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Implementing accountability for reasonableness framework at district level in Tanzania: a realist evaluation

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

  • Stephen Maluka
  • Peter Kamuzora
  • Miguel SanSebastián
  • Byskov, Jens
  • Benedict Ndawi
  • Øystein E. Olsen
  • Anna-Karin Hurtig
Despite the growing importance of the Accountability for Reasonableness (A4R) framework in priority setting worldwide, there is still an inadequate understanding of the processes and mechanisms underlying its influence on legitimacy and fairness, as conceived and reflected in service management processes and outcomes. As a result, the ability to draw scientifically sound lessons for the application of the framework to services and interventions is limited. This paper evaluates the experiences of implementing the A4R approach in Mbarali District, Tanzania, in order to find out how the innovation was shaped, enabled, and constrained by the interaction between contexts, mechanisms and outcomes.
OriginalsprogEngelsk
TidsskriftImplementation Science
Vol/bind6
Udgave nummer11
Sider (fra-til)11
Antal sider15
ISSN1748-5908
DOI
StatusUdgivet - 2011

ID: 33463160