1. Abt Associates Inc. In collaboration with: I Aga Khan Foundation I BearingPoint I Bitrán y Asociados I BRAC University I Broad Branch Associates I Forum One Communications I RTI International I Training Resources Group I Tulane Universitys School of Public Health Using HIS/GIS Data & Tools to Improve Resource Allocation: The Yemen Experience Abdulkader Nueman Abt Associates Inc. APHA 136 th Annual Meeting & Expo San Diego, California October 25-29, 2008

2. Area: 555,000 km 2 Population: 20 million (2004 Census)

3. Overview USAID/Yemen supported development of a national health database linked to census MOPHP at central and decentralized levels now able to make informed decisions - identifying gaps for better planning and targeting human and financial resources Transparency - Information made available to be used by a broad group of users (no more hiding information) 3

4. Yemen Health GIS Tools Facility Survey Analyzer: Query/analytical tool using the health facility survey data Demographic Profiler: Generates density maps based on key demographics Manpower Tracker: Profiles health occupations using pie charts and bar graphs Facility Accessibility Mapper: Calculates and displays the area surrounding a health facility that meets a user-defined time-travel accessibility criteria. Service Network Provider: Illustrates health care service networks Health Care Gap Analyzer: Identifies gaps in health care coverage according to user specifications Immunization Manager: Time series analysis of routine immunization coverage and vaccine wastage Data Integrator: Rapid integration of user data into HIS database 4

5. Step 1: Identify health facilities with immunization services and a vaccine refrigerator (YELLOW points) 5

6. Step 2: Analyze the immunization services network by dividing area according to closest proximity to service provider (LT GREEN area) 6

7. Step 3: Analyze the 60-minute walking accessibility/coverage area (LT BLUE) 7

8. Step 4: Identify and prioritize underserved areas and target communities or health facilities for intervention (RED vs. YELLOW OR GREEN areas) 8

9. Step 5: Evaluate immunization gaps compared to an analysis of 60-minute accessibility area for immunization services added to user-selected existing facilities (WHITE area) and/or initiated at potential new facilities (GRAY area). 9

10. MoPHP/Local Authorities are using health GIS to identify and prioritize underserved areas and target communities or health facilities for intervention. MoPHP/Donors are using health GIS to identify and prioritize underserved areas and justify reallocation of fund. Local Authorities are using health GIS to justify (re)allocation of resources. Governorate health officials are using health GIS to analyze routine immunization coverage, project vaccine needs, and track vaccine wastage. Use of Health Care Decision Results

11. Use of Health Care Decision Results Continued Governorate health officials are using health GIS for tracking resources and eliminating duplication in service coverage. Governorate health officials are using health GIS to identify and prioritize areas for mobile medical services. Governorate health officials are using health GIS to identify and prioritize rural facilities in need of electricity to support cold chain. Governorate health officials are using health GIS to prioritize deployment of new staff.

12. Abt Associates Inc. In collaboration with: I Aga Khan Foundation I BearingPoint I Bitrán y Asociados I BRAC University I Broad Branch Associates I Forum One Communications I RTI International I Training Resources Group I Tulane Universitys School of Public Health Thank you Reports related to this presentation are available at www.HealthSystem2020.org