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

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Standard

Healthcare priority setting in Kenya : a gap analysis applying the accountability for reasonableness framework. / Bukachi, Salome A.; Onyango-Ouma, Washington; Siso, Jared Maaka; Nyamongo, Isaac K.; Mutai, Joseph K.; Hurtig, Anna Karin; Olsen, Øystein Evjen; Byskov, Jens.

I: International Journal of Health Planning and Management, Bind 29, Nr. 4, 2014, s. 342-361.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

Harvard

Bukachi, SA, Onyango-Ouma, W, Siso, JM, Nyamongo, IK, Mutai, JK, Hurtig, AK, Olsen, ØE & Byskov, J 2014, 'Healthcare priority setting in Kenya: a gap analysis applying the accountability for reasonableness framework', International Journal of Health Planning and Management, bind 29, nr. 4, s. 342-361. https://doi.org/10.1002/hpm.2197

APA

Bukachi, S. A., Onyango-Ouma, W., Siso, J. M., Nyamongo, I. K., Mutai, J. K., Hurtig, A. K., ... Byskov, J. (2014). Healthcare priority setting in Kenya: a gap analysis applying the accountability for reasonableness framework. International Journal of Health Planning and Management, 29(4), 342-361. https://doi.org/10.1002/hpm.2197

Vancouver

Bukachi SA, Onyango-Ouma W, Siso JM, Nyamongo IK, Mutai JK, Hurtig AK o.a. Healthcare priority setting in Kenya: a gap analysis applying the accountability for reasonableness framework. International Journal of Health Planning and Management. 2014;29(4):342-361. https://doi.org/10.1002/hpm.2197

Author

Bukachi, Salome A. ; Onyango-Ouma, Washington ; Siso, Jared Maaka ; Nyamongo, Isaac K. ; Mutai, Joseph K. ; Hurtig, Anna Karin ; Olsen, Øystein Evjen ; Byskov, Jens. / Healthcare priority setting in Kenya : a gap analysis applying the accountability for reasonableness framework. I: International Journal of Health Planning and Management. 2014 ; Bind 29, Nr. 4. s. 342-361.

Bibtex

@article{1bbf7cde4d8949ca98fabb519eb828b7,
title = "Healthcare priority setting in Kenya: a gap analysis applying the accountability for reasonableness framework",
abstract = "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. Copyright {\circledC} 2013 John Wiley & Sons, Ltd.",
keywords = "Former LIFE faculty, Pirority setting , Accountability for reasonableness, Healthcare, Kenya",
author = "Bukachi, {Salome A.} and Washington Onyango-Ouma and Siso, {Jared Maaka} and Nyamongo, {Isaac K.} and Mutai, {Joseph K.} and Hurtig, {Anna Karin} and Olsen, {{\O}ystein Evjen} and Jens Byskov",
note = "Copyright {\circledC} 2013 John Wiley & Sons, Ltd.",
year = "2014",
doi = "10.1002/hpm.2197",
language = "English",
volume = "29",
pages = "342--361",
journal = "International Journal of Health Planning and Management",
issn = "0749-6753",
publisher = "JohnWiley & Sons Ltd",
number = "4",

}

RIS

TY - JOUR

T1 - Healthcare priority setting in Kenya

T2 - a gap analysis applying the accountability for reasonableness framework

AU - Bukachi, Salome A.

AU - Onyango-Ouma, Washington

AU - Siso, Jared Maaka

AU - Nyamongo, Isaac K.

AU - Mutai, Joseph K.

AU - Hurtig, Anna Karin

AU - Olsen, Øystein Evjen

AU - Byskov, Jens

N1 - Copyright © 2013 John Wiley & Sons, Ltd.

PY - 2014

Y1 - 2014

N2 - 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. Copyright © 2013 John Wiley & Sons, Ltd.

AB - 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. Copyright © 2013 John Wiley & Sons, Ltd.

KW - Former LIFE faculty

KW - Pirority setting

KW - Accountability for reasonableness

KW - Healthcare

KW - Kenya

U2 - 10.1002/hpm.2197

DO - 10.1002/hpm.2197

M3 - Journal article

C2 - 23775594

VL - 29

SP - 342

EP - 361

JO - International Journal of Health Planning and Management

JF - International Journal of Health Planning and Management

SN - 0749-6753

IS - 4

ER -

ID: 46428024