Health Assets Health Assets

Mapping:Mapping:

GRHAM, ARHAP, GRHAM, ARHAP,

HealthMapper & MoreHealthMapper & More

Health Assets MappingHealth Assets Mapping

1) What do we mean by mapping?

2) Mapping initiatives in progress

- ARHAP, PQMD, GRHAM

3) Status of Mapping in various countries

4) Mapping Software demonstrations

5) Next Steps

What is Mapping?What is Mapping?

Mapping of Religious Health Assets is a Mapping of Religious Health Assets is a spectrum of activities to facilitate macro & spectrum of activities to facilitate macro & micro-planning. micro-planning.

Health Assets includes health facilities, Health Assets includes health facilities, programs, congregational health, human programs, congregational health, human resources, etc.resources, etc.

Mapping must be much more than the GIS Mapping must be much more than the GIS pinpointing of health facilities on a map.pinpointing of health facilities on a map.

Mapping can also be a participatory process Mapping can also be a participatory process for analyzing and using mapping data in for analyzing and using mapping data in decision-making at all levels.decision-making at all levels.

A

B

SANRU III SANRU III Vaccination Vaccination Coverage in Coverage in DR CongoDR Congo

Why Mapping?Why Mapping?

Faith-Based Organizations provide Faith-Based Organizations provide significant health services in the significant health services in the developing worlddeveloping world

FBO Network Opportunities in AfricaFBO Network Opportunities in Africa

African CHAsAfrican CHAs Lesotho – CHALLesotho – CHAL Zimbabwe – ZACHZimbabwe – ZACH Zambia – CHAZZambia – CHAZ Malawi – CHAMMalawi – CHAM Tanzania – CSSCTanzania – CSSC Kenya – CHAK & KECKenya – CHAK & KEC Uganda – UPMB, Uganda – UPMB,

UCMB UCMB Sudan - CHASSudan - CHAS Nigeria - CHANNigeria - CHAN Ghana – CHAGGhana – CHAG Liberia – CHALLiberia – CHAL Sierra Leone - CHASLSierra Leone - CHASL

Why Mapping?Why Mapping?

Faith-Based Organizations provide Faith-Based Organizations provide significant health services in the significant health services in the developing worlddeveloping world

FBOs are too often not effectively FBOs are too often not effectively integrated into national health integrated into national health systemssystems

The Hospitals of DR Congo (c. 1960)The Hospitals of DR Congo (c. 1960)

Why Mapping?Why Mapping?

Faith-Based Organizations provide Faith-Based Organizations provide significant health services in the significant health services in the developing worlddeveloping world

FBOs are too often not effectively FBOs are too often not effectively integrated into national health systemsintegrated into national health systems

““Mapping” FBOs can provide Mapping” FBOs can provide information to help improve information to help improve collaboration and planning among collaboration and planning among stakeholders at all levels.stakeholders at all levels.

Mapping InitiativesMapping Initiatives

SAM SAM ARHAPARHAP PQMDPQMD GRHAMGRHAM & More& More

SAM: Service Availability SAM: Service Availability MappingMapping

SAM is a tool to collect and present health SAM is a tool to collect and present health services information, e.g., infrastructure, services information, e.g., infrastructure, human resources and services. human resources and services.

SAM helps district health management SAM helps district health management teams to map and monitor service and teams to map and monitor service and resource availability on a regular basis.resource availability on a regular basis.

SAM is made up of a survey methodology, SAM is made up of a survey methodology, remote field data collection devices, and remote field data collection devices, and WHO's HealthMapper applicationWHO's HealthMapper application

SAM FindingsSAM Findings The SAM can provide a snapshot of service The SAM can provide a snapshot of service

availability for key interventions such as availability for key interventions such as HIV/AIDS, MCH, TB and other services. HIV/AIDS, MCH, TB and other services.

PDAs are a useful way of collecting information PDAs are a useful way of collecting information

While there has been an effort to include private While there has been an effort to include private facilities, these facilities are under reportedfacilities, these facilities are under reported

Validation studies have shown how to improve Validation studies have shown how to improve SAM in terms of process, questionnaire & SAM in terms of process, questionnaire & implementation.implementation.

1414

African Religious Health African Religious Health Assets ProgrammeAssets Programme

(ARHAP)(ARHAP)

Mapping and Strengthening Mapping and Strengthening Assets, Agency, and AlignmentAssets, Agency, and Alignment

Overall ARHAP Overall ARHAP Purpose:Purpose:

• To develop a systematic knowledge base ofTo develop a systematic knowledge base ofreligious health assets in sub-Saharan Africareligious health assets in sub-Saharan Africa

• To align and enhance the work of religious health To align and enhance the work of religious health leaders & public policy decision-makers in their leaders & public policy decision-makers in their collaborative effort to meet the challenge of collaborative effort to meet the challenge of disease such as HIV/AIDS…disease such as HIV/AIDS…

• To participate in the creation of health,To participate in the creation of health,especially for those in poverty…especially for those in poverty…

• And…to foster a truly global initiative.

