Making Pastoralists Count: Geospatial Methods for the Health Surveillance of Nomadic Populations

Am J Trop Med Hyg. 2019 Sep;101(3):661-669. doi: 10.4269/ajtmh.18-1009.

Abstract

Nomadic pastoralists are among the world's hardest-to-reach and least served populations. Pastoralist communities are difficult to capture in household surveys because of factors including their high degree of mobility over remote terrain, fluid domestic arrangements, and cultural barriers. Most surveys use census-based sampling frames which do not accurately capture the demographic and health parameters of nomadic populations. As a result, pastoralists are "invisible" in population data such as the Demographic and Health Surveys (DHS). By combining remote sensing and geospatial analysis, we developed a sampling strategy designed to capture the current distribution of nomadic populations. We then implemented this sampling frame to survey a population of mobile pastoralists in southwest Ethiopia, focusing on maternal and child health (MCH) indicators. Using standardized instruments from DHS questionnaires, we draw comparisons with regional and national data finding disparities with DHS data in core MCH indicators, including vaccination coverage, skilled birth attendance, and nutritional status. Our field validation demonstrates that this method is a logistically feasible alternative to conventional sampling frames and may be used at the population level. Geospatial sampling methods provide cost-affordable and logistically feasible strategies for sampling mobile populations, a crucial first step toward reaching these groups with health services.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Child
  • Child, Preschool
  • Ethiopia
  • Female
  • Geographic Information Systems / economics
  • Health Surveys
  • Humans
  • Infant
  • Infant, Newborn
  • Male
  • Maternal-Child Health Services*
  • Middle Aged
  • Remote Sensing Technology
  • Rural Population / statistics & numerical data
  • Spatial Analysis*
  • Surveys and Questionnaires
  • Transients and Migrants / statistics & numerical data*
  • Vaccination / statistics & numerical data
  • Young Adult