Dr b g prakash karnataka GIS presentation

Karnataka Health System Development & Reform Project Karnataka Health Geographical Information System Dr B.G PRAKASH KUMAR Deputy Director (SICF/HMIS) KHSDRP, Bangalore D.L Devaraj, M.Tech.-Geoinformatics Sr Programmer, HMIS Wing KHSDRP, Bangalore GIS - Karnataka Area of Karnataka – 1,91,791 sq.km • • • Population of the State – 5,28,50,562 – Urban Population – 1,79,58,620 – Rural Population – 3,48,91,941 – Male – 2,68,56,343 – Female -2,58,77,615 – % of Urban Population – 33.98% – % of Rural Population – 66.02% Sex Ratio – Urban – 940/1000 – Rural – 976/1000 Literacy – Urban – 81.05% to 74.20% – Rural – 47.69% to 59.68% • No of Districts - 29 • No of Taluks - 176 • No of Revenue villages – 29,406 – No of Habitant villages - 27575 – No of Non-habitant villages - 1908 Health Facilities in Karnataka • • • • • • • • • • • • • No of District Hospitals – 27 No of Taluk level hospitals – 121 No of Sub-divisional hospitals - 27 No of CHCs – 325 No of PHCs – 2195 No of Sub-centres – 8143 No of urban PHCs – 17 No of Maternity Annex – 304 Central Govt Hospital and Dispensaries – 26 Local Body’s Govt Dispensaries – 53 Rural Family Welfare Centres – 269 Urban Family Welfare Centres – 87 Urban Health Centres – 124 Need for GIS  Preventive health care involves health care professionals reaching out to communities and providing health education and prophylactic measure  The issues involved are access (where all a professional can reach from the facility) load or coverage ( how many citizens can be covered with the available resources) use rate ( how much of the resources get used up and why)  These issues are easily analysed using a map based planning system rather than a statistical table based system It is faster, easier to find villages that can be reached in half an hour from a particular PHC on a map Need for GIS The curative aspect involves locating health care facilities appropriately so that the patient does not have to travel too far (access) and equipping the facilities with adequate resources (personnel, equipment, supplies and infrastructure)  GIS mapping can be used to locate availability of facilities with all the adequate resources and to know the distribution of health facilities  Static and semi-static data can be added in layers  Need for GIS  To understand the localization of good or bad performance of the system and the causes for it  A GIS based planning and monitoring solution enhances the ability of health care managers to understand, and use the insight obtained from a locational perspective to plan and implement a programme that achieves the goal of better health care with better resource productivity Source of Data Spatial Data Base Map of village boundary – NIC, Karnataka Data through GPS for locating the Villages, Road Layers and Village Boundaries – Karnataka State Remote Sensing Application Centre Non-spatial Data Data collection from DH, TLH, CHC, PHC, Subcentre, other health facilities Infrastructure, personnel, supplies, diseases, census data and other health related data Background (HMIS/GIS) Phase Creation of Health Jurisdiction database for the entire State Phase Integration of Health Jurisdiction upto PHC level to web enabled DHIS2 Software Analysis of indicators in DHIS2 Software Objective - Health GIS Application Effective utilisation of health infrastructure To improve efficiency in the allocation and use of health resources To improve the quality health services To implement Arc GIS Application which is an interactive spatial analysis tool by which we can perform redistricting, relocating health jurisdiction Areas of Concern • The area shown in Green are the PHCs reporting more than the district average for incidence of TB • The road network is shown to facilitate planning of outreach activities Resource Use • The four hospitals shown had a Bed Occupancy Rate between 80-100 during 2008 • Bed Occupancy range is shown in the map Progress at a glance GIS has been developed and hosted – used for planning Under GIS Mapping, three layers have been incorporated Area marking for PHCs, Sub-centres, taluks and districts for the purpose of programme management Static and Semi-static data is attached as a second layer and is successfully implemented for all the districts GIS Mapping is completed for all the 29 districts in the State and the Static and Semi-static data for all the 29 districts is completed and validation is also completed GIS is made web enabled Blood Bank