Guidance toward the implementation of multicriteria decision analysis framework in developing countries

András Inotai, Huong Thanh Nguyen, Budi Hidayat, Talgat Nurgozhin, Pham Huy Tuan Kiet, Jonathan D. Campbell, Bertalan Németh, Nikos Maniadakis, Diana Brixner, Kalman Wijaya, Zoltán Kaló

Research output: Contribution to journalArticlepeer-review

23 Citations (Scopus)


Introduction: Multiple Criteria Decision Analysis (MCDA) is increasingly used in health care mainly because it moves decision-making from ad hoc to an evidence-based and comprehensive process. Developing countries with more restricted financial and human research capacities, however, should consider their own methods of MCDA development and implementation. Areas covered: An MCDA framework to improve procurement decisions of off-patent pharmaceuticals was developed for developing countries and adapted to Indonesia, Kazakhstan and Vietnam during three policy workshops. Based on the experience of these workshops and one joint workshop with international experts and decision makers from multiple developing countries, general recommendations were formulated on how to implement MCDA specifically in developing countries. We provide 17 practical MCDA implementation recommendations in four major areas, including (1) MCDA objectives; (2) technical considerations of MCDA tool; (3) development and customization of MCDA tool and (4) policy implementation of MCDA in decision-making. Expert commentary: These practical MCDA recommendations for developing countries contribute to feasible, transparent, stepwise, iterative and standardized decision-making in health care.

Original languageEnglish
Pages (from-to)585-592
Number of pages8
JournalExpert Review of Pharmacoeconomics and Outcomes Research
Issue number6
Publication statusPublished - 2 Nov 2018


  • Decision Making
  • Developing Countries
  • Implementation Guidance
  • Multiple Criteria Decision Analysis
  • Off-patent Pharmaceuticals


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