2023-09-28 14:46:10 +00:00
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abstract: 'Objective
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Design and build a strategy construction and evaluation software system
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to help stakeholders to develop viable strategies to expand (and adapt)
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the Chagas Platform healthcare model through the primary healthcare
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system in Bolivia.
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Methods
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The software was built based on a ranking of medical Interventions and
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Actions (needed to support Interventions'' implementation) needed for
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comprehensive management of Chagas Disease in Bolivia. The ranking was
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performed using a Multi Criteria Decision Analysis (MCDA) methodology
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adapted to the WHO''s building blocks framework. Data regarding the
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criteria and the rankings was obtained through surveys and interviews
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with health care professionals working on Chagas disease. The Analytical
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Hierarchy Process was used to construct the decision criteria weights.
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Data Envelopment Analysis was used to identify the Interventions that
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lay on the efficiency frontier of outcomes and the complexity of
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associated Actions. These techniques were combined with integer
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programing tools using the open-source software R to build a
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decision-making tool to assess the outcomes and complexity of any
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combination of Interventions and Actions. This model and tool were
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applied to data concerning the care of Chagas disease in Bolivia
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collected through surveys of experts. The tool works by loading the data
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from each specific context.
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Results
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The initial set of Interventions and Actions recommended after analysis
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of the survey data was further refined through face-to-face interviews
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with field experts in Bolivia, resulting in a strategy of 18
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Interventions and 15 Actions. Within the WHO model the Leadership and
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Governance building block came up as the one needing more support with
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Actions such as the inclusion of Chagas into Annual Municipal
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Operational Plans by appointing local and provincial coordinators.
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Conclusion
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This project established the suitability of the model for constructing
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healthcare strategies. The model could be developed further resulting in
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a decision-making tool for program managers in a wide range of
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healthcare related issues, including neglected and/ or prevalent
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diseases. The tool has the potential to be used at different stages of
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decision making by diverse stakeholders in order to coordinate
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activities needed to address a health problem.
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Author summary
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This manuscript presents a strategy construction tool to generate viable
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strategies to expand the Chagas platforms for healthcare pilot through
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the primary healthcare system in Bolivia. Relevance of this work resides
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in the need for performing a rational planification to address Neglected
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Diseases in low- and middle-income countries, by prioritizing
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Interventions and Actions. After gathering and loading the data from
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each specific context and problem, policy makers can use the tool for
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construction or evaluation of strategies using the WHO Building Block
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model. The main comparative advantage is that the model does not only
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include the identification and evaluation of Interventions for the
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comprehensive care of Chagas, but also includes the necessary activities
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in the health system to support the large-scale implementation of them.
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The tool has the potential to be used at different stages of decision
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making to coordinate activities to address a health problem. The tool
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could be adapted for its use in other neglected and/ or prevalent
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diseases or in other locations.'
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affiliation: 'Pinazo, MJ (Corresponding Author), Hosp Clin Univ Barcelona, Barcelona
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Inst Global Hlth ISGlobal, Barcelona, Spain.
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Pinazo, Maria-Jesus; Gascon, Joaquim, Hosp Clin Univ Barcelona, Barcelona Inst Global
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Hlth ISGlobal, Barcelona, Spain.
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Cidoncha, Ainize; Gopal, Gurram, IIT, Chicago, IL 60616 USA.
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Cidoncha, Ainize, Univ Politecn Cataluna, Barcelona, Spain.
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Moriana, Silvia, Chagas Dis Global Coalit, Barcelona, Spain.
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Saravia, Ruth; Torrico, Faustino, Fdn CEADES, Cochabamba, Bolivia.'
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article-number: e0009249
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author: Pinazo, Maria-Jesus and Cidoncha, Ainize and Gopal, Gurram and Moriana, Silvia
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and Saravia, Ruth and Torrico, Faustino and Gascon, Joaquim
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author-email: mariajesus.pinazo@isglobal.org
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author_list:
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- family: Pinazo
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given: Maria-Jesus
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- family: Cidoncha
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given: Ainize
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- family: Gopal
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given: Gurram
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- family: Moriana
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given: Silvia
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- family: Saravia
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given: Ruth
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- family: Torrico
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given: Faustino
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- family: Gascon
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given: Joaquim
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da: '2023-09-28'
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doi: 10.1371/journal.pntd.0009249
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files: []
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issn: 1935-2735
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journal: PLOS NEGLECTED TROPICAL DISEASES
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language: English
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month: MAR
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number: '3'
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number-of-cited-references: '18'
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orcid-numbers: 'Gascon, Joaquim/0000-0002-5045-1585
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Delgado, Maria Jesús Pinazo/0000-0002-4237-1075'
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papis_id: 82ec225746c01a697d7572f17ea2ef8b
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ref: Pinazo2021multicriteriadecisio
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researcherid-numbers: 'Gascon, Joaquim/M-3598-2015
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Delgado, Maria Jesús Pinazo/X-6093-2018'
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times-cited: '3'
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title: Multi-criteria decision analysis approach for strategy scale-up with application
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to Chagas disease management in Bolivia
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000634795100003
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usage-count-last-180-days: '0'
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usage-count-since-2013: '2'
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volume: '15'
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web-of-science-categories: Infectious Diseases; Parasitology; Tropical Medicine
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year: '2021'
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