Framework para subsidiar a escolha de estratégias de prevenção da leishmaniose visceral
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Repositório Digital da Universidade Federal Rural do Semi-Árido (RDU) |
Texto Completo: | https://repositorio.ufersa.edu.br/handle/prefix/6835 |
Resumo: | Brazil is among the seven most endemic countries in the world for visceral leishmaniasis (VL). Thus, it is developing programs and encouraging interventions in order to reduce the impact of the disease. However, it is complex to Brazilian cities to decide about the most appropriate strategies for controlling zoonoses, given that the actions taken have not had the expected effect. The objective of this research is to develop a framework to assist in the selection of appropriate strategies for the prevention and control of VL through Multicriteria Decision Analysis (MCDA). The proposed methodology is organized in 3 stages: (i) identification and selection of the actors involved in the decision-making process, identification of the strategies currently used, and definition of criteria that must be considered when establishing the decision matrix; (ii) performance evaluation and weighting of the established criteria through the application of questionnaires and interviews and; (iii) application of the PROMSORT method to classify and prioritize VL prevention and control strategies. The proposed framework was applied in two different approaches: a) stakeholder consensus about the parameters; b) intersection of stakeholder assessment, being validated for Mossoró city. All strategies of the consensus approach were classified as adequate, but the sensitivity analysis revealed that five of them vary their classification, three of them were considered inadequate in 33.33% of the scenarios: control of the wandering canine population, vaccination and presence research of the vector. In the intersection approach, ten strategies were classified as strongly adequate and two as adequate. The sensitivity analysis demonstrated that two of them remained as highly adequate and the others varied their classifications, three of them were very sensitive as to the variation of the parameters, alternating from strongly adequate to little appropriate: euthanasia, proper disposal of corpses and control of the canine population wandering. Thus, only health education and environmental management strategies were classified as relevant, presenting stable behaviors in all simulations performed. Then it was noticed that the strategies related to the canine population axis were more fragile, therefore less indicated for the local context, while strategies directed to the environmental and human axes obtained more stable and pertinent results during the simulations realized. Between the two approaches, the intersection approach was considered more appropriate because it collected the individual point of view of the stakeholders, unlike the consensus assessment which the participants could influence each others judgment. To conclude, the proposed framework proved to be a tool ableto assist the decision-making process through a participatory approach, allowing the adaptation of the method to local contexts as a result of its application based on subjectivity |
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Framework para subsidiar a escolha de estratégias de prevenção da leishmaniose visceralLeishmaniose VisceralTomada de decisãoGestão de saúdeAnálise multicritério de apoio a decisãoVisceral leishmaniasisDecision makingHealth managementMulticriteria decision support analysisCNPQ::CIENCIAS AMBIENTAIS::MEIO AMBIENTEBrazil is among the seven most endemic countries in the world for visceral leishmaniasis (VL). Thus, it is developing programs and encouraging interventions in order to reduce the impact of the disease. However, it is complex to Brazilian cities to decide about the most appropriate strategies for controlling zoonoses, given that the actions taken have not had the expected effect. The objective of this research is to develop a framework to assist in the selection of appropriate strategies for the prevention and control of VL through Multicriteria Decision Analysis (MCDA). The proposed methodology is organized in 3 stages: (i) identification and selection of the actors involved in the decision-making process, identification of the strategies currently used, and definition of criteria that must be considered when establishing the decision matrix; (ii) performance evaluation and weighting of the established criteria through the application of questionnaires and interviews and; (iii) application of the PROMSORT method to classify and prioritize VL prevention and control strategies. The proposed framework