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There is an increasing consensus on the importance of coupling ecosystem services (ES) into integrated water resource management (IWRM), due to a wide range of benefits to human from the ES. This paper proposes an ES-based IWRM framework within which a participatory Bayesian network (BN) model is developed to assist with the coupling between ES and IWRM. The framework includes three steps: identifying water-related services of ecosystems; analysis of the tradeoff and synergy among users of water; and ES-based IWRM implementation using the participatory BN model. We present the development, evaluation and application of the participatory BN model with the involvement of four participant groups (stakeholders, water manager, water management experts, and research team) in Qira oasis area, Northwest China. As a typical catchment-scale region, the Qira oasis area is facing severe water competition between the demands of human activities and natural ecosystems. Results demonstrate that the BN model developed provides effective integration of ES into a quantitative IWMR framework via public negotiation and feedback. The network results, sensitivity evaluation, and management scenarios are broadly accepted by the participant groups. The intervention scenarios from the model conclude that any water management measure remains unable to sustain the ecosystem health in water-related ES. Greater cooperation among the stakeholders is highly necessary for dealing with such water conflicts. In particular, a proportion of the agricultural water saved through improving water-use efficiency should be transferred to natural ecosystems via water trade. The BN model developed is appropriate for areas throughout the world in which there is intense competition for water between human activities and ecosystems. (C) 2017 Elsevier B.V. All rights reserved.