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Sources of Map Error
in Public Health Activities
and Operations Research
Victoria M Gammino
Radiant Earth Foundation
8 January 2019
About Us
Key facts
 Non-profit organization, founded in 2016 with funding
from Omidyar Network and Gates Foundation
 Back-end infrastructure for global development
organizations providing open source imagery and ML
tools
 Neutral convener
 Collaborative & Sector-agnostic
Core Public Health Functions Investigative Activities
- Disease surveillance &
detection
- Outbreak /emergency
response
- case-finding
Link To/ Provide Care
- Service delivery
- population estimation
- supply chain logistics
CASE STUDY: Polio Eradication
Four-part strategy
- Routine immunization coverage
- (x4 in 14 weeks)
- Laboratory surveillance/case detection
- Outbreak response (targeted campaigns)
- 80% coverage all kids < 5
- House-to-house
- Strategic public places
- Mass immunization coverage
o Population size
o Location
o Terrain
Role of Satellite Imagery & GIS
Satellite Imagery
 Facilitates feature extraction to identify settlements and temporary
encampments missed in « manual » microplanning based on local
knowledge
 Visualize jurisdictional boundaries
 Increase awareness of environment to improve logistical efficiency
based on terrain and distance
Direct Impact on Microplanning
 Assure that all settlements incorporated into written plans
 Advocacy to assure adequate resources
in the absence of census data & current shp files
Mapping in the Polio Context
(and its relationship to groundtruthing)
Logistical plans for field operations crafted
at the lowest level of health service
administration and data aggregated
upwards
However,
Field operations are implemented at the
lowest administrative level
Systematic bias
Behavioral bias
Rationale: “not our area”
Systematic Errors
Sakwaya Ward
Kachi Ward
J/Tsada Ward
Missed Settlements
Map/data credit: Vince Seaman
“Border Settlements”
~40% cases
13
o Literacy/numeracy
o Redundancy
o Map reading
Qualitative | Behavioral | Perceptual
Non-systematic Bias
| Perceptual
o POIs measurement bias
(distance, movement)
o Fear
o Insider knowledge-- > wrong KIs?
o [Consensus analytics to validate
intra-cultural knowledge a.k.a,
“expert opinion”]
Large surveys
o Response bias (e.g., opportunity
cost or cost implications)
Non-systematic Bias (2)
Discrimination|otherness
Quantified:
2 vs 14 settlements
68 vs ~1200
Saliency/ social construction
“no man’s land”
Visual balance (benign); “canvas compliance”
17
Intentional “balancing”
-Concerns about
equity and pay
This is a photo of the map that was used in an exercise to gather
village location information. The map has very little detailed
information for reference to place new village locations. The new
locations are shown written in pencil.
The map is improved by adding detailed data. This map shows
Facebook grid data (red) lining up with more detailed road
data (black), which improves accuracy in placing points. The
written in points are shown in purple and are now aligned with
the more detailed data.
Imagery was also used to verify the presence of structures,
in addition to the Facebook grid data. The image also
shows the new road data (in black) aligning to the road in
the image.
Mozambique vDPV2 outbreak, 2017
Context, context, context
In emergency, bang for buck
Solutions from Anthro/ Sociology/Other disciplines
Consensus Analytics for KIs
Hybrid methods
Grand Tour / Transects
Mnemonic prompts
Communicating w/ visuals and analogies
More about Radiant Earth Foundation
Additional References | Info
Why we exist
DISCOVERY
1
COMPLEXITY2
COSTS
3
Problem
Our Solution
Opportunity
• Increase in imagery and
tools
• New technologies such as
machine learning and
cloud computing
Facilitating access to imagery
and data analytics to enable
the global development
community to address
challenges
Global Development
Community needs
data and tools but
often has the least
access to it
Vision & Mission
 Open Geospatial Data for Positive Global Impact
 Connecting people globally to Earth Imagery, geospatial data, tools and knowledge
to meet the world’s most critical challenges
Mission Critical Support
Food Security &
Agriculture
Property Rights
Humanitarian
Response
Global Health
Conservation,
Forestry &
Environment
WaterPoverty Reduction Climate Change
Transparency &
Journalism
What we do
Provide Open Access to Earth Imagery &
Tools
Provide Education on Geospatial Data &
Tools
Provide Remote Sensing Use Case
Analytical Support & Advise of
Procurement of Commercial Products
Technology Platform Community Development Consultancy
25
Polio Campaign Dashboard
2011-2013 WHO, NPHCDA AND NSTOP
Expanded use of GPS tracking to quantify SIA
performance (%%)
Barau, et al, 2014 J Infect Dis. (2014) 210 (suppl 1): S102-S110
http://vts.eocng.org/GeoCoverage/Lga?campaignId=26&day=7&lgaCode=804
Hybrid: Grand Tour/Transect
Interactive technique using interviews and guided tour to document community features and or
boundaries with photographs and geotags according to key informant priorities, or systematically
by identifying and maintaining a pre-determined pathway through the community.