was applied in two different approaches: a) stakeholder consensus about the parameters; b) intersection of stakeholder assessment, being validated for Mossoró city. All strategies of the consensus approach were classified as adequate, but the sensitivity analysis revealed that five of them vary their classification, three of them were considered inadequate in 33.33% of the scenarios: control of the wandering canine population, vaccination and presence research of the vector. In the intersection approach, ten strategies were classified as strongly adequate and two as adequate. The sensitivity analysis demonstrated that two of them remained as highly adequate and the others varied their classifications, three of them were very sensitive as to the variation of the parameters, alternating from strongly adequate to little appropriate: euthanasia, proper disposal of corpses and control of the canine population wandering. Thus, only health education and environmental management strategies were classified as relevant, presenting stable behaviors in all simulations performed. Then it was noticed that the strategies related to the canine population axis were more fragile, therefore less indicated for the local context, while strategies directed to the environmental and human axes obtained more stable and pertinent results during the simulations realized. Between the two approaches, the intersection approach was considered more appropriate because it collected the individual point of view of the stakeholders, unlike the consensus assessment which the participants could influence each others judgment. To conclude, the proposed framework proved to be a tool ableto assist the decision-making process through a participatory approach, allowing the adaptation of the method to local contexts as a result of its application based on subjectivityO Brasil está entre os sete países mais endêmicos no mundo para a leishmaniose visceral (LV). Desse modo, o país vem desenvolvendo programas e estimulando intervenções com o intuito de mitigar o impacto da doença em seu território. Entretanto, os municípios brasileiros têm dificuldades de decidir quanto às estratégias mais adequadas para o controle das zoonoses, tendo em vista que as ações tomadas não têm surtido o efeito esperado. O objetivo desta pesquisa é elaborar um framework para auxiliar a seleção de estratégias adequadas para a prevenção e controle da LV. Para a construção dessa abordagem, foi utilizada a Análise Multicritério de Apoio à Decisão (AMD). A metodologia proposta está dividida em 3 etapas: (i) identificação e seleção dos atores envolvidos no processo decisório, identificação das estratégias atualmente utilizadas, e definição de critérios que devem ser considerados na construção da matriz de decisão; (ii) avaliação das performances e ponderação dos critérios estabelecidos por meio da aplicação de questionários e entrevistas e; (iii) aplicação do método PROMSORT para classificação e priorização de estratégias de prevenção e controle da LV. O framework proposto foi aplicado em duas diferentes abordagens: a) consenso dos stakeholders nos parâmetros; b) intersecção da avaliação dos stakeholders, sendo validada para o município de Mossoró-RN. Todas as estratégias da abordagem por consenso foram classificadas como adequadas, mas a análise de sensibilidade revelou que cinco delas apresentaram variações quanto a classificação, sendo três consideradas inadequadas em 33,33% dos cenários: controle da população canina errante, vacinação e pesquisa da presença do vetor. Na abordagem por intersecção dez estratégias foram classificadas como fortemente adequadas e duas como adequadas. A análise de sensibilidade evidenciou que apenas duas se mantiveram como fortemente adequadas e as demais variaram suas classificações, sendo três delas bastante sensíveis quanto à variação dos parâmetros, alternando desde fortemente adequadas até pouco adequadas: eutanásia, destinação adequada de cadáveres e controle da população canina errante. Na classificação realizada para as duas abordagens, apenas as estratégias educação em saúde e manejo ambiental se apresentaram como pertinentes e com comportamentos estáveis em todas as simulações realizadas. Com isso, foi percebido que as estratégias direcionadas para o eixo população canina foram mais frágeis, logo, menos indicadas para o contexto local, enquanto estratégias direcionadas para os eixos ambiental e humano obtiveram resultados mais estáveis e pertinentes durante as simulações realizadas. Dentre as duas abordagens, a por intersecção foi considerada mais adequada por coletar a visão individual dos stakeholders, diferentemente da avaliação por consenso que os participantes poderiam influenciar nos julgamentos. Desse