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Priority setting using multiple criteria: should a lung health programme be implemented in Nepal?
R Baltussen1, A H A ten Asbroek, X Koolman
1Department of Public Health, Radboud University Medical Centre Nijmegen, Nijmegen, The Netherlands. r.baltussen@sg.umcn.nl
Objectives:
To identify and weigh the various criteria for priority setting, and to assess whether a recently evaluated lung health programme in Nepal should be considered a priority in that country.
Methods:
Through a discrete choice experiment with 66 respondents in Nepal, the relative importance of several criteria for priority setting was determined. Subsequently, a set of interventions, including the lung health programme, was rank ordered on the basis of their overall performance on those criteria.
Results:
Priority interventions are those that target severe diseases, many beneficiaries and people of middle-age, have large individual health benefits, lead to poverty reduction and are very cost-effective. Certain interventions in tuberculosis control rank highest. The lung health programme ranks 13th out of 34 interventions.
Conclusion:
This explorative analysis suggests that the lung health programme is among the priorities in Nepal when taking into account a range of relevant criteria for priority setting. The multi-criteria approach can be an important step forward to rational priority setting in developing countries.
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