Citation

Miç P, Koyuncu M, Hallak J. Int. J. Environ. Res. Public Health 2019; 16(5): e16050811.

Affiliation

Department of Industrial Engineering, Çukurova University, Sarıçam 01330, Turkey. jhallak@student.cu.edu.tr.

Copyright

(Copyright © 2019, MDPI: Multidisciplinary Digital Publishing Institute)

DOI

10.3390/ijerph16050811

PMID

30845652

Abstract

The Syrian crisis began on 15 March 2011. It is one of the bloodiest and complicated conflicts in the world today. Although almost eight years have passed over this tragedy, civilians continue to suffer from conflicts and destructions in the area. As a result, this situation disregards human life and the number of people in need increases day by day. Particularly, people who have to live in the conflict area encounter troubles with regard to health, shelter, food and other needs. Thus, we have focused on identifying the Primary Health Care Center (PHCC) locations within Idleb Governorate in Syria. Data is extracted from a sample containing 23 sub-districts in the governorate and a total of 338 communities. We have formulated a mixed integer-weighted goal programming model and combined it with a Geographic Information System-GIS (ArcMap). The model is solved via an optimization package and moreover, sensitivity analyses are conducted to achieve a more in-depth study. Our aim was to have 60 PHCCs out of 77 available candidate PHCCs and the model located 42 PHCCs in total, by allocating 379,080 people, with a total cost of USD 1,000,353 and a cash for work amounting to USD 163,549. Accordingly, the model's outputs and sensitivity analyses are expected to help decision-makers in case of such disasters.

Language: en

Keywords

Syria; analytic hierarchy process (AHP); geographic information system (GIS); location-allocation; multi-objective model; primary health care center (PHCC); weighted goal programming