Knowledge Translation CurriculumKnowledge Translation CurriculumKnowledge Translation CurriculumKnowledge Translation CurriculumModule 3: Priority Setting

Lesson 1 - Priority Setting: The Basics

ResearchProcess

PolicyProcess

PrioritySetting

Priority Setting at the overlap of the Research and Policy

Processes

Priority Setting at the overlap of the Research and Policy

Processes

for Service Delivery

for Research

PrioritySetting

Two major types of Priority SettingTwo major types of Priority Setting

Technical vs Interpretive PSTechnical vs Interpretive PS

•technical PS: is centred on quantifiable, typically epidemilogical, data. E.g. PBMA, MCDA

•interpretive PS: rotates on stakeholder dialogue. Does involve technical elements, a blend of quantitative and qualitative approaches

Accountability for ReasonablenessAccountability for ReasonablenessFour necessary conditions for any PS process:•it must be relevant to the local context as determined by accepted criteria•its eventual decisions must be publicized•it must include appeal mechanisms for challenging, revising and reversing decisinos•its leaders must be able to enforce the above three conditions

Aim/scope of PSwhat changes in service

provision will the process examine?

Program budgetwhat are the current activities

and expenditures?

Marginal analysisadvisory panel

who are the stakeholdersand how to include them?

Options identifiedwhere can services grow? How

can efficiency be improved? What should be scaled back? Eliminated? What should be invested in? How to balance

program budget with organizational objectives and/or

evidence?

Resources reallocatedhow can the organization’s

resources be best reallocated according to cost-benefit ratios?

How can stakeholders validate/appeal these decisions?

Options evaluatedwhat are the costs and

benefits for each option? Are there any recommendations for

change?

how to balance priorities with national, local, institutional etc.

objectives? How to balance priorities wtih input from Board of Directors and/or the public?

Context-specific decision-making

criteria

Programme Budgeting and Marginal Analysis (PBMA)

Programme Budgeting and Marginal Analysis (PBMA)

Multi-Criteria Decision AnalysisMulti-Criteria Decision Analysis•organizing group defines and structures the problem and how PS might respond

•determines criteria (e.g. efficiency, equity)

•develops different packages of interventions based on various combination of criteria. Often using Discrete Choice Experiments

•final options determined based on the scores each intervention (or package of interventions) receives

Other technical PS toolsOther technical PS tools

•Lives Saved Tool (LiST)•WHO-CHOICE (CHOosing Interventions that are Cost-Effective)

•Marginal Budgeting for Bottlenecks