Karnataka Health System Development & Reform Project

Karnataka Health

Geographical Information
System
Dr. B.G. PRAKASH KUMAR
Deputy Director (SICF/HMIS)
KHSDRP, Bangalore
D.L. Devaraj, M.Tech.-Geoinformatics
Sr. Programmer, HMIS Wing
KHSDRP, Bangalore


GIS - Karnataka
Area of Karnataka – 1,91,791 sq.km.
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Population of the State – 5,28,50,562
–

Urban Population – 1,79,58,620

–

Rural Population – 3,48,91,941

–

Male – 2,68,56,343

–

Female -2,58,77,615

–

% of Urban Population – 33.98%

–

% of Rural Population – 66.02%

Sex Ratio
–

Urban – 940/1000

–

Rural – 976/1000

Literacy
–

Urban – 81.05% to 74.20%


–

Rural – 47.69% to 59.68%

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No. of Districts - 29

•

No. of Taluks - 176

•

No. of Revenue villages – 29,406
–

No. of Habitant villages - 27575

–

No. of Non-habitant villages - 1908


Health Facilities in Karnataka
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•
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•

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No. of District Hospitals – 27
No. of Taluk level hospitals – 121
No. of Sub-divisional hospitals - 27
No. of CHCs – 325
No. of PHCs – 2195
No. of Sub-centres – 8143
No. of urban PHCs – 17
No. of Maternity Annex – 304
Central Govt. Hospital and Dispensaries – 26
Local Body’s Govt. Dispensaries – 53
Rural Family Welfare Centres – 269
Urban Family Welfare Centres – 87
Urban Health Centres – 124


Need for GIS


Preventive health care involves health care professionals
reaching out to communities and providing health

education and prophylactic measure.



The issues involved are
access
(where all a professional can reach from the facility)

load or coverage
( how many citizens can be covered with the available resources)

use rate
( how much of the resources get used up and why)


These issues are easily analysed using a map based
planning system rather than a statistical table based system.
It is faster, easier to find villages that can be reached
in half an hour from a particular PHC on a map


Need for GIS
The curative aspect involves locating health
care facilities appropriately so that the patient
does not have to travel too far (access) and
equipping the facilities with adequate resources
(personnel,
equipment,
supplies
and

infrastructure)
 GIS mapping can be used to locate availability
of facilities with all the adequate resources and
to know the distribution of health facilities
 Static and semi-static data can be added in
layers



Need for GIS


To understand the localization of good or bad
performance of the system and the causes for
it.



A GIS based planning and monitoring solution
enhances the ability of health care managers to
understand, and use the insight obtained from a
locational perspective to plan and implement a
programme that achieves the goal of better
health care with better resource productivity.


Source of Data
Spatial Data
Base Map of village boundary – NIC, Karnataka
Data through GPS for locating the Villages, Road

Layers and Village Boundaries – Karnataka State

Remote Sensing Application Centre
Non-spatial Data
Data collection from DH, TLH, CHC, PHC, Subcentre, other health facilities
Infrastructure, personnel, supplies, diseases, census
data and other health related data


Background (HMIS/GIS)
Phase 1
Creation of Health Jurisdiction database
for the entire State

Phase 2
Integration of Health Jurisdiction upto
PHC level to web enabled DHIS2 Software
Analysis of indicators in DHIS2 Software


Objective - Health GIS Application
Effective utilisation of health
infrastructure
To improve efficiency in the allocation
and use of health resources
To improve the quality health services
To implement Arc GIS Application
which is an interactive spatial analysis
tool by which we can perform redistricting, relocating health jurisdiction



Methodology
GIS database creation – One district was taken
as a pilot district and extended to other
districts. Duration – 5 months
Information collected through template from
the health facilities – DH, TLH, CHC, PHC,
Sub-centres
Data updation through modified templates or
additional templates during January month of
every year


Map Layers
Base Map
Administrative Boundaries
State Boundary
District Boundaries
Taluk Boundaries

Village Boundaries
Road network layer
BBMP Boundaries

Health Jurisdiction Boundaries
CHC Boundaries (Reporting)
Primary Health Centre Boundaries
Sub-centre Boundaries
Tuberculosis Unit Boundaries



Map Layers
Health Infrastructure Locations
Sub Centre Location Points
PHC Location Points
CHC Location Points
Taluk Hospitals Location Points
Sub-divisional Hospitals Location Points
District Hospitals Location Points
ART Centres Location Points

ICTC Location Points
Blood Bank Location Points
Mobile Health Clinics Location Points
Citizen Help Desk Location Points


Map Layers
• Sub-centre Boundaries


Map Layers
• PHC Boundaries


Map Layers
Community Health Centre Boundaries


Map Layers

Taluk Level and District Hospitals


Non-spatial Data
District Hospital (DH) Data Sheet
Name of the District Hospital

Sanctioned beds

Arogya Raksha Samithi formed

Yes / No

Availability of Ambulance

Yes / No

Water Supply

Owned/Other
source

No. of Staff Quarters

No. of Operation Theatres

No. of Labour Theatres

No. of Beds in Male Wards


No. of Beds in Female Wards

No. of Beds in Paediatric Ward

No. of Beds in Special Ward


Non-spatial Data
District Hospital (DH) Data Sheet (Contd.)
Laboratory

Yes / No

Pathology Lab

Yes / No

Microbiology Lab Yes / No

Biochemistry Lab

Yes / No

Lab for routine checkup

Post-mortem Room

Solar lighting

Yes / No


Cold Storage facility to preserve body

Yes / No

Solar Water Heater

Yes / No

Blood Bank facility

Trauma Care Centre

Yes / No

Ultrasonography facility

Yes / No

Waste Management

Yes / No

Autoclaving/microwaving

Yes / No

Incineration

Yes / No


Generator

Yes / No

Land fill Yes / No

Deep burial

Yes / No

Discharge into drains after disinfection
Yes / No

Yes / No

Casualty Services

Non-clinical Services

Yes / No

ECG facility

Worm composting

Yes / No

Yes / No


Yes / No

Integrated Counselling and Testing Centre (ICTC)

