Adamu Yusuf Ali, a supervisor with eHealth Africa, during the first and second cycles of Post-Distribution Monitoring (PDM) of insecticide-treated mosquito nets in Bauchi State, is no stranger to humanitarian interventions. Having navigated countless hard-to-reach and sometimes security-compromised communities, he reflects on how his passion for making a difference outweighs the challenges that come with data collection.
Beyond auditing households for the availability, usage, and condition of insecticide-treated mosquito nets, Adamu sees the exercise as an opportunity to educate communities on the importance of consistent net use in preventing malaria. He acknowledges the difficulties of reaching remote areas but remains focused on the intervention’s impact.
“My colleagues and I are more concerned about the immense impact the PDM intervention is making, especially in protecting children and pregnant women from malaria,” he said.
One of the biggest challenges, he explained, is locating the right households due to network issues or discrepancies in geo-coordinates. Sometimes, the coordinates lead them to the wrong household—or even an open field. When this happens, they rely on community leaders, local guides, and other stakeholders to help identify the correct households and ensure accurate data collection.
“We sometimes spend up to eight hours in communities where we ideally should have spent less than three,” he said. Densely populated areas and inconsistencies in building structures often make navigation difficult. He also recalled instances where the geo-coordinates led them to the correct location with the right name, yet the supposed beneficiaries reported that they never received mosquito nets during distribution.
Community reception varies from place to place. Entering a new community as an outsider comes with uncertainties—some communities are welcoming, while others are more reserved. On a scale of one to ten, Adamu estimates a positive reception rate of around seven.
“Some community members receive us warmly and respond to our inquiries, believing that we are there to listen to their concerns and potentially bring more interventions,” he said.
The fight against malaria goes beyond simply distributing insecticide-treated mosquito nets. Ensuring that the nets reach the right beneficiaries and are used correctly is just as important. This is the driving force behind Post-Distribution Monitoring, conducted by eHealth Africa in Bauchi, Zamfara, and Plateau states with support from the Against Malaria Foundation. The intervention provides accurate data on mosquito net availability, usage, and condition in households while also allowing data collectors and supervisors to educate communities on proper net use for maximum protection.
Working in over 50,000 households across these states has exposed data collectors to countless lessons and challenges, especially in navigating hard-to-reach and security-compromised communities. But for Adamu and his colleagues, the hardships are secondary to the impact they are making—one household at a time.
Through long hours, difficult terrain, and occasional setbacks, Adamu and his team remain unwavering in their mission. For them, every properly used net is a life potentially saved, and every conversation is a step toward a healthier community. The challenges may be many, but the reward—seeing families, especially children and pregnant women, protected from malaria—makes it all worthwhile.
In the end, it’s not just about counting mosquito nets; it’s about changing lives, one household at a time.
