NEED FOR HTA TRAINING IN DEVELOPING COUNTRIES IS MORE THAN IN DEVELOPED COUNTRIES
Download as PPT, PDF1 like614 views
The document discusses the need for health technology assessment (HTA) training programs in developing countries. It finds that HTA training is even more essential in developing countries than developed ones due to greater resource constraints and different disease burdens. A survey found a lack of standardized HTA practices and trained professionals negatively impacts decision-making. The Center for Evidence-based Health Care (CMeRC) is developing various HTA training programs in collaboration with international partners, including basic online courses, short face-to-face trainings, and masters/PhD programs. The goal is to professionalize HTA and optimize resource use for decision-making in developing African healthcare systems.
NEED FOR HTA TRAINING IN DEVELOPING COUNTRIES IS MORE THAN IN DEVELOPED COUNTRIES
- 1. NEED FOR HTA TRAINING IN DEVELOPING COUNTRIES IS MORE THAN IN DEVELOPED COUNTRIES Jani Müller Moreshnee Govender Debashis Basu Davide Croce Johannesburg, South Africa dbmueller7@yahoo.de
- 2. SOUTH AFRICA 9 provinces 52 Districts
- 4. CMeRC Collaborative agency - Charlotte Maxeke Johannesburg Academic Hospital (CMJAH), Gauteng Department of Health and Social Development (GDoHSD), National Health Laboratory Services (NHLS). Provides translational research for efficient and effective healthservice deliveries in the areas of Evidence-based health care, Clinical research and economics, HTA/ HTM. Goal of CMeRC HTA unit is to provide comprehensive research sevice and training in HTA/ HTM through a multi-disciplinary research and training program – professionalizing HTA and thus decision making
- 6. CMeRC: 3 SETS OF ACTIVITIES Research -The focus is on Medical Euipment Managment, POCT and HTA. Training - providing HTA/ HTM training through short courses. It is planning to organize other activities. Services – members work closely with partner institutions to provide a comprehensive multi-disciplinary service.
- 7. BACKGROUND Training program in HTA exists or is gradually being initiated in industrialized countries. Virtually non-existent in developing countries. Needed most in developing countries like South Africa.
- 8. OBJECTIVES To determine if there is need for training in HTA in South Africa and other African countries. To identify areas of competencies which should form basis of HTA training programmes. To develop and offer HTA programmes in collaboration with partner institutions.
- 9. METHODOLOGY Group discussion: A convenient sample of senior managers in public institutions in South Africa (n =32). Questionaire: to different institutions in Africa (Cameroun, Ghana, Nigeria and Tanzania).
- 10. RESULTS
- 11. IS HTA DIFFERENT IN DEVELOPING COUNTRIES COMPARED TO INDUSTRIALIZED COUNTRIES? Similar Dissimilar Issues on efficacy, Disease patterns – effectiveness and burden of diseases safety are similar. are different. Scarcity of resources- more need for optimised use of resources.
- 12. IS HTA DIFFERENT IN DEVELOPING COUNTRIES COMPARED TO DEVELOPED COUNTRIES? IN DEVELOPING COUNTRIES: Scarcity of resources is more pronounced. Lack of trained health professional in HTA. Ethics, sociocultural issues are often ignored. It is important to build up local capacity to cater to local needs.
- 14. RESULTS (Participants opinion) Lack of standarization; doctors, nurses, economists, engineers, paritcipate in HTA without formal training. Decision-making on health technology without formal triaining seriously affect effective use of technology. Lack of appreciation of value of HTA among policy makers. Acute need of training in HTA for health managers/ professionals in devloping countries with scarce resource.
- 16. RESULTS (Area of competencies) Identification of pertinent outcome measures in a variety of health interventions and technologies. Formulation plan for data collection. Undertaking systematic reviews and interpretation of results. Identification and application of appropriate appraisal tools. Ability to participate in the elaboration of a protocol of an economic evaluation.
- 17. RESULTS (Areas of competencies- contd) Develop an understanding of principles of decison-modelling and ability to construct simple models in terms of use of technology. Develop an understanding of health policy, health management, ethical and social issues related to health. Implementation of clinical guidelines.
- 19. DISCUSSION 4 types of training program are being developed by CMeRC with parnership of international collaborators: A basic HTA blended online course. A face-to-face 3 to 4 days training in collaboration with agencies such as Ecorys, Netherlands. A Masters level specialized course in HTA. PhD.
- 20. CONCLUSION Training program to suit the needs of the professionals. Standardization across the country. Professionalization. Funding. Language. Applied HTA study is required to prove its value in decision making and optimization of results. HTAi DC ISG and INAHTA could play a significant role to realize it.
- 21. ACKNOWLEDGEMENT Prof Jeffrey W ing, Charlotte Maxeke Johannesburg Academic Hospital, and University of the Witwatersrand, South Africa. Dr M Mofokeng Clinical Director Charlotte Maxeke Johannesburg Academic Hospital, South Africa. Mr S Pillay National Health Laboratory Services, South Africa. Prof David Croce, CREMS, Italy. Dr W Oortwijn Ecorys, Netherland. ija Dr Stefan Weinmann GIZ. HTAI FOR ALLOWING ME TO PRESENT IN THIS CONFERENCE
- 22. Thank you!
Editor's Notes
- #20: The basic 3 month course – HTA principles, Systematic review, health policy in country, HTA models and report generation Masters – already been offered at CREMS, LIUC in Italian, will be adopted to the country setting. In 1st & 3rd courses have project work at the end.
- #21: Cadre of prof- eng. Council, med council People to participate