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Paper Details: Developing Multi-Criteria Decision Making And Geographic Information System Based Framework For Effective Delivery Of Emergency Obstetric Care Services In Tanzania

Volume 3 - Issue 9, September 2019 Edition
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Author(s)
Job A. Chaula
Keywords
Emergency Medical Services, health facility, location planning, MCDM, EmOC
Abstract
Effective delivery of basic emergency of Emergency Medical Services (EMS) is still uncertain in rural and urban area of Tanzania. Two factors contribute to ineffective deliveries of (EMS) which are absence of a coherent policy on Emergency Medical Services (EMS) and normative framework to support EMS implementation which both have resulted to imbalance in EMS distribution patterns within rural areas. In attempt to address the challenge, this research study used Multi-Criteria Decision Making (MCDM) and Geographic Information System (GIS) to explore the policies and developing framework for effective delivery of Emergency Obstetric Care Services (EmOCS) in Tanzania. The research study reviewed the planning policy documents and approaches used to plan the EMS facility location for the better understanding of their strengths and weaknesses related to the desired location-allocation. Furthermore, the research integrating Multi-criteria Decision Making (MCDM) with Geographic Information System (GIS) techniques to develop an effective framework to support inclusive planning practices of location-based health services in Tanzania. Complex array of decision criteria including environmental, technical, economic, and social issues related to life saving were analyzed by integrating Multi-criteria Decision Making (MCDM) with Geographic Information System (GIS). The developed framework serves as tool for future planning EMS in urban and rural areas of Tanzania and Africa in large. The framework helps to determine the optimal EMS facility locations by considering the appropriate strategies for facility deployment which is to maximize the EMS coverage; the number of facilities assigned to each demand point (facility quantity); and the distance up to which a facility should service a demand point (EMS quality).
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