Choi Bernard C K, Maza Rony A, Mujica Oscar J
Public Health Agency of Canada Public Health Agency of Canada OttawaOntario Canada Public Health Agency of Canada, Ottawa, Ontario, Canada.
Pan American Health Organization, Regional Office of the World Health Organization for the Americas Pan American Health Organization, Regional Office of the World Health Organization for the Americas Washington, DC United States of America Pan American Health Organization, Regional Office of the World Health Organization for the Americas, Washington, DC, United States of America.
Rev Panam Salud Publica. 2019 Jul 8;43:e61. doi: 10.26633/RPSP.2019.61. eCollection 2019.
To document the underlying science of how the Pan American Health Organization (PAHO) adapted the Hanlon method, which prioritizes disease control programs, to its wider range of program areas and used it to implement the PAHO Strategic Plan 2014 - 2019.
In 2014, PAHO established a Strategic Plan Advisory Group (SPAG) with representatives from 12 Member States to work closely with the PAHO Technical Team to adapt the Hanlon method to disease and non-disease control programs. Three meetings were held in 2015 - 2016 during which SPAG reviewed existing priority-setting methods, assessed the original Hanlon method and subsequent revisions, and developed the adapted method. This project was initiated by Member States, facilitated by PAHO, and conducted jointly in transparent and horizontal technical cooperation.
From the original Hanlon equation, the PAHO-adapted method maintains components A (size of problem), B (seriousness of problem), and C (effectiveness of intervention), drops component D (PEARL - Propriety, Economics, Acceptability, Resources, and Legality), and adds component E (inequity) and F (institutional positioning). The PEARL score was dropped because it serves a purpose for pre-screening process, but not in the priority-setting process for PAHO.
The PAHO-adapted Hanlon method provides a refined approach for prioritizing public health programs that include disease and non-disease control areas. The method may be useful for the World Health Organization and country governments with similar needs.
记录泛美卫生组织（PAHO）如何将优先考虑疾病控制项目的汉隆方法应用于更广泛的项目领域，并利用该方法实施《2014 - 2019年泛美卫生组织战略计划》的基础科学原理。
2014年，泛美卫生组织成立了一个战略计划咨询小组（SPAG），成员来自12个成员国，与泛美卫生组织技术团队密切合作，将汉隆方法应用于疾病和非疾病控制项目。2015 - 2016年召开了三次会议，期间战略计划咨询小组审查了现有的优先事项设定方法，评估了原始的汉隆方法及其后续修订，并制定了适应性方法。该项目由成员国发起，由泛美卫生组织推动，并在透明和横向技术合作中共同开展。
在原始的汉隆公式基础上，泛美卫生组织适应性方法保留了A（问题规模）、B（问题严重性）和C（干预效果）部分，删除了D部分（PEARL——适当性、经济性、可接受性、资源和合法性），并增加了E部分（不公平性）和F部分（机构定位）。PEARL评分被删除是因为它用于预筛选过程，但不适用于泛美卫生组织的优先事项设定过程。
泛美卫生组织适应性汉隆方法为确定包括疾病和非疾病控制领域在内的公共卫生项目优先次序提供了一种优化方法。该方法可能对世界卫生组织和有类似需求的国家政府有用。