WHO Project: Lesotho & Zambia

Identify, assess, and map Religious Health Assets, Identify, assess, and map Religious Health Assets, in support of HIV/AIDS and related programs at in support of HIV/AIDS and related programs at the Province or District Levelthe Province or District Level

Two ComplementaryWays of MappingTwo ComplementaryWays of MappingI. I. Participatory MappingParticipatory Mapping (community & (community & leadership)leadership)• Appreciative Inquiry (AI)Appreciative Inquiry (AI)• Participatory Rural Appraisal (PRA)Participatory Rural Appraisal (PRA)• Participatory Learning and Action (PLA)Participatory Learning and Action (PLA)

II. II. GIS MappingGIS Mapping• Based on WHO’s HealthMapper SystemBased on WHO’s HealthMapper System

Mushili Community Workshop – Ndola, Zambia, Nov ‘05

PIRHANAPIRHANA: : PParticipatory articipatory IInquiry into nquiry into RReligious eligious HHealth ealth AAssets, ssets, NNetworks, and etworks, and

AAgencygency

1)1) Context for religion and health in this Context for religion and health in this communitycommunity

2)2) Factors For and Against Health &Well-Factors For and Against Health &Well-BeingBeing

3)3) Public/Private Entities and Relative Public/Private Entities and Relative Contributions to Health & Well-BeingContributions to Health & Well-Being

4)4) Relative Contribution of Religion to Health, Relative Contribution of Religion to Health, Well-Being, HIV/AIDS Well-Being, HIV/AIDS

5)5) ““Best” or ”Most Effective” Religious Best” or ”Most Effective” Religious Entities & ProgramsEntities & Programs

6)6) Local Commitment and Follow-upLocal Commitment and Follow-up

ARHAP Next StepsARHAP Next Steps

Deeper Analysis of Workshop DataDeeper Analysis of Workshop Data

Follow-up for Greater Profiling & “Best Follow-up for Greater Profiling & “Best Practices”Practices”

Synthesis, Comparison, Contrasting of Synthesis, Comparison, Contrasting of Findings Findings

Integration with WHO’s HealthMapper System Integration with WHO’s HealthMapper System

Strengthened Networking of Community & Strengthened Networking of Community & ProvinceProvince

Potential Replication through ARHAP Training Potential Replication through ARHAP Training and Technical Assistanceand Technical Assistance

PQMD:PQMD: Partnership for Quality Medical DonationsPartnership for Quality Medical Donations

Mission:Mission: Dedicated to high Dedicated to high standards in medical products for standards in medical products for under-served people.under-served people.

The fundamental purpose of GIS in The fundamental purpose of GIS in philanthropy and grant making is to philanthropy and grant making is to identify the geographical areas that identify the geographical areas that require the greatest potential for require the greatest potential for giving or receiving.giving or receiving.

PQMD Mapping ObjectivesPQMD Mapping Objectives

1)1) Mapping to assist members in info sharing Mapping to assist members in info sharing and planning, e.g., monitoring product and planning, e.g., monitoring product donationsdonations

2)2) Educate the public about member workEducate the public about member work

3)3) Facilitate discussion with key stakeholders Facilitate discussion with key stakeholders to leverage resources and identify unmet to leverage resources and identify unmet needsneeds

Google MappingGoogle Mapping

“ “Google” mapping is a technique to Google” mapping is a technique to estimate GIS coordinates through estimate GIS coordinates through satellite maps rather than through satellite maps rather than through direct measurement with GPS units.direct measurement with GPS units.

See Glen Brubaker of I.M.A. for more See Glen Brubaker of I.M.A. for more informationinformation

GRHAM: GRHAM: Global Religious Health Assets MappingGlobal Religious Health Assets Mapping

Putting Faith-Based Organizations "on the map"

Goals of GRHAMGoals of GRHAM

Data Collection:Data Collection: 1) Facilities, 2) Programs, 3) Partners1) Facilities, 2) Programs, 3) Partners Information Sharing:Information Sharing: Websites, Conferences, Publications Websites, Conferences, Publications Improved Coordination & Health:Improved Coordination & Health:

Faith-Based Associations:Faith-Based Associations: improve networking & visibility improve networking & visibility

Donors & MOH :Donors & MOH : integrate FBOs into system & projects integrate FBOs into system & projects

Missions & Int’l Agencies:Missions & Int’l Agencies: improve coordination improve coordination

Churches & Individuals:Churches & Individuals: establish/nurture partnerships establish/nurture partnerships

Map of CHAK Facilities

Summary of CHAK Facilities by Region

Searching GRHAMSearching GRHAM

Customized SearchingCustomized Searching

Custom Searches & LinksCustom Searches & Links

Linked to Source WebsitesLinked to Source Websites

GRHAM PartnersGRHAM Partners

Christian Health Associations: Christian Health Associations: data collectiondata collection

WHO: WHO: Health Mapper & Service Area MappingHealth Mapper & Service Area Mapping

The ACCESS project: The ACCESS project: Maternal & Newborn CareMaternal & Newborn Care

The CAPACITY Project: The CAPACITY Project: Human Resource MappingHuman Resource Mapping

PQMD PQMD (Partnership for Quality Medical Donations)(Partnership for Quality Medical Donations) GMI GMI (Global Mapping Int’l): (Global Mapping Int’l): On the fly mappingOn the fly mapping

ARHAP ARHAP (African Religious Health Assets Program)(African Religious Health Assets Program) JSI JSI (John Snow International): (John Snow International): Mapping trainingMapping training

PEPFAR & MappingPEPFAR & Mapping

GRAHM Mapping ActivitiesGRAHM Mapping Activitiescurrently in process in Tanzaniacurrently in process in Tanzania

1) Establish a mapping point focal within each FBO network

2) Assess mapping status. Does it include FBO assets?

3) Establish a basic health facilities & program dataset

4) Enrich the dataset• Additional info, via secondary sources or site visits, e.g. partners• Establish Mapping coordinates for health facilities• Add program specific info, e.g., for ACCESS or CAPACITY

5) Create Static Maps using GIS software

6) Create/share info via GRHAM website

7) Use maps & data to increase FBO visibility/collaboration