Table 6 Solutions proposed by respondent and their frequency of being proposed

 Development of standard methodological and reporting guidelines that are acceptable (i.e. understandable and perceived useful) for decision-makers and stakeholders in the country

19

ᅟImprovement or development of tools for utility weights

3

 Development of standard approaches for costing

1

 Construction of a database to collate all essential data and information needed in the analysis, i.e. cost and clinical data, from data that already exists in the health systems

7

 Generation of cost data through studies or standard cost lists

2

 Development of utility or disutility weights for LMICs locally and/or by region

2

 Conduct of studies on utility weights in the context

2

 Encouragement to the conduct of local clinical studies

1

 Conduct of research to estimate cost-effectiveness threshold

1

 Capacity-building to increase both the quantity of economic evaluation practitioners and the quality of their work

7

Networking and system to support and appraise

 Create local system, e.g. technical committee, to support and appraise the conduct of economic evaluation

4

 Engagement of relevant stakeholders in the conduct of studies and facilitating more interaction between and among different stakeholders to create buy-in

3

 Creation of linkage and network with other researchers working in developing countries for knowledge and research sharing

1