Moshood Isah, Author at eHealth Africa

Digitising Healthcare With Local Realities in Mind: Shaping The Future of African Healthcare

Posted on December 16, 2024December 16, 2024 by Moshood Isah

For Immediate Release

Highlights

Highlighting the importance of cultural context and local leadership in the success of digital health solutions.
eHealth Africa’s innovative solutions have vaccinated over 5.8 million people, revolutionising immunisation programs in Nigeria.

*Participants follow proceedings keenly during a panel discussion at the Global Health Forum in Nairobi.*

[NAIROBI, Kenya] December 8, 2024 – eHealth Africa (eHA) has today urged governments and stakeholders to explore the critical factors beyond technology that are essential for deployment of digital health solutions for long-term success of public health systems across Africa. Data-backed interventions will help streamline operations and enable formulation of interventions that appreciate the cultural norms when addressing the immediate needs of different communities within the region.

Speaking during a panel session at the Global Digital Health Forum 2024 in Nairobi, eHealth Africa’s Executive Director Atef Fawaz emphasised the importance of integrating technology with local cultures and addressing community-specific needs. “Understanding the unique healthcare challenges in each individual country allows us to deploy tech solutions that truly make an impact. ”For instance, eHealth Africa successfully delivered over 5.8 million vaccines (5,801,209) to 351 primary healthcare facilities across states in Nigeria that was made possible through the deployment of the innovative Logistics Management Information System (LoMIS) application.

*Digitizing Healthcare With Local Realities in Mind: Shaping The Future of Healthcare in Africa*

“The system significantly improved the availability of vaccines for Routine Immunisation (RI), ensuring timely and efficient distribution while eliminating stockouts at primary healthcare facilities. This intervention highlights our commitment to strengthening immunisation programs and enhancing healthcare delivery at the grassroots level,” he said.

In his contribution, Abdulhamid Yahaya, Deputy Director, Global Health Informatics highlighted the need to understand the local cultural, social, and regulatory landscape so as to build solutions that are designed with local realities in mind.

eHealth Africa Board Member Micheline Ntiru said using technology provided stakeholders among them global health leaders, tech innovators, and development experts as well as local communities a platform to create the right solutions that work within the constraints of each community, and with the support of local leadership.

For instance, local health workers have been using mobile-based reminder systems to improve compliance and overall health outcomes while some local immunisation centres have been sending SMS reminders to parents as well as to provide educational messages about the diseases they protect against. Mobile phones, now available in nearly 80 percent of African homes, can also be used during emergencies to dispatch mass announcements about satellite clinic locations and schedules.

According to the World Health Organisation, increased use of the Internet, email, social networking sites and availability of mobile phones facilitates deployment of eHealth solutions, applications and services towards improvement of national health systems. Use of technological eHealth solutions could also be used to encourage positive lifestyle changes to prevent and control common diseases.

The panel moderated by Ota Akhigbe, Director of Partnerships and Programs comprised of Ms Ntiru (Delta40 ventures), Mr Yahaya (eHealth Africa), Chief Impact Officer at Tiko – Serah Malaba, Dr Olamide Okulaja (Maisha Meds), Audere Chief Executive Officer Dr Dino Rech, and Rachel Alladian from Jacaranda. They discussed how strategic partnerships, regulatory compliance, and a deep understanding of local contexts are crucial for driving digital health innovations that can succeed in diverse regions.

The GDHF forum was attended by health scholars, researchers, representatives from the Ministry of Health in Ethiopia, Tanzania, Kenya, Malaysia, Somalia and Sri Lanka as well as representatives from the World Bank, medicine manufacturers, technology vendors, UN agencies among others.

eHealth Africa’s Executive Director Atef Fawaz emphasises the importance of integrating technology with local cultures and addressing community-specific needs during a panel discussion at the Global Health Forum in Nairobi.

About eHealth Africa
eHealth Africa (eHA) is a non-profit organisation dedicated to strengthening health systems across Africa through the design and implementation of data-driven solutions. Responding to local health needs, over the past 15 years, eHealth Africa has built a robust tech and operational platform specifically designed to address health delivery challenges. Recognizing the need for collaboration, we have opened up our operational, management, partnership, and technology platforms to others, accelerating the entry and adoption of innovations. By leveraging lessons learned from global successes, we aim to maximize impact and ensure that solutions are well-tailored to every market’s unique market dynamics, making it an ideal entry point for social and economic development initiatives that rely on public health innovations.

eHealth Africa’s work spans across 24 African Countries including, Chad, Liberia, Cameroon, Tanzania, Madagascar, Zimbabwe amongst others. For more information, visit www.ehealthafrica.org.

