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....
| Main Authors: | , , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2021-11-01
|
| Series: | BMC Public Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12889-021-12205-6 |
| _version_ | 1818567839159681024 |
|---|---|
| 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 |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-12-14T06:28:30Z |
| format | Article |
| id | doaj.art-02a46a04c3384d848c199bc900fd7550 |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-12-14T06:28:30Z |
| publishDate | 2021-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-02a46a04c3384d848c199bc900fd75502022-12-21T23:13:36ZengBMCBMC Public Health1471-24582021-11-0121111310.1186/s12889-021-12205-6Health 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 TanzaniaXiaoxiao Jiang Kwete0Yemane Berhane1Mary Mwanyika-Sando2Ayo Oduola3Yuning Liu4Firehiwot Workneh5Smret Hagos6Japhet Killewo7Dominic Mosha8Angela Chukwu9Kabiru Salami10Bidemi Yusuf11Kun Tang12Zhi-Jie Zheng13Rifat Atun14Wafaie Fawzi15Harvard TH Chan School of Public HealthAddis Continental Institute of Public HealthAfrica Academy for Public HealthUniversity of Ibadan Research FoundationJPMorgan Chase InstituteAddis Continental Institute of Public HealthAddis Continental Institute of Public HealthMuhimbili University of Health and Allied SciencesAfrica Academy for Public HealthUniversity of Ibadan Research FoundationUniversity of Ibadan Research FoundationUniversity of Ibadan Research FoundationTsinghua University Vanke School of Public HealthPeking University School of Public HealthHarvard TH Chan School of Public HealthHarvard TH Chan School of Public HealthAbstract 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.https://doi.org/10.1186/s12889-021-12205-6Priority settingOfficial development assistanceQualitative case studyHealth systems |
| spellingShingle | 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 BMC Public Health Priority setting Official development assistance Qualitative case study Health systems |
| 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_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_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_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 |
| topic | Priority setting Official development assistance Qualitative case study Health systems |
| url | https://doi.org/10.1186/s12889-021-12205-6 |
| work_keys_str_mv | AT xiaoxiaojiangkwete healthprioritysettingforofficialdevelopmentassistanceinlowincomeandmiddleincomecountriesabestfitframeworksynthesisstudywithprimarydatafromethiopianigeriaandtanzania AT yemaneberhane healthprioritysettingforofficialdevelopmentassistanceinlowincomeandmiddleincomecountriesabestfitframeworksynthesisstudywithprimarydatafromethiopianigeriaandtanzania AT marymwanyikasando healthprioritysettingforofficialdevelopmentassistanceinlowincomeandmiddleincomecountriesabestfitframeworksynthesisstudywithprimarydatafromethiopianigeriaandtanzania AT ayooduola healthprioritysettingforofficialdevelopmentassistanceinlowincomeandmiddleincomecountriesabestfitframeworksynthesisstudywithprimarydatafromethiopianigeriaandtanzania AT yuningliu healthprioritysettingforofficialdevelopmentassistanceinlowincomeandmiddleincomecountriesabestfitframeworksynthesisstudywithprimarydatafromethiopianigeriaandtanzania AT firehiwotworkneh healthprioritysettingforofficialdevelopmentassistanceinlowincomeandmiddleincomecountriesabestfitframeworksynthesisstudywithprimarydatafromethiopianigeriaandtanzania AT smrethagos healthprioritysettingforofficialdevelopmentassistanceinlowincomeandmiddleincomecountriesabestfitframeworksynthesisstudywithprimarydatafromethiopianigeriaandtanzania AT japhetkillewo healthprioritysettingforofficialdevelopmentassistanceinlowincomeandmiddleincomecountriesabestfitframeworksynthesisstudywithprimarydatafromethiopianigeriaandtanzania AT dominicmosha healthprioritysettingforofficialdevelopmentassistanceinlowincomeandmiddleincomecountriesabestfitframeworksynthesisstudywithprimarydatafromethiopianigeriaandtanzania AT angelachukwu healthprioritysettingforofficialdevelopmentassistanceinlowincomeandmiddleincomecountriesabestfitframeworksynthesisstudywithprimarydatafromethiopianigeriaandtanzania AT kabirusalami healthprioritysettingforofficialdevelopmentassistanceinlowincomeandmiddleincomecountriesabestfitframeworksynthesisstudywithprimarydatafromethiopianigeriaandtanzania AT bidemiyusuf healthprioritysettingforofficialdevelopmentassistanceinlowincomeandmiddleincomecountriesabestfitframeworksynthesisstudywithprimarydatafromethiopianigeriaandtanzania AT kuntang healthprioritysettingforofficialdevelopmentassistanceinlowincomeandmiddleincomecountriesabestfitframeworksynthesisstudywithprimarydatafromethiopianigeriaandtanzania AT zhijiezheng healthprioritysettingforofficialdevelopmentassistanceinlowincomeandmiddleincomecountriesabestfitframeworksynthesisstudywithprimarydatafromethiopianigeriaandtanzania AT rifatatun healthprioritysettingforofficialdevelopmentassistanceinlowincomeandmiddleincomecountriesabestfitframeworksynthesisstudywithprimarydatafromethiopianigeriaandtanzania AT wafaiefawzi healthprioritysettingforofficialdevelopmentassistanceinlowincomeandmiddleincomecountriesabestfitframeworksynthesisstudywithprimarydatafromethiopianigeriaandtanzania |