Title: Mapping inequalities in health using GIS (not running in 2018)
Keywords: Planning and programming (incl.. budgeting and evaluation)
Health systems
Health information
Disease prevention & control
Country: Netherlands
Institution: The Netherlands - Royal Tropical Institute (KIT), Amsterdam
Course coordinator: Ente Rood
Date start: 2018-11-19
Date end: 2018-12-07
About duration and dates: 6 weeks in total: 4 weeks interactive learning & 2 weeks working on assignment and final exam. Exact date in 2018 to be decided.
Classification: advanced optional
Mode of delivery: Distance-based
Course location: Distance based via E-learning platform
ECTS credit points: 5 ECTS credits
150 hours total:
• 90 hours of interactive learning (peer-to-peer learning or tutor facilitated),
• 5 hours formative (self) assessment,
• 30 hours summative assessment (final assignment),
• 23 hours self-study,
• 2 hours summative assessment (final exam)
Language: English
The aim of the course is to provide participants with the necessary knowledge and skills enabling them to use of GIS as a tool for improved planning and performance of disease control. Special attention is given to data-management requirements and how routine program data incorporated into GIS system can be effectively utilized to strengthen program management. Participants will be introduced to space-time analysis of epidemiological data, risk mapping and geo-spatial access analysis.

At the end of the module the participants should be able to:
• Explain the purpose and demonstrate the value of GIS and spatial data to disease control programs
• Operate a GIS and apply basic cartographic techniques to visualize health data
• Produce, interpret and evaluate health maps
• Describe and interpret spatial patterns of health indicators and epidemiological data (spatial randomness vs clustering).
• Apply and evaluate the appropriateness of GIS methods to quantify the coverage of disease control programs.
• Identify requirements for successful implementation of GIS tools in public health
Assessment Procedures:
Throughout the course the comprehension of the theoretic concepts and applied skills will be assessed based on the following components:

1. A formative assessment of the comprehension of theory and practical skills obtained at the end of each week of the course using one hour formative exam. This assessment includes combination of multiple choice and open questions.

2. A summative assessment (10%) will be made based on self-reflection on acquired knowledge and skills. Over the full duration of the course ,students will keep a personal online journal blog consisting of their reflective writing on the individual learning sessions, group experience and the learning process of engaging in this module. Self-reflection is in essence a process that involves self-study whereby you seek to identify and analyse your own actions and reactions with the aim of improving your practice. The task is to reflect on your own actions and reactions in relations to the challenges presented with and to identify how these can be improved upon.

The reflective writing will account for 10% of the final grade and will be marked according to the following criteria:
• Precision of description
• Analysis of significant issues experienced during the sessions to which the writer needs to pay attention
• Acquisition of knowledge relevant to significant issues
• Decisions about future practice

The identity of students personal work will be easily verified as student progressively work together to build different components of the final project proposal that they will submit. The tutor’s involvement during the 6 week interactive period allows constant monitoring of how individuals perform and contribute to group discussions

3. A summative assessment (50%) of the comprehension and knowledge of key principles and concepts will be made through a written final exam at the end of the course. This will be done through an open book exam which comprises 40% of the final grade and will take maximum of 120 minutes. An online Q&A session will be organized to allow students to ask questions and provide feedback following the exam.

4. A summative assessment (40%) of practical skills, and ability to correctly map an interpret outputs, will be made based on a 15 minute presentation of results of the final assignment. In the presentation participants are expected to provide a comprehensive and critical account of the results of their own project or of one of the case-studies provided. Presentations will be graded by two examiners (tutor + independent) according to pre-set grading criteria.

• Structure (10%)
Target Audience

• Contents (60%)
Clear message
Relevant Maps
Correct Interpretation of Maps
Clear Title of Maps
Additional Data (you would like to collect)
Applied Methods/ techniques learned in this course
Suggested Methods
Conclusion (for target audience)

• Layout (25%)
Max 10 min/10 slides

• 4. Overall impression (5%)

Students who fail the written exam leading to an average final grade of less than 55% will be offered a re-sit of the written exam.
Geographic data and geographic information systems are increasingly being recognized as an essential tool to assess trends in disease occurrence. Mapping health inequalities enable program managers and policy makers to plan targeted interventions and to monitor and evaluate the effectiveness of disease programs. This course will be offered as an online course providing theoretical lectures, practical exercises and case studies covering the key concepts of GIS, spatial analysis and a techniques for the dissemination of analytical results for decision support in public health.

