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Health Mapping Stakeholder Meeting, iHub, 20100323

Attending:
* Josh, UNICEF
* Anne, AIDS Portal
* Maureen, Coptic Hospital/Map Kibera
* Mikel, Map Kibera
* Hannington Ojijo, CEDI-Kenya/community pharmacist
* Erica, Map Kibera
* Jamie, KANCO/Ushahidi

== summary ==

overall collecting data and stories on community/service providers in the field of HIV, public health through mapping and community consultation, and empowerment of community owned means to express needs.

* what are the available services and gaps?
* what data and programs to coordinate data already existing programs?


== kinds of things to map ==

* clinics
** inpatient vs outpatient
** govt/ngo/public/private
** doctors? nurses? trained medical personnel?
** ex. Ushriki, Cfk, Amref, MSB, CDC, Kincoship
** opening hours
* chemists
** dispensing vs non-dispensing
* health NGOS
* VCT
* herbalists, traditional medicines
* counselling services

=== Types of Services ===
* Maternal Health 
* Malaria
* TB (intl medical corps, leaving kenya)
* communicable vs non-communicable disease

=== three levels ===

* community clinics, basic services
* larger clinic in Kibera, specialized services (MSF, etc)
* hospitals, all

=== other kinds of health activities ===

* public health education (like CEDI)
* condom distribution
* teen pregnancy services
* health outreach through youth groups, women's groups, churches
** so many advocacy groups
** media helps, kibera journal, pamoja

=== Referrals ===

Wider service area

* Kenyata, Ochindi, St. Mary's etc.
* MSF only refers to Bengatthi, and offers transport
* kibera clinic refer cases they can't handle
* perception is that hospitals are too expensive, even just the registration, has resulted in deaths
* handle major diseases

=== Herbalists ===

* traditional medicines, used to treat asthma, diarrhea
* cheaper
* controversial in treatment for TB, AIDS
* hygience questionable
* training not standardized
* less stressful than entering official medical facilities
''interesting reporting opportunities''

=== Counseling services ===

* VCT
* alcohol & drugs addiction
* HIV
* PMCTC

== Data sources and other schemas ==

http://mapkibera.org/wiki/index.php?title=Tagging#Health

* Ministries of Health master facilities list
** has categorization of services
** www.ehealth.or.ke
** each facility has a unique code ... this can be linked from OSM
** each facility has a location .. jamie has contact

=== Master facilities schema ===
* contact info -- phone number /email
* who owns it
* type
* geocode hierarchy, gps coord
* status (open/closed)
* opening hours

=== CBO are missing from MHFL ===

* National AIDS control countil has CBO data
* KANCO has CBO data

=== KANCO breakdown of types of activities ===

* prevention
* care/treatment/support
* mitigation

== Survey Design ==
Balance needed in level of data collection for privacy and acceptability to community. What's the sweet spot?

        SPECTRUM

name ------------- types of services ------------- patient details.
 
== Issues ==

* costs -- this may be difficult to collect share -- they are variable! negotiated.

=== Missing Needs in the Community ===
* veterinary services (rabies treatment for animals and people)
* no dental facilities in Kibera, Nairobi hospital is expensive.
* no radiologists
* mental health ... nearest facility is Mathare Mental Hospital, 100km away (connect to british high commission dude)
* optometrists (gideon's story)
* emergency medical services, ambulances ... related to security
* research on deaths

== Presentations ==

=== UNICEF Kenya's interest ===
* whate are the commitments to health made by Goverment, NGOs
* National AIDS commitment plan
* M&E
* SODNET

=== presentation ===
* filtering based on category of facilitiy
* data sharing through categories, downloads
* Anne, through UNAIDS, looking at data standards, central registry.

== Potential Uses ==

=== Midwifes ===

* some trained midwifes
* hundreds, difficult to map
* cheaper, birth at home

Judy is interested in having midwifes report birth/deaths via Ushahidi.

* to connect with help for problems
* birth certificats -- lack of registration leads to problems later on, school registration
* follow up care
* immunizations
* death certificates

=== Knock Out Stock Outs ===

* availability of drugs
* community facilities deal in affordable drugs for minor cases (malaria, etc)

=== Rape/violence ===

* referred to Nairobi Women's Hospital
* considered expensive

=== smart card system ===

* 500 /= insurance cover
* probably won't work