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Locational planning for health facility in a three-district region (Tap Sakae, Bang Sapan and Bang Sapan Noi) of Prachuap Khiri Khan province, Thailand | |
Author | Khuntia, Sushant Kumar |
Call Number | AIT RSPR no. HS-94-06 |
Subject(s) | Health facilities--Thailand--Prachuap Khiri Khan--Location |
Note | A Research Study submitted in partial fulfillment of the requirements for the degree of Master of Science, School of Engineering and Technology |
Publisher | Asian Institute of Technology |
Series Statement | Research studies project report ; no. HS-94-06 |
Abstract | Developing countries are in the process of selecting new locations for providing basic public and social services to rural populations. Among location issues that decision makers at lower levels of Government face is how to allocate limited resources judiciously. For this, resource allocation methodologies have to be developed and applied to enable society to gain from the available resources at its utmost. In this research, the basic issues tackled was where to locate health resources (i.e. hospital and health center) which would improve the health delivery system of the province. Among others, literature review indicated that, physical accessibility is not the only factor which influence the utilization of health service, it is a major determinant. Mean-while, the hospital survey revealed that, many of the respondents who are attending hospital are coming from 30-minutes travel distance. Few people are attending hospital spend.ing one hour or more. Drawing isochrones and equidistant lines relative to the existing hospitals and health centers manifest that only 56 percent of population are covered by hospital within 30-minutes travel distance and 80 percent of population are within the zone of influence of health centers. A number of alternatives are formulated, determined its effect and compared the result to several decision rules to determine preferred alternative. At the same time LOCNET program is also applied to confirm the alternative. For example among the criterion used was the desire to increase the total population coverage within 30-minute travel time. This led to the selection of alternative, which proposes a hospital in Chai Kasem Tambon. If the desire was to decide on the basis of highest net increase in population covered, Chai Kasem responds well to this criteria. Another set of alternative considered, involved a hospital combined with major road upgrading project. In this case Tap Sakae manifested the largest population and village coverage as well as net increase in population. For health centers minimum 2000 threshold population within four km. radius was considered and only establishment of three health centers are considered in three Tambons of Bang Sapan and Bang Sapan Noi. Notes: 1. This Research Study was complected as part of the requirements for the SPRING (Asia) Program. SPRING, an acronym for Spatial Planning for Regions in Growing Economies, is an M.Sc. Program jointly offered by AIT and the University of Dortmund, Germany. Under the SPRING Program a Research Study carrying 12 credits, must be conceptualized and completed within only one term, i.e. from 1st May to 31st July 1994. Preferably, the topic should be related to the preceding District Development Workshop. The SPRING Program thus differs from other M.Sc. programs at AIT where most students write a thesis which spans at least eight months. 2. Professor Klaus R. Kunzmann (University of Dortmund, Germany) attended the final examination of the SPRING (Asia) students in August 94. |
Year | 1994 |
Corresponding Series Added Entry | Asian Institute of Technology. Research studies project report ; no. HS-94-06 |
Type | Research Study Project Report (RSPR) |
School | School of Engineering and Technology (SET) |
Department | Other Field of Studies (No Department) |
Academic Program/FoS | Human Settlement (HS) |
Chairperson(s) | Routray, J.K.; |
Examination Committee(s) | Kammeier, H.D.;Lund, R.; |
Scholarship Donor(s) | Deutsche Akademischer Austauschdienst (DAAD), Germany; |
Degree | Research Studies Project Report (M.Sc.) - Asian Institute of Technology, 1994 |