The course consist of three phases.

During the first phase students will be trained to obtain knowledge of core concepts and theoretic principles required when mapping and analysing spatial data:
• basic GIS theory and principles including spatial data formats
• spatial data management
• introduction to ESRI ArcGIS software package
• visualization and cartographic concepts
• geographic coordinate systems and projections
• creation of different types of maps
• geoprocessing; creation of buffers, exercise with distance and context operators

The second phase will provide the opportunity to apply and extend the GIS skills that have been learned into a public health context. The course will address specific problems in the field of planning and evaluating disease control programmes and space-time analyses of health data.

Topics include:
• examining spatial data that describe the location, shape and relation of disease with geographic features.
• Descriptive and basic analytical geographical methods for understanding and interpretation of these spatial disease patterns.
• Digitizing data, including the use of GPS and importing/exporting data to Google maps
• Exploration of patterns of disease in space and time.
• Epidemiological assessment and analysis of patterns and risk factors of disease in time and place including cluster analysis and risk mapping
• Assessment of accessibility and availability to diagnostic and treatment centres.
• Visualising Health Management Information, such as programme indicators, human resources, laboratory performance indicators - for monitoring and evaluation of programme performance.

During the last phase students will work on personal assignments which they will present to an exam committee (tutor + independent) .

Guest speakers are invited to present applications of the use of GIS in disease control programmes and research projects.

The course will use ESRI ArcGIS. Participants will obtain a one-year student license of ArcGIS (ArcView).
This module is an online learning course. The facilitation of the learning experience is conducted exclusively via a moodle based virtual learning environment (virtualgrounds.kit.nl), which will contain all learning materials. Interaction between learners and the lecturer will be through e-communication (using the Virtual grounds and other tools such as Skype).

The main learning methods employed are:
1. Self-directed learning where students make use of the materials posted on Virtual Grounds to meet the learning objectives of the course. Learning materials include:
- Readings; downloadable or scanned articles, eBooks.
- PowerPoints with extended notes, or a recorded ‘narrative’
- Recorded mini-lectures (voice, image & PowerPoint slides)
- Short videos, including recordings of KIT staff, associates or partners on practical examples of GIS applications in public health.
- Self-assessment quizzes. For students to test their knowledge and understanding of topics covered.
- Self-reflection on the learning process and theoretic knowledge gained throughout the course will be obtained from the students

2. Initiating, and responding to, discussion strands on the discussion board. The unit guides include questions for reflection and discussion, in order to guide the directed learning. Students can initiate discussion topics as well. Discussions will be student led. Tutors will monitor the discussions and give feedback on key points. Students can also discuss topics in a chatroom (but will not be required to do so).

Interactions on the discussion board and in a chatroom will enable students to exchange research experiences and insights, ask questions for clarification and give peer feedback. Importantly, these interactions will enable the building of a community of learners; a social community which will significantly enhance the learning experience. Group work plays an important part in this course and each group will have their own private discussion forum that only they (and the tutor) can access and which will be used in the final summative assessment and grading.

3. Giving and receiving constructive peer feedback, in written form or via chat/Skype, on amongst other aspects, formative assignments of other students. Students will be asked to give feedback in written form or through chat/Skype.

4. Tutorial sessions will be held during students work on their assignment to address issues and to provide guidance to the projects on a one-on-one basis.
• English proficiency equivalent to IELTS of 6.0 OR TOEFL 580 in paper test and 237 in computer based test.
• Relevant work experience in public/international health
• Regular access to a computer and the internet (broadband) for the duration of the module.
• Basic computer skills, including using the world-wide web.
• No prior exposure to GIS, nor practical skills in GIS are needed to follow this course.
• Students will get a login for the e-learning platform and a student license to GIS software.
Maximum number of students: 25
Maximum number of tropEd students: 5
First come first served
EUR 1900 EUR with a 20% discount for tropEd students: EUR 1520
tropEd accreditation:
Accredited in December 2016. This accreditation is valid until December 2021.
Email Address: F.Maldonado@kit.nl
Date Of Record Creation: 2016-12-19 00:39:06 (W3C-DTF)
Date Of Record Release: 2017-10-09 18:42:53 (W3C-DTF)
Date Record Checked: 2018-07-18 (W3C-DTF)
Date Last Modified: 2018-10-02 13:24:04 (W3C-DTF)

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