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Geographic information and GIS to support HIV/AIDS monitoring, evaluation and response
December 2006
A joint project between the World Health Organization (WHO), REACH Trust Malawi and the Southern African network on Equity in Health (EQUINET)

The result of the Geographic Information System (GIS) capacity and data analysis conducted in Malawi in July 2006 in the context of the joint project: "Promoting equity and a health systems approach towards treatment access and responses to HIV and AIDS in Southern Africa" clearly demonstrated that some important data gaps would need to be covered before being able to measure the availability and accessibility coverage offered in the country in terms of HIV/AIDS care. This report, as well as a subsequent visit organized in April 2007, demonstrated that the GIS capacities and skills available in the country could be leveraged and the availability and quality of geographic information improved if the different institutions involved in the collection, management and maintenance of this type of information would worke more closely together.

Introduction and Objectives

As part of the equity project there is a need to measure the availability and accessibility coverage offered by the ART care delivery system in the country. The complexity of the processes and data that needs to be integrated in order to measure availability and accessibility coverage highlighted the potential to use the capacities of a Geographic Information System (GIS) to measure accessibility coverage in Malawi.

The willingness of Malawi to take advantage of the GIS capacity and dataset availability resulted in a preliminary analysis of availability and accessibility coverage for the ART care delivery system conducted in July 2006.

The objective of this report is to present the results of this analysis before proposing a set of recommendations aimed at:

  • Establishing connections between the main institutions using GIS which could perform the technical work in the future,
  • Improving the quality and level of completeness of the already existing GIS data
  • Exploring the possibility of establishing a link between this work and the GIS component of the country Health Management Information System (HMIS).


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