nsanzya applyng gis for knowledge management in rural ......Libraries • Community information...
Transcript of nsanzya applyng gis for knowledge management in rural ......Libraries • Community information...
Kizito NsanzyaKizito Nsanzya
UNDP Support to the Health Sector in Limpopo
ESRI Health GIS Conference 2011,
Washington DC.
Applying GIS for Knowledge Management in Rural Limpopo
Health Sector, South Africa
Linking tacit knowledge with spatial data
•• UNDP's mission in South Africa is to strengthen capacity for UNDP's mission in South Africa is to strengthen capacity for
participatory governance and proparticipatory governance and pro‐‐poor growth based on normative and poor growth based on normative and
inclusive human rights principles.inclusive human rights principles.
•• UNDPUNDP’’s Support to the Health Sector in Limpopo is a partnership with s Support to the Health Sector in Limpopo is a partnership with
Limpopo Department of Health.Limpopo Department of Health.
•• Due to the remoteness and perceived unattractiveness of rural Due to the remoteness and perceived unattractiveness of rural
hospitals, many health professionals opt to work in urban areas hospitals, many health professionals opt to work in urban areas and and
abroad. This has created chronic shortages of health professionaabroad. This has created chronic shortages of health professionals.ls.
•• As a result, health service delivery faces challenges which inclAs a result, health service delivery faces challenges which include:ude:
Mismatch between health service demands and available resources;Mismatch between health service demands and available resources;
Shortage of skilled professionals;Shortage of skilled professionals;
Inadequate evidenceInadequate evidence‐‐based decision making, planning, and resource based decision making, planning, and resource
allocation; andallocation; and
Inadequate management skills at all levels.Inadequate management skills at all levels.
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BackgroundBackground
Support to the Limpopo Health Department through 4 programmes:
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Programme 1:
Health Professional
Volunteerism and capacity
development
Programme 3:
Knowledge management and
leadership development
Programme 4:
MDGs domestication,
Monitoring and evaluation
system.
Programme 2:
Health Planning Support
(Health economics)
UNDP SupportUNDP Support
•• Limpopo province is Limpopo province is
predominantly rural with predominantly rural with
close to 80% of the close to 80% of the
population falling into this population falling into this
categorycategory
•• The provinceThe province’’s health s health
facilities include:facilities include:
40 hospitals, 40 hospitals,
22 health centres, and 22 health centres, and
416 clinics.416 clinics.Linking tacit knowledge with spatial data
•• Limpopo province is situated in the north of South Africa. Limpopo province is situated in the north of South Africa.
•• It shares borders with Gauteng and Mpumalanga provinces in the sIt shares borders with Gauteng and Mpumalanga provinces in the south, outh,
Mozambique in the east, Zimbabwe in the north and Botswana in thMozambique in the east, Zimbabwe in the north and Botswana in the e
west. west.
•• The province covers 123, 910 km2 with an estimated population ofThe province covers 123, 910 km2 with an estimated population of
5.4 5.4
million (4th most populated in the country)million (4th most populated in the country)
Operational AreaOperational Area
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Types of facilities:Types of facilities:
2 Tertiary hospitals2 Tertiary hospitals
5 Regional hospitals5 Regional hospitals
3 Specialist hospitals3 Specialist hospitals
30 District hospitals30 District hospitals
Limpopo Hospital FacilitiesLimpopo Hospital Facilities
•• Why knowledge management? Why knowledge management?
Solutions to public health problems exist but are not applied beSolutions to public health problems exist but are not applied because of cause of
knowledge gaps in the province. knowledge gaps in the province.
•• These gaps can be bridged through the development of an These gaps can be bridged through the development of an
environment that encourages the environment that encourages the discovery, creation, management, discovery, creation, management,
sharing, distributionsharing, distribution
and and effective application effective application of knowledge to of knowledge to
improve health.improve health.
•• The key objectives of health KM are:The key objectives of health KM are:
To improve access to and sharing of health information and knowlTo improve access to and sharing of health information and knowledge;edge;
To maximize the impact of explicit and tacit knowledge, includinTo maximize the impact of explicit and tacit knowledge, including health research g health research
and experiential knowledge, through effective knowledge sharing and experiential knowledge, through effective knowledge sharing and application;and application;
To foster eTo foster e‐‐Health as a powerful means of strengthening health systems and Health as a powerful means of strengthening health systems and
improving health service delivery, including quality of care.improving health service delivery, including quality of care.
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UNDP Support Prog. 3: Knowledge Management for the health sector
UNDP Support Prog. 3: Knowledge Management for the health sector
•• KM in health include s: health research; medical education and oKM in health include s: health research; medical education and other ther
elements of human resources development; health situation analyselements of human resources development; health situation analyses; es;
programme monitoring and evaluation; and development of strategiprogramme monitoring and evaluation; and development of strategies, es,
norms, standards and guidelines.norms, standards and guidelines.
•• Publications, library services, documentation centres, meetings,Publications, library services, documentation centres, meetings,
workshops workshops
and seminars all make up tools and methods for KM. and seminars all make up tools and methods for KM.
•• Other tools available include electronic mail, electronic databOther tools available include electronic mail, electronic databases, internet ases, internet
web sites, intranets, search engines, videoweb sites, intranets, search engines, video‐‐
and teleand tele‐‐conferencing, virtual conferencing, virtual
libraries, electronic collaborative tools and expertise locatorslibraries, electronic collaborative tools and expertise locators..
•• EE‐‐Health and telemedicine are playing important roles in public heHealth and telemedicine are playing important roles in public health, alth,
clinical knowledge and medical practice.clinical knowledge and medical practice.
