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