Specimen Referral Network to Rapidly Scale-Up CD4 Testing: The Hub and Spoke Model for Haiti

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Specimen Referral Network to Rapidly Scale-Up CD4 Testing: The Hub and Spoke Model for Haiti.

OBJECTIVES Regular and quality CD4 testing is essential to monitor disease progression in people living with HIV. In Haiti, most laboratories have limited infrastructure and financial resources and have relied on manual laboratory techniques. We report the successful implementation of a national specimen referral network to rapidly increase patient coverage with quality CD4 testing while at the...

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Supply chain is an integrated system of facilities and activities. Gaining the optimum design of demand satisfaction network is one of the most important live issues in the decision making problems category. Most of previous studies considered unreal assumptions such as the lack of capacity constraints to satisfy demand in the network and in hubs. By considering the nature of the case that have...

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a multi-level capacity approach to the hub and spoke network

the existing works considering the flow-based discount factor in the hub and spoke problems, assume that increasing the amount of flow passing through each edge of network continuously decreases the unit flow transportation cost. although a higher volume of flow allows for using wider links and consequently cheaper transportation, but the unit of flow enjoys more discounts, quite like replacing...

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ژورنال

عنوان ژورنال: Journal of AIDS & Clinical Research

سال: 2015

ISSN: 2155-6113

DOI: 10.4172/2155-6113.1000488