NEED FOR HTA TRAINING IN DEVELOPING

COUNTRIES IS MORE THAN IN DEVELOPED

COUNTRIES

Jani Müller Moreshnee Govender

Debashis Basu Davide Croce

Johannesburg, South Africadbmueller7@yahoo.de

9 provinces52 Districts

SOUTH AFRICA

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 process.

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.

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.

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.

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).

RESULTS

IS HTA DIFFERENT IN DEVELOPING COUNTRIES COMPARED TO INDUSTRIALIZED COUNTRIES?

Issues on efficacy, effectiveness and safety are similar.

Disease patterns – burden of diseases are different.

Scarcity of resources- more need for optimised use of resources.

Similar Dissimilar

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.

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.

EVIDENCE-BASED DECISION MAKING

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.

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.

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.

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.

ACKNOWLEDGEMENT

Prof Jeffrey Wing, 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 Wija Oortwijn Ecorys, Netherland. Dr Stefan Weinmann GIZ.

HTAI FOR ALLOWING ME TO PRESENT IN THIS CONFERENCE

Thank you!