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Site Visit Frequency Policies for Mobile Family Planning Services

Author

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  • Harwin De Vries
  • Lisa E. Swinkels
  • Luk N. Van Wassenhove

Abstract

Improving access to family planning services is key to achieving many of the United Nations sustainable development goals. To scale up access in remote areas and urban slums, many developing countries deploy mobile family planning teams that visit “outreach sites” several times per year. Visit frequencies have a significant effect on the total number of clients served and hence the impact of the outreach program. Using a large dataset of visits in Madagascar, Uganda, and Zimbabwe, our study models the relationship between the number of clients seen during a visit and the time since the last visit and uses this model to analyze the characteristics of optimal frequencies. We use the latter to develop simple frequency policies for practical use, prove bounds on the worst‐case optimality gap, and test the impact of the policies with a simulation model. Our main finding is that despite the complexity of the frequency optimization problem, simple policies yield near‐optimal results. This holds even when few data are available and when the relationship between client volume and the time since the last visit is misspecified or substantially biased. The simulation for Uganda shows a potential increase in client numbers of between 7% and 10%, which corresponds to more than 12,000 additional families to whom family planning services could be provided. Our results can assist policymakers in determining when to start data‐driven frequency determination and which policies to implement.

Suggested Citation

  • Harwin De Vries & Lisa E. Swinkels & Luk N. Van Wassenhove, 2021. "Site Visit Frequency Policies for Mobile Family Planning Services," Production and Operations Management, Production and Operations Management Society, vol. 30(12), pages 4522-4540, December.
    • Handle: RePEc:bla:popmgt:v:30:y:2021:i:12:p:4522-4540
    DOI: 10.1111/poms.13484
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    Cited by:

    1. Maria Besiou & Alfonso J. Pedraza‐Martinez & Luk N. Van Wassenhove, 2021. "Humanitarian Operations and the UN Sustainable Development Goals," Production and Operations Management, Production and Operations Management Society, vol. 30(12), pages 4343-4355, December.
    2. Breugem, Thomas & Fan, Yu & Gernert, Andreas & Van Wassenhove, Luk N., 2023. "Equity in Health and Humanitarian Logistics : A Beneficiary Perspective," Other publications TiSEM ad4868a6-53b0-4cb4-acad-4, Tilburg University, School of Economics and Management.
    3. Breugem, Thomas & Fan, Yu & Gernert, Andreas & Van Wassenhove, Luk N., 2023. "Equity in Health and Humanitarian Logistics : A Beneficiary Perspective," Discussion Paper 2023-003, Tilburg University, Center for Economic Research.

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