gpaasi/Essential-scd-care-spatial-prioritisation-Uganda

Catchment-level spatial prioritisation of essential sickle cell disease services in Uganda using co-risk, service deficits, service-specific rollout priorities, and robustness analysis. # Spatial prioritisation for expansion of essential sickle cell disease services across health-facility catchments in Uganda using sickle cell-malaria co-risk and existing service deficits ## Summary This repository implements the analytic workflow for the paper, **“Spatial prioritisation for expansion of essential sickle cell disease services across health-facility catchments in Uganda using sickle cell-malaria co-risk and existing service deficits.”** The pipeline preprocesses higher-level public health-facility catchments, routine sickle cell disease (SCD) burden data, service-availability data, and raster-derived epidemiological and population inputs; constructs catchment-level co-risk, service-deficit, and structural-vulnerability metrics; generates overall and service-specific programme-priority rankings; quantifies coverage-to-need gaps and population-weighted inequity; and produces robustness and subregional concentration summaries. The workflow is designed to support geographic planning for expansion of four essential SCD service domains in Uganda: - newborn screening - hydroxyurea - blood transfusion support - specialised SCD clinic care It moves from data preparation and catchment construction to co-risk estimation, composite prioritisation, service-specific rollout analysis, coverage-to-need gap assessment, population-weighted concentration analysis, subregional decomposition, and robustness evaluation under alternative weighting scenarios. Key outputs are cleaned catchment-level analytic datasets, co-risk surfaces and summaries, overall and service-specific priority rankings, coverage-to-need gap summaries, subregional concentration tables, robustness outputs, and manuscript-ready maps, tables, and figures. ## Important interpretation note This repository supports a **planning-oriented spatial prioritisation framework**. The catchments used here should be interpreted as **analytic planning catchments** and **modelled service geographies* …