Geography and Public Health: Using Technology to Strengthen Programs ANDREW INGLIS: USAID | DELIVER PROJECT OCTOBER 8, 2010 Public Health Technology Geography Role of Geography in Public Health • John Snow’s map of Broad Street pump: – map did NOT identify the pump as the cause – map was used to demonstrate and explain the relationship between the pump and cholera outbreak Role of Geography in Strategic Thinking • Use to inform decision makers: – visually – point of discussion – explaining plans • Military • Transport • Urban Photo: A.Inglis 2005 Pre- and Post-GIS • Pre-GIS – Mapping was generally limited issues directly related space; • Land tenure, navigation, military, transport, etc… – Expensive, time consuming and activity specific maps • Post-GIS – Mapping applications was expanded and made accessible • Health, shopping, population, recreation…. – Linking data to a geographic location GIS Software • Proprietary software • Open source GIS GRASS GIS Google Earth • Great idea with real applications Interactive Session How to Use the Functionality • Web mapping – Sharing – Interactive (also Desktop) – Geo RSS feeds • Central Data linked to Decentralized Data – Central Health Facility Database – Crowd sourcing information • Geo Mobile technology How do I use this spatial information to make a decision? What Can We Learn from Past Use of Mapping in Public Health? • Explain/demonstrate patterns • Identify gaps • Generate points of discussion What Has Changed • Speed (potentially near real-time mapping) • Ability to make maps – Non-GIS users can make maps • Accessibility – On and offline mapping • Sharing maps – Across the internet • Interactive maps – No longer just paper maps! What Has Not Changed • Reliance on good/organized data • Needs when making decisions – Right Information – Right Time – Right Place – Right Scale How Has Technology Shaped the way make maps and use maps? • Change paradigm – From one-off to continuous mapping • Moving from a single purpose surveys • Multiple purpose mapping – Potential of integration data • Linking using geography between different datasets – Transport, Education, Health, etc… Example: Rwanda • Supply Chain • Census • MEASURE DHS Interactive Session