Department of Pharmacy and Pharmaceutical Sciences, University of Zimbabwe, Harare, Zimbabwe.
Department of Health Sciences, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Int J Technol Assess Health Care. 2024 Apr 29;40(1):e27. doi: 10.1017/S0266462324000266.
Systematic priority setting is necessary for achieving high-quality healthcare using limited resources in low- and middle-income countries. Health technology assessment (HTA) is a tool that can be used for systematic priority setting. The objective of this study was to conduct a stakeholder and situational analysis of HTA in Zimbabwe.
We identified and analyzed stakeholders using the International Decision Support Initiative checklist. The identified stakeholders were invited to an HTA workshop convened at the University of Zimbabwe. We used an existing HTA situational analysis questionnaire to ask for participants' views on the need, demand, and supply of HTA. A follow-up survey was done among representatives of stakeholder organizations that failed to attend the workshop. We reviewed two health policy documents relevant to the HTA. Qualitative data from the survey and document review were analyzed using thematic analysis.
Forty-eight organizations were identified as stakeholders for HTA in Zimbabwe. A total of 41 respondents from these stakeholder organizations participated in the survey. Respondents highlighted that the HTA was needed for transparent decision making. The demand for HTA-related evidence was high except for the health economic and ethics dimensions, perhaps reflecting a lack of awareness. Ministry of Health was listed as a major supplier of HTA data.
There is no formal HTA agency in the Zimbabwe healthcare system. Various institutions make decisions on prioritization, procurement, and coverage of health services. The activities undertaken by these organizations provide context for the institutionalization of HTA in Zimbabwe.
在资源有限的情况下，为实现高质量的医疗保健，系统的优先排序在中低收入国家是必要的。卫生技术评估（HTA）是一种可用于系统优先排序的工具。本研究的目的是对津巴布韦的 HTA 进行利益相关者和情境分析。
我们使用国际决策支持倡议清单识别和分析利益相关者。邀请确定的利益相关者参加在津巴布韦大学举行的 HTA 研讨会。我们使用现有的 HTA 情境分析问卷，询问参与者对 HTA 的需求、需求和供应的看法。未能参加研讨会的利益相关者组织的代表进行了后续调查。我们审查了两份与 HTA 相关的卫生政策文件。使用主题分析对调查和文件审查的定性数据进行分析。
确定了 48 个组织作为津巴布韦 HTA 的利益相关者。这些利益相关者组织的 41 名代表参加了调查。受访者强调 HTA 对于透明决策是必要的。除了健康经济和伦理维度外，对 HTA 相关证据的需求很高，这可能反映了缺乏意识。卫生部被列为 HTA 数据的主要供应商。
津巴布韦的医疗保健系统中没有正式的 HTA 机构。各种机构就优先排序、采购和卫生服务覆盖范围做出决策。这些组织开展的活动为津巴布韦 HTA 的制度化提供了背景。
