ResumoOs
problemas
de
roteamento
possuem
diversas
aplicações
no
mundo
real,
cada
uma
com
restrições
particulares
como
janelas
tempo,
logística
verde,
disponibilidade
recursos
e
acessibilidade
aos
clientes.Quando
se
trata
clientes,
por
cobertura
são
propostos
para
lidar
cenários
reais
em
que
regiões
difícil
acesso
clientes
precisam
ser
atendidos,
mas
não
podem
visitados
in
loco.Os
visam
encontrar
rotas
custo
mínimo
cujas
demandas
dos
atendidas
servindo-os
localmente
ou
remotamente
um
veículo.Nesta
tese,
Communications Medicine,
Journal Year:
2025,
Volume and Issue:
5(1)
Published: April 18, 2025
Abstract
Background
Childhood
vaccination
rates
in
Yemen
remain
alarmingly
low,
and
recent
political
developments
have
restricted
vaccine
delivery.
Understanding
population
access
to
vaccinations
through
existing
delivery
modalities,
including
fixed
mobile
services,
is
critical
inform
strategies
improve
access,
increase
coverage,
prevent
outbreaks.
Methods
We
developed
a
geospatial
model
of
national
subnational
via
health
facilities
teams,
using
newly
datasets
accounting
for
conflict-related
effects.
calculated
travel
times
sites
offering
immunizations
estimated
the
number
percentage
under-5
with
vaccines.
also
conducted
scale-up
identify
prioritize
locations
where
additional
teams
would
most
access.
Results
estimate
that
2023,
66.3%
(3.57
million)
Yemeni
lived
within
30-minute
walk
facility
or
site
vaccinations,
compared
56.5%
living
alone.
Even
contributions,
we
find
substantial
regional
variation;
13
22
governorates,
more
than
one-third
children
cannot
30
min.
In
our
analysis,
optimal
300
new
by
an
7.2%
population.
Conclusions
Using
improves
geographic
Yemen;
however,
significant
gaps
will
even
dedicated
efforts.
Geospatial
modelling
offers
rigorous
approach
evaluating
impact
different
service
methods
conflict
settings
can
help
optimize
targeting
strategies.
Journal of Humanitarian Logistics and Supply Chain Management,
Journal Year:
2024,
Volume and Issue:
14(2), P. 181 - 207
Published: Feb. 28, 2024
Purpose
This
study
aims
to
deepen
the
understanding
of
challenges
and
implications
entailed
by
deploying
mobile
clinics
in
conflict
zones
reach
populations
affected
violence
cut
off
from
health-care
services.
Design/methodology/approach
research
combines
an
integrated
literature
review
instrumental
case
study.
The
comprises
two
targeted
reviews
provide
insights:
one
on
clinics.
describes
process
faced
throughout
a
clinic
deployment
during
after
Iraq
War.
data
was
gathered
using
mixed
methods
over
two-year
period
(2017–2018).
Findings
Armed
conflicts
directly
impact
populations’
health
access
care.
Mobile
deployments
are
often
used
recommended
vulnerable
However,
there
is
dearth
peer-reviewed
documenting
decision
support
tools
for
deployments.
Originality/value
highlights
gaps
provides
direction
future
development
valuable
insights
practitioners.
Health Services Insights,
Journal Year:
2024,
Volume and Issue:
17
Published: Jan. 1, 2024
Background:
This
study
examines
the
health
security
of
both
Lebanese
citizens
and
Syrian
refugees
in
Lebanon.
It
also
assesses
readiness
resilience
healthcare
system
response
to
multi-layered
crisis
that
began
late
2019.
Methods:
A
qualitative
case
design
was
employed,
utilizing
2
unstructured
interviews
with
experts/hospital
staff,
semi-structured
20
participants
a
document
review.
Thematic
analysis
used
analyze
data.
Results:
The
found
have
access
services
under
terms,
conditions
restrictions
including
out-of-pocket
(OOP)
payment.
In
contrast,
find
traditional
guarantor
systems
largely
ineffective,
leading
high
OOP
costs
for
most
services,
few
exceptions.
reveals
paradox
within
Lebanon’s
fragile
environment.
greater
minimal
certain
extent,
compared
themselves
who
remain
entrenched
inadequate
support
poor
public
administration.
Conclusion:
To
address
this,
targeted
interventions
policies
are
crucial
policymakers
stakeholders,
private
sectors,
local
non-governmental
organizations
(NGOs),
international
community.
Reforms
needed,
spearheaded
by
Ministry
Public
Health
(MoPH),
other
relevant
ministries,
government
payers,
refinance
restore
citizens’
security.
Additionally,
unifying
coverage
across
all
payers
is
vital.
Decision Sciences,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Aug. 13, 2024
Abstract
In
this
study,
we
explore
the
challenges
faced
by
humanitarian
organizations
engaged
in
relief
efforts
for
internally
displaced
individuals
during
armed
conflicts.
Based
on
our
semistructured
interviews
with
three
local
nongovernmental
(LNGOs)
Syria,
introduce
a
new
appointment
scheduling
problem
to
improve
decision‐making
aid
delivery
planning
conflict
settings.
Operating
highly
resource‐constrained
environment,
these
LNGOs
face
complexities
that
necessitate
effective
decision
support
tools
streamline
supply
at
facilities,
where
large
number
of
registered
beneficiaries
are
served.
Our
proposed
aims
optimize
allocation
times
various
supplies,
taking
into
account
urgency
needs
and
operational
limitations.
We
present
heuristic
addresses
flexible
way.
The
can
accommodate
simple
rules
derived
from
LNGOs'
policies
ground,
such
as
imposing
single
visit
per
beneficiary,
delivering
type
day,
preallocating
time
slots
groups.
case
study
based
Latakia
district
Syria
assess
performance
effectiveness
simplified
strategies.
results
not
only
showcase
efficiency
heuristic,
but
also
provide
valuable
managerial
insights.
find
cross‐training
staff
is
more
beneficial
when
supplies
relatively
abundant.
Furthermore,
certain
conditions
contingent
upon
factors,
including
scarcity,
difficulty
travel,
level
population.
