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- W3099876639 abstract "The population of truck drivers plays a key role in the spread of HIV and other infectious diseases insub-Saharan Africa. Truck drivers thereby affect the health and lives of many, but also suffer from poorhealth and significantly reduced life expectancy themselves. Due to professional circumstances, theirhealth service needs are generally not well addressed. Therefore, the non-governmental organizationNorth Star Alliance builds a network of healthcare facilities along the largest trucking routes in subSaharan Africa. This paper studies the problem where to place additional facilities, and which healthservice packages to offer at each facility. The objective combines the maximization of the patientvolume at these facilities and the maximization of the effectiveness of the health service delivery to thepopulation served. The latter criterion is modeled through three novel access measures which capturethe needs for effective service provisioning. The resulting optimization problem is essentially differentfrom previously studied healthcare facility location problems because of the specific mobile nature ofhealth service demand of truck drivers. Applying our model to the network of major transport corridorsin South-East Africa, we investigate several prominent questions managers and decision makers face.We show that the present network expansion strategy, which primarily focuses on patient volumes, mayneed to be reconsidered: substantial gains in effectiveness can be made when allowing a small reductionin patient volumes. We furthermore show that solutions are rather robust to data impreciseness andthat long term network planning can bring substantial benefits, particularly in greenfield situations." @default.
- W3099876639 created "2020-11-23" @default.
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- W3099876639 date "2020-01-09" @default.
- W3099876639 modified "2023-09-23" @default.
- W3099876639 title "The Roadside Healthcare Facility Location Problem: A Managerial Network Design Challenge" @default.
- W3099876639 hasPublicationYear "2020" @default.
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