A Health Care Facility Allocation Model for Expanding Cities in Developing Nations: Strategizing Urban Health Policy Implementation
In a resource-constrained society in developing nations like India, the importance of health care infrastructure allocation is often undermined and overlooked. This paper aims to quantify the gap in accessing affordable health care facilities faced by the socio-economically weaker sections of society. Majority of the older cities in India have a central core and surrounding peri-urban areas, which were added later on to minimize the stress of urban expansion and to provide adequate infrastructure. This research states that installation of new facilities for catering to the growing needs of citizens in expanding cities is the need of the hour. We propose a novel technique for maximizing the health care coverage of the peri-urban areas by establishing the minimum number of new public health care facilities. Our aim is to suggest strategies for efficient implementation of policies such as the National Urban Health Mission and the National Health Policy. We considered Kolkata Municipal Corporation, India as a case study to assess our proposed methodology. The southern periphery, which was added in 1981 and has currently expanded again in 2015, is completely devoid of public health care facilities. Our optimization model showed that 13 new public facilities are required in the southern periphery, out of which five are extremely critical. The rise in health care coverage from 76.19 to 90.05 % by taking only the southern periphery into consideration shows the impact of the new facilities placed according to the proposed framework.
KeywordsHealth care Accessibility Optimization Policy Peri-urban areas Developing nations
The authors would like to thank the Editor and the two anonymous reviewers for their valuable and constructive comments, which have led to a significant improvement in the manuscript.
- Babakus, E., & Mangold, W. G. (1992). Adapting the SERVQUAL scale to hospital services: an empirical investigation. Health Services Research, 26(6), 767–786.Google Scholar
- Birkin, M., Clarke, G., & Clarke, M. P. (2002). Retail geography and intelligent network planning: Wiley.Google Scholar
- Conway, J. H., Burgiel, H., & Goodman-Strauss, C. (2008). The symmetries of things. AMC, 10, 12.Google Scholar
- Coxeter, H. S. M. (1973). Regular polytopes: Courier Corporation.Google Scholar
- Cromley, E. K., & McLafferty, S. L. (2011). GIS and public health: Guilford Press.Google Scholar
- Duggal, R. (2001). Evolution of health policy in India. Centre for Enquiry into Health and Allied Themes.Google Scholar
- Husain, Z. (2011). Health of the national rural health mission. Economic and Political Weekly, 46(4), 53–60.Google Scholar
- MoHFW (2002). National Health Policy - 2002. New Delhi, India.Google Scholar
- MoHFW. (2012). National Urban Health Mission. New Delhi: Ministry of Health & Family Welfare, Government of India.Google Scholar
- MoHFW (2014). Rural Health Statistics 2014–15. In S. Division (Ed.). New Delhi: Ministry of Health and Family Welfare.Google Scholar
- MoHFW (2015). National Health Mission: State Program Implementation Plans. (Vol. 2015).Google Scholar
- MoSPI (2015). Key Indicators of Social Consumption in India Health. New Delhi, India.Google Scholar
- Narayana, D. (2010). Review of the Rashtriya Swasthya Bima Yojana. Economic and Political Weekly, 45(29), 13–18.Google Scholar
- Rajasekhar, D., Berg, E., Ghatak, M., Manjula, R., & Roy, S. (2011). Implementing health insurance: the rollout of Rashtriya Swasthya Bima Yojana in Karnataka. Economic and Political Weekly, 46(20), 56–63.Google Scholar
- Selvaraj, S., & Karan, A. K. (2009). Deepening Health Insecurity in India: Evidence from National Sample Surveys since 1980s. Economic and Political Weekly, 44(40), 55–60.Google Scholar
- Shaw, A. (2005). Peri-Urban Interface of Indian Cities: Growth, Governance and Local Initiatives. Economic and Political Weekly, 40(2), 129–136.Google Scholar
- Tomintz, M. N., & Garcia-Barrios, V. M. (2014). Location–Allocation Planning. In The Wiley Blackwell Encyclopedia of Health, Illness, Behavior, and Society: Wiley.Google Scholar
- van Doorslaer, E., O’Donnell, O., Rannan-Eliya, R. P., Somanathan, A., Adhikari, S. R., Garg, C. C., et al. (2006). Effect of payments for health care on poverty estimates in 11 countries in Asia: an analysis of household survey data. The Lancet, 368(9544), 1357–1364. doi: 10.1016/S0140-6736(06)69560-3.CrossRefGoogle Scholar
- WHO (1986). Healthy Cities. http://www.euro.who.int/en/health-topics/environment-and-health/urban-health/activities/healthy-cities. Accessed 18th May 2016.
- WorldBank (2016). World Development Indicators: Health expenditure (% of GDP). http://data.worldbank.org/indicator/SH.XPD.TOTL.ZS. Accessed 18th May 2016.