modo, o framework proposto mostrou-se uma ferramenta capaz de auxiliar no processo de tomada de decisão por meio de uma abordagem participativa, permitindo a adaptação do método a contextos locais em virtude de sua aplicação baseada na subjetividadeTrabalho não financiado por agência de fomento, ou autofinanciadoUniversidade Federal Rural do Semi-ÁridoBrasilCentro de Ciências Agrárias - CCAUFERSAPrograma de Pós-Graduação em Ambiente, Tecnologia e SociedadeAmora, Sthenia Santos Albano03442574447http://lattes.cnpq.br/1939651737382404Carmo, Breno Barros Telles do96995980344http://lattes.cnpq.br/0225051232865377Carmo, Breno Barros Telles do96995980344http://lattes.cnpq.br/0225051232865377Costa, Kalidia Felipe de Lima07387412480http://lattes.cnpq.br/7892686578385569Gonçalo, Thomas Edson Espíndola05354414440http://lattes.cnpq.br/8349582193500007Amora, Sthenia Santos Albano03442574447http://lattes.cnpq.br/1939651737382404Queiroz, José Eric da Silva2021-12-16T16:26:14Z2020-12-222021-12-16T16:26:14Z2020-12-18info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisapplication/pdfQueiroz (2020) (QUEIROZ, 2020)https://repositorio.ufersa.edu.br/handle/prefix/6835porQUEIROZ, José Eric da Silva. Framework para subsidiar a escolha de estratégias de prevenção da leishmaniose visceral. 2020. 69 f. Dissertação (Mestrado em Ambiente, Tecnologia e Sociedade), Universidade Federal Rural do Semi-Árido, Mossoró, 2020.CC-BY-SAhttps://creativecommons.org/licenses/by-sa/4.0/info:eu-repo/semantics/openAccessreponame:Repositório Digital da Universidade Federal Rural do Semi-Árido (RDU)instname:Universidade Federal Rural do Semi-Árido (UFERSA)instacron:UFERSA2023-10-30T20:27:33Zoai:repositorio.ufersa.edu.br:prefix/6835Repositório Institucionalhttps://repositorio.ufersa.edu.br/PUBhttps://repositorio.ufersa.edu.br/server/oai/requestrepositorio@ufersa.edu.br || admrepositorio@ufersa.edu.bropendoar:2023-10-30T20:27:33Repositório Digital da Universidade Federal Rural do Semi-Árido (RDU) - Universidade Federal Rural do Semi-Árido (UFERSA)false |
dc.title.none.fl_str_mv |
Framework para subsidiar a escolha de estratégias de prevenção da leishmaniose visceral |
title |
Framework para subsidiar a escolha de estratégias de prevenção da leishmaniose visceral |
spellingShingle |
Framework para subsidiar a escolha de estratégias de prevenção da leishmaniose visceral Queiroz, José Eric da Silva Leishmaniose Visceral Tomada de decisão Gestão de saúde Análise multicritério de apoio a decisão Visceral leishmaniasis Decision making Health management Multicriteria decision support analysis CNPQ::CIENCIAS AMBIENTAIS::MEIO AMBIENTE |
title_short |
Framework para subsidiar a escolha de estratégias de prevenção da leishmaniose visceral |
title_full |
Framework para subsidiar a escolha de estratégias de prevenção da leishmaniose visceral |
title_fullStr |
Framework para subsidiar a escolha de estratégias de prevenção da leishmaniose visceral |
title_full_unstemmed |
Framework para subsidiar a escolha de estratégias de prevenção da leishmaniose visceral |
title_sort |
Framework para subsidiar a escolha de estratégias de prevenção da leishmaniose visceral |
author |
Queiroz, José Eric da Silva |
author_facet |
Queiroz, José Eric da Silva |
author_role |
author |
dc.contributor.none.fl_str_mv |
Amora, Sthenia Santos Albano 03442574447 http://lattes.cnpq.br/1939651737382404 Carmo, Breno Barros Telles do 96995980344 http://lattes.cnpq.br/0225051232865377 Carmo, Breno Barros Telles do 96995980344 http://lattes.cnpq.br/0225051232865377 Costa, Kalidia Felipe de Lima 07387412480 http://lattes.cnpq.br/7892686578385569 Gonçalo, Thomas Edson Espíndola 05354414440 http://lattes.cnpq.br/8349582193500007 Amora, Sthenia Santos Albano 03442574447 http://lattes.cnpq.br/1939651737382404 |
dc.contributor.author.fl_str_mv |
Queiroz, José Eric da Silva |
dc.subject.por.fl_str_mv |
Leishmaniose Visceral Tomada de decisão Gestão de saúde Análise multicritério de apoio a decisão Visceral leishmaniasis Decision making Health management Multicriteria decision support analysis CNPQ::CIENCIAS AMBIENTAIS::MEIO AMBIENTE |
topic |
Leishmaniose Visceral Tomada de decisão Gestão de saúde Análise multicritério de apoio a decisão Visceral leishmaniasis Decision making Health management Multicriteria decision support analysis CNPQ::CIENCIAS AMBIENTAIS::MEIO AMBIENTE |
description |
