In terms of actual practice, it was reported that the district had restricted ways of communicating decisions to stakeholders, which according to the DHMT was primarily due to limited funds.
Menon et al. described priority setting in four steps: (1) identification of health care needs, (2) allocation of resources, (3) communication of decisions to stakeholders, and (4) management of feedback from them [ 13].
A further strength of this study was the decision to explore stakeholders' perceptions of key decision aid content items a priori, rather than exploring only general perceptions.
A final advantage is that because of the explicit use of evidence and the use of visualizations, decision makers can use the model to communicate their decision (argumentation) to stakeholders.
It is also vitally important to provide decision support to stakeholders for efficient and effective monitoring and maintenance of production process.
The use of numerical optimization techniques to address real-world environmental and engineering problems, and provide decision support to stakeholders is a common strategy (Rios and Sahinidis 2012).
The decision to separate stakeholder groups supported participants to voice partisan opinions freely, without fear of the impact of different degrees of expertise [ 23].
Nonetheless, the need to find ways of overcoming these barriers has been underscored by a widely held view that evidence-informed program management decision-making may serve to improve the acceptability of decisions to such stakeholder communities [ 5].
In the last few decades, several committee and policy papers have circumvented this issue by neutrally presenting different arguments; others have proposed to put the decision to the vote of stakeholders.
In the conclusion the article attempts to give suggestions to stakeholders, decision makers and planners to choose the appropriate envelope structure from moisture resistant, geometry and cost-optimum points of view.
