Developing a plan for primary health care facilities in Soweto, South Africa. Part II: Applying locational criteria.

This article is the second of a two-part series describing the development of a ten-year plan for primary health care facility development in Soweto. The first article concentrated on the political problems and general methodological approach of the project. This second article describes how the technical problem of planning in the context of scanty information was overcome. The reasoning behind the various assumptions and criteria which were used to assist the planning of the location of facilities is explained, as well as the process by which they were applied. The merits and limitations of this planning approach are discussed, and it is suggested that the approach may be useful to other facility planners, particularly in the developing world.

[1]  R. Akhtar Health care patterns and planning in developing countries , 1991 .

[2]  D. Bradshaw,et al.  African vital statistics--a black hole? , 1985, South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde.

[3]  N. Webb,et al.  Developing a plan for primary health care facilities in Soweto, South Africa. Part I: Guiding principles and methods. , 1996, Health policy and planning.

[4]  L Berghmans,et al.  Implementation of Health Facilities in a New City , 1984, The Journal of the Operational Research Society.

[5]  Alun E. Joseph,et al.  Accessibility and Utilization: Geographical Perspectives on Health Care Delivery , 1984 .

[6]  G. Rushton Use of Location-Allocation Models for Improving the Geographical Accessibility of Rural Services in Developing Countries , 1984 .

[7]  O. Habib,et al.  The determinants of health services utilization in southern Iraq: a household interview survey. , 1986, International journal of epidemiology.

[8]  P. Gober,et al.  Intraurban physician location: a case study of Phoenix. , 1980, Social science & medicine. Medical geography.

[9]  H. Kloos,et al.  Illness and health behaviour in Addis Ababa and rural central Ethiopia. , 1987, Social science & medicine.

[10]  D. Mcintyre,et al.  Private sector health care expenditure in South Africa. , 1995, South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde.

[11]  Bryan H. Massam,et al.  Applying operations research to health planning: locating health centres in Zambia , 1986 .

[12]  R. Stock Distance and the utilization of health facilities in rural Nigeria. , 1983, Social science & medicine.

[13]  R L Bashshur,et al.  Time and Distance: The Journey for Medical Care , 1973, International journal of health services : planning, administration, evaluation.

[14]  J. Vaughan,et al.  Operational research in primary health care planning: a theoretical model for estimating the coverage achieved by different distributions of staff and facilities. , 1983, Bulletin of the World Health Organization.

[15]  R. Stimson The provision and use of general practitioner services in Adelaide, Australia: application of tools of locational analysis and theories of provider and user spatial behaviour. , 1981, Social science & medicine. Medical geography.

[16]  W. D. Bennett A location-allocation approach to health care facility location: A study of the undoctored population in Lansing, Michigan , 1981 .