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The priority setting mechanism for health care delivery in Tanzania is very similar to that of other developing countries.
Although one should always be careful in generalizing from a single case study, experience from elsewhere and the results presented in this article allow questioning of the underlying premises of the priority setting mechanism determining the distribution of qualified human resources.
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This calls for the need for capturing and analyzing the current RH priority setting mechanisms in sub-Saharan countries.
Differences across per capita income groups suggests the need for differentiated priority setting mechanisms guiding international support.
More importantly, however, global health care debates and priority setting frameworks have influenced the Tanzanian priority setting mechanisms at the national level.
Nevertheless, there are concerns that the CCHP process does not employ priority setting mechanisms suited for recognising the need and priorities of FMNCH interventions [ 20].
Important determinants will include quality of services and access to these services, the legitimacy of the services and the priority setting mechanisms defining the objectives and use of resources towards these objectives.
Again, the limitations on the ends-means model of rationality must be recognised and it should not be assumed that sophisticated priority setting mechanisms will automatically produce research regarded as relevant by policy-makers.
The two countries that appear to have the most well developed national priority setting mechanisms in place (Malaysia and Brazil), were also the two countries with the most senior levels of leadership guiding (and answerable) to the process.
There are significant differences in the research portfolio across groups of countries based on per capita income, suggesting the need for priority setting mechanisms at both national and international levels that reflect such diversity.
This may be attributed to the HPSR challenges that were identified among these regional institutions which mainly include poor HPSR research environments, lack of availability and reliability of HPSR data, inadequate knowledge translation and priority setting mechanisms, and a lack of funding and research workforce.
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CEO of Professional Science Editing for Scientists @ prosciediting.com