The act of balancing between water demand and water supply in Phuket Island is facing challenges, suggesting water reuse options in various activities on the island should be properly promoted considering the potential benefits in a variety of dimensions. This research presented options to reuse effluent water from wastewater treatment plants for Phuket Municipality in 3 main activity groups, namely, domestic reuse, agricultural reuse, and raw water for water treatment plants (WTP). Water demand, additional water treatment trains, and the length of the major water distribution pipeline for each water reuse option were designed, and its cost and expenses were calculated. Multi-criteria decision analysis (MCDA) was used by 1000Minds internet-based software to prioritize the suitability of each water reuse option based on a four-dimensional scorecard, including economic, social, health, and environmental aspects. The decision algorithm for the trade-off scenario based on the government's budget allocation was proposed to obtain weighing without subjective expert opinions. The results revealed that recycling effluent water as raw water for the existing WTP was the first priority, followed by agriculture reuse for planting coconut, Phuket's economic crops, and domestic reuse. There was a significant difference in the total scores of economic and health indicators between the first- and second-priority options because of the difference in the additional treatment system in which the first-priority option applied the microfiltration and reverse osmosis system, which could effectively eliminate viruses and chemical micropollutants. In addition, the first priority option required a much smaller piping system than other water reuse options because it relied on the existing plumbing system of WTP, lowering the investment cost, which was a very important indicator for decision-making.
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