Stéphane Verguet

Yohai Trabelsi, Guojun Xiong, Fentabil Getnet et al.

Ethiopia's Ministry of Health is upgrading health posts to improve access to essential services, particularly in rural areas. Limited resources, however, require careful prioritization of which facilities to upgrade to maximize population coverage while accounting for diverse expert and stakeholder preferences. In collaboration with the Ethiopian Public Health Institute and Ministry of Health, we propose a hybrid framework that systematically integrates expert knowledge with optimization techniques. Classical optimization methods provide theoretical guarantees but require explicit, quantitative objectives, whereas stakeholder criteria are often articulated in natural language and difficult to formalize. To bridge these domains, we develop the Large language model and Extended Greedy (LEG) framework. Our framework combines a provable approximation algorithm for population coverage optimization with LLM-driven iterative refinement that incorporates human-AI alignment to ensure solutions reflect expert qualitative guidance while preserving coverage guarantees. Experiments on real-world data from three Ethiopian regions demonstrate the framework's effectiveness and its potential to inform equitable, data-driven health system planning.

Davin Choo, Yohai Trabelsi, Fentabil Getnet et al.

As part of nationwide efforts aligned with the United Nations' Sustainable Development Goal 3 on Universal Health Coverage, Ethiopia's Ministry of Health is strengthening health posts to expand access to essential healthcare services. However, only a fraction of this health system strengthening effort can be implemented each year due to limited budgets and other competing priorities, thus the need for an optimization framework to guide prioritization across the regions of Ethiopia. In this paper, we develop a tool, Health Access Resource Planner (HARP), based on a principled decision-support optimization framework for sequential facility planning that aims to maximize population coverage under budget uncertainty while satisfying region-specific proportionality targets at every time step. We then propose two algorithms: (i) a learning-augmented approach that improves upon expert recommendations at any single-step; and (ii) a greedy algorithm for multi-step planning, both with strong worst-case approximation estimation. In collaboration with the Ethiopian Public Health Institute and Ministry of Health, we demonstrated the empirical efficacy of our method on three regions across various planning scenarios.