title: Multi-Stakeholder Decision Aid for Improved Prioritization of the Public Health Impact of Climate Sensitive Infectious Diseases.
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.
authors.affiliation: 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. valerie.hongoh@umontreal.ca.|Department of Pathology and Microbiology, Faculty of Veterinary Medicine, Université de Montréal, 3200 rue Sicotte, C.P. 5000, Saint-Hyacinthe, QC J2S 7C6, Canada. valerie.hongoh@umontreal.ca.
authors.forename: Valerie
authors.initials: V
authors.lastname: Hongoh
authors.affiliation: 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@phac-aspc.gc.ca.|National Microbiology Laboratory at Saint-Hyacinthe, Public Health Agency of Canada, 3200 rue Sicotte, C.P. 5000, Saint-Hyacinthe, QC J2S 7C6, Canada. pascal.michel@phac-aspc.gc.ca.
authors.forename: Pascal
authors.initials: P
authors.lastname: Michel
authors.affiliation: Institut National de Santé Publique du Québec (INSPQ), 945 Avenue Wolfe, Québec, QC G1V 5B3, Canada. pierre.gosselin@inspq.qc.ca.|Ouranos, Consortium on Regional Climatology and Adaptation to Climate Change, Montreal, QC H3A 1B9, Canada. pierre.gosselin@inspq.qc.ca.
authors.forename: Pierre
authors.initials: P
authors.lastname: Gosselin
authors.affiliation: 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. karim.samoura@u-auben.org.|Université Aube Nouvelle, Quartier 1200 Logement, 06 B.P.: 9283, Ouagadougou, Burkina Faso. karim.samoura@u-auben.org.
authors.forename: Karim
authors.initials: K
authors.lastname: Samoura
authors.affiliation: Department of Pathology and Microbiology, Faculty of Veterinary Medicine, Université de Montréal, 3200 rue Sicotte, C.P. 5000, Saint-Hyacinthe, QC J2S 7C6, Canada. andre.ravel@umontreal.ca.
authors.forename: André
authors.initials: A
authors.lastname: Ravel
authors.affiliation: Institut National de Santé Publique du Québec (INSPQ), 945 Avenue Wolfe, Québec, QC G1V 5B3, Canada. celine.campagna@inspq.qc.ca.|Department of Social And Preventive Medicine, Université Laval, 2325 Rue de l'Université, Québec, QC G1V 0A6, Canada. celine.campagna@inspq.qc.ca.
authors.forename: Céline
authors.initials: C
authors.lastname: Campagna
authors.affiliation: Urban Safety and Sustainable Development, Bureau of Environmental Evaluation and Impact Studies of the Ministry of Environment, Niamey B.P.: 578, Niger. hd.cisse@gmail.com.
authors.forename: Hassane Djibrilla
authors.initials: HD
authors.lastname: Cissé
authors.affiliation: Group for Research in Decision Analysis (GERAD), 3000, Côte-Sainte-Catherine Rd., Montreal, QC H3T 2A7, Canada. waaub.jean-philippe@uqam.ca.
authors.forename: Jean-Philippe
authors.initials: JP
authors.lastname: Waaub
mesh_terms: D002050:Burkina Faso / Q000453:epidemiology; D057231:Climate Change; D003141:Communicable Diseases / Q000453:epidemiology*; D003299:Cooperative Behavior; D003661:Decision Support Techniques; D003906:Developing Countries; D062489:Health Impact Assessment / Q000379:methods*; D006801:Humans; D007391:International Cooperation; D008297:Male; D011634:Public Health; D011792:Quebec / Q000453:epidemiology
keywords: infectious disease prioritization; multi-criteria decision analysis; participatory decision aid