The ADP Theory of Change

Frameworks for introduction of new health technologies by countries typically involve the innovation or R&D on new technologies stage, which is followed by the introduction or preparation of the new technologies for use by target populations, and finally, the integration phase where new technologies are integrated in routine use within the health system, ensuring that they are able to reach and benefit target populations.

A country’s decision-making capacity and processes are critical in each of these phases to enable the successful access to, and delivery of, new health technologies. The ADP approach is thus predicated upon the assumption that strengthening a country’s decision-making capacities and processes will improve the uptake of innovative technologies, resulting in increased health impact. Furthermore, the focus on strengthening decision-making processes is based on two important reasons: first, building and strengthening mechanisms for effective decision making is most amenable to long-term improvements to access and delivery; second, this approach allows the ADP to capture learnings and best practices from the focus countries, which will benefit other LMICs, enabling strategic South-South collaboration and learning.

The ADP is focused on three key competencies that define a country’s capacity to address these decision-making bottlenecks:

  1. Information
  2. Technical expertise and capacity
  3. Decision-making process

Strategic Pathways

The ADP project activities have been structured along six strategic, inter-related “Pathways” that help to build capacity in decision-making processes along the entire value chain of access to and delivery of new health technologies.

The design and implementation of the ADP activities along the Pathways is informed by strategic approaches that promote:

The ADP works closely with governments and national stakeholders in focus countries to ensure that the support provided by the ADP is appropriate and effective, and addresses priorities defined by country stakeholders, particularly the achievement of UHC. By strengthening efforts owned and driven by partner country governments, this approach also helps to secure the long-term sustainability of the processes that ADP activities contribute to.

The ADP promotes an integrated approach and cross-sectoral collaborations in recognition of the fact that actions outside the health sector are critical in addressing the broader determinants of health. The ADP aims to ensure coherence between policies and laws across sectors such as health, trade, industrial development and science and technology, among others, to enable improved access to and delivery of new health technologies. In addition to working across sectors, the ADP also seeks to bring together perspectives from a wide array of national, regional and global stakeholders in the access and delivery value chain; such as policy makers, researchers, technical experts, civil society, development partners and the private sector.

The ADP prioritizes mutual exchange of knowledge and learning between the focus countries and with other LMICs that have successfully implemented processes to enable better access to, and delivery of, new health technologies. Furthermore, the ADP aims to bridge the gap between national level efforts in focus countries and broader regional, continental and international frameworks and initiatives. The ADP has convened several regional level activities and workshops in Asia and Africa to enable knowledge-exchange and sharing of learning between regional and national initiatives. It is also providing technical assistance to governments of focus countries to align their laws, policies and processes with regional and international frameworks.