College of Business, King Abdulaziz University, P.O. Box 344, Rabigh 21911, Kingdom of Saudi Arabia.
J Community Health. 2012 Apr;37(2):372-82. doi: 10.1007/s10900-011-9454-7.
Social sector planning requires rational approaches where community needs are identified by referring to relative deprivation among localities and resources are allocated to address inequalities. Geographical information system (GIS) has been widely argued and used as a base for rational planning for equal resource allocation in social sectors around the globe. Devolution of primary health care is global strategy that needs pains taking efforts to implement it. GIS is one of the most important tools used around the world in decentralization process of primary health care. This paper examines the scope of GIS in social sector planning by concentration on primary health care delivery system in Pakistan. The work is based on example of the UK's decentralization process and further evidence from US. This paper argues that to achieve benefits of well informed decision making to meet the communities' needs GIS is an essential tool to support social sector planning and can be used without any difficulty in any environment. There is increasing trend in the use of Health Management Information System (HMIS) in Pakistan with ample internet connectivity which provides well established infrastructure in Pakistan to implement GIS for health care, however there is need for change in attitude towards empowering localities especially with reference to decentralization of decision making. This paper provides GIS as a tool for primary health care planning in Pakistan as a starting point in defining localities and preparing locality profiles for need identification that could help developing countries in implementing the change.
社会部门规划需要采用合理的方法,通过参照各地区的相对贫困程度来确定社区需求,并分配资源以解决不平等问题。地理信息系统(GIS)被广泛认为是全球社会部门公平资源分配的合理规划的基础。初级卫生保健的权力下放是一项全球性战略,需要付出艰苦的努力来实施。GIS 是全球初级卫生保健分散化进程中使用的最重要工具之一。本文通过关注巴基斯坦初级卫生保健提供系统,考察了 GIS 在社会部门规划中的应用范围。该工作以英国的分散化进程为例,并进一步以美国为例证。本文认为,为了实现决策的明智信息支持以满足社区的需求,GIS 是支持社会部门规划的必要工具,无论在何种环境下都可以毫不费力地使用。随着互联网连接的增强,巴基斯坦越来越倾向于使用健康管理信息系统(HMIS),这为在卫生保健领域实施 GIS 提供了良好的基础设施,然而,需要改变态度,增强地方的权力,特别是在决策分散方面。本文将 GIS 作为巴基斯坦初级卫生保健规划的工具,作为确定地方和准备地方概况以进行需求识别的起点,这有助于发展中国家实施变革。