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Table 3 Comparison of the process of AFR introduction in the three districts

From: The accountability for reasonableness approach to guide priority setting in health systems within limited resources – findings from action research at district level in Kenya, Tanzania, and Zambia

Steps in establishment

Mbarali, Tanzania

Malindi, Kenya

Kapiri Mposhi, Zambia

Sensitization of stakeholders. Number of recorded sessions

From 2007 and including community members; 6 sessions

From 2008, not going beyond the hospital team; 3 joint sessions

From 2007 including already coopted NGO and increasing to others including representatives of communities

Effective start of application

2008

2009

2008

Number of ART meetings and of planning meetings referring to AFR

Total 18 ART and 4 planning meetings. Report to CHMT. Other meetings.

Total 3 ART meetings. Report to DHMT. No record of other meetings.

Monthly meetings for AFR associated with DHMT meetings and thus also taken up in plans

ART members regularly involved

2 researchers, 5 CHMT members

1 researcher, 3 DHMT members

4 DHMT members. Researcher presence irregular

Focal person/observer

Junior scientist 2009-10

Scientist for irregular periods

Only as ad hoc visits by a researcher.

  1. AFR, Accountability for Reasonableness; ART, Action Research Team; CHMT, Council Health Management Team; DHMT, District Health Management Team.