To achieve the goals
of the Safe Drinking Water Act, state and
local water authorities need to make decisions about where to direct
limited funding for infrastructure improvements and currently do so
in the absence of adequate evaluative metrics. We developed a framework
grounded in utility theory that compares trade-offs explicitly and
broadens the factors considered in prioritizing resource allocations.
Relevant existing indices were reviewed to identify data applicable
to drinking water decision-making. A utility-theory-based decision
analysis framework was developed and applied to evaluate how different
objectives affect funding decisions for lead service line replacement
(LSLR) programs in Pennsylvania and Michigan, United States. The decision
framework incorporates drinking water quality characteristics with
community and environmental quality attributes. We compare additive
and multiplicative model structures, different weights, and spatial
scales. Our decision framework showed that the inclusion of additional
data beyond what is usually considered in LSLR decisions could change
the top 10 counties or public water systems prioritized. Further,
the counties or water systems in the top 10 were influenced by the
model structure and weights. Prioritization changed based on which
data were included, and has implications for the use of evaluative
metrics beyond traditional water system data.