ArticleFrontiers in public health2022
Assessing the potential of HTA to inform resource allocation decisions in low-income settings: The case of Malawi.
Article in Frontiers in public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 8 citations in OpenAlex.
- Introducing an Expanded Value Framework in Health Technology Assessment of Vaccines.Journal of market access & health policy · 2026Article
- Strategic health policy priorities for health technology assessment development in Iran.Journal of preventive medicine and hygiene · 2026Article
- Political analysis of health technology assessment implementation in Iran.Health research policy and systems · 2025Article
- Mapping the social networks of key actors in the development of health technology assessment in Iran.Journal of preventive medicine and hygiene · 2025Article
- Navigating barriers to health technology assessment development in Iran: a qualitative exploration of stakeholder perspectives.Archives of public health = Archives belges de sante publique · 2025Article
- A comparative analysis of patient participation in health technology assessment systems worldwide: trends and practices.Frontiers in public health · 2025Article
- Unleashing the potential: the imperative of political support for health technology assessment in Iran.Health economics review · 2024Article
- Civil society and medical product access in Africa: Lessons from COVID-19.Frontiers in medical technology · 2023Article
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Authors and funding
10 authors at 3 institutions in 3 countries.
Funding
Abstract
Health technology assessment (HTA) offers a set of analytical tools to support health systems' decisions about resource allocation. Although there is increasing interest in these tools across the world, including in some middle-income countries, they remain rarely used in low-income countries (LICs). In general, the focus of HTA is narrow, mostly limited to assessments of efficacy and cost-effectiveness. However, the principles of HTA can be used to support a broader series of decisions regarding new health technologies. We examine the potential for this broad use of HTA in LICs, with a focus on Malawi. We develop a framework to classify the main decisions on health technologies within health systems. The framework covers decisions on identifying and prioritizing technologies for detailed assessment, deciding whether to adopt an intervention, assessing alternative investments for implementation and scale-up, and undertaking further research activities. We consider the relevance of the framework to policymakers in Malawi and we use two health technologies as examples to investigate the main barriers and enablers to the use of HTA methods. Although the scarcity of local data, expertise, and other resources could risk limiting the operationalisation of HTA in LICs, we argue that even in highly resource constrained health systems, such as in Malawi, the use of HTA to support a broad range of decisions is feasible and desirable.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.