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Resource constraints in an epidemic: a goal programming and mathematical modelling framework for optimal resource shifting in South Africa

The COVID-19 pandemic has had devastating consequences across the globe, and has led many governments into completely new decision making territory. Developing models which are capable of producing realistic projections of disease spread under extreme uncertainty has been paramount for supporting de...

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Main Author: Mayet, Saadiyah
Other Authors: Silal, Sheetal
Format: Thesis
Language:English
Published: Department of Statistical Sciences 2022
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access_status_str Open Access
author Mayet, Saadiyah
author2 Silal, Sheetal
author_browse Mayet, Saadiyah
Silal, Sheetal
author_facet Silal, Sheetal
Mayet, Saadiyah
author_sort Mayet, Saadiyah
collection Thesis
description The COVID-19 pandemic has had devastating consequences across the globe, and has led many governments into completely new decision making territory. Developing models which are capable of producing realistic projections of disease spread under extreme uncertainty has been paramount for supporting decision making by many levels of government. In South Africa, this role has been fulfilled by the South African COVID-19 Modelling Consortium's generalised Susceptible-ExposedInfectious-Removed compartmental model, known as the National COVID-19 Epi Model. This thesis adapted and contributed to the Model; its primary contribution has been to incorporate the feature that resources available to the health system are limited. Building capacity constraints into the Model allowed it to be used in the resource-scarce context of a pandemic. This thesis further designed and implemented a goal programming framework to shift ICU beds between districts intra-provincially in a way that aimed to minimise deaths caused by the non-availability of ICU beds. The results showed a 15% to 99% decrease in lives lost when ICU beds were shifted, depending on the scenario considered. Although there are limitations to the scope and assumptions of this thesis, it demonstrates that it is possible to combine mathematical modelling with optimisation in a way that may save lives through optimal resource allocation.
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institution University of Cape Town (South Africa)
language eng
last_indexed 2026-06-10T12:34:20.437Z
license_str Not specified — see source repository
provenance_str_mv Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository
publishDate 2022
publishDateRange 2022
publishDateSort 2022
publisher Department of Statistical Sciences
publisherStr Department of Statistical Sciences
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source_str UCTD — University of Cape Town Open Access Repository
spelling oai:open.uct.ac.za:11427/35867 Resource constraints in an epidemic: a goal programming and mathematical modelling framework for optimal resource shifting in South Africa Mayet, Saadiyah Silal, Sheetal Durbach, Ian statistical science The COVID-19 pandemic has had devastating consequences across the globe, and has led many governments into completely new decision making territory. Developing models which are capable of producing realistic projections of disease spread under extreme uncertainty has been paramount for supporting decision making by many levels of government. In South Africa, this role has been fulfilled by the South African COVID-19 Modelling Consortium's generalised Susceptible-ExposedInfectious-Removed compartmental model, known as the National COVID-19 Epi Model. This thesis adapted and contributed to the Model; its primary contribution has been to incorporate the feature that resources available to the health system are limited. Building capacity constraints into the Model allowed it to be used in the resource-scarce context of a pandemic. This thesis further designed and implemented a goal programming framework to shift ICU beds between districts intra-provincially in a way that aimed to minimise deaths caused by the non-availability of ICU beds. The results showed a 15% to 99% decrease in lives lost when ICU beds were shifted, depending on the scenario considered. Although there are limitations to the scope and assumptions of this thesis, it demonstrates that it is possible to combine mathematical modelling with optimisation in a way that may save lives through optimal resource allocation. 2022-03-01T16:11:18Z 2022-03-01T16:11:18Z 2021 2022-03-01T16:09:04Z Master Thesis Masters MSc http://hdl.handle.net/11427/35867 eng application/pdf Department of Statistical Sciences Faculty of Science
spellingShingle statistical science
Mayet, Saadiyah
Resource constraints in an epidemic: a goal programming and mathematical modelling framework for optimal resource shifting in South Africa
thesis_degree_str Master's
title Resource constraints in an epidemic: a goal programming and mathematical modelling framework for optimal resource shifting in South Africa
title_full Resource constraints in an epidemic: a goal programming and mathematical modelling framework for optimal resource shifting in South Africa
title_fullStr Resource constraints in an epidemic: a goal programming and mathematical modelling framework for optimal resource shifting in South Africa
title_full_unstemmed Resource constraints in an epidemic: a goal programming and mathematical modelling framework for optimal resource shifting in South Africa
title_short Resource constraints in an epidemic: a goal programming and mathematical modelling framework for optimal resource shifting in South Africa
title_sort resource constraints in an epidemic a goal programming and mathematical modelling framework for optimal resource shifting in south africa
topic statistical science
url http://hdl.handle.net/11427/35867
work_keys_str_mv AT mayetsaadiyah resourceconstraintsinanepidemicagoalprogrammingandmathematicalmodellingframeworkforoptimalresourceshiftinginsouthafrica