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An hierarchical location-allocation model for primary health care delivery in a developing area

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  • Hodgson, M.J.

Abstract

Location-allocation models can play an important role in making primary health care facilities more accessible to rural populations in the developing world. Traditional models, however, have failed to deal realistically with the fact that health care systems are hierarchical in nature, and that benefits and utilization decline with distance. In this paper, an hierarchical location-allocation model in which benefits accrue to facility level and decline exponentially with distance is presented as a possible approach to ameliorating problems of rural accessibility to health care in Third World settings. The model is subjected to sensitivity analysis with reference to data for Salcette Taluka, Goa, India. The analysis suggests that the traditional P-median model may be a much less appropriate solution to the problem than a simple strategy of locating facilities from the highest to the lowest level in centers of strictly decreasing population.

Suggested Citation

  • Hodgson, M.J., 1988. "An hierarchical location-allocation model for primary health care delivery in a developing area," Social Science & Medicine, Elsevier, vol. 26(1), pages 153-161, January.
    • Handle: RePEc:eee:socmed:v:26:y:1988:i:1:p:153-161
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    Cited by:

    1. Honora Smith & Daniel Cakebread & Maria Battarra & Ben Shelbourne & Naseem Cassim & Lindi Coetzee, 2017. "Location of a hierarchy of HIV/AIDS test laboratories in an inbound hub network: case study in South Africa," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 68(9), pages 1068-1081, September.
    2. Xuechen Xiong & Li Luo, 2020. "Inpatient Flow Distribution Patterns at Shanghai Hospitals," IJERPH, MDPI, vol. 17(7), pages 1-10, March.
    3. H K Smith & G Laporte & P R Harper, 2009. "Locational analysis: highlights of growth to maturity," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 60(1), pages 140-148, May.
    4. M. Hodgson & Soren Jacobsen, 2009. "A hierarchical location-allocation model with travel based on expected referral distances," Annals of Operations Research, Springer, vol. 167(1), pages 271-286, March.
    5. António Antunes & Oded Berman & João Bigotte & Dmitry Krass, 2009. "A Location Model for Urban Hierarchy Planning with Population Dynamics," Environment and Planning A, , vol. 41(4), pages 996-1016, April.
    6. Smith, Honora K. & Harper, Paul R. & Potts, Chris N. & Thyle, Ann, 2009. "Planning sustainable community health schemes in rural areas of developing countries," European Journal of Operational Research, Elsevier, vol. 193(3), pages 768-777, March.
    7. Zhengna Song & Tinggan Yan & Yunjian Ge, 2018. "Spatial Equilibrium Allocation of Urban Large Public General Hospitals Based on the Welfare Maximization Principle: A Case Study of Nanjing, China," Sustainability, MDPI, vol. 10(9), pages 1-23, August.

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