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Knowledge Management for HealthKnowledge Management for Health
•• The Department has never had a GIS or KM The Department has never had a GIS or KM
Unit.Unit.•• However, GIS and KM functions are However, GIS and KM functions are
included in the organisational structure of included in the organisational structure of
the Department.the Department.•• Locational mapping of health facilities has Locational mapping of health facilities has
been done by external agencies (no been done by external agencies (no
attribute data).attribute data).•• This data is not being utilized.This data is not being utilized.•• HospitalHospital‐‐based District Health Infobased District Health Informationrmation
Systems (DHIS) is the main databaSystems (DHIS) is the main database se
system system in use. in use. •• Therefore, policyTherefore, policy‐‐makers, health makers, health
practitioners and communities often lack practitioners and communities often lack
relevant information and knowledge when relevant information and knowledge when
and where they actually need it. and where they actually need it.
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GIS & KM in Limpopo Health DepartmentGIS & KM in Limpopo Health Department
IntranetIntranet
Virtual
library
Virtual
library
e‐mailing
lists
e‐mailing
lists
BloggingBlogging
TeamWorksTeamWorks
KM TechnologiesKnowledge SharingKnowledge
capture
Knowledge Discovery
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PHISPHIS
UNV
Database
UNV
Database
Local Profs
Database
Local Profs
Database
MIS/GISMIS/GIS
DHISDHIS
Resource
Centre
Resource
Centre
Case
Study
Databas
e
Case
Study
Databas
e
Best
Practice
Pilot
Best
Practice
Pilot
Community(s) of PracticeCommunity(s) of Practice
Seminar SeriesSeminar Series
KM Task TeamKM Task Team
Exchange ProgramsExchange Programs
Overview of KM Plan for LimpopoOverview of KM Plan for LimpopoOverview of KM Plan for Limpopo
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Hospital Profiles•OPD averages•No. of Beds•No of Doctors•Vacancy rates•Medical services
offered
•Hospital nursing school •Research activities•Community education•Hospital outreach
programmes
Hospital Profiles•OPD averages•No. of Beds•No of Doctors•Vacancy rates•Medical services
offered•Hospital nursing school •Research activities•Community education•Hospital outreach
programmes
Rapid Situation Analysis Included Mapping of:Rapid Situation Analysis Included Mapping of:Rapid Situation Analysis Included Mapping of:
KM Tools & Methods•Libraries•Community information
centres
•Documentation centres•Databases•Mobile phone reception•Email•Website•Intranet•Tele‐conference•Video‐conference•IT infrastructure
KM Tools & Methods•Libraries•Community information
centres•Documentation centres•Databases•Mobile phone reception•Email•Website•Intranet•Tele‐conference•Video‐conference•IT infrastructure
KM Activities•Meetings•Membership to
forums
•Professional
membership
•Seminars•Conferences•Distribution of
information
•HR development
KM Activities•Meetings•Membership to
forums•Professional
membership•Seminars•Conferences•Distribution of
information•HR development
Next, mapping of the following to done:Next, mapping of the following to done:Next, mapping of the following to done:
• Traditional healers• Traditional / community
midwifery• Hospital catchment areas• Facility resources• Primary health catchment
areas• Disease prevalence (e.g.
cholera)• EMS coverage and network
analysis• Private hospitals
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Linking tacit knowledge with spatial data
Situation analysis resultsSituation analysis results
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Usable beds at facilitiesUsable beds at facilities
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KM Tools: Doctors’
Access to the InternetKM Tools: Doctors’
Access to the Internet
Availability of library and information resource centres at facility or within 30min drive (50km buffer)
Linking tacit knowledge with spatial data
Doctors’
Access to Libraries & the Internet: Reallocation of resources to focus on isolated hospitals
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State of IT Infrastructure
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Functional Tele‐medicine facilities with 30min radius coverage
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Weaknesses and threats in the Weaknesses and threats in the
mainstreaming of Knowledge Management :mainstreaming of Knowledge Management :
Inadequate formal policies, norms, Inadequate formal policies, norms,
standards and strategies; standards and strategies;
managerial and leadership styles that managerial and leadership styles that
hinder learning, or knowledge sharing hinder learning, or knowledge sharing
and application;and application;
poor ICT infrastructure and the poor ICT infrastructure and the
subsequent digital divide; and subsequent digital divide; and
limited human and financial limited human and financial
resources.resources.
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ChallengesChallenges
•• Assist the provincial DoH in setting up a GISAssist the provincial DoH in setting up a GIS
•• GIS will be utilized to map health and healthGIS will be utilized to map health and health‐‐related tacit, traditional and related tacit, traditional and
oral knowledge, particularly in rural areas. oral knowledge, particularly in rural areas.
•• KM, including learning, sharing and application, to be made an iKM, including learning, sharing and application, to be made an integral ntegral
part of the managerial culture in Limpopopart of the managerial culture in Limpopo’’s health sector.s health sector.
•• KM is to be strongly associated with health information systems,KM is to be strongly associated with health information systems,
health health
research and human resources development.research and human resources development.
•• Regular situation analysis of KM at district and provincial leveRegular situation analysis of KM at district and provincial levels ls
through surveys and special studies will be performed using GISthrough surveys and special studies will be performed using GIS. .
•• Such analyses will generate evidence; identify best practices; cSuch analyses will generate evidence; identify best practices; consider onsider
explicit, tacit, communityexplicit, tacit, community‐‐based and traditional knowledge; and locate based and traditional knowledge; and locate
available expertise.available expertise.
•• Finally, KM to be embedded across the health system, including aFinally, KM to be embedded across the health system, including all ll
programmes and projects.programmes and projects.
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Next StepsNext Steps
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Thank YouThank You
Linking tacit knowledge with spatial data
Please Help!!!
UNV Medical Volunteers Required for Limpopo!
Visit:www.unv.org
[email protected]+27 15 297 0166