Contact:
Judith Owoicho
Communications Manager, eHealth Africa

eHA Academy: Inspiring Stories of Aspiring Tech Leaders

Posted on November 14, 2024November 14, 2024 by Moshood Isah

–— Funmilayo Joseph ——

In a world where technology is rapidly evolving, the need for skilled professionals to navigate the digital landscape has become increasingly apparent. Unfortunately, not all graduates of Information and Communications Technology (ICT) programs have the opportunity to gain practical experience alongside their theoretical knowledge.

As Jamil Galadanci, a Senior Manager in Global Health Informatics at eHealth Africa, noted, many graduates from higher education institutions are talented but lack hands-on skills because their education has been primarily theoretical, with little practical application. He expressed concern for young graduates, stating, “When some of these graduates conclude their studies, they are often not employable and end up wasting their skills and talents. We want to enable them to realize their full potential in ICT.”

Recognizing this gap, eHealth Africa (eHA) established its Academy in 2016 to help bridge the technical skills divide among young technology enthusiasts across Africa. Through a twelve-week curriculum focused on software development and network engineering, the Academy equips its graduates with the tools and knowledge needed to tackle healthcare challenges and thrive in the digital age. “With the skills the graduates gain from the Academy, they can provide digital and data-driven solutions in sectors like healthcare, agriculture, finance, and more,” Galadanci said.

The graduates from the 5th Cohort, who recently completed the program, shared their stories of resilience and sacrifice as they navigated the rigorous but impactful course. Each one offered unique insights into their expectations, challenges, and triumphs.

Fatima Mustapha: Embracing Challenges Necessary for Growth

For Fatima Mustapha, an MSc student in Information Technology, the challenge of competing priorities—balancing the demands of the Academy alongside her academic coursework—was significant. Having read and heard success stories from other graduates, Fatima entered the Academy with high expectations. Witnessing the achievements of previous cohorts fueled her determination to be part of this transformative experience.

While terms like Cascading Style Sheets (CSS), HTML, JavaScript, and Figma were familiar to her due to her academic background, gaining direct practical experience proved to be a valuable challenge. Despite the demanding schedule of balancing Academy courses and university exams, she persevered, honing her time management skills and emerging victorious. “eHA Academy is a dream come true for me because I can boldly write code now,” she said.

Elijah Ishaku: Transitioning from Passive Tech Consumer to Active Creator

For Elijah Ishaku, a full-time staff member in the help desk department at eHealth Africa, the Academy provided an opportunity to dive into the world of software engineering. His journey marked a profound shift in perspective, as he transitioned from a passive consumer of digital content to an active creator. Learning the nuances of CSS was a highlight, allowing Elijah to discover the art of transforming functional structures into visually captivating experiences. Through persistence and guidance, he overcame challenges and solidified his belief in becoming a Full Stack Developer. “It has been my dream to go into software engineering. This is the first step for me to venture into that dream,” he said.

Francis Ojapa Emmanuel: Determination and Resilience

As a budding software developer, Francis Ojapa Emmanuel entered the Academy with a clear goal: to acquire the knowledge needed for software development. Despite facing network glitches and data consumption challenges, his determination never wavered. Mastering HTML, CSS, and JavaScript within a few months was a testament to his unwavering dedication. Francis surprised himself by designing a personal website, showcasing the transformative power of determination and resilience.

Murja Amadi Kurfi: Mastering the Art of Web Development

Murja Amadi Kurfi’s journey through the Academy centered on mastering front-end development. Through engaging courses and hands-on projects, she honed her coding skills and created dynamic, visually appealing websites. Debugging complex JavaScript code posed challenges, but Murja’s persistence and collaborative spirit propelled her forward. The culmination of her efforts resulted in the development of sleek, functional websites, demonstrating her prowess in web development.

Empowering the Next Generation of Technological Innovators

The stories of Fatima, Elijah, Francis, Murja, and the approximately 20 other graduates from the 5th cohort offer a glimpse into the transformative power of eHealth Africa’s Academy. Beyond acquiring technical skills, the Academy fosters personal and professional growth, instilling resilience, determination, and a passion for innovation. As these graduates embark on their professional journeys, they stand as a testament to the Academy’s mission: to empower communities, inspire aspiring developers, and address healthcare challenges through cutting-edge solutions.

