Enhancing community based health programs in Iran: a multi-objective location-allocation model.

Area of Science:

• Health Services Research
• Operations Research
• Public Health

Background:

• Community Based Organizations (CBOs) are vital health system stakeholders addressing social and economic needs.
• CBO effectiveness hinges on integration with healthcare providers and community engagement levels.
• Efficient network design is crucial for bridging community needs with healthcare services.

Purpose of the Study:

• To develop an optimized network model for Community Based Organizations (CBOs).
• To enhance the integration of CBOs within the healthcare system.
• To address social welfare concerns including equity, accessibility, and efficiency.

Main Methods:

• A location-allocation model was employed to address the hierarchical nature of CBO networks.
• A multi-objective framework was utilized to incorporate equity, local accessibility, and efficiency.
• Fuzzy goal programming was applied to manage decision-maker aspiration level ambiguity.

Main Results:

• The study presents findings from a real-world case in Shiraz city, Fars province, Iran.
• The location-allocation model provides a framework for optimizing CBO network design.
• Analysis of results demonstrates the model's applicability in enhancing CBO integration and effectiveness.

Conclusions:

• Optimized CBO networks can significantly improve healthcare accessibility and integration.
• The developed model offers a robust approach for planning and managing CBO services.
• Strategic network design is essential for maximizing the impact of Community Based Organizations in healthcare systems.