Journal
EUROPEAN JOURNAL OF OPERATIONAL RESEARCH
Volume 181, Issue 1, Pages 403-424Publisher
ELSEVIER
DOI: 10.1016/j.ejor.2006.06.015
Keywords
OR in developing countries; decision support systems; AHP; life cycle management; health care waste management systems
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This paper focuses on the application of the analytical hierarchy process (AHP) technique in the context of sustainable development to establish and optimise health care waste management (HCWM) systems in rural areas of developing countries. This is achieved by evaluating the way in which the AHP can best be combined with a life cycle management (LCM) approach, and addressing a main objective of HCWM systems, i.e. to minimize infection of patients and workers within the system. The modified approach was applied to two case studies: the sub-Saharan African countries of South Africa and Lesotho. Quantitative weightings from the AHP are used to identify alternative systems that have similar outcomes in meeting the systems objective, but may have different cost structures and infection risks. The two case studies illustrate how the AHP can be used (with strengths and weaknesses) in environmental engineering decision support in developing countries. (c) 2006 Elsevier B.V. All rights reserved.
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