# Health Project Prioritization in Meta, Colombia, Using Anp-Dematel
## 4 Results
\begin{table}
\begin{tabular}{c c c c c c c} \hline \hline  & **E1** & \multicolumn{2}{c}{**E2**} & \multicolumn{2}{c}{**E3**} & \multicolumn{2}{c}{**Group**} \\ \hline C.4.1 & 11.62\% & C.9.2 & 12.00\% & C.6.1 & 11.24\% & C.4.1 & 8.54\% \\ C.6.1 & 6.97\% & C.2.2 & 10.50\% & C.8.1 & 10.54\% & C.6.1 & 8.15\% \\ C.4.2 & 6.94\% & C.6.2 & 9.51\% & C.4.2 & 9.59\% & C.9.2 & 7.59\% \\ C.2.2 & 6.79\% & C.4.1 & 8.35\% & C.2.1 & 8.56\% & C.6.2 & 7.55\% \\ C.6.2 & 6.61\% & C.8.1 & 7.51\% & C.3.2 & 7.11\% & C.4.2 & 7.14\% \\ C.9.2 & 6.09\% & C.1.1 & 6.56\% & C.9.1 & 6.54\% & C.2.2 & 7.03\% \\ C.5.1 & 5.90\% & C.3.2 & 5.58\% & C.1.2 & 6.08\% & C.8.1 & 6.96\% \\ C.2.1 & 5.61\% & C.4.2 & 5.57\% & C.6.2 & 5.57\% & C.3.2 & 6.00\% \\ C.1.1 & 5.59\% & C.6.1 & 5.54\% & C.2.2 & 5.23\% & C.9.1 & 5.69\% \\ C.9.1 & 5.07\% & C.9.1 & 4.39\% & C.4.1 & 5.10\% & C.1.1 & 5.35\% \\ C.3.2 & 4.96\% & C.8.2 & 4.26\% & C.7.1 & 4.59\% & C.7.1 & 4.37\% \\ C.3.1 & 4.82\% & C.7.1 & 4.00\% & C.5.2 & 4.02\% & C.5.1 & 4.16\% \\ C.8.1 & 4.57\% & C.5.1 & 3.47\% & C.9.2 & 3.58\% & C.8.2 & 4.13\% \\ C.8.2 & 4.41\% & C.3.1 & 3.32\% & C.3.1 & 3.25\% & C.3.1 & 3.99\% \\ C.7.2 & 3.85\% & C.7.2 & 3.25\% & C.8.2 & 2.75\% & C.2.1 & 3.95\% \\ C.1.2 & 3.52\% & C.2.1 & 2.54\% & C.1.1 & 2.58\% & C.7.2 & 3.24\% \\ C.7.1 & 3.52\% & C.5.2 & 2.12\% & C.5.1 & 2.21\% & C.1.2 & 3.20\% \\ C.5.2 & 3.17\% & C.1.2 & 1.54\% & C.7.2 & 1.50\% & C.5.2 & 2.95\% \\ \hline \hline \end{tabular} The full names and definitions of the criterion codes used in the table are provided in Table 1. The column labeled “Group” aggregates the results from additional experts who participated in the weighting process but are not individually listed, in order to simplify the table presentation.  
\end{table} 
Table 9: Weighting of the criteria. identified the replacement of the healthcare center in Puerto Gaitan (A05, 29.84%) as the highest-ranked project due to its strategic role in the hospital accessibility network. As shown in Table 10 and summarized below, the prioritized alternatives are ranked from highest to lowest based on the final group weights. The prioritized projects are listed as follows:  
Project A05, prioritized with a score of 29.84%, is associated with criterion C.4.1 (reduction of Unmet Basic Needs--UBN, weighted at 8.54%) (see Table 9), indicating a direct impact on access to basic services such as drinking water and sanitation. Its implementation would benefit over 15,000 residents in an area with a high prevalence of occupational diseases. Project A04, with a score of 22.31%, addresses the hospital capacity deficit in Acacias, where a 60% increase in hospitalization capacity is projected, along with a significant reduction in surgical waiting lists [7]. A panel of 29 health sector experts from the Meta department employed the integrated ANP/DEMATEL methodology to evaluate priority health projects. The analysis identified the replacement of Puerto Gaitan's healthcare center (A05) as the highest priority (29.84%), followed by the expansion of Acacias municipal hospital (A04. 20%). Other significant projects included establishing an emergency regulatory center (A03. 17.95%), implementing primary healthcare actions (A02. 16.11%), and strengthening emergency transport services in La Macarena (A01. 16.10%). This prioritization reflects three critical health system needs: (1) infrastructure modernization in high-demand areas (A05. A04), (2) emergency response capacity building (A03), and (3) rural service accessibility improvement (A02. A01). The ANP-DEMATEL framework effectively captured the complex interdependencies between these projects, revealing how strategic investments in infrastructure (A05. A04) create foundational capacity that supports subsequent emergency system (A03) and rural service (A02. A01) enhancements.