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Equity-Oriented Toolkit Main Page About the Tool Kit HTA Process Downloads Page Acknowledgements

Step 1: Burden of Illness Step 2: Community Effectiveness Step3: Economic Evaluation Step 4: Knowledge Translation and Implementation


About the Equity-Oriented Toolkit

In November 1993, the International Development Research Centre (IDRC) and several partner organizations sponsored an international conference entitled Needs-Based Technology Assessment: Exploring Global Interfaces, in Ottawa, Canada. The conference was attended by 103 delegates, including government representatives from 15 developing countries, international non-governmental organizations, donor agencies and several universities. The major recommendation of this conference addressed the urgent need for the international technology assessment community to develop a means by which developing countries could acquire the expertise to implement a needs-based technology approach, linking the needs and priorities of the population to policy development and implementation.

The favoured approach to meet this need was the development of a toolkit which would contain a variety of tools and methods appropriate for conducting needs-based health technology assessments at different levels of sophistication, as well as case studies which would test applications. The development of a toolkit for needs-based technology assessment was considered to have a number of important points. Ideally, it should:

  • facilitate knowledge brokering to communities and countries that do not have ready access to the existing range of researched options;
  • conserve scarce resources by not re-inventing the wheel;
  • promote a sound decision-making and policy process; and
  • be useful to donor agencies and countries in their discussions regarding community health development and resource allocation.

In response to this recommendation, the World Health Organization (WHO) Collaborating Centre for Health Technology Assessment at the University of Ottawa brought together a team of international experts in health technology assessment to develop such a toolkit. A draft conceptual framework was prepared and presented to a small group of international experts at a half-day workshop held in Ottawa. The draft concept and overall framework with draft sub-components was presented at the International Society for Technology Assessment in Health Care (ISTAHC) conference in June 1995. This forum afforded the researchers leading this initiative, the opportunity to debate and receive comments on the overall direction and approach for the toolkit from a range of experts in the field. Provisional consensus was reached on the framework and a project proposal was submitted to IDRC who then provided core funding.

More Information

  1. What is it?

  2. Key Concepts

  3. How did we develop it?

  4. Section Summaries

  5. How to use this tool kit

  6. What is the impact?

  7. What is the potential?

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© 2004 WHO Collaborating Center for Health Technology Assessment.
December 8, 2008