Health technology assessment (HTA) is an effective tool to support priority setting and generate evidence for decision making especially en route to achieving universal health coverage (UHC). We assessed the capacity needs, policy areas of demand, and perspectives of key stakeholders for evidence-informed decision making in Nigeria where HTA is still new. We surveyed 31 participants including decision makers, policy makers, academic researchers, civil society organizations, community-based organizations, development partners, health professional organizations. We revised an existing survey to qualitatively examine the need, policy areas of demand, and perspectives of stakeholders on HTA. We then analyzed responses and explored key themes. Most respondents were associated with organizations that generated or facilitated health services research. Research institutes highlighted their ability to provide expertise and skills for HTA research but some respondents noted a lack of human capacity for HTA. HTA was considered an important and valuable priority-setting tool with a key role in the design of health benefits packages, clinical guideline development, and service improvement. Public health programs, medicines and vaccines were the three main technology types that would especially benefit from the application of HTA. The perceived availability and accessibility of suitable local data to support HTA varied widely but was mostly considered inadequate and limited. Respondents needed evidence on health system financing, health service provision, burden of disease and noted a need for training support in research methodology, HTA and data management. The use of HTA by policymakers and communities in Nigeria is very limited mainly due to inadequate and insufficient capacity to produce and use HTA. Developing sustainable and institutionalized HTA systems requires in-country expertise and active participation from a range of stakeholders. Stakeholder participation in identifying HTA topics and conducting relevant research will enhance the use of HTA evidence produced for decision making. Therefore, the identified training needs for HTA and possible research topics should be considered a priority in establishing HTA for evidence-informed policy making for achieving UHC particularly among the most vulnerable people in Nigeria.

中文翻译：

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全民健康覆盖的卫生技术评估和优先事项设定：对尼日利亚利益相关者的能力、需求、需求政策领域和观点的定性研究。


卫生技术评估（HTA）是支持优先事项设定并为决策提供证据的有效工具，特别是在实现全民健康覆盖（UHC）的过程中。我们评估了尼日利亚的能力需求、需求政策领域以及关键利益相关者的观点，以进行基于证据的决策，而 HTA 仍然是新生事物。我们调查了 31 名参与者，包括决策者、政策制定者、学术研究人员、民间社会组织、社区组织、发展合作伙伴、卫生专业组织。我们修改了现有的调查，以定性地审查需求、需求的政策领域以及利益相关者对 HTA 的看法。然后我们分析了回应并探讨了关键主题。大多数受访者与产生或促进卫生服务研究的组织有联系。研究机构强调了他们为 HTA 研究提供专业知识和技能的能力，但一些受访者指出，HTA 缺乏人力。 HTA 被认为是重要且有价值的优先事项设定工具，在健康福利方案设计、临床指南制定和服务改进方面发挥着关键作用。公共卫生项目、药物和疫苗是特别受益于 HTA 应用的三种主要技术类型。支持 HTA 的适当本地数据的可用性和可访问性感知差异很大，但大多被认为是不充分和有限的。受访者需要有关卫生系统融资、卫生服务提供、疾病负担的证据，并指出需要在研究方法、HTA 和数据管理方面提供培训支持。 尼日利亚政策制定者和社区对 HTA 的使用非常有限，主要是由于生产和使用 HTA 的能力不足和不足。开发可持续和制度化的 HTA 系统需要国内专业知识和一系列利益相关者的积极参与。利益相关者参与确定 HTA 主题并开展相关研究将增强 HTA 证据在决策中的使用。因此，在建立 HTA 时应优先考虑已确定的 HTA 培训需求和可能的研究主题，以制定以证据为依据的政策，以实现全民健康覆盖，特别是在尼日利亚最弱势群体中。