the demand for change in the way health policies are made in several countries in the MENA region is high . IT is also hoped that the priorities generated from this study become integrated into current and future strategic plans of the Ministries of health and related ministries in the nine study countries. The availability of policy-relevant evidence and good articulation of options along with institutional flexibility would increase the pace of health system reform in the region. It is important to note that increasing the supply of policy-relevant evidence will offer an imperfect and unsustainable solution if not complemented by improvements in the capacity of health policy units-public or private to identify and assimilate such research evidence to inform policymakers.