Implementing accountability for reasonableness framework at district level in Tanzania: a realist evaluation
نویسندگان
چکیده
منابع مشابه
Implementing accountability for reasonableness framework at district level in Tanzania: a realist evaluation
BACKGROUND Despite the growing importance of the Accountability for Reasonableness (A4R) framework in priority setting worldwide, there is still an inadequate understanding of the processes and mechanisms underlying its influence on legitimacy and fairness, as conceived and reflected in service management processes and outcomes. As a result, the ability to draw scientifically sound lessons for ...
متن کاملImproving district level health planning and priority setting in Tanzania through implementing accountability for reasonableness framework: Perceptions of stakeholders
BACKGROUND In 2006, researchers and decision-makers launched a five-year project - Response to Accountable Priority Setting for Trust in Health Systems (REACT) - to improve planning and priority-setting through implementing the Accountability for Reasonableness framework in Mbarali District, Tanzania. The objective of this paper is to explore the acceptability of Accountability for Reasonablene...
متن کاملWhat do District Health Planners in Tanzania think about improving priority setting using 'Accountability for Reasonableness'?
BACKGROUND Priority setting in every health system is complex and difficult. In less wealthy countries the dominant approach to priority setting has been Burden of Disease (BOD) and cost-effectiveness analysis (CEA), which is helpful, but insufficient because it focuses on a narrow range of values - need and efficiency - and not the full range of relevant values, including legitimacy and fairne...
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BACKGROUND Priority setting for artemisinin-based antimalarial drugs has become an integral part of malaria treatment policy change in malaria-endemic countries. Although these drugs are more efficacious, they are also more costly than the failing drugs. When Tanzania changed its National Malaria Treatment Policy in 2006, priority setting was an inevitable challenge. Artemether-lumefantrine was...
متن کاملThe accountability for reasonableness approach to guide priority setting in health systems within limited resources – findings from action research at district level in Kenya, Tanzania, and Zambia
BACKGROUND Priority-setting decisions are based on an important, but not sufficient set of values and thus lead to disagreement on priorities. Accountability for Reasonableness (AFR) is an ethics-based approach to a legitimate and fair priority-setting process that builds upon four conditions: relevance, publicity, appeals, and enforcement, which facilitate agreement on priority-setting decisio...
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ژورنال
عنوان ژورنال: Implementation Science
سال: 2011
ISSN: 1748-5908
DOI: 10.1186/1748-5908-6-11