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Towards a multi-criteria approach for priority setting: an application to Ghana
Rob Baltussen1, Elly Stolk, Dan Chisholm
1Institute for Medical Technology Assessment, Erasmus Medical Center Rotterdam, The Netherlands. r.baltussen@erasmusmc.nl
Determining health intervention priorities in Ghana requires considering cost-effectiveness, poverty reduction, disease severity, and age. A multi-criteria approach offers a more differentiated ranking than efficiency alone.
Area of Science:
- Health Economics
- Public Health Policy
- Decision Science
Background:
- Establishing clear criteria for health intervention priority setting remains a challenge.
- The relative importance of various health criteria has not been definitively established for ranking interventions.
Purpose of the Study:
- To determine the relative importance of different criteria for health intervention priority setting in Ghana.
- To develop a method for ranking health interventions based on multiple criteria.
Main Methods:
- An explorative study utilized a discrete choice experiment with 30 respondents.
- Respondents evaluated 12 pairs of intervention scenarios based on medical and non-medical criteria.
- A composite league table was created by weighting criteria to rank interventions.
Main Results:
- Cost-effective interventions, those reducing poverty, targeting severe diseases, or the young, were prioritized.
- High-priority interventions included preventing mother-to-child HIV/AIDS transmission and treating childhood pneumonia/diarrhea.
- Low-priority interventions included certain measures for blood pressure control and substance abuse.
Conclusions:
- A multi-criteria approach to health priority setting was introduced and shown to be feasible.
- This approach effectively integrates efficiency, equity, and societal concerns into prioritization.
- The method has the potential to significantly impact health priority-setting decisions.
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