The purpose of this paper is to describe and analyze the development of a knowledge-based infrastructure to support MSP decision-making processes. The paper emerged from a study to define specifications for a knowledge-based infrastructure to provide decision support for community-level MSPs in the Canadian province of Quebec. As part of the study, a process assessment was conducted to understand the needs of communities as they collect, organize, and analyze data to make decisions about their priorities. The result of this process is a portrait, which is an epidemiological profile of health and nutrition in their community. Portraits inform strategic planning and development of interventions and are used to assess the impact of interventions. Our key findings indicate ambiguities and disagreement among MSP decision-makers regarding causal relationships between actions and outcomes, and the relevant data needed for making decisions. MSP decision-makers expressed a desire for easy-to-use tools that facilitate the collection, organization, synthesis, and analysis of data, to enable decision-making in a timely manner. Findings inform conceptual modeling and ontological analysis to capture the domain knowledge and specify relationships between actions and outcomes. This modeling and analysis provide the foundation for an ontology, encoded using OWL 2 Web Ontology Language. The ontology is developed to provide semantic support for the MSP process, defining objectives, strategies, actions, indicators, and data sources. In the future, software interacting with the ontology can facilitate interactive browsing by decision-makers in the MSP in the form of concepts, instances, relationships, and axioms. Our ontology also facilitates the integration and interpretation of community data and can help in managing semantic interoperability between different knowledge sources.

Measurement error in observational datasets can lead to systematic bias in inferences based on these datasets. As studies based on observational data are increasingly used to inform decisions with real-world impact, it is critical that we develop a robust set of techniques for analyzing and adjusting for these biases. In this paper we present a method for estimating the distribution of an outcome given a binary exposure that is subject to underreporting. Our method is based on a missing data view of the measurement error problem, where the true exposure is treated as a latent variable that is marginalized out of a joint model. We prove three different conditions under which the outcome distribution can still be identified from data containing only error-prone observations of the exposure. We demonstrate this method on synthetic data and analyze its sensitivity to near violations of the identifiability conditions. Finally, we use this method to estimate the effects of maternal smoking and opioid use during pregnancy on childhood obesity, two import problems from public health. Using the proposed method, we estimate these effects using only subject-reported drug use data and substantially refine the range of estimates generated by a sensitivity analysis-based approach. Further, the estimates produced by our method are consistent with existing literature on both the effects of maternal smoking and the rate at which subjects underreport smoking.