In a rapidly evolving digital landscape, the need for skilled professionals has never been greater. Through initiatives like eHA’s Academy, Africa’s next generation of technological innovators is equipped to navigate the challenges and opportunities ahead, transforming visions into reality and shaping a brighter future for all.

As technology continues to reshape our world, initiatives like the eHealth Africa Academy play a crucial role in nurturing the next generation of innovators and problem solvers. Through dedication and resilience, individuals like Fatima, Elijah, Francis, and Murja embody the spirit of progress and possibility, driving positive change in their communities and beyond. In the dynamic landscape of technology, the journey never truly ends. With each challenge overcome and each milestone achieved, the graduates of eHealth Africa Academy embark on new adventures, armed with the knowledge, skills, and determination to shape a brighter future for themselves and their communities.

EndPolio: eHealth Africa Supports Cross-Border Vaccination Tracking

Posted on November 7, 2024November 14, 2024 by Moshood Isah

– Moshood Isah

The ongoing transmission of the poliovirus in the Lake Chad Basin, the Sahel, and throughout West Africa poses a significant obstacle to achieving global polio eradication targets. This challenge informed the development of a cross-border coordination plan by the Global Polio Eradication Initiative (GPEI).

Amid harsh climatic conditions and insecurity, at least 55 million people are facing or expected to face food and nutrition insecurity in 2024, according to the GPEI. With consistent displacement and migration across the region, the risk of importing and exporting poliovirus and other diseases increases. This situation underscores the need for effective collaboration among countries to eliminate the spread of the Circulating Variant Polio Virus 2 (cVPV2) in the subregion.

As part of the Polio Outbreak Response Campaign (OBR4) for October, eHealth Africa joined other stakeholders in an international cross-border synchronization initiative in communities along the Kebbi State-Niger Republic border. Led by the Kebbi State Primary Healthcare Development Agency, the Bill and Melinda Gates Foundation, eHealth Africa and other polio eradication partners, this initiative is vital for immunizing eligible populations in these critical areas.

During a cross-border supervisory visit to the Daitegi Kanta community in Kamba Kamba Ward, Dandi Local Government Area of Kebbi State, eHealth Africa’s project manager, Comfort Audu, stated that the coordinated campaign aims to ensure that children in border regions receive vaccinations simultaneously. This approach will minimize the risk of unvaccinated populations and help control the spread of cVPV2. Comfort emphasized, “eHealth Africa is happy to provide technical support, especially in deploying innovative technology to improve vaccination reach.”

Dr. Samuel Okiro, a Senior Program Officer at the Bill and Melinda Gates Foundation (BMGF), highlighted the importance of simultaneous vaccinations for children residing across borders. He noted that the poliovirus knows no borders and that constant migration means the virus can easily cross from one country to another. “While we cannot prevent people from traveling between border towns, the cross-border synchronization campaign provides an opportunity to immunize eligible children before they continue their journey,” he explained.

Praising the commitment of immigration officials to the polio eradication initiative, Dr. Samuel remarked, “The immigration officers clearly understand the importance of polio immunization. It is commendable that there is a fixed immunization post with various antigens at the border, ensuring that eligible children crossing either side are vaccinated.”

However, Dr. Samuel lamented the lack of sufficient cold chain equipment needed to freeze ice packs and maintain vaccines at the proper temperature. “One of the challenges I observed is that the cold chain system is inadequate, especially at the Local Government Area level, where they are unable to freeze enough ice packs for the following day.”

He also pointed out that the poor condition of roads leading to these communities may impact negatively on the cross-border vaccination campaign. “Some of the roads are in poor condition. When it rains, our teams struggle to reach the immunization sites,” he said.

Finally, he emphasized the importance of Western education in enhancing community knowledge about polio vaccination and other public health interventions. While commending the existence of functional public schools in the communities, he advised that local authorities should address the issue of poor road access to these schools.

With at least 83 cases of circulating variant poliovirus reported in Areas of Intractable Transmission (AIT), plus two states which include Kebbi, Katsina, Zamfara, Sokoto Kaduna, and Niger, States. Kebbi state government, through the Polio Task Force Committee, led by Deputy Governor Umar Abubakar Tafida, has consistently reiterated its commitment to supporting initiatives that will drive the final push to end polio in the state and beyond.

As a vital partner in polio eradication efforts throughout Nigeria and Africa, eHealth Africa has significantly contributed to establishing Emergency Operation Centers and integrating technologies such as Geographic Information System, and Planfeld. These advancements enhance the planning and execution of polio vaccination programs.

