Multi-Stakeholder Decision Aid for Improved Prioritization of the Public Health Impact of Climate Sensitive Infectious Diseases

Valerie Hongoh, Pascal Michel, Pierre Gosselin, Karim Samoura, André Ravel, Céline Campagna, Hassane Djibrilla Cissé and Jean-Philippe Waaub
Additional contact information
Valerie Hongoh: The Research Group on Epidemiology of Zoonoses and Public Health (GREZOSP), Faculty of Veterinary Medicine, Université de Montréal, 3200 rue Sicotte, C.P. 5000, Saint-Hyacinthe, QC J2S 7C6, Canada
Pascal Michel: The Research Group on Epidemiology of Zoonoses and Public Health (GREZOSP), Faculty of Veterinary Medicine, Université de Montréal, 3200 rue Sicotte, C.P. 5000, Saint-Hyacinthe, QC J2S 7C6, Canada
Pierre Gosselin: Institut National de Santé Publique du Québec (INSPQ), 945 Avenue Wolfe, Québec, QC G1V 5B3, Canada
Karim Samoura: The Research Group on Epidemiology of Zoonoses and Public Health (GREZOSP), Faculty of Veterinary Medicine, Université de Montréal, 3200 rue Sicotte, C.P. 5000, Saint-Hyacinthe, QC J2S 7C6, Canada
André Ravel: Department of Pathology and Microbiology, Faculty of Veterinary Medicine, Université de Montréal, 3200 rue Sicotte, C.P. 5000, Saint-Hyacinthe, QC J2S 7C6, Canada
Céline Campagna: Institut National de Santé Publique du Québec (INSPQ), 945 Avenue Wolfe, Québec, QC G1V 5B3, Canada
Hassane Djibrilla Cissé: Urban Safety and Sustainable Development, Bureau of Environmental Evaluation and Impact Studies of the Ministry of Environment, Niamey B.P.: 578, Niger
Jean-Philippe Waaub: Group for Research in Decision Analysis (GERAD), 3000, Côte-Sainte-Catherine Rd., Montreal, QC H3T 2A7, Canada

IJERPH, 2016, vol. 13, issue 4, 1-15

Abstract: The effects of climate change on infectious diseases are an important global health concern and necessitate decisions for allocation of resources. Economic tools have been used previously; however, how prioritization results might differ when done using broader considerations identified by local stakeholders has yet to be assessed. A multicriteria decision analysis (MCDA) approach was used to assess multi-stakeholder expressed concerns around disease prioritization via focus groups held in Quebec and Burkina Faso. Stakeholders weighted criteria and comparisons were made across study sites. A pilot disease prioritization was done to examine effects on disease rankings. A majority of identified criteria were common to both sites. The effect of context specific criteria and weights resulted in similar yet distinct prioritizations of diseases. The presence of consistent criteria between sites suggests that common concerns exist for prioritization; however, context-specific adjustments reveal much regarding resource availability, capacity and concerns that should be considered as this impacts disease ranking. Participatory decision aid approaches facilitate rich knowledge exchange and problem structuring. Furthermore, given multiple actors in low- and middle-income countries settings, multi-actor collaborations across non-governmental organizations, local government and community are important. Formal mechanisms such as MCDA provide means to foster consensus, shared awareness and collaboration.

Keywords: participatory decision aid; multi-criteria decision analysis; infectious disease prioritization (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2016
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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