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Copyright © 2020 Bi, Li, Li, Li, Lin, Yao, Li, Xu, Hu, Zhang, Liu and Xu.Introduction Implementation of health technology assessment (HTA) is still in an early stage with some heterogeneity in the Middle East and North Africa (MENA). Our objective was to assess the current and future status of HTA implementation in the MENA region by focusing on regional commonalities. Methods Preparatory discussions for the first ISPOR conference in the MENA region indicated some potentially generalizable trends of HTA roadmaps. To widen the perspecti