Haiti MPHISE Forum

21 replies [Last post]

The Haiti MPHISE promotes a medical and public health information sharing environment to enhance collaboration and relief efforts supporting the health and human security of Haitians. Current efforts in the Phase II relief phase following the Haiti earthquake on January 12, 2010 are focused on engaging an interoperable environment maximizing the flow of medical and public health services to the Haitian people, including food, water, vaccine, clinical services, health education, communications and other approaches reducing risk and improving resilience.

Comment viewing options

Select your preferred way to display the comments and click "Save settings" to activate your changes.
Haiti MPHISE Phase 3 -- Nation-wide Cholera Epidemic Management
Haiti MPHISE Phase 2, Stage 1 Projects

The Haiti MPHISE (Medical and Public Health Information Sharing Environment) is a key mechanism for providing a common operating picture and collaborative environment across all web and SMS social networks working on the Haiti post-earthquake mission. The Haiti MPHISE is a Phase 2 project of the Haiti Race to Resilience (R2R) public/private consortium. The Haiti R2R has developed a free, open source platform to accelerate the development of the Haiti Medical and Public Health Information Sharing Environment for Phase 2 medical and public health relief efforts. The MPHISE is scheduled to go live on the Haiti Resilience System and other social networks in the first half of April 2010.

During the Relief Phase (Phase 2), there is an increasing need for improving coordinated disease surveillance, prevention, and public health control. Poor sanitation, shelter, crowding and other conditions compromising the health and human security of IDPs in the camps are leading to the need for targeting projects addressing action steps and tasks associated with mission critical gaps in preventing and managing diarrheal diseases and other infectious and vector-borne diseases. Haiti MPHISE in Phase 2, Stage 1 will focus on four projects:

1) Project Intercept: Haiti

2) InSTEDD Emergency Management System

3) Frontline SMS Medic

4) MPHISE Collaboratories within the Haiti Resilience System


Please post and describe upcoming MPHISE meetings.

February Haiti R2R MPHISE Meeting @PAHO Reviewing Gaps & Action

The next Haiti Race to Resilience MPHISE Development Meeting will at PAHO Headquarters in February in Washington, D.C. The date of the meeting will be published shortly after the first of the month. The virtual element of the meeting enabling global remote access will be enabled with Elluminate connectivity. Details to follow.

This meeting will convene the MPHISE communities of practice to review and address priority Phase II mission critical gaps and action steps.

Assessment Tools and Methodologies

Situational Awareness of Haiti relief and recovery needs is still poor. Please list assessment tools and methodologies that are being used or you feel should be used in Haiti Phase II relief efforts or Phase III recovery efforts.

Health Security Index


Enhancing the HDI, Creating the Human Security Index

Will the Human Security Index Provide Better Context to Evaluate the MDGs and Improved Community Resilience?
ESCAP published an experimental extention of the Human Development Index to 230 economies (which I needed for R & D work that I was doing on Asia and the Pacific - as the traditional HDRs omit many small ESCAP-region economies), and another effort - to craft/draft a Human Security Index, was also released. Links are below:
Geographically extending the Human Development Index - beyond UNDP's 177 economies to 230 economies
=> the paper is a .pdf link from this summary page.
From Drafting a Human Security Index:
=> the paper is a .pdf link, and the appendices are 2 additional .pdf links, from this summary page.
There seems to be some interest in using such data (and particularly a collectively enhanced design and implementation) for improved understanding of human security in the face of disasters/challenges that can befall communities. Whether the issue is risk mitigation, better understanding the complexities of good preparation and response on the planning side - or better disaggregation so that community-level data may be composited administratively or environmentally, the issues are fascinating. The Website HumanSecurityIndex.org will hopefully soon be a forum where progress in some such issues can be pursued.
The linkage between spatial characterizations/data, and strategic thinking/planning/preparations appears to be strengthening. And the potential for good results may also be improving, as more national leaders appear ready to work together (? I hope this is correct). Hopefully, the various components of the UN System can also be well used, as well as other key stakeholders, in such process.
With best regards,
David Hastings