+ Combines geotagged data with key informant-identified
Priorities
+ More accurate than hand-drawn
- Vulnerable to key informant bias in determining “what’s
important”
- Limited by informants’ knowledge of the community and
Terrain
740 15th St NW, Suite 900
Washington DC 20005
+ 1. 202.596.3603
hello@radiant.earth
www.radiant.earth | app.radiant.earth
@OurRadiantEarth
https://www.facebook.com/OurRadiantEarth/

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Sources of Map Error in Public Health Activities and Operations Research

  • 1. Sources of Map Error in Public Health Activities and Operations Research Victoria M Gammino Radiant Earth Foundation 8 January 2019
  • 2. About Us Key facts  Non-profit organization, founded in 2016 with funding from Omidyar Network and Gates Foundation  Back-end infrastructure for global development organizations providing open source imagery and ML tools  Neutral convener  Collaborative & Sector-agnostic
  • 3. Core Public Health Functions Investigative Activities - Disease surveillance & detection - Outbreak /emergency response - case-finding Link To/ Provide Care - Service delivery - population estimation - supply chain logistics
  • 4. CASE STUDY: Polio Eradication Four-part strategy - Routine immunization coverage - (x4 in 14 weeks) - Laboratory surveillance/case detection - Outbreak response (targeted campaigns) - 80% coverage all kids < 5 - House-to-house - Strategic public places - Mass immunization coverage o Population size o Location o Terrain
  • 5. Role of Satellite Imagery & GIS Satellite Imagery  Facilitates feature extraction to identify settlements and temporary encampments missed in « manual » microplanning based on local knowledge  Visualize jurisdictional boundaries  Increase awareness of environment to improve logistical efficiency based on terrain and distance Direct Impact on Microplanning  Assure that all settlements incorporated into written plans  Advocacy to assure adequate resources
  • 6. in the absence of census data & current shp files
  • 7. Mapping in the Polio Context (and its relationship to groundtruthing) Logistical plans for field operations crafted at the lowest level of health service administration and data aggregated upwards However, Field operations are implemented at the lowest administrative level Systematic bias Behavioral bias
  • 8.
  • 11. Sakwaya Ward Kachi Ward J/Tsada Ward Missed Settlements Map/data credit: Vince Seaman
  • 13. 13 o Literacy/numeracy o Redundancy o Map reading Qualitative | Behavioral | Perceptual Non-systematic Bias | Perceptual o POIs measurement bias (distance, movement)
  • 14. o Fear o Insider knowledge-- > wrong KIs? o [Consensus analytics to validate intra-cultural knowledge a.k.a, “expert opinion”] Large surveys o Response bias (e.g., opportunity cost or cost implications) Non-systematic Bias (2)
  • 15. Discrimination|otherness Quantified: 2 vs 14 settlements 68 vs ~1200 Saliency/ social construction “no man’s land”
  • 16. Visual balance (benign); “canvas compliance”
  • 18. This is a photo of the map that was used in an exercise to gather village location information. The map has very little detailed information for reference to place new village locations. The new locations are shown written in pencil. The map is improved by adding detailed data. This map shows Facebook grid data (red) lining up with more detailed road data (black), which improves accuracy in placing points. The written in points are shown in purple and are now aligned with the more detailed data. Imagery was also used to verify the presence of structures, in addition to the Facebook grid data. The image also shows the new road data (in black) aligning to the road in the image. Mozambique vDPV2 outbreak, 2017
  • 19. Context, context, context In emergency, bang for buck Solutions from Anthro/ Sociology/Other disciplines Consensus Analytics for KIs Hybrid methods Grand Tour / Transects Mnemonic prompts Communicating w/ visuals and analogies
  • 20. More about Radiant Earth Foundation Additional References | Info
