GIS Modelling for Health Reform in Rural Governorate of Egypt

Results and Discussion
The detection of the unserviced areas according to the guidelines of MOHP (PHC unit serves 20000 persons and area of 2.5 km radius) the program had been applied on the urban level. The urban areas of the concerned cities and villages represent the target population as points. To determine the arrival service from each PHC unit to each urban area, the inverse distance weighting (IDW) was used. Through this applications the following results can be summarized:
  1. The total number of unserviced urban areas of cities and villages, which have shortage of service is 160, which represent 24% of the total urban areas (Fig. 5), Appendix (A).
  2. According to the MOHP guidelines the new PHC units must satisfy the following two conditions:
    1. The unserviced population ³ 5000.
    2. The unserviced population ³ 20% from the total population.
    As a result of the previous two conditions 29 urban areas need 27 new PHC unit (Fig. 6 & Appendix B). After adding this new PHC units 97 urban areas are unserviced (Fig. 7) due to that their population less than 5000. These unserviced urban areas will be serviced from the nearest PHC units.
  3. Eight unserviced cities will change their Health Insurance Organization (HIO) to PHC units to cover the unserviced population.
Conclusion and Recommendations
Future health reform for Sohag Governorate aims to attain 100 percent coverage of the population to realize the health policy, which based on distribution of health services for all people. The following can be concluded from the implementation of the GIS mathematical model:
  1. The unserviced urban areas for villages and cities 160 from the total urban areas 650 ( of percent 24%).
  2. The current PHC units 284.
  3. The total population 3,5 million.
It is recommended to establish 27 new PHC units according to the health guidelines the required and 97 urban areas will be serviced by the nearest PHC units. The Health Insurance Organization (HIO) facilities will service eight cities after converting them to PHC units to achive the complete health coverage of Sohag Governorate. Using mathematical GIS model for the health reform gives a good picture for the future health reform situations in Sohag governorate due its reliability and dealing with different parameters.

References
  • CAPMAS (1996) “Census data of Sohag governorate”, census report.
  • Esri (2000) "The ArcView software ver. 8.1" Environmental System Research Institute, Red Land, USA.
  • MOHP (2001) “Future Health Sector reform of Sohag gvernorate”, Internal Master Plan Report.
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