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Assessing the potential of HTA to inform resource allocation decisions in low-income settings: The case of Malawi
Health technology assessment (HTA) offers a set of analytical tools to support health systems' decisions about resource allocation. Although there is increasing interest in these tools across the world, including in some middle-income countries, they remain rarely used in low-income countries (...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9650047/ https://www.ncbi.nlm.nih.gov/pubmed/36388387 http://dx.doi.org/10.3389/fpubh.2022.1010702 |
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author | Ramponi, Francesco Twea, Pakwanja Chilima, Benson Nkhoma, Dominic Kazanga Chiumia, Isabel Manthalu, Gerald Mfutso-Bengo, Joseph Revill, Paul Drummond, Michael Sculpher, Mark |
author_facet | Ramponi, Francesco Twea, Pakwanja Chilima, Benson Nkhoma, Dominic Kazanga Chiumia, Isabel Manthalu, Gerald Mfutso-Bengo, Joseph Revill, Paul Drummond, Michael Sculpher, Mark |
author_sort | Ramponi, Francesco |
collection | PubMed |
description | Health technology assessment (HTA) offers a set of analytical tools to support health systems' decisions about resource allocation. Although there is increasing interest in these tools across the world, including in some middle-income countries, they remain rarely used in low-income countries (LICs). In general, the focus of HTA is narrow, mostly limited to assessments of efficacy and cost-effectiveness. However, the principles of HTA can be used to support a broader series of decisions regarding new health technologies. We examine the potential for this broad use of HTA in LICs, with a focus on Malawi. We develop a framework to classify the main decisions on health technologies within health systems. The framework covers decisions on identifying and prioritizing technologies for detailed assessment, deciding whether to adopt an intervention, assessing alternative investments for implementation and scale-up, and undertaking further research activities. We consider the relevance of the framework to policymakers in Malawi and we use two health technologies as examples to investigate the main barriers and enablers to the use of HTA methods. Although the scarcity of local data, expertise, and other resources could risk limiting the operationalisation of HTA in LICs, we argue that even in highly resource constrained health systems, such as in Malawi, the use of HTA to support a broad range of decisions is feasible and desirable. |
format | Online Article Text |
id | pubmed-9650047 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-96500472022-11-15 Assessing the potential of HTA to inform resource allocation decisions in low-income settings: The case of Malawi Ramponi, Francesco Twea, Pakwanja Chilima, Benson Nkhoma, Dominic Kazanga Chiumia, Isabel Manthalu, Gerald Mfutso-Bengo, Joseph Revill, Paul Drummond, Michael Sculpher, Mark Front Public Health Public Health Health technology assessment (HTA) offers a set of analytical tools to support health systems' decisions about resource allocation. Although there is increasing interest in these tools across the world, including in some middle-income countries, they remain rarely used in low-income countries (LICs). In general, the focus of HTA is narrow, mostly limited to assessments of efficacy and cost-effectiveness. However, the principles of HTA can be used to support a broader series of decisions regarding new health technologies. We examine the potential for this broad use of HTA in LICs, with a focus on Malawi. We develop a framework to classify the main decisions on health technologies within health systems. The framework covers decisions on identifying and prioritizing technologies for detailed assessment, deciding whether to adopt an intervention, assessing alternative investments for implementation and scale-up, and undertaking further research activities. We consider the relevance of the framework to policymakers in Malawi and we use two health technologies as examples to investigate the main barriers and enablers to the use of HTA methods. Although the scarcity of local data, expertise, and other resources could risk limiting the operationalisation of HTA in LICs, we argue that even in highly resource constrained health systems, such as in Malawi, the use of HTA to support a broad range of decisions is feasible and desirable. Frontiers Media S.A. 2022-10-28 /pmc/articles/PMC9650047/ /pubmed/36388387 http://dx.doi.org/10.3389/fpubh.2022.1010702 Text en Copyright © 2022 Ramponi, Twea, Chilima, Nkhoma, Kazanga Chiumia, Manthalu, Mfutso-Bengo, Revill, Drummond and Sculpher. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Public Health Ramponi, Francesco Twea, Pakwanja Chilima, Benson Nkhoma, Dominic Kazanga Chiumia, Isabel Manthalu, Gerald Mfutso-Bengo, Joseph Revill, Paul Drummond, Michael Sculpher, Mark Assessing the potential of HTA to inform resource allocation decisions in low-income settings: The case of Malawi |
title | Assessing the potential of HTA to inform resource allocation decisions in low-income settings: The case of Malawi |
title_full | Assessing the potential of HTA to inform resource allocation decisions in low-income settings: The case of Malawi |
title_fullStr | Assessing the potential of HTA to inform resource allocation decisions in low-income settings: The case of Malawi |
title_full_unstemmed | Assessing the potential of HTA to inform resource allocation decisions in low-income settings: The case of Malawi |
title_short | Assessing the potential of HTA to inform resource allocation decisions in low-income settings: The case of Malawi |
title_sort | assessing the potential of hta to inform resource allocation decisions in low-income settings: the case of malawi |
topic | Public Health |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9650047/ https://www.ncbi.nlm.nih.gov/pubmed/36388387 http://dx.doi.org/10.3389/fpubh.2022.1010702 |
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