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Geovisualization: A Newer GIS Technology for Implementation Research in Health

Journal of Geographic Information System 2015年第1期7卷 20-28页

作者： Sandul Yasobant kranti suresh vora Carl Hughes Ashish Upadhyay Dileep V. Mavalankar Indian Institute of Public Health-Gandhinagar Ahmedabad India McGill University Montreal Canada

Use of GIS in public health is currently limited to tracking immunizations, disease surveillance, and establishing new service areas. The potential of GIS to improve planning, implementation and monitoring of programs and to inform policymaking processes for universal access to healthcare is grossly underutilized. Major reasons for restricted use are paid access to GIS software and difficult interpretation for non-GIS professionals. WebGIS technologies present an opportunity for non-GIS public health professionals to present complex data and findings in simpler manner. Conventional GIS methods and Geovisualization are compared and contrasted in this paper using data from the MATIND project in the Gujarat state of India. In-depth literature review on GIS techniques used in health implementation research was conducted. In this paper, MATIND data have been used for comparing conventional GIS methods with a newer web based GIS tool-Geovisualization. GIS software is more useful for analytical purposes;whereas web based geovisualization techniques are much better for visualization and easy interpretation of results by non GIS public health researchers. As the images are easy to interpret, interactive/dynamic and not much technical expertise is required to perform basic analysis, the tool is useful for policy makers and planners. Geovisualization provides a user-friendly tool for presenting large scale community based survey data. Increased use of this tool will help to present implementation research in a creative way to the program planners and policy makers. For program managers, it is a useful tool to monitor implementation and impact of a program to improve health of population.

关键词： Geovisualization GIS Public Health

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Community Based Survey Methodology for Maternal Healthcare Utilization: Gujarat, India

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Health 2016年第14期8卷 1542-1553页

作者： kranti suresh vora Kristi Sidney Annerstedt Dileep V. Mavalankar Nishith B. Dholakia Sandul Yasobant Shahin Saiyed Ashish Upadhyay Ayesha De Costa Indian Institute of Public Health Gandhinagar India Public Health Sciences Karolinska Institutet Stockholm Sweden Department of Health & Family Welfare Government of Gujarat Gandhinagar India

Background: About 60% of institutional births occur in the private sector in Gujarat due to limited availability of obstetricians in the government. Chiranjeevi Yojana (CY), a voucher-like program initiated in 2007, accredits private obstetricians who are reimbursed by the state government to provide free delivery care to eligible women i.e. below poverty line and tribal. One million women have delivered under the CY program yet there are no large community based studies of the program. Methodology of a prospective community study is described here. Methods/Designs: A prospective cohort study was done in 142 villages across 3 districts in Gujarat between July, 2013 and November, 2014. A detailed survey was done by trained researchers to ascertain maternal healthcare information including antenatal, intra-partum and post-partum care, place of delivery, birth outcomes, out of pocket expenses etc. Results: 54,955 households were surveyed. 73% of all households had poverty documentation. 4274 mothers who delivered in the study period were included. Discussion: This paper is description of the methodology of a large community based survey and household and individual level characteristics. The survey was nested in a larger project to evaluate the CY program in the state of Gujarat.

关键词： India Demand Side Financing Maternal Morality Chiranjeevi Yojana Community Based Survey

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