  • 21. Why we exist DISCOVERY 1 COMPLEXITY2 COSTS 3 Problem Our Solution Opportunity • Increase in imagery and tools • New technologies such as machine learning and cloud computing Facilitating access to imagery and data analytics to enable the global development community to address challenges Global Development Community needs data and tools but often has the least access to it
  • 22. Vision & Mission  Open Geospatial Data for Positive Global Impact  Connecting people globally to Earth Imagery, geospatial data, tools and knowledge to meet the world’s most critical challenges
  • 23. Mission Critical Support Food Security & Agriculture Property Rights Humanitarian Response Global Health Conservation, Forestry & Environment WaterPoverty Reduction Climate Change Transparency & Journalism
  • 24. What we do Provide Open Access to Earth Imagery & Tools Provide Education on Geospatial Data & Tools Provide Remote Sensing Use Case Analytical Support & Advise of Procurement of Commercial Products Technology Platform Community Development Consultancy
  • 25. 25 Polio Campaign Dashboard 2011-2013 WHO, NPHCDA AND NSTOP Expanded use of GPS tracking to quantify SIA performance (%%) Barau, et al, 2014 J Infect Dis. (2014) 210 (suppl 1): S102-S110 http://vts.eocng.org/GeoCoverage/Lga?campaignId=26&day=7&lgaCode=804
  • 26. Hybrid: Grand Tour/Transect Interactive technique using interviews and guided tour to document community features and or boundaries with photographs and geotags according to key informant priorities, or systematically by identifying and maintaining a pre-determined pathway through the community. + Combines geotagged data with key informant-identified Priorities + More accurate than hand-drawn - Vulnerable to key informant bias in determining “what’s important” - Limited by informants’ knowledge of the community and Terrain
  • 27. 740 15th St NW, Suite 900 Washington DC 20005 + 1. 202.596.3603 hello@radiant.earth www.radiant.earth | app.radiant.earth @OurRadiantEarth https://www.facebook.com/OurRadiantEarth/

Notas del editor

  1. 350K cases /year in 125 countries in 1988 to High levels of routine immunization coverage (greater than 80%) among infants (children under one year old), including at least three doses of oral poliovirus vaccine (OPV); Mass immunization campaigns through National Immunization Day campaigns or supplementary immunization activities (SIAs); heightened poliovirus surveillance and lab capacity to detect new cases and importations;21 and targeted campaigns (“mop-up” campaigns) to respond to outbreaks in specific areas the virus is known or suspected to be circulating.22
  2. GIS and public health 1998, really early 2000s Polio 2008
  3. This is another example of the challenges with hand-drawn maps. On the left, we see the micro-map, hand drawn by the ward focal person. Despite the very different shaped areas in reality (on the right), there is a tendency to create maps that make the areas look “balanced” or similar so the teams feel like they are getting equal assignments. This can result in poor directional guidance etc.
  4. We exist to help the global development community facilitate access to imagery and data analytics, which will enable them to address global challenges To understand why this is important, lets look at the problem:
  5. Our Vision then is …. Essentially, what we want to do is connect people. ...
  6. Looking at the specifics…OPEN ACCESS Aggregate open Earth Imagery, and provide open access Make data easily searchable Give people tools to analyze data and share it and collaborate on it We power larger scale integrations through APIs EDUCATION Market Information and Analysis  Market studies  Privacy, licensing and policy insights  Open Source technologies, standards and best practices  Application highlights  Image analytics R&D review  Use Cases and Best Practices  Use case models by application  ROI methodologies and analysis  Case studies  Capacity Building and Education  MOOCs and masterclasses  Mapathons and hackathons  Roundtables, conferences and workshops.  Internships and fellowships  Marketplace Offerings  A hub for imagery and data solutions  Multi-organization shared needs requirements  Multi-organization imagery procurement requests  Pooled resources for data purchases 
  7. Near real time geographic coverage