Background for the Health Security Index

Health and Development: Toward a Matrix Approach
View Edit Outline Track
Anna Gatti and Andrea Boggio (editors)
“……There is growing awareness of the crucial relationship between health and development. But while the importance of this relationship may be obvious, scholars are still debating about the nature of it, and different assumptions on this crucial relationship have an impact on the developmental agenda of international organizations and their modus operandi at country level.
Is good health a consequence or a pre-requisite of country development? How does the long term impact of different diseases affect economic development? Health and Development will address these and other questions, bringing the reader to a closer understanding of the role of international organizations in the health arena….”
Table of Contents
Preface; L. Brilliant and H. Rosling
Introduction: Toward a Matrix Approach; A. Gatti and A. Boggio
Global Health: Getting it Right
Laurie Garrett and Kammerle Schneider
The first chapter (plus table of contents and index) is available free online as PDF [20p.] at:
“……Over the last decade, humanitarian attention to the health of the world’s poor, security concerns over the spread of pandemic diseases, and the recognition that health is a key determinant of economic growth, labor force productivity, and poverty reduction have propelled global health to the forefront of the international development agenda. Correspondingly, since the start of the twenty-first century we have seen the global health landscape transformed by a sixfold increase in foreign aid and private spending (United Nations Secretary-General Ban Ki-Moon 2007).1 There has been a massive increase in the number of nonprofit organizations, faith-based groups, and private actors vying to implement programs with this windfall. This is a fantastic moment for global health; but without mechanisms to harmonize efforts, track the commitments made and the dollars spent, and evaluate the impacts on local communities – this boon could simply add to the chaos, even undermining basic health achievements.
From the World Economic Forum in Davos to the TED conference in Monterey, from U2 rock concerts in London to the annual Clinton Global Initiative in New York – the surge is on. Money is showering down on health programs like never before. But with investment comes expectations. In the past, too many UN targets or G8 commitments have fallen short, deeply disappointing people in need. At the level of developing countries, where these activities are targeted, hundreds of foreign entities, both large and small, are competing for the attention of local governments, civil society interest, and the desperately short supply of trained healthcare workers. Ministers of Health say that their days are overwhelmed by long lines of NGOs and bilateral program contractors, each demanding their attention. And all too often, these entities have come to impose their programs on the country – not to genuinely work with the country to meet its needs….”
The World Health Organization and its Role in Health and Development; R. Koskenmaki, E. Granziera and G. L. Burci
Beyond the Matrix: Thinking Three-dimensionally About Social Determinants of Health; T. Schrecker and R. Labonté
Research and Innovation in Health and Development; S. A. Matlin
Health and Evolution; F. C. Sforza
Health and Development: An Economic Perspective; D. Evans
Health, Development, and Human Rights; S. Marks
Health and Development: An Ethics Perspective; A. Boggio
Health and Development: The Role of International Organizations in Population Ageing; C. Phillipson, C. Estes and E. Portacolone
Child Health and Development; L. Richter and C. Desmond
Women Health and Development; L. Manderson
Long Term Impacts of Leading Chronic Diseases in Low and Middle Income Countries: A Comparative Analysis; D. Stuckler and D. Yach
Strategies for Financing Universal Access to Health Care and Prevention: Lessons Learned and Perspective for the 21st Century; S.
Spinaci and V. Crowel
HIV Epidemic and Response: Social, Economic and Development Impact; K.A. Kutch, D. Yu and Y. Souteyrand
Global TB Control: Persisting Problems, Shifting Solutions; M. W. Uplekar and M. C. Raviglione

Health Disparities Calculator (HD*Calc)

Latest Release: Version 1.1.0 - January 13, 2010
Surveillance Epidemiology and End Results (SEER)
Statistical software designed to generate multiple summary measures to evaluate and monitor health disparities (HD).

Available online at: http://seer.cancer.gov/hdcalc/index.html

“…..This application extends the work published in the National Cancer Institute Surveillance Monograph Series entitled
Methods for Measuring Cancer Disparities, which evaluates measures of health disparities included in HD*Calc. The monograph discusses major issues that may affect the choice of summary measures of disparity and systematically reviews methods used in health disparities research.
Methods for Measuring Cancer Disparities is recommended for those unfamiliar with the measures available in HD*Calc or interested in a
comparative summary of available measures of health disparities (PDF).

