Abstract
Abstract
Background
Designing public health policies to target the needs of specific places requires highly granular data. When geographic health statistics from official sources are absent or lacking in spatial detail, Sanitary Vulnerability metrics derived from Census and other georeferenced public data can be used to identify areas in particular need of attention. With that aim, a Vulnerability Map was developed, identifying areas with a substantial deficit in its population health coverage. As a result a novel methodology for measuring Sanitary Vulnerability is presented, that can potentially be applied to different time periods or geographies.
Methods
Census, official listings of public health facilities and crowdsourced georeferenced data are used. The Vulnerability Index is built using dimensionality reduction techniques such as Autoencoders and Non-parametric PCA.
Main results
The high resolution map shows the geographical distribution of a Sanitary Vulnerability Index, produced using official and crowdsourced open data sources, overcoming the lack of official sources on health indicators at the local level.
Conclusions
The Sanitary Vulnerability Map’s value as a tool for place specific policymaking was validated by using it to predict local health related metrics such as health coverage. Further lines of work contemplate using the Map to study the interaction between Sanitary Vulnerability and the prevalence of different diseases, and also applying its methodology in the context of other public services such as education, security, housing, etc.
Publisher
Springer Science and Business Media LLC
Subject
Public Health, Environmental and Occupational Health,Health Policy
Reference22 articles.
1. Beardsley K, Wish E, Fitzelle D, O’Grady K, Arria A. Distance traveled to outpatient drug treatment and client retention. J Subst Abus Treat. 2003:25. https://linkinghub.elsevier.com/retrieve/pii/S0740547203001880. Accessed 03 July 2019.
2. Timyan J, SJ GB, Measham DM, Ogunleye B. Access to care: more than a problem of distance. 1993. https://doi.org/10.4324/9780429496455-11.
3. Grabovschi C, Loignon C, Fortin M. Mapping the concept of vulnerability related to health care disparities: a scoping review. BMC Health Serv Res. 2013; 13:94. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3626765/pdf/1472-6963-13-94.pdf. Accessed 22 Oct 2019.
4. Prüss-Üstün A, Neira M. Preventing Disease Through Healthy Environments: a Global Assessment of the Burden of Disease from Environmental Risks: World Health Organization; 2016. https://doi.org/10.1016/j.toxlet.2016.07.028.
5. INDEC. Censo nacional de población, hogares y viviendas 2010. base de datos. definiciones de la base de datos. Technical report, Instituto Nacional de Estadística y Censos. 2011. https://redatam.indec.gob.ar/redarg/CENSOS/CPV2010rad/Docs/base.pdf. Accessed 28 Oct 2019.
Cited by
6 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献