World Polio Day: Uniting for the Final Push to End Polio

Posted on October 22, 2024October 22, 2024 by Moshood Isah

*Engagement with Traditional Institution in Sokoto to lead fight against polio*

Moshood Isah

October 24th each year commemorates World Polio Day. This commemoration isn’t just an opportunity to reflect on the journey towards the eradication of the disease but also to remind all stakeholders of the seemingly unending battle to eliminate what has been described as a crippling and life-threatening illness.

The European Region was declared polio-free in 2002 and has maintained this status every year since. While the African region was declared polio-free in 2020, the emergence of circulating Variant Poliovirus type 2 (cVPV2) continues to be an important area of focus. This means other low- and medium-income countries, including Nigeria, continue to play catch-up.

With over 70 cases reported across 46 local government areas (LGAs) in 14 states, Nigeria is currently witnessing intense transmission of cVPV2. This is largely due to issues surrounding vaccine hesitancy, which has led to low vaccination coverage. Similarly, misinformation and distrust about the potency and intentions of vaccination have significantly contributed to the low rate of herd immunity against the disease.

Another major barrier that developing and underdeveloped nations face is political instability and ongoing conflicts. This severely restricts access to vaccination campaigns, making it difficult to reach underserved communities and leaving them vulnerable. The challenges posed by health supply chains, sometimes exacerbated by insecurity and logistics gaps, have also consistently impacted the availability of polio vaccines for effective distribution, especially in hard-to-reach areas.

Given the potential devastating effects of polio—such as paralysis and psychosocial impact—along with the speed at which this disease can spread, the urgency needed to end this scourge remains critical. While the progress made is impressive, nearly eradicating polio is not good enough. Locations with incomplete vaccination coverage may experience outbreaks that can rapidly escalate into fresh public health emergencies.

Funke Ibikunke, the EHA Project field Officer Sokoto State updating the data derived by the House to house mobilizers on the tracking devices December 11, 2023.

The Sokoto North LGA review meeting Sokoto North LGA Secretariat December 11, 2023.

Focus Group discussion LGA Cold Chain officers on effective Vaccine delivery

Vaccine Direct Delivery (VDD) in Sokoto captures the essence of efficient vaccine distribution. VDD ensures the seamless transfer of vaccines and dry commodities from the state cold store to ward-level health facilities. This image highlights the precision and dedication of VDD’s logistics, emphasizing its critical role in enhancing healthcare delivery.

A Ward focal person ties a box containing the vaccines he has received for the day as he get ready to begin his day’s work Bodinga LGA, Sokoto 13 December, 2023

A Ward focal person picking up tracking devices from the project field officer as they begin their day’s work Bodinga LGA, Sokoto 13 December, 2023

The coordination of efforts by the Global Polio Eradication Initiative (GPEI) over the years has been critical to the global effort to eradicate polio, involving significant investments of financial and human resources. This further underscores the importance of strengthening existing collaborations at all levels to accelerate the end of polio in the African region.

For instance, eHealth Africa is working with key partners, such as the Sultan Foundation for Peace and Development, to engage traditional and religious institutions in leading the polio vaccination drive. The intervention led by the Sultan of Sokoto himself, His Eminence Dr. Muhammad Sa’ad Abubakar III, has built trust within communities across northern Nigeria to increase vaccine uptake. To a significant extent, religious leaders, traditional leaders, and village heads have been flagging off vaccination campaigns from their palaces and chambers, which has undoubtedly improved acceptance of vaccines, especially in rural communities.

The urgency of reaching rural communities has also prompted the deployment of digital innovations like Geospatial Tracking Systems (GTS) to track and identify missed settlements. These systems have helped increase vaccination coverage while providing data-driven insights for decision-making. This has improved the quality and accountability of campaign implementation by validating the reports generated by vaccination teams.

Similarly, digital innovations like Planfeld, recently piloted by eHealth Africa, have been instrumental in enhancing the accuracy of planning vaccination campaigns and reaching every settlement. The application provides information on the exact number of settlements being targeted, the number of children in those areas, and the amount of vaccine required for the activity.

Aside from the deployment of technology, social behavioral change interventions at all levels have been another key approach in the journey to end polio. Irrespective of their roles, every step taken toward alleviating this disease is crucial. From international public health leaders to caregivers in the most remote locations, the influence of every stakeholder remains vital to the final push to end polio in Nigeria and the African continent.

