Assessing the potential of HTA to inform resource allocation decisions in low-income settings:The case of Malawi

• Ramponi, Francesco https://orcid.org/0000-0002-6274-7623
• Twea, Pakwanja
• Chilima, Benson
• Nkhoma, Dominic
• Kazanga Chiumia, Isabel
• Manthalu, Gerald
• Mfutso-Bengo, Joseph
• Revill, Paul https://orcid.org/0000-0001-8632-0600
• Drummond, Michael https://orcid.org/0000-0002-6126-0944
• Sculpher, Mark https://orcid.org/0000-0003-3746-9913

Funding Information: The authors wish to thank Charles Mwansambo (MOH), Kate Langwe (MOH), Godfrey Kadewere (MOH), Marlen Chawani (HEPU), Faless Jeremiah (HEPU), Nthanda Nkungula (HEPU), and Mercy Juma (HEPU). Funding Information: The Malawian MOH does not have a specific systematic process to determine the types of research that are most needed. Research is conducted in an ad hoc manner, and the National Health Research Agenda does not necessarily reflect what research has the greatest potential to improve population health in the country. When conducted, additional research is typically supported by external sources of funding. The MOH does not have a national budget for health care research on the costs and benefits of new technologies (), but there is a recommendation to allocate 2% of the health budget toward research (). However, because there has not been a process in place to assess and prioritize research needs, this funding has remained uncommitted. The Health Services Joint Fund (), co-financed by the governments of the UK, Norway and Germany, could act as a catalyst to attract resources and funding for research. However, weak institutional mechanisms to support research decisions in the health care sector could partly explain the low funding for research. Publisher Copyright: Copyright © 2022 Ramponi, Twea, Chilima, Nkhoma, Kazanga Chiumia, Manthalu, Mfutso-Bengo, Revill, Drummond and Sculpher.

• Published: 28 October 2022
• Accepted: 3 October 2022

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