Strengthening fairness, transparency and accountability in health care priority setting at district level in Tanzania
نویسندگان
چکیده
منابع مشابه
Strengthening fairness, transparency and accountability in health care priority setting at district level in Tanzania
Health care systems are faced with the challenge of resource scarcity and have insufficient resources to respond to all health problems and target groups simultaneously. Hence, priority setting is an inevitable aspect of every health system. However, priority setting is complex and difficult because the process is frequently influenced by political, institutional and managerial factors that are...
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...
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 کاملLegitimacy and fairness in priority setting in Tanzania
E very health system has to make decisions about how to use limited resources to meet competing claims about diverse health needs. In all systems, national priority setting, including budgeting, generally imposes constraints on other levels of decision-making be it in states or provinces, districts or cities, or local health authorities, hospitals, or health insurance plans. Decisions at any of...
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: Global Health Action
سال: 2011
ISSN: 1654-9716,1654-9880
DOI: 10.3402/gha.v4i0.7829