproductive health care needs among rural Ghanaian women

Ayanore¹

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Document Version:Publisher's PDF, also known as Version of record Please check the document version of this publication:• A submitted manuscript is the version of the article upon submission and before peer-review. There can be important differences between the submitted version and the official published version of record. People interested in the research are advised to contact the author for the final version of the publication, or visit the DOI to the publisher's website.• The final author version and the galley proof are versions of the publication after peer review.• The final published version features the final layout of the paper including the volume, issue and page numbers. Link to publication General rightsCopyright and moral rights for the publications made accessible in the public portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights.• Users may download and print one copy of any publication from the public portal for the purpose of private study or research.• You may not further distribute the material or use it for any profit-making activity or commercial gain • You may freely distribute the URL identifying the publication in the public portal.If the publication is distributed under the terms of Article 25fa of the Dutch Copyright Act, indicated by the "Taverne" license above, please follow below link for the End User Agreement:www.umlib.nl/taverne-license Take down policyIf you believe that this document breaches copyright please contact us at:repository@maastrichtuniversity.nl providing details and we will investigate your claim. Unmet reproductive health care needs among rural Ghanaian women © Martin Amogre Ayanore, 2017Cover page and layout designed by BRANDHAUZ ADS Ghana +2330244053131Printed by Datawyse All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without the written permission from the author. Unmet reproductive health care needs among rural Ghanaian womenDissertation to obtain the degree of Doctor at Maastricht University, on the authority of the Rector Magnificus, Prof. dr. Rianne M. Letschert in accordance with the decision of the board of the Deans, to be defended in public on Friday 7 July, 2017, at 10:00 hours Acknowledgement of fundingThe research presented in this dissertation is made possible through sponsorship from the Ministry of Energy capacity building scholarship scheme, Ghana for Martin Amogre Ayanore PhD studies with University of Maastricht, Netherlands. Additional budgetary support from the Centre for Health Policy Advocacy, Innovation & Research in Africa (CHPAIR-Africa), Accra, Ghana provided additinal research funding to make this work possible. All views presented in this dissertation represent solely that of the author, and do not reflect in any way views from any of ...

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Healthcare priority setting in Kenya: a gap analysis applying the accountability for reasonableness framework

Bukachi

Onyango-Ouma

Siso

et al. 2013

Health Planning & Management

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In resource-poor settings, the accountability for reasonableness (A4R) has been identified as an important advance in priority setting that helps to operationalize fair priority setting in specific contexts. The four conditions of A4R are backed by theory, not evidence, that conformance with them improves the priority setting decisions. This paper describes the healthcare priority setting processes in Malindi district, Kenya, prior to the implementation of A4R in 2008 and evaluates the process for its conformance with the conditions for A4R. In-depth interviews and focus group discussions with key players in the Malindi district health system and a review of key policy documents and national guidelines show that the priority setting process in the district relies heavily on guidelines from the national level, making it more of a vertical, top-down orientation. Multilateral and donor agencies, national government, budgetary requirements, traditions and local culture influence the process. The four conditions of A4R are present within the priority setting process, albeit to varying degrees and referred to by different terms. There exists an opportunity for A4R to provide a guiding approach within which its four conditions can be strengthened and assessed to establish whether conformance helps improve on the priority setting process.

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Evidence-Based Priority Setting for Health Care and Research: Tools to Support Policy in Maternal, Neonatal, and Child Health in Africa

Abstract: As part of a series on maternal, neonatal, and child health in sub-Saharan Africa, Igor Rudan and colleagues discuss various priority-setting tools for health care and research that can help develop evidence-based policy.

Cited by 87 publications

References 27 publications

Understanding the determinants of the complex interplay between cost-effectiveness and equitable impact in maternal and child mortality reduction

Understanding the determinants of the complex interplay between cost-effectiveness and equitable impact in maternal and child mortality reduction

Unmet reproductive health care needs among rural Ghanaian women

Healthcare priority setting in Kenya: a gap analysis applying the accountability for reasonableness framework

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