Using HIS/GIS Data

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Using HIS/GIS Data Tools to Improve Resource
Allocation The Yemen Experience

• Abdulkader Nueman
• Abt Associates Inc.

APHA 136th Annual Meeting Expo San Diego,
California October 25-29, 2008
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Area 555,000 km2
Population 20 million (2004 Census)
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Overview

• USAID/Yemen supported development of a national
  health database linked to census
• MOPHP at central and decentralized levels now
  able to make informed decisions - identifying
  gaps for better planning and targeting human and
  financial resources
• Transparency - Information made available to be
  used by a broad group of users (no more hiding
  information)

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Yemen Health GIS Tools

• Facility Survey Analyzer Query/analytical tool
  using the health facility survey data
• Demographic Profiler Generates density maps
  based on key demographics
• Manpower Tracker Profiles health occupations
  using pie charts and bar graphs
• Facility Accessibility Mapper Calculates and
  displays the area surrounding a health facility
  that meets a user-defined time-travel
  accessibility criteria.
• Service Network Provider Illustrates health
  care service networks
• Health Care Gap Analyzer Identifies gaps in
  health care coverage according to user
  specifications
• Immunization Manager Time series analysis of
  routine immunization coverage and vaccine wastage
• Data Integrator Rapid integration of user data
  into HIS database

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Step 1 Identify health facilities with
immunization services and a vaccine refrigerator
(YELLOW points)
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Step 2 Analyze the immunization services
network by dividing area according to closest
proximity to service provider (LT GREEN area)
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Step 3 Analyze the 60-minute walking
accessibility/coverage area (LT BLUE)
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Step 4 Identify and prioritize underserved
areas and target communities or health facilities
for intervention (RED vs. YELLOW OR GREEN areas)
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Step 5 Evaluate immunization gaps compared to
an analysis of 60-minute accessibility area for
immunization services added to user-selected
existing facilities (WHITE area) and/or initiated
at potential new facilities (GRAY area).
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Use of Health Care Decision Results

• MoPHP/Local Authorities are using health GIS to
  identify and prioritize underserved areas and
  target communities or health facilities for
  intervention.
• MoPHP/Donors are using health GIS to identify and
  prioritize underserved areas and justify
  reallocation of fund.
• Local Authorities are using health GIS to justify
  (re)allocation of resources.
• Governorate health officials are using health GIS
  to analyze routine immunization coverage, project
  vaccine needs, and track vaccine wastage.

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Use of Health Care Decision ResultsContinued

• Governorate health officials are using health GIS
  for tracking resources and eliminating
  duplication in service coverage.
• Governorate health officials are using health GIS
  to identify and prioritize areas for mobile
  medical services.
• Governorate health officials are using health GIS
  to identify and prioritize rural facilities in
  need of electricity to support cold chain.
• Governorate health officials are using health GIS
  to prioritize deployment of new staff.

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Thank you

• Reports related to this presentation
• are available at www.HealthSystem2020.org