Health GIS for Public Health Monitoring in Thane

Health GIS for Public Health Monitoring in ThaneDr. R. T. Kendre,

MOH, Health Department, TMC

7/16/2012

Agenda

• City of Thane

• Healthcare objectives, India

• TMC Health Functions

– Current Process

– Challenges

– Geographic Aspect of Health Governance

• Geo‐spatial Application

– Geo‐Spatial Technology Enablement

– Technology Backbone

– GIS System – Functional Dashboard

– Seamless Integration

• Benefits

27/16/2012 TMC Confidential

City of Thane – Quick Facts

• Thane is one of the oldest cities in India, with its history dating back to about 2,000 years

• The city covers a vast area of about 128 Sq. Km. with population density of over 14000/sq.km.,

(Present population – 1.84 m, projected population (2031) – 3.4 m)*

• The Thane Municipal Corporation (TMC) is one of the most advanced local governments in India

• TMC has been undertaking multiple developmental projects and schemes for the all round

development of the city

Key projects undertaken by TMCStation Area Traffic

Improvement Scheme (SATIS)‐ For improved travel experience in terms of traffic speed, wait time &

pollution control

Integrated Drainage Development Project

‐ For efficient storm water disposal, & minimum water logging

Underground Sewerage Scheme‐ For efficient creek conservation, flora and fauna preservation, and improved

public health conditions

Services for Urban Poor‐ For improved housing, water supply, sanitation, quality education and other

amenities

Enhanced Bus Procurement

‐ For enhanced public transport efficiency and service

Slum Free City Plan‐ Selected by Govt. of India amongst other 23 substantial cities for the slum

free city program

Hybrid Transit System

‐ For advanced connectivity with nearby metros

Water Front Development‐ For improved water transport, tourism, recreation, housing and

commercial development

Upcoming projects

Creating Additional 110 Mega Liters per Day (MLD) water source‐ For reduced water dependency, improved energy and water conservation and reduced

operational costs

*Census 2011 3 TMC Confidential

TMC – Awards & RecognitionsThe corporation’s conviction for continuous improvement is proven by the many awards won in various fields over the last three decades.

National Award for best Multimodal Transport Initiative ‐ 2009

‘Scotch’ Award for E‐Portal ‐ rated amongst the top 100 ICT PROJECTS in India in 2011

Two State level Awards for Excellence in Energy Conservation ‐ 2009‐10

Two State level Awards for Energy Conservation & Excellent Management ‐ 2008‐09

Accommodation Times awards for ‘Municipal Corporation Of The

Year’ ‐ 2007

‘Excellence in Municipal Initiatives ‘award by ‘CRISIL’ ‐ 2004‐2005

Zonal Award ‐ Sant Gadhgebaba Gram SwachataAbhiyan from the State Govt. ‐ 2003‐2004

Clean City Award, India by HUDCO ‐ 1999‐2000

“Best Practice for Improved Living Environment” award by Housing and Urban Development Corporation Ltd

(HUDCO) ‐ 2011‐12

State Level Vasundhara Award for Environmental Initiatives ‐ June 2010

ABCI National Level Award for excellent Public Relations ‐ 2009

Sector Award at State level for Solid Waste Management –

2007‐08

National Award for Energy Conservation ‐ 2005

‘Excellent Energy Conservation’ award from the Maharashtra Energy

Development Agency ‐ 2003 & 2004

Pollution Control Lab recognition by Govt. of India ‐ 2002

First Municipal Corporation to implement Solar operated water heating system across all buildings


TMC –Structural OrganizationPrabhag Samiti Health Post

Wagalekajuwadi

Kisan NagarShivaji Nagar

RailadeviSavarkarWagale

Vartak

VartakGandhi Nagar

KorasChirag Nagar

Manpada

ManpadaAnand Nagar

DhokaliBalkumMajiwada

UthalsarUthalsarC R Wadia

NaupadaAurvedikNaupada

Kopari Kopari

KalwaKalwa

KhargoanAttkoneshwar

MumbraMumbraKaussaShil


Healthcare Objectives, India

• Ensuring health and welfare for India’s vast, billion‐plus population

• Effective execution support for various government health schemes and advances

• Addressing maternal and infant mortality ‐ two of the country’s biggest challenges

• Addressing the decreasing child female to male ratio issue

• Addressing the region‐specific health needs of people – due to the diverse socio‐cultural groups prevalent in the country

• Reducing the high infant malnutrition and death rates ‐mainly due to lack of awareness and socio‐cultural taboos with respect to adequate breastfeeding and nutrition

• Reducing the significant communicable disease burden across the country

• Protecting citizens from the dangers of numerous health hazards and diseases posed by increasing urbanization and environment degradation

• Reducing vulnerability to natural disasters due to adverse climatic and geographic conditions

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TMC – Health Functions

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TMC ‐ Health Functions


Health Reporting

Complete Health Mapping

Disease / Epidemic

Management

Emergency Management

Inventory Management

Citizen Service

Managing Health Functions: Earlier Process

• Hospitals• Government Health Posts • Medical Centers• Clinics• Blood Banks• Other Medical Facilities

Citizens (more than 1.8m)Public Schools (~200)

~ 30 Extensive forms /day

Manual Data Review

Manual Data Consolidation

Analysis Reports

Manual Data Mapping andInterpretation

Manual Data Collection

Data Sources


Health Reporting


Disease / Epidemic

Management



Citizen Service

Decision Engine

Challenges

• Most of the information lacks geographic intelligence

• Inadequate coverage across citizens, hospitals and other medical facilities leading to

poor health mapping

• Limited understanding of citizen health needs to ensure appropriate health schemes

planning

• Inability to provide timely, consolidated and accurate service information to State

govt. / Central govt. / citizens

• Limited functional integration, leading to heterogeneous process and information sets

• Excessive wastage of manpower, material, time & costs


Geographic Aspect of Health Governance

7/16/2012 TMC Confidential11

Which areas are most affected by this particular epidemic.

