Siting of HIV/AIDS diagnostic equipment in South Africa: a case study in locational analysis

This paper describes a practical application of locational analysis to the siting of HIV/AIDS diagnostic equipment in laboratories across South Africa. Classical location analytical techniques were extended to ensure that laboratories are sited as close as possible to major centres of demand from hospitals and clinics. A particular advantage of the modified set covering algorithm developed is that choices between laboratory sites are made in a transparent manner. In order to find appropriate numbers and ideal placement of CD4 laboratories, runs were undertaken for various scenarios based on maximum travel time from health facilities to laboratory sites. Results demonstrated to decision makers showed close comparisons with pilot review projects undertaken in four health districts of South Africa. The research has potential to impact health care delivery to HIV sufferers in the poorest rural regions of the country