Implementing accountability for reasonableness framework at district level in Tanzania: a realist evaluation

Research output: Contribution to journalJournal articleResearchpeer-review

  • Stephen Maluka
  • Peter Kamuzora
  • Miguel SanSebastián
  • Byskov, Jens
  • Benedict Ndawi
  • Øystein E. Olsen
  • Anna-Karin Hurtig
Despite the growing importance of the Accountability for Reasonableness (A4R) framework in priority setting worldwide, there is still an inadequate understanding of the processes and mechanisms underlying its influence on legitimacy and fairness, as conceived and reflected in service management processes and outcomes. As a result, the ability to draw scientifically sound lessons for the application of the framework to services and interventions is limited. This paper evaluates the experiences of implementing the A4R approach in Mbarali District, Tanzania, in order to find out how the innovation was shaped, enabled, and constrained by the interaction between contexts, mechanisms and outcomes.
Original languageEnglish
JournalImplementation Science
Issue number11
Pages (from-to)11
Number of pages15
Publication statusPublished - 2011

    Research areas

  • Health Priorities, Health Resources, Humans, Outcome and Process Assessment (Health Care), Program Development, Regional Health Planning, Social Responsibility, Tanzania

ID: 33463160