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.

15. EVIDENCE-BASED DECISION
MAKING

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!