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

Byskov, JensMarchal, BrunoMaluka, StephenZulu, Joseph M.Bukachi, Salome A.Hurtig, Anna-KarinBlystad, AstridKamuzora, PeterMichelo, CharlesNyandieka, Lilian N.Ndawi, BenedictBloch, PaulOlsen, Øystein E.Consortium, React2016-06-202016-06-202014-12Byskov, 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.http://hdl.handle.net/20.500.11810/2619Priority-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).enAccountability for reasonablenessPriority settingFairnessDecentralizationDecision makingDemocratizationHealth systemsKenyaTanzaniaZambiaThe 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 ZambiaDataset10.1186/1478-4505-12-49