267433 First steps in constructing a public health GIS in eastern Indonesia

Monday, October 29, 2012 : 11:10 AM - 11:30 AM

James L. Wilson, Ph.D. , Department of Geography, Institute for the Study of the Environment, Sustainability, and Energy, Northern Illinois University, DeKalb, IL
Ansariadi Ansariadi, Ph.D. , School of Public Health, Hasanuddin University, Makassar, Indonesia
Tomoyuki Shibata, Ph.D , Public Health Program, Northern Illinois University, DeKalb, IL
As part of a broader project for monitoring childhood health, a prototype public health oriented GIS in Makassar, Indonesia is being designed and developed. Makassar, on the island of Sulawesi is the largest city in eastern Indonesia with more than 1.3 million people. The goal is to create a GIS that will assist public health workers in monitoring progress towards the reduction and elimination of childhood diseases and also assist in the management of community health resources. Data on dengue, diarrheal disease, pulmonary disease, and typhoid are geocoded to the puskesmas (community health center) level, which cover one or more of the 147 keluharan (urban village) in Makassar. These data are integrated with locally available demographic and meteorological data to create both a monthly temporal and spatial view of excess cases throughout the city during the years 2008 through 2011. Results thus far show the spatial variation, by puskesmas, of excess typhoid cases and an expected seasonal variation in dengue cases. Two issues emerged during the construction of the GIS. First, puskesmas data quality can vary and must be entered manually along with accompanying demographic data. Second, patients seeking care are not necessarily geographically linked to one puskesmas. Both of these issues can confound interpretation and affect public health resource management. The results and the issues raised have implications for global disease surveillance in rapidly developing countries.

Learning Areas:
Communication and informatics
Environmental health sciences
Planning of health education strategies, interventions, and programs
Social and behavioral sciences

Learning Objectives:
1. Describe the potential role of GIS in an Indonesian public health context. 2. List the data quality issues in the implementation of a public health GIS in eastern Indonesia. 3. Explain the spatial organization of data collection and reporting for a large city in Indonesia.

Keywords: Geographic Information Systems, Geocoding

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a co-principal investigator in a project aimed at measuring and mitigating childhood diseases in Makassar, Indonesia. My role is leading the development of a public health geodatabase for use with a GIS that will assist in detecting excess diarrheal, dengue, pulmonary diseases, and typhoid cases.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.