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Practical aspects associated with location planning for maternal and perinatal assistance in Brazil

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  • Roberto Galvão
  • Luis Espejo
  • Brian Boffey

Abstract

A study has been carried out aimed at reducing perinatal mortality in the municipality of Rio de Janeiro through a better distribution of health care facilities. The algorithmic aspects are detailed elsewhere and here the emphasis is on practical issues and difficulties encountered. A 3-level hierarchical model was developed. Both uncapacitated and capacitated versions are briefly described together with some results based on actual data. The project brought to light many contradictions between OR theory and practice in developing countries and, unfortunately, the models developed were not implemented by the municipality health authorities. Possible reasons for this outcome are analysed. Copyright Springer Science + Business Media, Inc. 2006

Suggested Citation

  • Roberto Galvão & Luis Espejo & Brian Boffey, 2006. "Practical aspects associated with location planning for maternal and perinatal assistance in Brazil," Annals of Operations Research, Springer, vol. 143(1), pages 31-44, March.
    • Handle: RePEc:spr:annopr:v:143:y:2006:i:1:p:31-44:10.1007/s10479-006-7370-5
    DOI: 10.1007/s10479-006-7370-5
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    References listed on IDEAS

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    1. Galvao, Roberto D. & Acosta Espejo, Luis Gonzalo & Boffey, Brian, 2002. "A hierarchical model for the location of perinatal facilities in the municipality of Rio de Janeiro," European Journal of Operational Research, Elsevier, vol. 138(3), pages 495-517, May.
    2. Galvao, Roberto Dieguez & ReVelle, Charles, 1996. "A Lagrangean heuristic for the maximal covering location problem," European Journal of Operational Research, Elsevier, vol. 88(1), pages 114-123, January.
    3. S-U Rahman & D K Smith, 1999. "Deployment of rural health facilities in a developing country," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 50(9), pages 892-902, September.
    4. Galvao, Roberto D. & Acosta Espejo, Luis Gonzalo & Boffey, Brian & Yates, Derek, 2006. "Load balancing and capacity constraints in a hierarchical location model," European Journal of Operational Research, Elsevier, vol. 172(2), pages 631-646, July.
    5. B Boffey & D Yates & R D Galvão, 2003. "An algorithm to locate perinatal facilities in the municipality of Rio de Janeiro," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 54(1), pages 21-31, January.
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    Cited by:

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    5. Kim, Dong-Guen & Kim, Yeong-Dae, 2010. "A branch and bound algorithm for determining locations of long-term care facilities," European Journal of Operational Research, Elsevier, vol. 206(1), pages 168-177, October.
    6. Miroslav Marić & Zorica Stanimirović & Srdjan Božović, 2015. "Hybrid metaheuristic method for determining locations for long-term health care facilities," Annals of Operations Research, Springer, vol. 227(1), pages 3-23, April.

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