A second monograph:
Selected Comparisons of Measures of Health Disparities: A Review Using Databases Relevant to Healthy People 2010 Cancer-Related Objectives,
uses case studies to analyze the performance and appropriateness of various measures of health disparities.,……’

* * *
This message from the Pan American Health Organization, PAHO/WHO, is part of an effort to disseminate
information Related to: Equity; Health inequality; Socioeconomic inequality in health; Socioeconomic
health differentials; Gender; Violence; Poverty; Health Economics; Health Legislation; Ethnicity; Ethics;
Information Technology - Virtual libraries; Research & Science issues. [DD/ KMC Area]
“Materials provided in this electronic list are provided "as is". Unless expressly stated otherwise, the findings
and interpretations included in the Materials are those of the authors and not necessarily of The Pan American
Health Organization PAHO/WHO or its country members”.
PAHO/WHO Website
Equity List - Archives - Join/remove: http://listserv.paho.org/Archives/equidad.html
Twitter http://twitter.com/eqpaho

What Groups Are or Can Assist in Phase 2 Relief Effort?

We would like to compile a list of groups that can assist in the Haiti Phase II relief efforts. Would you please give your suggestions who these might be, what it is they do, and any contacts you know with the group(s).

Crisis Camp - Columbia
Open Street Maps




CBS: What to Do When the Next Global Crisis Strikes?

This article by CBS provides a view into the work of USHAHIDI.

LOS ANGELES (CBS) I met Patrick Meier at last week's Twitter Chirp Conference and was immediately intrigued by his card, which read: Ushahidi, Crowdsourcing Crisis Information. Ushahidi means "testimony" in Swahili. The platform, which is completely free and open, was initially developed in early 2008 during Kenya's post election fallout as a way to map reports of violence.

"We threw up a Google map of Kenya," says Meier. "We got a short code 6007 with Safaricom (a Kenyan mobile operator), which meant that anyone in Kenya could text in their observation saying I just saw a riot, I just saw a person getting beating up and then we'd be able to geo-locate that and have a completely transparent map that anyone could access and see what was happening."

After seeing the traffic grow to 45,000 users from Kenya alone, they knew they were onto something.

Come January 12, 2010, a 7.0 earthquake hit Haiti. Within 48 hours of the earthquake, Josh Nesbit of FrontlineSMS:Medic and Katie Stanton of the U.S. State Department convinced DigiCel, the largest telco in Haiti, set up a short code - 4636 - (much like our 911) that people could text for help. Anyone in Haiti could text their urgent life and death situation with their location, and Ushahidi would map that information.

"If you go to Haiti.ushahidi.com, we've mapped over 3,500 individual crisis related incidences and you can animate that map from January 12 and see how that information gets distributed over time."

There were two problems: Translating the flood of texts in Creole, and getting workers to carry out the labor.

To tackle the translation problem, Ushahadi teamed up with CrowdFlower, a web service that provides labor-on-demand - in this case translators.

"Harnessing thousands of volunteers would normally create a logistical nightmare, but it is specifically this kind of amorphous virtual labor force that the CrowdFlower platform was built to accommodate," said Lukas Biewald, the company's CEO.

Ushahadi also joined forces with Samasource, a nonprofit specializing in socially responsible outsourcing, who got Haitians on the ground hired to handle emergency message routing. That, in turn, created jobs for the local economy.

This collaborative effort is now being hailed as www.mission4636.org.

There's no doubt that this is a model for how governments, NGOs and aid workers on the ground can more efficiently report and react to any event or incident (not just a crisis) through SMS, Twitter and the web.

Ushahadi is not only being used to deal with disaster.

As I spoke to Patrick backstage at Twitter Chirp, he showed me Ushahidi's latest voting map for Sudan that was made to "track and create transparency for any irregularities that may take place," during the recent presidential election.

There can be bumps in the crowdsourcing revolution however.

The independent site sudanvotemonitor.com had a few hundred markings on its map showing locations tagged for defamation, voting access, disturbances and vote tampering. The morning I spoke with Patrick, it had been suddenly shut down. As of today, it remains blocked.

Now that's a big issue that has yet to be crowd sourced successfully. Any hackers... I mean volunteers out there that want to give it a go?