How is the disease pattern changing geographically

How to ensure complete coverage and execution of vaccination campaigns

How does location impact child sex ratio

How to best manage logistics and resources

How to make data collection and management more accurate and quick

How to effectively reach out to needy communities How to best manage

information management costs

How to regularly track and address citizen needs

How do I give citizens access to accurate and authenticated health information

GIS Solution

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Geo‐Spatial Technology Enablement

All these challenges along with the demand for highly responsive public health

services led to TMC seeking an advanced technology solution that could:

• Effectively capture, converge and use geographic data

• Gain spatial aspect of population spread, issues, events, outbreaks and facilities

• Manage huge amounts of geographically spread information generated through

incidents and activities on a daily basis

• Ensure the right analytics to make the most effective and immediate use of this

geographically spread information


Technology Backbone

Citizens Government Health Posts

Hospitals ClinicsMedical Centers

Blood Banks

Other Medical Facilities

Web Based Application

Geo‐ database Arc GIS SDE

Web UsersInter Departmental

Officials

GIS SYSTEM

Information Management Emergency Management

Reports Inventory Management

Disease Mapping Citizen Service

Blood BanksMajor Medical StoresAmbulance Service Stations

Police Station LocationsPolice Station Service AreasHealth Post Location

Ultrasound CentersPopulation Census ZonesSchools and Social Gathering Places

Web Based Application


GIS System

Functional Dashboard

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Exit Functional Dashboard



On‐line forms for hospitals & health posts

Centralized repository of all forms and information

In‐built forms tracking & data review mechanism

Independent registrations, log‐ins & application access controls for hospitals,

health posts and TMC functions

Health Reporting

Multiple predefined reports (over 20 ) with graphical representations

Advanced, on‐demand report facility

26‐Indicator tab for complete, month‐wise snapshots spanning various parameters – births, vaccinations,

health schemes, diseases, deaths, etc.


Continuous health‐stock inventory tracking ‐ by type of inventory

(medicines, surgical items, pathology reagents , venoms, vaccines etc.) across

all health posts & hospitals

In‐built alert system to monitor inventory below a pre‐defined level

(25% )

Disease / Epidemic Management

Advanced thematic maps for spatial disease mapping

Detailed heat maps to map disease intensities by location

Advanced disease analysis & reporting to identify areas prone to malnutrition,

air & water‐borne diseases, socio‐economic issues and other health

problems including epidemics such as H1N1, Malaria, Dengue, Lepto-

spirosis etc.


Advanced thematic maps for complete information on various health outbreaks

and emergencies

Advanced search for nearest health facilities (hospitals, investigational

facilities, ambulance services, blood banks, medical stores etc.) to address health

emergency situations

Citizen Service

Advanced search for nearest health facilities with their detailed profiles

Comprehensive network analysis to find best routes to the required health

facilityOnline citizen portal incorporating

citizen feedback & complaint redressal (garbage disposal, water logging,

mosquito nuisance, stray, dead & wild animal issues, fallen tree issues, traffic

reports etc.)

Complete Health MappingForms tracking across hospitals and health posts


Health Reporting

Birth report for a chosen time period across the region

17 TMC Confidential

Health Post:

Health Reporting – Contd.

26 Indicator ReportExit Functional Dashboard

Disease / Epidemic Management

H1N1‐ Heat Map for a chosen time window

Disease / Epidemic Management– Contd.

Malaria ‐ Heat Map for a chosen time windowExit Functional Dashboard

24 3

Emergency ManagementFinding nearest Hospital

Emergency Management – Contd.

Route Generation for a chosen facilityExit Functional Dashboard

Inventory ManagementStock Management Report for a chosen Health Post Exit Functional

Dashboard

Citizen ServiceCitizen Service Request


Seamless Integration

Seamless integration with other GIS processes / applications, leading to increased

operational efficiency and reduced data management costs, time and effort.

State / Local GovernmentsSANITATION

INFORMATION & PUBLIC RELATIONS

HEALTH GIS

TRANSPORT

POLLUTION CONTROL EDUCATION

FIRE CONTROL


Benefits

• Optimized health information management with significant reduction in time, effort and costs

• Efficient health monitoring through continuous availability of most current and accurate health information

• Advanced analytics and reporting to support efficient health services, planning and administration• Improved disease management and control

• Continuous monitoring of key health factors such as birth / death rate, child sex ratio etc.

• Efficient health / vaccination campaign execution

• Timely monitoring and provision of health resources

• Highly responsive health emergency management

• Enhanced citizen services

• Self‐driven health management structure with end‐to‐end process automation, allowing TMC officials enough time to focus on core activities


Thank You

Documents

Health GIS for Public Health Monitoring in Thane