Geo-dataset andGlobal health facility locator
Dr Ramesh S. Krishnamurthy
World Health Organization
JAXA Symposium for data applications of earth observation satellites 2015- Earth observation for decision-making in people's lives Date: November 2 (Mon), 2015 (14:30-17:30)
Venue: Tower Hall, Roppongi Academyhills

Outline• World Health Organization• Example of use of geospatial information• Geodataset and global health facilities locatorAbout theWorld Health Organization

About the World Health Organization• the directing and coordinating authority for healthwithin the United Nations• responsible for providing leadership on global healthmatters, shaping the health research agenda, setting
norms and standards, articulating evidence-based policy
options• provide technical support to strengthen their healthsystems and in reaching health-related targets of theoverall SDGs
• the World Health Assembly is the decision making bodyof WHO

World Health Organization
Director-General

Clusters

Family, Women's and Children's
Health (FWC)

HIV/AIDS, TB, Malaria andNeglected Tropical Diseases(HTM)

General Management Cluster

Noncommunicable Diseasesand Mental Health (NMH)

Health Security and Environment(HSE)

Polio, Emergencies and Country
Collaboration (PEC)

Health Systems and Innovation(HIS)Milestones - eHealth and Health Information Systems

WHA66.24

2013:
Adoptionresolutionon
Recognized
the ofvalueof adoption
eHealthStandardization
andofstandards
for interoperability
th World
Interoperability
by66
and strengthening
Health Assembly
Health information systems
Source: http://apps.who.int/gb/ebwha/pdf_files/WHA66/A66_R24-en.pdf

Recent example 1
Use of geospatial informationin pubic healthField operations related toEbola Viral Disease

Source: Krishnan, WHO/PEC, 2015

Journey of map through the Ebola crisis

Source: Krishnan, WHO/PEC, 2015

Ebolaoutbreakevolution

Source: Krishnan, WHO/PEC, 2015

OriginalEpicenterEbola maps

Study to see if there is correlation between cases and the rainfall
Source: Krishnan, WHO/PEC, 2015

Recent example 2
use of geospatial informationin pubic health
Polio eradication

Need for accurate Digital Elevation Model(DEM) data to determine the location ofsurveillance sites in specific geographic areas

Environmental Surveillance Site Assessment- catchment area size, location and population estimates

Digital Elevation Map (DEM) layers can detect changes in elevation based on theresolution. For 30 meter resolution, the contour lines are spaced 30 meters apart.
Source: Okayasu and Takane, WHO/PEC, 2015

Junction PointEst. Population
Collected at Junction

WatershedCatchment

Drainage Line

Analysis of elevation enabled the better selection of environmental surveillance sites
Source: Okayasu and Takane, WHO/PEC, 2015

Geodataset andGlobal Health Facility Locator

Context

Goal
In cooperation with Member States,
Intergovernmental and Non Governmental
Organizations, UN OOSA and Space Agencies,
WHO would facilitate the development of acountry-specific Geo-dataset and a Global
health facility locatorPROVISIONAL CONCEPT DOCUMENT:NOT FOR CITATION

Global Health Facilities Locator

CONCEPTPROVISIONAL CONCEPT DOCUMENT:NOT FOR CITATIONDATA MANAGEMENT

Global Health Facilities Locator

CONCEPTCountry Ministries of Health+ WHO Validation

Community Managed Data

Country/Regional
Space Agency

PROVISIONAL CONCEPT DOCUMENT:NOT FOR CITATIONDATA DISPLAY

Global Health Facilities Locator•Source: OpenStreetMap.org (data license: OpenStreetMap is open data, licensed under the Creative Commons Attribution-ShareAlike 2.0 licence (CC BY-SA);
Special Recognition: Dr. Markus Neteler and his team, Fondazione E. Mach, Italy

PROVISIONAL CONCEPT DOCUMENT:NOT FOR CITATIONDATA ACCESS

Global Health Facilities Locator•Source: OpenStreetMap.org (data license: OpenStreetMap is open data, licensed under the Creative Commons Attribution-ShareAlike 2.0 licence (CC BY-SA);
Special Recognition: Dr. Markus Neteler and his team, Fondazione E. Mach, Italy

Use of GIS and Remote Sensing
disease layer

Source: Rezende, A., et.al. 2006. IntegraEpi-GIS: A Geographic Information System to
Visualize and Analyze the Spatio-Temporal Patterns of the Spread and Control ofEpidemics.

Dataset Requirement Matrix
Data setrequired toPrevention

for deriving Minimum Data Set ofWHO’s EMD information platform

Preparedness

Response

Recovery

Data from External sources

Data from WHO Internal sources(National EOC/situation reports, HMIS, routine disease
specific active/passive surveillance/ notificationsystems)(EMS, GSM, GORON, GHO, SHOC Reports, WR Roster,
Deployment Roster, Oracle Financial System)

Exhaustive List of disease/conditions list (ICD)

List of donor andpartner agencies

Health facilities

Health workforce(all types and levels)(all cadre)

Example:Essential Medical devices
Logistics• 5m-resolution DEM data
Satellite Imagery
Other remotely sensed data
• PRISM B/W image, 2.5m (temperature,resolution.
precipitation, terrain and topology)(various types and resolutions)• AVNIR-2 color image, 10m
Geographic Information
System with shape files, base maps
resolution.
Essential Medicine

Transportation assets

Country-specific Population Data

(Airport locations, transportation hubs, Road network maps)(/sub-national level; projections, census, actual)Use of GIS and Remote Sensing51 meters

Measuring Implementation Progress Over Time
Figure depicting Countries at Various Levels of HIS Maturity

3210

Potential Space Technology Applications
to Global Health Facilities Locator• Linking GPS Location, remote sensing imagery, thermal maps,
weather data, GIS shape files, to all Health Facilities• Developing advance visualization tool for tele-epidemiology,
telehealth, and health emergency response• Linking Health Workforce (Human Resources) and HealthCommodities data
• Link information on Public Safety and other Public Health andEmergency Management entities

Potential Users• Federal and State Ministries of Health; Local
Governments and authorized bodies• Intergovernmental and Non Governmental
Organizations• United Nations System• Communities-at-largeWay forward• Designing health information
platform to facilitate publichealth emergency response
and monitoring of routine
health information• Establishing data sharing
agreements with partners