We introduced the tool to representative midwives from all districts of Nusa Tenggara Timur province and to staff of Kupang district planning agency. We added a cost-benefit analysis to the model: cost is the budget for building the infrastructure benefit is the number of people who can travel to the EMOC in less than 1 hour if the planned infrastructure is built.
This model has two inputs: the location of the EMOC facility ( PONED) and the travel cost of moving across geographical features in the rainy and dry seasons. The scenario model was developed using the geographic information system tool in NetLogo. The aim of this study was to develop a scenario modelling tool to be used in planning to improve access to EMOC in eastern Indonesia. District governments in eastern Indonesia need effective planning to improve access to EMOC. Long travel times needed to reach emergency obstetric care (EMOC) is one cause of maternal death. The rate of maternal deaths in remote areas in eastern Indonesia–where geographic conditions are difficult and the standard of infrastructure is poor–is high.
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