Presentation on Mapping of HIV/AIDS Facilities in Maharashtra by Dr. C. A. K. Yesudian during Seminar on Spatial Dimensions on Health Care-Use of GIS in Health Studies Organised by CEHAT and University of Mumbai

2. What is SAM
• SAM is a country owned monitoring tool meeting
the needs of multiple partners
• At national level, SAM is used to track equity
between districts and identify major gaps in
service availability
• At district level, SAM supports informed decision
making and providing sub-national planners with
the skills and tools required to map and monitor
service and resources availability on a regular basis
• Disease specific programmes use SAM thus
avoiding fragmentation and duplication
• SAM results are widely disseminated and used by
health sector and civil society including other
sectors
• National planners will be able to map all facilities
and all other services on regular basis

3. Objectives
 Rapidly Map the HIV/AIDS specific services and
resources in all the districts of Maharashtra.
 Make this information available to decision makers,
planners and managers at the Tehsil (sub-district) and
health facility level and
 Build the district level capacities to collect, analyze and
produce maps using HealthMapper.

4. SAM Tools
The SAM tool is made up of two components:
A census methodology including 2 questionnaires:
- District Questionnaire
- Facility Questionnaire
+
The Health Mapper system:
- Mapping Interface
- Data Manager
Together, these components make up an assessment and
monitoring tool for service and resource availability for
HIV/AIDS and other services.

5. Application
1. Data collected using
questionnaires by field 2. Data is uploaded in
investigators WHO’s HealthMapper
application
3. Data is analysed
and thematic maps
and graphs
developed using
HealthMapper

6. Map of Sindhudurg District showing
Taluka and Roads

7. Map of Sindhudurg District showing General Hospitals

8. Map of Sindhudurg District showing General Hospitals

9. Map of Kudal Tehsil showing Health and Infrastructure Facilities

10. Total No. of Facilities Surveyed: 4595

11. Total No. of Facilities Surveyed: 4595

12. Total No. of Facilities Surveyed: 4595

13. Total No. of Private Facilities : 3074

14. Total No. of Facilities: 3079

15. # Progressive rise in private facilities. No significant expansion of PHCs.
# Marked growth of Nursing Homes and Diagnostic Centres

16. Total No. of Facilities: 951

17. No. of Facilities: HIV Counseling: N= 1898; HIV Testing: N=1483; PPTCT: N = 501; ART: N=301.
Others: General & Speciality Hospitals, Mobile Clinics, Physical and Mental Rehabilitation Centres,
Community Based Facilities.

18. No. of Facilities: HIV Counseling: N= 1898; HIV Testing: N=1483; PPTCT: N = 501; ART: N=301.
Others: Semi-government (Aided by government), Corporate, Unknown.

19. Use of SAM Generated Maps
 State level planning: appropriately locating health
care facilities.
 District and sub-district level: informed decision to
deliver health services effectively.
 Individual level: informed choice of health care
facilities to meet the health needs.
 Monitor quality of services and regulate health
services.

20. Way Forward
 Integrate SAM with health system and its HMIS.
 Use GPS for locating services and hand held data collection
tools to achieve accuracy and speedier data collection.
 Generate capacities within health system to update data,
generate relevant maps and disseminate at all levels.
 Generate the managerial capacity of administrators to use
SAM as a decision making tool.
 Make available SAM in the public domain, so that it is used
beyond the government health system.