The Accountability for Reasonableness Approach to Guide Priority Setting in Health Systems Within Limited Resources – Findings From Action Research at District Level in Kenya, Tanzania, and Zambia
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Date
2014-12
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Abstract
Priority-setting decisions are based on an important, but not sufficient set of values and thus lead to disagreement on priorities. Accountability for Reasonableness (AFR) is an ethics-based approach to a legitimate and fair priority-setting process that builds upon four conditions: relevance, publicity, appeals, and enforcement, which facilitate agreement on priority-setting decisions and gain support for their implementation. This paper focuses on the assessment of AFR within the project REsponse to ACcountable priority setting for Trust in health systems (REACT).
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Keywords
Accountability for reasonableness, Priority setting, Fairness, Decentralization, Decision making, Democratization, Health systems, Kenya, Tanzania, Zambia
Citation
Byskov, J., Marchal, B., Maluka, S., Zulu, J.M., Bukachi, S.A., Hurtig, A.K., Blystad, A., Kamuzora, P., Michelo, C., Nyandieka, L.N. and Ndawi, B., 2014. The accountability for reasonableness approach to guide priority setting in health systems within limited resources–findings from action research at district level in Kenya, Tanzania, and Zambia. Health Research Policy and Systems, 12(1), p.1.