Prioritizing COVID-19 vaccine allocation in resource poor settings: Towards an Artificial Intelligence-enabled and Geospatial-assisted decision support framework.

OBJECTIVES: To propose a novel framework for COVID-19 vaccine allocation based on three components of Vulnerability, Vaccination, and Values (3Vs). METHODS: A combination of geospatial data analysis and artificial intelligence methods for evaluating vulnerability factors at the local level and allocate vaccines according to a dynamic mechanism for updating vulnerability and vaccine uptake. RESULTS: A novel approach is introduced including (I) Vulnerability data collection (including country-specific data on demographic, socioeconomic, epidemiological, healthcare, and environmental factors), (II) Vaccination prioritization through estimation of a unique Vulnerability Index composed of a range of factors selected and weighed through an Artificial Intelligence (AI-enabled) expert elicitation survey and scientific literature screening, and (III) Values consideration by identification of the most effective GIS-assisted allocation of vaccines at the local level, considering context-specific constraints and objectives. CONCLUSIONS: We showcase the performance of the 3Vs strategy by comparing it to the actual vaccination rollout in Kenya. We show that under the current strategy, socially vulnerable individuals comprise only 45% of all vaccinated people in Kenya while if the 3Vs strategy was implemented, this group would be the first to receive vaccines.

Probabilistic forecasting of remotely sensed cropland vegetation health and its relevance for food security.

In a world where climate change, population growth, and global diseases threaten economic access to food, policies and contingency plans can strongly benefit from reliable forecasts of agricultural vegetation health. To inform decisions, it is also crucial to quantify the forecasting uncertainty and prove its relevance for food security. Yet, in previous studies both these aspects have been largely overlooked. This paper develops a methodology to anticipate the agricultural Vegetation Health Index (VHI) while making the underlying prediction uncertainty explicit. To achieve this aim, a probabilistic machine learning framework modelling weather and climate determinants is introduced and implemented through Quantile Random Forests. In a second step, a statistical link between VHI forecasts and monthly food price variations is established. As a pilot implementation, the framework is applied to nine countries of South-East Asia (SEA) with consideration of national monthly rice prices. Model benchmarks show satisfactory accuracy metrics, suggesting that the probabilistic VHI predictions can provide decision-makers with reliable information about future cropland health and its impact on food price variation weeks or even months ahead, albeit with increasing uncertainty as the forecasting horizon grows. These results - ultimately allowing to anticipate the impact of weather shocks on household food expenditure - contribute to advancing the multidisciplinary literature linking vegetation health, probabilistic forecasting models, and food security policy.

Planning universal accessibility to public health care in sub-Saharan Africa.

Achieving universal health care coverage-a key target of the United Nations Sustainable Development Goal number 3-requires accessibility to health care services for all. Currently, in sub-Saharan Africa, at least one-sixth of the population lives more than 2 h away from a public hospital, and one in eight people is no less than 1 h away from the nearest health center. We combine high-resolution data on the location of different typologies of public health care facilities [J. Maina et al., Sci. Data 6, 134 (2019)] with population distribution maps and terrain-specific accessibility algorithms to develop a multiobjective geographic information system framework for assessing the optimal allocation of new health care facilities and assessing hospitals expansion requirements. The proposed methodology ensures universal accessibility to public health care services within prespecified travel times while guaranteeing sufficient available hospital beds. Our analysis suggests that to meet commonly accepted universal health care accessibility targets, sub-Saharan African countries will need to build ∼6,200 new facilities by 2030. We also estimate that about 2.5 million new hospital beds need to be allocated between new facilities and ∼1,100 existing structures that require expansion or densification. Optimized location, type, and capacity of each facility can be explored in an interactive dashboard. Our methodology and the results of our analysis can inform local policy makers in their assessment and prioritization of health care infrastructure. This is particularly relevant to tackle health care accessibility inequality, which is not only prominent within and between countries of sub-Saharan Africa but also, relative to the level of service provided by health care facilities.