Abstract The preconditions for applying GIS-based location-allocation analysis for health service planning in rural Ghana are examined in terms of data availability and quality. A population map is established from the latest available census using geo-coding methods and digital topographic sheets. A vector-based transport model of the region is established by merging data from several sources including GPS. It is suggested that a hybrid transport model is required. This model combines the possibilities for all-direction transportation inherent in the raster-based approach with the possibilities for road/path transportation inherent in the vector-based approach. All-direction movements are expected to take place close to the villages in order to reach a suitable linear transport corridor represented by a vector. Several scenarios for improving the accessibility aspects of the health service provision are examined in light of Ghana's current health service policy. Location-allocation modelling tools are used to select optimal locations and provide statistics on average distance to health centres and percentage of population covered.
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