Improving Public Health in Northern Nigeria Using Open Source Technologies Dami Sonoiki, GIS Manager 18th September 2015 2015 © eHealth Africa, All Rights Reserved.

About eHealth Africa Building stronger health systems through the design and implementation of data-driven solutions that respond to local needs and provide underserved communities with tools to lead healthier lives Leading healthcare delivery support solutions provider in Northern Nigeria; supporting the fight against polio and other vaccine preventable diseases Working closely with NGOs, the Ministry of Health, and other partners to improve healthcare delivery

About eHealth Africa - Nigeria Project States Total land area of Nigeria 928,768 SqKm Estimated total land area of states of operation is 389,446 SqKm Estimated population of states of operation 43,758, 357 Estimated land area of Kano 20,399 SqKm Population of Kano State 9,383,682

About eHealth Africa - West Africa Project Countries

Polio in Nigeria – Brief Background Highly infectious viral disease, which mainly affects young children Polio is a crippling and potentially fatal infectious disease There is no cure, but there are safe and effective vaccines The strategy to eradicate polio is therefore based on preventing infection by immunizing every child until transmission stops and the world is polio-free Nigeria now confirmed to be Non-Endemic by WHO

Geodatabase Nigeria Geodatabase Layers Administrative Boundaries – Wards (2,814), LGAs (774), States (37, including FCT) Health Facilities: > 20,000+ Settlements: > 146,000+ Built-Up Areas: > 8,500 POIs: > 300,000 Roads: > 500,000 Km

Current State of GIS Technical Architecture Hybrid model which connects together ESRI ArcGIS technologies with Free & Open Source GIS Software (FOSS4G) in an integrated environment

eHealth Africa Open Source GIS Architecture Web services are made available through APIs Custom Analysis and Visualization to support custom requirements QGIS PostGIS Portal (CKAN) Web GIS (MapServer/GeoServer) Distributed Web services Desktop GIS Files Enterprise Database Web Services Web Editing Service (TinyOWS) Web Feature Services (WFS) Web Mapping Tile Service (WMTS) – Image tiling Web Mapping Service (WMS) – JPEG, PNG Batch Routing Service (OSRM API) Data Sharing Portal deployed on CKAN, fetching data from PostGIS and Publishing data in ESRI Shape, CSV, GeoJSON, WMS and WFS

eHealth Africa And FOSS4G Project initially started on proprietary software Need to for technology transfer to Government Need to concentrate on capacity development Need for community support Need to integrate other open data and software applications

Data Sharing Data Portal and Web Mapping Platform Web Map Platform http://gis.ehealthafrica.org/eHealth/ehaloc/index.php Data Portal: http://data.ehealthafrica.org/

OpenStreetMap OpenStreetMap States We’ve Mapped Kano Kaduna Katsina Sokoto Zamfara Bauchi

Vaccine Direct Delivery Purpose: Effective last mile vaccine delivery to health facilities to support routine immunization Reduces stock-outs, eliminate late supply and damage due to high temperature Cold Store Parent Facilities Child Health Facilities Zone (LGAs) Cluster (driver catchment) Health Facilities Methods: Health Facilities and Zone classification, cluster creation, drop order, time window, FIFO Cascade mapping QGIS to define routing procedures OSRM to produce batch routing OSMAnd to monitor driver routes and behaviour

Vaccine Direct Delivery Interactive Batch Routing - Currently used for Vaccine Direct Delivery Routing More on routing - Check out Kehinde Adewara at 16:25 Room 12, B1F, K Avenue

Telecommunications Signal Mapping Purpose: Understand health facilities with strong, poor or no mobile network coverage Method: Passive Data Collection, Data processing, Data analysis and Web Application Development Data Collection – Crisis Signal App Data Storage – PostgreSQL (PostGIS) Data Processing – FME (Feature Manipulation Engine) Visualization: CartoDB Use cases Health worker communications, Disease Surveillance, Vaccine Delivery

Telecommunications Signal Mapping

Current Developments and Challenges Migrating Internal geodatabase operational processes to Open Source Building Open Source Versioning and Replication Environment Building Oslandia QGIS versioning plugin - https://github.com/Oslandia/qgis- versioning

Current Developments and Challenges Deploying OpenStreetMap Platform and osmosis Customizing our CKAN platform - building analytics and user management into CKAN

More Information Acknowledgement: eHealth Africa, eHA GIS Team, Oslandia, Nicolas Gignac Contact http://www.ehealthafrica.org mapping@ehealthafrica.org info@ehealthafrica.org dami.sonoiki@ehealthafrica.org Twitter @eHealth_africa @dammishow