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Improving access to health facilities in Nouna district, Burkina Faso


  • Cocking, Cara
  • Flessa, Steffen
  • Reinelt, Gerhard


The Nouna health district in Burkina Faso, has a population of approximately 275,000 people living in 281 villages, and is served by 25 health facilities, as of 2006. For many people, the time and effort required in traveling to a health facility, which may demand a journey of many kilometers over poor roads on foot, is a deterrent to seeking proper medical care. In this study we examine how access to health facilities in Nouna may be improved by considering the configuration of the road network in addition to the locations of the facilities. We model the situation as a facility location–network design problem and draw conclusions about how best to improve the physical access of the health facilities. Our model shows the extent to which access can be improved when the road network is considered along with facility locations, in contrast to facility locations considered alone.

Suggested Citation

  • Cocking, Cara & Flessa, Steffen & Reinelt, Gerhard, 2012. "Improving access to health facilities in Nouna district, Burkina Faso," Socio-Economic Planning Sciences, Elsevier, vol. 46(2), pages 164-172.
  • Handle: RePEc:eee:soceps:v:46:y:2012:i:2:p:164-172
    DOI: 10.1016/j.seps.2011.12.004

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    References listed on IDEAS

    1. Gerard Rushton, 1984. "Use of Location-Allocation Models for Improving the Geographical Accessibility of Rural Services in Developing Countries," International Regional Science Review, , vol. 9(3), pages 217-240, December.
    2. Current, John & Pirkul, Hasan, 1991. "Theory and methodologyThe hierarchical network design problem with transshipment facilities," European Journal of Operational Research, Elsevier, vol. 51(3), pages 338-347, April.
    3. R. Ravi & Amitabh Sinha, 2006. "Approximation Algorithms for Problems Combining Facility Location and Network Design," Operations Research, INFORMS, vol. 54(1), pages 73-81, February.
    4. Oppong, Joseph R., 1996. "Accommodating the rainy season in Third World location-allocation applications," Socio-Economic Planning Sciences, Elsevier, vol. 30(2), pages 121-137, June.
    5. Drezner, Zvi & Wesolowsky, George O., 2003. "Network design: selection and design of links and facility location," Transportation Research Part A: Policy and Practice, Elsevier, vol. 37(3), pages 241-256, March.
    6. Kumar, Naresh, 2004. "Changing geographic access to and locational efficiency of health services in two Indian districts between 1981 and 1996," Social Science & Medicine, Elsevier, vol. 58(10), pages 2045-2067, May.
    7. Melkote, Sanjay & Daskin, Mark S., 2001. "Capacitated facility location/network design problems," European Journal of Operational Research, Elsevier, vol. 129(3), pages 481-495, March.
    8. Melkote, Sanjay & Daskin, Mark S., 2001. "An integrated model of facility location and transportation network design," Transportation Research Part A: Policy and Practice, Elsevier, vol. 35(6), pages 515-538, July.
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    Cited by:

    1. repec:eee:apmaco:v:276:y:2016:i:c:p:442-453 is not listed on IDEAS
    2. Pedro V. Amaral & Alan T. Murray, 2016. "Equity in regional access to renal dialysis in Brazil," Regional Science Policy & Practice, Wiley Blackwell, vol. 8(1-2), pages 27-44, March.
    3. Zeinal Hamadani, Ali & Abouei Ardakan, Mostafa & Rezvan, Taghi & Honarmandian, Mohammad Mehran, 2013. "Location-allocation problem for intra-transportation system in a big company by using meta-heuristic algorithm," Socio-Economic Planning Sciences, Elsevier, vol. 47(4), pages 309-317.
    4. Soheil Davari & Kemal Kilic & Gurdal Ertek, 2015. "Fuzzy bi-objective preventive health care network design," Health Care Management Science, Springer, vol. 18(3), pages 303-317, September.


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