145. Vulnerability evaluation and budget allocation for public health programs using multicriteria decision aiding
Contributed abstract in session MC-3: Evaluation and Implementation, stream Regular talks.
Monday, 11:00-12:30Room: Room S2
Authors (first author is the speaker)
| 1. | Irene Abi-Zeid
|
| University of Laval | |
| 2. | Roxane Lavoie
|
| Graduate School of Land Management and Regional Planning, Université Laval | |
| 3. | Jerome Cerutti
|
| Graduate school of land management and regional planning, Laval University |
Abstract
The Integrated University Health and Social Services Centres (CIUSSS) in the province of Quebec, Canada have been implementing actions through the Integrated Perinatal and Early Childhood Services program. This program finances and accompanies projects that promote the optimal development of young children and supports parents who are vulnerable in their roles as caregivers. A CIUSSS must allocate its budget among its different territories, to be managed by community organizers. However, this allocation was based on criteria that are more than 15 years old and do not necessarily reflect today's local realities. Some territories are overfunded while others are underfunded, which results in inequitable access to services.
This situation led to the definition of a collaborative project that guarantees a transparent, inclusive and rigorous decision process.
The specific objectives of the projects were: 1) to co-construct a multi-criteria diagnostic model and evaluate the territories’ vulnerability levels, based on quantitative and qualitative data and taking into account the experience of community organizers; 2) to use this model as a decision-aiding tool for the equitable allocation of budgets.
Our research project was conducted through facilitated online decision conferences with multiple actors, using the MACBETH method. In this talk, we describe our MCDA process, the criteria constructed, the vulnerability index and the decision support tool delivered.
Keywords
- Decision support
- Strategic and operational planning
Status: accepted
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