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
Area: 555,000 km2 Population: 20 million (2004 Census)
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)
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
Step 1: Identify health facilities with immunization services and a vaccine refrigerator (YELLOW points)
Step 2: Analyze the immunization services network by dividing area according to closest proximity to service provider (LT GREEN area)
Step 3: Analyze the 60-minute walking accessibility/coverage area (LT BLUE)
Step 4: Identify and prioritize underserved areas and target communities or health facilities for intervention (RED vs. YELLOW OR GREEN areas)
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).
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.
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.
Thank you Reports related to this presentation are available at www.HealthSystem2020.org