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GEAR Project Background & Purpose

You are a researcher who is responsible for conducting an economic evaluation to be used as evidence for healthcare policymaking in your country. After doing some research, you’re sitting in front of your computer, trying to decide what to do now that you’re facing creation of your model.

What type of modelling should you do?

What health outcome should you use?

How do I overcome data limitations in conducting economic evaluation for my country?

How do I correctly present my research results?

These are some of the questions that researchers contend with when they begin working on economic evaluations. To address these concerns, the Guide to Economic Analysis and Research (GEAR) online resource was born.

GEAR provides various ways to solve specific methodological difficulties researchers may encounter in the conduct of their studies. The resource is designed as a global public good dedicated towards helping low- and middle- income countries (LMICs) academics, researchers and economic evaluation practitioners worldwide conduct high quality, policy relevant healthcare research. GEAR compiles and resolves gaps arising from methodological issues in the conduct and the use of economic evaluations. The resource will explore the issues in the conduct and the use of these evidences, potential solutions to the issues and future research questions to address these issues but also will.

The site is based on the working paper of a HITAP International Unit study in 2015 that the International Decision Support Initiative (iDSI) supported. The paper, “Identifying Priority Methodological Issues in Economic Evaluation in Low- and Middle-Income Countries: Finding the Holy Grail,” details the results of a literature review and questionnaire used to survey national and international experts, academics, public health officials, and relevant stakeholders on economic evaluation methodological issues. The respondents ranked the issues by order of priority or importance per their own experiences working in their country and/or abroad as well as propose some solutions that they consider relevant. These results were analysed, triangulated with research questions proposed by the research team based on the solutions nominated, and presented on the database. The prioritization of methodological problems and finding solutions to these issues will lead to methodological research that will yield improved tools for the conduct of economic evaluations. This database complements this work and provides immediate solutions to researchers’ needs.

The GEAR online resource can be a useful guide to researchers. However, after consulting the GEAR and you’re confronting your research again, remember the wise words from the great scientist Albert Einstein:

“After a certain high level of technical skill is achieved, science and art tend to coalesce in aesthetics, plasticity, and form. The greatest scientists are always artists as well.”

The GEAR online resource is supported by the International Decision Support Initiative (iDSI), through the grant from the Bill and Melinda Gates Foundation (BMGF) and the Department of International Development (DFID), UK, and the Thailand Research Fund (TRF).


The International Decision Support Initiative (iDSI) is a sustainable, adaptable, international mechanism to provide policymakers (at sub-national, national, regional and international levels) with coordinated support in priority-setting as a means to Universal Health Coverage (UHC). The initiative shares experiences, showcases lessons learned, and identifies practical ways to scale technical support for more systematic, fair and evidence informed priority-setting processes. Its interventions help to improve access to effective health interventions and the quality and efficiency of health care delivery, and to help elevate the value of priority setting as essential for attaining and sustaining UHC.

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The Health Intervention and Technology Assessment Program (HITAP) is a semi-autonomous research unit under Thailand’s Ministry of Public Health. It was established in 2007 as a non-profit organization in order to take responsibility for appraising a wide range of health technologies and programs, including pharmaceuticals, medical devices, interventions, individual and community health promotion, and disease prevention as well as social health policy to inform policy decisions in Thailand. The work of HITAP have been used to informed coverage decisions of those health technologies under the public health plans.

In 2013, HITAP established a HITAP International Unit (HIU), drawing on its experiences locally and internationally, to work at the global level with overseas development aids, international organizations, non-profit organizations, and overseas governments to build capacity for health technology assessment. HIU is currently working with ministries of health in various countries in the region such as Bhutan, India, Indonesia, Myanmar, Nepal, the Philippines, Vietnam.

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Thailand Research Fund

The Thailand Research Fund (TRF) was established in response to the 1992 Research Endowment Act and although it is part of the government system, it lies outside the government administrative bureaucracy. This freedom allows great efficiency in research support. Since its creation, TRF has remained focused on its main duty: supporting at both local and national levels the creation of a knowledge-base to help those tackling societal problems. TRF’s main role is to assist in the development of researchers and research-based knowledge through making research grants and assisting with research management.

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Support Partners

The GEAR has been developed and maintained by HITAP under several grants, including the iDSI, the Thailand Research Fund, and many other partners who contributed and continue to contribute their resources, effort, and time to the maintenance and ongoing drive to success of this website.
International Decision Support Initiative (iDSI)
Center for Global Development
Centre For Health Economics
Health Intervention and Technology Assessment Program
Imperial College London
Johns Hopkins Berman Institute of Bioethics
London School of Hygiene & Tropical Medicine
National Institute for Health and Care Excellence
Office of Health Economics
Priority Cost Effective Lessons for System Strengthening
University of Glasgow
University of Strathclyde Glasgow