X-ray facility

Yes / No

Yes / No

Generator

Yes / No

Recycling Yes / No

Yes / No


Non-spatial Data
District Hospital (DH) Data Sheet (Contd.)
Staff Pattern of DH
General Surgeon

Physician
S

W

V


S

ENT Surgeon

S

W

V

W

V

V

S

Radiologist

S

Other Specialities
S

W

Paediatrician


W V

W

V

V

S

Pathologist

S

Staff Nurse
S

W

Gynaecologist

W V

W V

V

S

S


W V

S

Lab Technician
S

W V

W

V

Opthalmologist Orthopaedic Surgeon
S

General Duty
Medical Officer

Skin Specialist

Pharmacist
S

W

Anaesthetist

W V


W V

V

Dentist

S

X-ray technician
S

W

W V

Refractionist
S

W

V

S

W

V



Non-spatial Data
Taluk Level Hospital (TLH)/ Sub-divisional Hospital (SDLH) Data Sheet

Name of the TLH/SDLH

Sanctioned beds

Yes / No

Arogya Raksha Samithi formed

Yes / No

Availability of Ambulance
Water Supply

Owned/Other
source

No. of Staff Quarters

No. of Operation Theatre

No. of labour rooms

Wards

Beds in Male ward

Beds in female ward


Beds in Special ward

Beds in paediatric ward


Non-spatial Data
Taluk Level Hospital (TLH)/ Sub-divisional Hospital (SDLH) Data Sheet (Contd.)
Yes / No

Laboratory for routine checkup

DMC

Yes / No

Post-mortem Room

Yes / No

Cold Storage facility to preserve body

Yes / No

Solar lighting

Yes / No

Solar Water Heater


Yes / No

Trauma Care Centre

Yes / No

Yes / No

Blood Storage facility

Yes / No

Integrated Counselling and Testing Centre (ICTC)
X-ray facility

Yes / No

ECG facility

Yes / No

Ultrasonography facility
Waste Management

Yes / No

Autoclaving/microwaving

Yes / No


Incineration

Land fill

Yes / No

Deep burial

Yes / No

Discharge into drains after disinfection

Yes / No

Yes / No

Casualty Services
Non-clinical Services

Yes / No

Yes / No

Generator

Yes / No

Recycling Yes / No

Yes / No



Non-spatial Data
Taluk Level Hospital (TLH)/ Sub-divisional Hospital (SDLH) Data Sheet (Contd.)
Staff Pattern of TLH / SDLH

General Surgeon

Physician
S

W

V

S

ENT Surgeon

S

W

V

W

V

V


S

Radiologist

S

Other Specialities
S

W

Paediatrician

W

V

W

V

S

Pathologist

S

Staff Nurse
S


W V

Gynaecologist

W V

W V

S

S

W V

Lab Technician
S

W V

W V

S

W V

S

W V


W V

Dentist

S

X-ray technician

S

Orthopaedic
Surgeon

Opthalmologist

General Duty
Medical Officer

Skin Specialist

Pharmacist
S

W V

Anaesthetist

W V

Refractionist

S

W V

S

W V


Non-spatial Data
COMMUNITY HEALTH CENTRE / CHC (FRU) DATA SHEET
Sanctioned beds

Name of the CHC/CHC (FRU)

Distance from the taluk headquarters –

Name of Sub-centres –

No. of Gram Panchayats –

Arogya Raksha Samithi formed

Yes / No

Availability of Ambulance

Yes / No

Water Supply

Owned/Other
source

No. of Staff Quarters –

Operation Theatre

Beds in Male ward

Yes / No

Labour Room

Beds in Female ward

Yes / No


Non-spatial Data
COMMUNITY HEALTH CENTRE DATA SHEET(Contd.)
Laboratory

Yes / No

DMC

Yes / No

Post-mortem Room


Yes / No

Solar lighting

Yes / No

Solar Water Heater

Waste Management

Yes / No

Autoclaving/microwaving

Yes / No

Incineration

Land fill

Yes / No

Yes / No

Deep burial

Yes / No

Recyclining


Discharge into drains after disinfection

Yes / No

Yes / No

Blood Storage facility

Yes / No

Trauma Care Centre

Yes / No

Integrated Counseling and Testing Centre (ICTC)
Yes / No

X-ray facility

Yes / No

Ultrasonography facility

ECG facility

Yes / No

Generator

Yes / No


Yes / No

Non-clinical Services
Staff Pattern of CHC/CHC (FRU) –

Physician

S

W

General Surgeon

V

S

Staff Nurse
S

W

W

Gynaecologist

V

S


Pharmacist
V

S

W

W

Anaesthetist

V

Lab Technician
V

S

W

S

W

V

General Duty Medical
Officer


S

X-ray Technician
V

S

W

V

W

V

Refractionist
S

W

V

Dentist

S

W

V


Other specialists

S

W

V

Yes / No

Yes / No