facilities, ART Centres, 24X7 PHCs, etc Lessons Learnt Due to instability of tenure training to be an continuous ongoing process especially on the job to sustain activities in the field Close monitoring and supervision to be undertaken by district level officials for inculcating continued improvement and sustenance in performance CHALLENGES Collection of data and information – periodic, dynamic and event data collection Reporting delays and data gaps – frequent change of reporting format, training on formats Data quality / validity – Data quality check and validation at various levels Compatibility with survey data System issues Contd., CHALLENGES System issues – Data definition issues on information to be captured Quality checks and using data validation Identifying and notifying nodal officers for HMIS at various levels IT enabling – districts, taluka and facilities Training at various levels Monitoring and evaluation at various levels Increasing information awareness Redistricting Benefit Rationalize the Health services availability by reforming the Health Jurisdiction District officers can Redistrict the PHC boundaries by reallocating the sub-centres Redistrict the sub-centre boundaries by reallocating the villages Plan Ahead Adding both public health facilities and private health facilities to compare the availability of health facilities in each district for infrastructure strengthening plan – Mapping & Analysis Adding various layers like availability of pharmacies, Human Resource management, etc Disease profile and epidemic out-break – Mapping & Analysis Mapping & Analysis of drop-out children – Immunization Vital Statistics of IMR, MMR – Mapping & Analysis Integration of all programmes Plan Ahead Data discipline – Timely data collection, constant verification, scheduled for data validation and monitoring at various level Capacity building / training – Development of module for training, calendar for training various staff at various level Expansion of monitoring activities Specific Software Features • ArcInfo is most completed desktop GIS It includes all the functionality of Arc Editor and Arc View and adds advanced spatial analysis, extensive data manipulation, and high-end cartography tools Organizations use the power of Arc Info every day to create, edit, and analyze their data in order to make better decisions, faster Arc Info is the de facto standard for GIS • With Arc Info, one can Perform advanced GIS data analysis and modeling Take advantage of tools designed for overlay analysis, proximity analysis, surface analysis, and raster processing and conversion Publish and convert data in many formats Create and manage personal geodatabases, multiuser geodatabases, and feature datasets Use high-end cartography tools to generate professional-quality, publication-ready maps Design customized symbols and place sophisticated annotation and labels on your maps Redistricting - Split Benefit The User can split a overpopulated Health Jurisdiction to form a new Health Jurisdiction (PHC / SC) District officers can split PHC/Sub-centre boundary to create a new PHC/Sub-centre New PHC/Sub-Centre location will be created Usage of Split facility in GIS The splitting was done using the tool provided using tools and a proposal was created The new populations are Sudi Nidagundi 36403 28863 Relocating Benefits  To rationalize the Health Services Infrastructure to serve allocated population, presently there are anamolies between the prescribed population level and actual population served by a Health Centre  Position of a Sub-Centre or a PHC can be changed to facilitate better access for citizens Redistricting - Modify Benefit User can move a particular village from one health jurisdiction to another health jurisdiction to reform the service availability District officers can move Sub-Centre/Village to a different PHC/Sub-centre Attribute data will be updated ... depicting Low Birth Weight Name of the District BAGALKOTE BANGALORE RURAL BANGALORE URBAN BBMP BELGAUM BELLARY BIDAR BIJAPUR CHAMARAJA NAGAR CHIKKABALLAPUR CHIKMAGALUR CHITRADURGA COORG DAVANGERE... Health Geographical Information System Dr B. G PRAKASH KUMAR Deputy Director (SICF/HMIS) KHSDRP, Bangalore D.L Devaraj, M.Tech.-Geoinformatics Sr Programmer, HMIS Wing KHSDRP, Bangalore GIS - Karnataka... the Sub-centre – Within the village / far away from the village Sub-centre building – Govt./rented/donated/no building Junior Health Assistant (Female) – Working / Not working Functioning of clinical