It is likely, then, that a University or private contractor will be needed to carry out such an evaluation. Nevertheless, the lack of a national HTA institute stands in marked contrast to most other OECD countries and renewed effort is needed to consider how one could be established, especially given current fiscal constraints. New initiatives focussing on reducing the prevalence of smoking, excess weight and harmful alcohol consumption, and initiatives focussed early in the life course on children, adolescents and families are especially important in the Czech context.