RESUMO
Scenario and policy assessments in socioeconomic and environmental studies face significant challenges in socio-ecological systems (SES). There are a limited number of studies that have looked at the impact of different scenarios within integrated approaches, and many have used a static approach with a single driver of change. The present work analyzes the SES dynamics for a strategic basin in the Colombian Andes when implementing and analyzing scenarios and policies related to land cover and land use change using a system dynamics simulation model. The model includes natural, ecosystem services, sociocultural, and economic components. Scenarios and policy options are analyzed both individually and jointly to identify synergies or trade-off effects between the different SES components. The results showed the different trajectories of the socio-ecological system according to the cases studied, and its impact on different variables in the analyzed components. Some counterintuitive effects were also identified, such as the importance of intrinsic motivations in decision-making processes, and determinants in land management and policy design.
RESUMO
BACKGROUND: Diabetes is highly prevalent in the Caribbean, associated with a high morbidity and mortality and is a recognised threat to economic and social development. Heads of Government in the Caribbean Community came together in 2007 and declared their commitment to reducing the burden of non-communicable diseases (NCDs), including diabetes, by calling for a multi-sectoral, systemic response. To facilitate the development of effective policies, policymakers are being engaged in the development and use of a system dynamics (SD) model of diabetes for Caribbean countries. METHODS: Previous work on a diabetes SD model from the United States of America (USA) is being adapted to a local context for three countries in the region using input from stakeholders, a review of existing qualitative and quantitative data, and collection of new qualitative data. Three country models will be developed using one-on-one stakeholder engagement and iterative revision. An inter-country model will also be developed following a model-building workshop. Models will be compared to each other and to the USA model. The inter-country model will be used to simulate policies identified as priorities by stakeholders and to develop targets for prevention and control. The model and model-building process will be evaluated by stakeholders and a manual developed for use in other high-burden developing regions. DISCUSSION: SD has been applied with success for health policy development in high-income country settings. The utility of SD in developing countries as an aid to policy decision-making related to NCDs has not been tested. This study represents the first of its kind.