Tags: crowd sourcing , shira lazar , sudan , crowdsourcing , patrick meier , crises , haiti , ushahadi
Topics: In The News , news

For More Information:


InSTEDD has a series of important advanced computing and communication tools and methods that will be engage in the Haiti Resilience System, which are likely to be quite valuable in the Haiti MPHISE. We recommend starting with InSTEDD's GeoChat.



Useful Websites for Haiti Phase 2 Relief Efforts?

What websites are, or could be useful for the phase 2 relief efforts in Haiti?

APAN --- DOD's All Partner's Access Network
Tools for Haiti Relief?

We are looking to identify tools that can help the Phase II relief efforts. Please share your thoughts, ideas, suggestions.

Mission Critical Gaps

Please report Phase II Relief Mission Critical Gaps and the proposed tasks essential to address the reported gaps below.

Haiti Phase II MPHISE Mission Critical Gaps and Action Steps

Summary Working Draft 0.1 January 29, 2010

Haiti Race to Resilience MPHISE Phase II
Mission Critical Gaps and Action Steps

Mission Critical Gaps (MCGs)

MCG 1) Situational Awareness of 900 Health Facilities in Haiti

PAHO has compiled database of 900 health facilities in Haiti. Very little is know about the current status of these health facilities.

Action Steps (AS) for MCG1:

MCG1 AS 1: Work with Intermedia to Request Information on Haiti's Health Facilities by February 7, 2010

MCG1 AS 2: Deploy Advance Teams to Assess Health Facilities Status of Non-reporting Facilities & Set Up Reporting Channels

MCG 1 AS 3: Establish Updated Health Facilities Databases, Facilities Maps and Reports in Haiti MPHISE

MCG 2) Situational Awareness of Location and Status of Haitian Populations

Obervations have been made of Haitian Migrations Since the January 12 Earthquake (from Space, Air, and Ground)

Action Steps (AS) for MCG2:

MCG2 AS 1: Compile all Secondary Data on Haitian Population Movements and Current Positions by February 3, 2010

MCG2 AS 2: Compile all Secondary Data on the Health and Human Security Status of Haitian Populations by February 10, 2010

MCG 2 AS 3: Establish Updated Haitian Population Databases, Population Maps and Reports in Haiti MPHISE by February 20, 2010

MCG 3) MPHISE Interoperability Assessment

Many rapid assessments revealing medical and public health gaps have accomplished since the 1/12 earthquake. However, to our knowledge, no systematic assessment has be established to identify and address interoperability gaps that are inhibiting the timeliness, quality, and effectiveness of the medical and public health elements of the Phase II relief mission.

Action Steps (AS) for MCG3:

MCG3 AS 1: Establish Haiti Phase II Medical and Public Health Relief Mission Interoperability Assessment and Management Teams by February 7, 2010

MCG3 AS 2: Deploy Interoperability Teams to Gather Primary and Secondary Data to Assess the Interoperability of the Phase II Relief Mission Health and Public Health Facilities and Services Including Review of All Logistics System Components by February 15, 2010

Additional Comments

The following bulleted items will be shaped into Mission Critical Gaps and Action Steps in Working Draft 0.2 by end of business day on Monday, February 1.

Architecture and Components of Haiti MPHISE

Situation Reports
include in the Haiti MPHISE

translate and make availability in all key languages in MPHISE

Report on status of Haitian Health and Medical workers

Establish Cold Chain

Medical Logistics Supply Chain Management System for Haiti's Health Facilities and Large IDP Populations

Catalogue of Broadcast Health Messages and Repository of Messages and Triggerpoint-based Best Practices

Establish an Haiti MPHISE Metadata and Taxonomy Collaboratory and Team

Establish an Haiti MPHISE Executive Committee

Establish a Haiti MPHISE Management Team

Establish Haiti MPHISE Links in Each Health Facility and Major Population Center in Haiti

Establish a "Have/Need" List Information Format (HNLIF) standard (like the PFIF People Finder Information Format)

Establish a Haiti MPHISE Adaptive Logistics System

Establish PAHO Situational Awareness Regarding Haiti MPHISE and Resilience System Tools and Methodologies

Powered by Drupal, an open source content management system