Health priority-setting for official development assistance in low-income and middle-income countries: a Best Fit Framework Synthesis study with primary data from Ethiopia, Nigeria and Tanzania

Abstract Background Decision making process for Official Development Assistance (ODA) for healthcare sector in low-income and middle-income countries involves multiple agencies, each with their unique power, priorities and funding mechanisms. This process at country level has not been well studied....

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Autores principales:	Xiaoxiao Jiang Kwete, Yemane Berhane, Mary Mwanyika-Sando, Ayo Oduola, Yuning Liu, Firehiwot Workneh, Smret Hagos, Japhet Killewo, Dominic Mosha, Angela Chukwu, Kabiru Salami, Bidemi Yusuf, Kun Tang, Zhi-Jie Zheng, Rifat Atun, Wafaie Fawzi
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Priority setting Official development assistance Qualitative case study Health systems Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/02a46a04c3384d848c199bc900fd7550
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spelling	oai:doaj.org-article:02a46a04c3384d848c199bc900fd75502021-11-21T12:10:29ZHealth priority-setting for official development assistance in low-income and middle-income countries: a Best Fit Framework Synthesis study with primary data from Ethiopia, Nigeria and Tanzania10.1186/s12889-021-12205-61471-2458https://doaj.org/article/02a46a04c3384d848c199bc900fd75502021-11-01T00:00:00Zhttps://doi.org/10.1186/s12889-021-12205-6https://doaj.org/toc/1471-2458Abstract Background Decision making process for Official Development Assistance (ODA) for healthcare sector in low-income and middle-income countries involves multiple agencies, each with their unique power, priorities and funding mechanisms. This process at country level has not been well studied. Methods This paper developed and applied a new framework to analyze decision-making process for priority setting in Ethiopia, Nigeria, and Tanzania, and collected primary data to validate and refine the model. The framework was developed following a scoping review of published literature. Interviews were then conducted using a pre-determined interview guide developed by the research team. Transcripts were reviewed and coded based on the framework to identify what principles, players, processes, and products were considered during priority setting. Those elements were further used to identify where the potential capacity of local decision-makers could be harnessed. Results A framework was developed based on 40 articles selected from 6860 distinct search records. Twenty-one interviews were conducted in three case countries from 12 institutions. Transcripts or meeting notes were analyzed to identify common practices and specific challenges faced by each country. We found that multiple stakeholders working around one national plan was the preferred approach used for priority setting in the countries studied. Conclusions Priority setting process can be further strengthened through better use of analytical tools, such as the one described in our study, to enhance local ownership of priority setting for ODA and improve aid effectiveness.Xiaoxiao Jiang KweteYemane BerhaneMary Mwanyika-SandoAyo OduolaYuning LiuFirehiwot WorknehSmret HagosJaphet KillewoDominic MoshaAngela ChukwuKabiru SalamiBidemi YusufKun TangZhi-Jie ZhengRifat AtunWafaie FawziBMCarticlePriority settingOfficial development assistanceQualitative case studyHealth systemsPublic aspects of medicineRA1-1270ENBMC Public Health, Vol 21, Iss 1, Pp 1-13 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Priority setting Official development assistance Qualitative case study Health systems Public aspects of medicine RA1-1270
spellingShingle	Priority setting Official development assistance Qualitative case study Health systems Public aspects of medicine RA1-1270 Xiaoxiao Jiang Kwete Yemane Berhane Mary Mwanyika-Sando Ayo Oduola Yuning Liu Firehiwot Workneh Smret Hagos Japhet Killewo Dominic Mosha Angela Chukwu Kabiru Salami Bidemi Yusuf Kun Tang Zhi-Jie Zheng Rifat Atun Wafaie Fawzi Health priority-setting for official development assistance in low-income and middle-income countries: a Best Fit Framework Synthesis study with primary data from Ethiopia, Nigeria and Tanzania
description	Abstract Background Decision making process for Official Development Assistance (ODA) for healthcare sector in low-income and middle-income countries involves multiple agencies, each with their unique power, priorities and funding mechanisms. This process at country level has not been well studied. Methods This paper developed and applied a new framework to analyze decision-making process for priority setting in Ethiopia, Nigeria, and Tanzania, and collected primary data to validate and refine the model. The framework was developed following a scoping review of published literature. Interviews were then conducted using a pre-determined interview guide developed by the research team. Transcripts were reviewed and coded based on the framework to identify what principles, players, processes, and products were considered during priority setting. Those elements were further used to identify where the potential capacity of local decision-makers could be harnessed. Results A framework was developed based on 40 articles selected from 6860 distinct search records. Twenty-one interviews were conducted in three case countries from 12 institutions. Transcripts or meeting notes were analyzed to identify common practices and specific challenges faced by each country. We found that multiple stakeholders working around one national plan was the preferred approach used for priority setting in the countries studied. Conclusions Priority setting process can be further strengthened through better use of analytical tools, such as the one described in our study, to enhance local ownership of priority setting for ODA and improve aid effectiveness.
format	article
author	Xiaoxiao Jiang Kwete Yemane Berhane Mary Mwanyika-Sando Ayo Oduola Yuning Liu Firehiwot Workneh Smret Hagos Japhet Killewo Dominic Mosha Angela Chukwu Kabiru Salami Bidemi Yusuf Kun Tang Zhi-Jie Zheng Rifat Atun Wafaie Fawzi
author_facet	Xiaoxiao Jiang Kwete Yemane Berhane Mary Mwanyika-Sando Ayo Oduola Yuning Liu Firehiwot Workneh Smret Hagos Japhet Killewo Dominic Mosha Angela Chukwu Kabiru Salami Bidemi Yusuf Kun Tang Zhi-Jie Zheng Rifat Atun Wafaie Fawzi
author_sort	Xiaoxiao Jiang Kwete
title	Health priority-setting for official development assistance in low-income and middle-income countries: a Best Fit Framework Synthesis study with primary data from Ethiopia, Nigeria and Tanzania
title_short	Health priority-setting for official development assistance in low-income and middle-income countries: a Best Fit Framework Synthesis study with primary data from Ethiopia, Nigeria and Tanzania
title_full	Health priority-setting for official development assistance in low-income and middle-income countries: a Best Fit Framework Synthesis study with primary data from Ethiopia, Nigeria and Tanzania
title_fullStr	Health priority-setting for official development assistance in low-income and middle-income countries: a Best Fit Framework Synthesis study with primary data from Ethiopia, Nigeria and Tanzania
title_full_unstemmed	Health priority-setting for official development assistance in low-income and middle-income countries: a Best Fit Framework Synthesis study with primary data from Ethiopia, Nigeria and Tanzania
title_sort	health priority-setting for official development assistance in low-income and middle-income countries: a best fit framework synthesis study with primary data from ethiopia, nigeria and tanzania
publisher	BMC
publishDate	2021
url	https://doaj.org/article/02a46a04c3384d848c199bc900fd7550
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Health priority-setting for official development assistance in low-income and middle-income countries: a Best Fit Framework Synthesis study with primary data from Ethiopia, Nigeria and Tanzania

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