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GIS as a Community Engagement Tool: Developing a Plan to Reduce Infant Mortality Risk Factors

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Abstract

This article describes how a community coalition focusing on maternal and child health engages community participation through the use of geographic information systems (GIS) mapping, developing strategies that culminate in the implementation of a service delivery plan to improve birth outcomes. Vital statistics data from 2007 to 2009 was analyzed by zip code in Pinellas County Florida to produce choropleth thematic maps using ArcGIS for 3 year rolling average infant deaths and single year percentages for prematurity. The maps were presented at the organization’s annual coalition meeting to discuss risk areas, changes over time in the selected indicators and solicit community feedback on how to best target issues addressing infant mortality and prematurity. The maps identified new zip codes of concern for prematurity in addition to known high risk zip codes for both infant mortality and prematurity. The community identified changes in demographic composition and changes in housing patterns, such as new mobile home areas, in the high risk areas. In response, the community assisted the Coalition in developing a holistic plan addressing risk factors affecting birth outcomes by expanding current services, hiring a nutritionist, and contracting a health navigator. When compared to tables and charts, a visual depiction of a neighborhood by recognizable zip codes is a useful tool to help community decision makers better visualize public health concerns and interpret trends based on local knowledge. Public health professionals should use this community knowledge to interpret research results and implement strategies to improve birth outcomes.

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References

  1. Office of Minority Health and Health Disparities (OMHD). (2007). Eliminate disparities in infant mortality. Available from: http://www.cdc.gov/omhd/amh/factsheets/infant.htm. Cited 2013 March 12.

  2. World Health Organization. (2013). Health status statistics: Mortality. Available from: http://www.who.int/healthinfo/statistics/indunder5mortality/en/.Cited 2013 March 13.

  3. Reidpath, D. D., & Allotey, P. (2003). Infant mortality rate as an indicator of population health. Journal of Epidemiology and Community Health, 57(5), 344–346.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  4. Florida Department of Health. (2010). Florida Charts. Available from: www.floridacharts.com. Cited 2012 April 22.

  5. Center for Disease Control and Prevention. (2012). Reproductive health—Preterm birth. Available from: http://www.cdc.gov/reproductivehealth/maternalinfanthealth/PretermBirth.htm. March 23, 2012 November 4, 2012.

  6. Florida Charts. (2012). Maternal and child health indicators. Available from: www.floridacharts.com. November 19, 2012.

  7. Office of Minority Health and Health Disparities (OMHD). (2012). A healthy baby begins with you and you and you. Available from: http://minorityhealth.hhs.gov/templates/browse.aspx?lvl=2&lvlid=195. Cited 2013 March 13.

  8. Meckel, R. A. Save the Babies: American Public Health Reform and the Prevention of Infant Mortality 1850-19292001 (p. 243). Ann Arbor, MI: John Hopkins University Press.

  9. Cromley, E. K., & McLafferty, S. L. (2012). GIS and Public Health (2nd ed., p. 503), New York, NY: The Guilford Press.

  10. Cromley, E. K. (2003). GIS and disease. Annual Review of Public Health, 2003(24), 7–24.

    Article  Google Scholar 

  11. Rushton, G. (2003). Public health, GIS, and spatial analytic tools. Annual Review of Public Health, 24, 43–56.

    Article  PubMed  Google Scholar 

  12. McLafferty, S. L. (2003). GIS and health care. Annual Review of Public Health, 24, 25–42.

    Article  PubMed  Google Scholar 

  13. Nykiforuk, C., & Flaman, L. M. (2011). Geographic information systems (GIS) for health promotion and public health: A review. Health Promotion Practice, 12(1), 63–73.

    Article  PubMed  Google Scholar 

  14. Gozdyra, P., Glazier, R., & Moldofsky, B. (1999). A picture speaks a thousand numbers: Allowing the community to examine available health data through user friendly mapping software. In The 11th annual colloquium of the Spatial Information Research Centre. Dunedin, New Zealand: University of Otago.

  15. Aronson, R. E., et al. (2007). Ethnographically informed community evaluation: A framework and approach for evaluating community-based initiatives. Maternal and Child Health Journal, 11, 97–109.

    Article  PubMed  Google Scholar 

  16. Heffernan, M., et al. (2005). Mapping youth-at-risk: GIS and its potential as a service integration tool. In Social change in the twenty first century conference. Australia: Queensland University of Technology.

  17. Dubowitz, T., et al. (2011). Using geographic information systems to match local health needs with public health services and programs. American Journal of Public Health, 101(9), 1664–1665.

    Article  PubMed Central  PubMed  Google Scholar 

  18. Welch, V., Ueffing, E., & Tugwell, P. (2009). Knowledge translation: An opportunity to reduce global health inequalities. Journal of International Development, 21(8), 1066–1082.

    Article  Google Scholar 

  19. Driedger, M. S., et al. (2010). If you build them, they still may not come: Outcomes and process of implementing a community-based integrated knowledge translation mapping innovation. Implementation Science, 5(47).

  20. Kothari, A., et al. (2008). Mapping as a knowledge translation tool for the Ontario Early Years Centres: Views from data analysts and managers. Implementation Science, 3(4).

  21. United States Census. (2010). Available from: www.census.gov. November 20, 2012.

  22. Healthy Start Coalition of Pinellas. (2009). Healthy Start Coalition of Pinellas Service Delivery Plan Update, fourth quarter report. Largo, Florida.

  23. Aronson, R. E., et al. (2007). Neighborhood mapping and evaluation: A methodology for participatory community health initiatives. Maternal and Child Health Journal, 11, 373–383.

    Article  PubMed  Google Scholar 

  24. Riner, M. E., Cunningham, C., & Johnson, A. (2004). Public health education and practice using geographic information system technology. Public Health Nursing, 21(1), 57–65.

    Article  PubMed  Google Scholar 

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Correspondence to Maridelys Detres.

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Detres, M., Lucio, R. & Vitucci, J. GIS as a Community Engagement Tool: Developing a Plan to Reduce Infant Mortality Risk Factors. Matern Child Health J 18, 1049–1055 (2014). https://doi.org/10.1007/s10995-013-1337-3

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