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A GIS-Enabled, AI-Powered Climate-Health Early Warning System

Combining satellite Earth observation of current conditions with climate forecasts, then turning both into anticipated health impacts — before disaster becomes an emergency.

Plain-Somali advisories for woreda health workers — every recommendation cites a protocol rule and is approved by a person before it publishes.

First deployed across 100 woredas in the Somali Region — built to scale across Ethiopia.

Designed in alignment with the UN Early Warnings for All initiative
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100 woredas monitored

4 satellite Earth-observation sources

7 interactive map layers

Assessments updated 18h ago

8 WHO & national protocol sources

~2,000 indexed protocol passages

Weekly Climate-Health Outlook bulletin

Every advisory human-approved

What We're Grounded In

Degdeg isn't driven by a single forecast — it combines satellite-derived Earth observation of current conditions with forecast data, using true polygon zonal statistics computed across each woreda's full boundary, not a single sampled point.

CHIRPS

Observed

Observed rainfall and its anomaly

Every 5 days (pentad)

ICPAC Combined Drought Indicator

Observed

Combined Drought Indicator from a WMO-accredited regional climate centre

Every 10 days (3–13 week publication lag)

FEWS NET eVIIRS NDVI

Observed

Vegetation condition

Every 10 days

GloFAS

Forecast

River discharge forecast

Daily

HydroRIVERS

Static geography

Riverine classification of every woreda

Fixed (doesn't change)

Open-Meteo

Forecast

14-day rainfall and temperature forecast

Daily

The Problem

Early warning science is strong — but three gaps keep it from reaching the people who need to act:

The last-mile gap
Forecasts rarely reach woreda health offices or health workers in a form they can act on, in Somali.
The climate → health gap
A rainfall anomaly map doesn't tell a health officer to expect a cholera risk window in flood-hit kebeles.
The warning → action gap
Even when warnings arrive, nothing converts them into a protocol-based preparedness checklist.

How It Works

Four stages, each with an explicit human-auditability guarantee — rule citations and human approval are never skipped.

1. Interpret
The AI reasons over multiple observed Earth-observation signals and forecast data together — observed rainfall, vegetation condition, a drought indicator, and river discharge — and produces a graded hazard assessment: level, confidence, and its stated reasoning.EW4All Pillar 2 — Forecast Data
2. Anticipate
The assessment is checked against 15 vetted climate → health impact rules. Every anticipated risk must cite a matching rule — uncited output is rejected, not published.EW4All Pillar 1 — Risk Knowledge
3. Advise
The AI drafts advisory text — a WhatsApp message, radio script, and official memo — grounded only in the cited risks above, in Somali and English.EW4All Pillar 3 — Warning Dissemination
4. Approve
Nothing publishes automatically. A health officer or admin reviews and approves every advisory before it reaches a woreda.EW4All Pillar 4 — Preparedness & Response

Why You Can Trust It

"AI-native" doesn't mean unaccountable. Four non-negotiable rules keep the pipeline auditable end to end:

Grounding, not freestyling
Every anticipated health risk must cite a vetted impact rule, and its timing must fall inside that rule's range — unsupported output is rejected outright.
Structured validation
Every AI output is validated against a strict schema. Invalid output is retried once, then escalated to human review — never silently published.
Confidence + human-in-the-loop
Low-confidence or emergency-level assessments are automatically held back from public display until a human confirms them.
Full audit logging
Every AI call — prompt, model, response, validation outcome — is logged. That log is the methodology annex for due diligence.

Built for Funders and Partners

Degdeg is built for a conversation with funders like UNICEF, Wellcome, and Somali Region Health Bureau officials — a system that is accountable, auditable, and verifiable, not just another AI demo.

Read Our Methodology

Developed By

Armauer Hansen Research Institute (AHRI)

Degdeg is developed by the AI Innovation Lab at the Armauer Hansen Research Institute (AHRI), Ethiopia's national biomedical research institute. AHRI leads CHOICE — the Coalition for Health AI Innovation and Ethics, an Africa CDC initiative — and Lab leadership serves as an expert member of that coalition and sits on Ethiopia's National AI in Healthcare Programs Technical Working Group. Degdeg joins an existing portfolio that includes AI-PRESCRIBER, SUSTAIN-AI ECG, AI-HEALS AMR, and AI4GMP, alongside international collaborations with the Makerere University AI Health Lab and MI4People.