A covering tour model for planning mobile health care facilities in Suhum District, Ghana

The provision of adequate primary health care in developing countries is often troublesome. The problem is to provide a sufficient number of facilities to be geographically accessible, yet few enough to be properly stocked and staffed. In many less developed countries accessibility problems are exacerbated by extensive rainy seasons in which travel is only possible on paved roads. Using the covering tour model we investigate the use of mobile facilities to resolve this dilemma in Suhum District, Ghana. The model minimizes a mobile facility's travel while serving all population centers within range of a feasible stop. Computational results show that in the rainy season the model cannot provide full coverage; over six percent of the population is beyond a covering distance of eight kilometers. In the dry season, 99 percent of the population can be served by a tour at a covering distance of seven kilometers. Beyond a distance of four kilometers, the dry season problem becomes a trade-off between the distance traveled by healthcare patrons and mobile facilities. These results illustrate the importance of flexibility of mobile systems: if accessibility cannot be provided in all seasons it may still be provided at favorable times of the year.