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Key features of the implementation strategy were: regional approach, commitment of senior leaders, facilitation by a program manager, bottom-up approach, priority setting, information campaign targeting care providers and patients.
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Some respondents thought it would benefit the hospital if the public had access to information about priority setting.
The primary objective of RAIDAR is to provide a consistent evaluative framework for risk and exposure information for priority setting objectives and for comparative chemical assessments.
Kapiriri and Martin noted priority setting in developing countries is fraught with uncertainties due to lack of credible information, weak institutions and unclear priority setting processes [ 27].
The lack of information was the most frequent priority setting obstacle identified by the studies in the review.
(interview with members of the CHMT) …The process lacks accurate information which is useful in guiding priority setting...Information on morbidity and mortality is largely inadequate and not reliable.
The use of epidemiological or cost-effectiveness evidence tends to be only a small component of the decision: …The process lacks accurate information which is useful in guiding priority setting...Information on morbidity and mortality is largely inadequate and not reliable.
- Information needs of target audiences - Priority setting exercises need to take their target audience into account [ 12].
Factors at play in hospital priority setting practices include (1) contextual factors such as decision space, resource availability, financing arrangements, availability and use of information, organizational culture and leadership, (2) priority setting processes, (3) content factors such as such as priority setting criteria and (4) actors, their interests and power relations.
As well, few organizations have utilized this information to guide the development of explicit priority setting processes.
Specifically, we recommend FMNCH stakeholder's engagement in the priority setting process, training and availing the technical and supervisory support to priority setting teams, improvement in the use of FMNCH information and planning tools; and development of an efficient and fair priority setting process/framework.
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