Low- and middle-income countries carry a significant share of the global burden of disease, with infectious diseases still accounting for a significant share of the burden. Health care systems in many African countries often struggle to meet existing demand and the ongoing impact of climate change on infectious diseases, while important, cannot be approached as merely a future scenario, but requires addressing current infectious disease threats as these are likely to be exacerbated with further climate change. Infectious diseases cause considerable health burden in low- and middle-income countries and continue to be of global concern with ongoing climate change. Formal mechanisms such as MCDA provide means to foster consensus, shared awareness and collaboration. Furthermore, given multiple actors in low- and middle-income countries settings, multi-actor collaborations across non-governmental organizations, local government and community are important. Participatory decision aid approaches facilitate rich knowledge exchange and problem structuring.
The presence of consistent criteria between sites suggests that common concerns exist for prioritization however, context-specific adjustments reveal much regarding resource availability, capacity and concerns that should be considered as this impacts disease ranking. The effect of context specific criteria and weights resulted in similar yet distinct prioritizations of diseases. A majority of identified criteria were common to both sites.
A pilot disease prioritization was done to examine effects on disease rankings. Stakeholders weighted criteria and comparisons were made across study sites. A multicriteria decision analysis (MCDA) approach was used to assess multi-stakeholder expressed concerns around disease prioritization via focus groups held in Quebec and Burkina Faso.
Economic tools have been used previously however, how prioritization results might differ when done using broader considerations identified by local stakeholders has yet to be assessed. The effects of climate change on infectious diseases are an important global health concern and necessitate decisions for allocation of resources.
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