In 2011, PAHO and the member countries launched a Regional Network of Health Technology Assessments for the Americas (RedETSA). RedETSA is comprised of representatives from the ministries of health, regulatory agencies, HTA agencies, PAHO/WHO collaborating centers, and non-profit educational and research institutions dedicated to promote HTA to inform decision-making. The network aims to promote and strengthen HTA through regional exchanges of information to support decision-making on regulation, use and replacement of technologies, improvements in the quality of care and rational use of technologies, and contribute to the sustainability and equity in access to health systems. Over the years, RedETSA has been playing a key role in the development of HTA in the Region. Currently, RedETSA is represented by 14 countries and 28 institutions.
RedETSA's main objectives include:
- Identify the status of HTA in the Region, at national, sub-Regional, and Regional levels, and the priorities in order to facilitate cooperation among countries and institutions through networking.
- Facilitate access to information through the RedETSA'S Community of Practice on the Platform on Access and Innovation for Health Technologies (PRAIS*).
- Strengthen human resources, including assessment teams and decision-makers, in the use of HTA.
- Promote best practices in HTA.
- Promote technical cooperation among institutions (national, sub-regional, and global).
- Reducing information asymmetries and improving the processes of decision-making
- Stimulate the consolidation of local HTA networks and their synergy with RedETSA
RedETSA Map of Member Countries
PRAIS: The Regional Platform on Access and Innovation for Health Technologies is composed of a series of virtual tools designed to support and promote technological innovation, access, rational use, regulation and governance of health technologies from a public health perspective. PAHO expects the platform to facilitate the development of linkages between stakeholders for innovation in health systems that extend beyond institutional, country and sector boundaries.
RedETSA's Community of Practice (CoP) is an instrument that enables exchange of knowledge and information related to HTA among RedETSA's members. The CoP allows members to share reports, documents, and presentations, and also have information about events, webinars, meetings, and workshops promoted by the Medicines and Health Technologies Unit. Moreover, the Community has a discussion group where members discuss about a relevant topics related to HTA.
Advance HTA Project
Advance HTA is a project funded by the European Commission and led by a team of the London School of Economics in partnership with thirteen participating institutions. PAHO is working jointly with the Escuela Andaluza de Salud Publica to identify the use and capacity for HTA in emerging settings (Eastern Europe and the Region of the Americas). Advance-HTA aims to broaden the spectrum, complement and address areas of methodological debate in the application, use and implementation of HTA across settings. The study aims to improve HTA methods, which can be taken further by competent authorities nationally while supplementing the work of supra-national bodies towards a common understanding of choices in health care decision-making.
Given the nascent stage of HTA in the Region of the Americas, the core research objectives include:
- To identify the use of and capacity for HTA in emerging settings (Eastern Europe, Region of the Americas) including decision making bodies, other stakeholders (universities, private companies, etc.). This includes the identification of HTA mechanisms and techniques that apply in different emerging countries/regions.
- To understand the decision-making process for the incorporation of health technologies to health systems in developing countries.
- To enable and facilitate an effective exchange of economic evaluations and evidence, reducing duplication of effort, between countries in Eastern Europe/Latin America and EU countries that have strong HTA tradition.
- To develop and disseminate an adaptable Toolbox for emerging countries to improve the process of decision-making, highlighting best practices, concrete examples and innovative approaches.
Advance HTA hopes to extend the implementation and capacity building of HTA to emerging markets. This will involve bringing together the wider stakeholder community in the debate around decision-making and resource allocation. Several capacity building activities and workshops are planned around this project in the Region of the Americas. Please visit Advance_HTA - Rethinking the future of Health Technology Assessment for more information.