Brazil is among the seven most endemic countries in the world for visceral leishmaniasis (VL). Thus, it is developing programs and encouraging interventions in order to reduce the impact of the disease. However, it is complex to Brazilian cities to decide about the most appropriate strategies for controlling zoonoses, given that the actions taken have not had the expected effect. The objective of this research is to develop a framework to assist in the selection of appropriate strategies for the prevention and control of VL through Multicriteria Decision Analysis (MCDA). The proposed methodology is organized in 3 stages: (i) identification and selection of the actors involved in the decision-making process, identification of the strategies currently used, and definition of criteria that must be considered when establishing the decision matrix; (ii) performance evaluation and weighting of the established criteria through the application of questionnaires and interviews and; (iii) application of the PROMSORT method to classify and prioritize VL prevention and control strategies. The proposed framework was applied in two different approaches: a) stakeholder consensus about the parameters; b) intersection of stakeholder assessment, being validated for Mossoró city. All strategies of the consensus approach were classified as adequate, but the sensitivity analysis revealed that five of them vary their classification, three of them were considered inadequate in 33.33% of the scenarios: control of the wandering canine population, vaccination and presence research of the vector. In the intersection approach, ten strategies were classified as strongly adequate and two as adequate. The sensitivity analysis demonstrated that two of them remained as highly adequate and the others varied their classifications, three of them were very sensitive as to the variation of the parameters, alternating from strongly adequate to little appropriate: euthanasia, proper disposal of corpses and control of the canine population wandering. Thus, only health education and environmental management strategies were classified as relevant, presenting stable behaviors in all simulations performed. Then it was noticed that the strategies related to the canine population axis were more fragile, therefore less indicated for the local context, while strategies directed to the environmental and human axes obtained more stable and pertinent results during the simulations realized. Between the two approaches, the intersection approach was considered more appropriate because it collected the individual point of view of the stakeholders, unlike the consensus assessment which the participants could influence each others judgment. To conclude, the proposed framework proved to be a tool ableto assist the decision-making process through a participatory approach, allowing the adaptation of the method to local contexts as a result of its application based on subjectivity |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-12-22 2020-12-18 2021-12-16T16:26:14Z 2021-12-16T16:26:14Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
Queiroz (2020) (QUEIROZ, 2020) https://repositorio.ufersa.edu.br/handle/prefix/6835 |
identifier_str_mv |
Queiroz (2020) (QUEIROZ, 2020) |
url |
https://repositorio.ufersa.edu.br/handle/prefix/6835 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
QUEIROZ, José Eric da Silva. Framework para subsidiar a escolha de estratégias de prevenção da leishmaniose visceral. 2020. 69 f. Dissertação (Mestrado em Ambiente, Tecnologia e Sociedade), Universidade Federal Rural do Semi-Árido, Mossoró, 2020. |
dc.rights.driver.fl_str_mv |
CC-BY-SA https://creativecommons.org/licenses/by-sa/4.0/ info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
CC-BY-SA https://creativecommons.org/licenses/by-sa/4.0/ |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade Federal Rural do Semi-Árido Brasil Centro de Ciências Agrárias - CCA UFERSA Programa de Pós-Graduação em Ambiente, Tecnologia e Sociedade |
publisher.none.fl_str_mv |
Universidade Federal Rural do Semi-Árido Brasil Centro de Ciências Agrárias - CCA UFERSA Programa de Pós-Graduação em Ambiente, Tecnologia e Sociedade |
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reponame:Repositório Digital da Universidade Federal Rural do Semi-Árido (RDU) instname:Universidade Federal Rural do Semi-Árido (UFERSA) instacron:UFERSA |
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Universidade Federal Rural do Semi-Árido (UFERSA) |
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Repositório Digital da Universidade Federal Rural do Semi-Árido (RDU) |
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Repositório Digital da Universidade Federal Rural do Semi-Árido (RDU) |
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Repositório Digital da Universidade Federal Rural do Semi-Árido (RDU) - Universidade Federal Rural do Semi-Árido (UFERSA) |
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repositorio@ufersa.edu.br || admrepositorio@ufersa.edu.br |
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