Objetivo Health systems in many low income countries are strangled in a vicious circle: management capacity isperceived insufficient to be given full responsibility for priority setting, but without effective decentralization of the priority setting process, the capacity will never increase. District level services cater for a majority of service contacts. Therefore, a District focus is necessary to improve quality, equity, accessibility and affordability of care of the overall country services. Attempts have been made to strengthen district level planning and management mainly based on burden disease measures, cost effectiveness and capacity considerations and related planning tools, but adequate and sustainability improvements have not been achieved. National health policies promote more inclusive planning processes, but concrete involvement of others is still limited. This proposal aims to improve equity, access, affordability and quality of health care through introducing and evaluating improved priority setting according to the Accountability for Reasonableness (AFR) framework in Tanzania, Kenya and Zambia. AFR provides practical guidance for decision makers in making the fair balances within finite resource limits between mainly expert defined need, programmatic and other supply pressures, stakeholder interests and demands from users, their representatives and their communities. A case study and action research approach isused. Each country will involve Public Health and Social Science oriented academic institutions all in partnership with 4 leading and interdisciplinary PublicHealth Institutions in the EU.Results will be disseminated targeted to application through policies and plans and are expected to assist in a major strengthening of health systems self reliance and performance. Ámbito científico medical and health scienceshealth sciencespublic healthsocial sciences Programa(s) FP6-INCO - Specific measures in support of international cooperation: Specific activities covering wider field of research under the Focusing and Integrating Community Research programme 2002-2006. Tema(s) INCO - Specific measures in support of international co-operation INCO-2003-A1.2 - Healthcare systems and management Convocatoria de propuestas FP6-2003-INCO-DEV-2 Consulte otros proyectos de esta convocatoria Régimen de financiación STIP - Specific Targeted Innovation Project Coordinador UNIVERSITY OF COPENHAGEN Aportación de la UE Sin datos Dirección Nørregade 10 COPENHAGEN K Dinamarca Ver en el mapa Enlaces Sitio web Opens in new window Coste total Sin datos Participantes (9) Ordenar alfabéticamente Ordenar por aportación de la UE Ampliar todo Contraer todo UNIVERSITETET I BERGEN Noruega Aportación de la UE Sin datos Dirección Muséplass 1 BERGEN Ver en el mapa Enlaces Sitio web Opens in new window Coste total Sin datos PRINCE LEOPOLD INSTITUTE OF TROPICAL MEDICINE Bélgica Aportación de la UE Sin datos Dirección Nationalestraat 155 ANTWERPEN Ver en el mapa Enlaces Sitio web Opens in new window Coste total Sin datos UMEÅ UNIVERSITY Suecia Aportación de la UE Sin datos Dirección Universitetsomraadet UMEÅ Ver en el mapa Enlaces Sitio web Opens in new window Coste total Sin datos UNIVERSITY OF DAR ES SALAAM Tanzania Aportación de la UE Sin datos Dirección University Road 35091 DAR ES SALAAM Ver en el mapa Enlaces Sitio web Opens in new window Coste total Sin datos NATIONAL INSTITUTE FOR MEDICAL RESEARCH Tanzania Aportación de la UE Sin datos Dirección Ocean Road 9653 DAR ES SALAAM Ver en el mapa Enlaces Sitio web Opens in new window Coste total Sin datos PRIMARY HEALTH CARE INSTITUTE Tanzania Aportación de la UE Sin datos Dirección Haile Selassie Road, Gangilonga Area 235 IRINGA Ver en el mapa Coste total Sin datos KENYA MEDICAL RESEARCH INSTITUTE Kenia Aportación de la UE Sin datos Dirección Mbagathi Road (at Armed Forces Memorial Hospital) 54840 NAIROBI Ver en el mapa Coste total Sin datos UNIVERSITY OF ZAMBIA Zambia Aportación de la UE Sin datos Dirección Great East Road, Main Campus 32379 LUSAKA Ver en el mapa Enlaces Sitio web Opens in new window Coste total Sin datos UNIVERSITY OF NAIROBI - INSTITUTE OF AFRICAN STUDIES Kenia Aportación de la UE Sin datos Dirección University Way 30197 NAIROBI Ver en el mapa Coste total Sin datos