Importantly, the emergence of other potential public health crises—such as cholera, monkeypox, hypertension, and diabetes—increases the urgency of ending the long-standing battle against polio. This will ensure that more global health funding is directed toward addressing other health issues, averting potential public health emergencies.

As we unite to push for a future without polio, this will be a testament to our collective resolve and humanity’s ability to unite for a common cause. We are indeed on the brink of history as we deliver the final blow to this disease once and for all.

Moshood Isah is a Communications Coordinator at eHealth Africa.

5 Reasons Digital Innovations are Crucial for the Final Push to end Polio in Nigeria

Posted on October 22, 2024October 24, 2024 by Moshood Isah

Judith Owoicho

It is August 2023, in a remote Nigerian village in Northern Nigeria. Children 5 years and below are on a queue waiting to be vaccinated against polio. At Least, 2,509,687 children have already benefited from the 18-day mass vaccination campaign to boost their immunity against Circulating Variant Poliovirus (cVPV2). (World Health Organization [WHO], 2023).

This raises an important question. If Nigeria was declared polio free in 2020, why do we still require polio vaccinations campaigns today? After years of collaborative efforts, significant progress was made in eliminating polio. However, the threat of circulating variant poliovirus (cVPV2) lingers, particularly in remote areas of Northern Nigeria. Efforts are being made to ensure that we see the end of this disease.

As Nigeria continues the journey towards finally eradicating polio, digital innovation has become a vital tool in ensuring the success of the country’s vaccination efforts. One of such innovative solutions is the integration of GIS tracking systems on eHealth Africa’s polio interventions. This revolutionary innovation has transformed how vaccination campaigns are planned, tracked, and executed.

A child receives a FIPV vaccine in Kofan Kade, Mallam Dani’ma Quranic school, Sokoto north LGA Sokoto State. December 10, 2023

Here are five key reasons why digital innovation is the game-changer in Nigeria’s final push to end polio.

1. Every community is reached with accuracy

The foremost challenge in eradicating polio in Nigeria has been reaching remote and conflict-ridden areas where vaccination coverage is inconsistent. With difficult terrains, and insecurity, It is often nearly impossible to ensure that no child is left behind. With eHealth Africa’s GIS technology, teams are able to track and locate settlements in hard-to-reach areas with geo-coordinates of over 70% of settlements that were previously unmapped. This level of precision has allowed vaccination teams to better plan and ensure that no community is overlooked, increasing vaccination coverage rates. In 2023, the geo-coverage rate of vaccination activities tracked rose to 89%, representing a 6% increase over the previous quarter. This data-driven approach has been instrumental in reaching more than 1.4 million children in tracked settlements across the country.

2. Vaccination Campaigns are Monitored Real-time

One useful aspect of digital technology is its ability to provide real-time data and feedback. Vaccination campaigns can now be tracked in real time, allowing for immediate course corrections if any gaps are identified. The GIS technology has made it possible to track vaccination teams as they move from one settlement to another, providing health authorities with the data they need to ensure that every planned area is covered. With this technology during the vaccination campaign in April 2023 12,791 settlements across 56 LGAs in Katsina, Niger, Sokoto, and Zamfara, were reached, achieving an impressive 81% of the planned coverage. This real-time accountability has ensured that vaccine wastage is minimized, resources are optimally allocated, and the campaign’s impact is maximized.

3. Tailored Trainings for Vaccination Teams

Digital innovation not only improves logistical planning and monitoring but also equips health workers with the necessary tools and knowledge to enhance their effectiveness. With the GIS Intervention, eHealth Africa trained 107 individuals across five states—Katsina, Zamfara, Kebbi, Niger, and Sokoto—to effectively use digital tools and geospatial data to improve their vaccination outreach. These training efforts have empowered local teams and equipped health workers with the knowledge needed to adjust strategies on the go, to achieve more successful campaign outcomes.

4. Enhanced Micro Planning for Campaigns

Polio eradication requires meticulous planning, especially in regions where settlements are small, scattered, and often unmapped. Digital health tools have drastically improved micro planning by providing vaccination teams with up-to-date settlement data and templates to develop detailed vaccination plans. The Master List of Settlements (MLoS), regularly updated through digital tracking, serves as a comprehensive guide for teams in the field. This detailed approach has proven instrumental in increasing vaccination coverage in previously underserved areas, as seen in the 89% overall coverage rate achieved during the 2023 campaign, which targeted 4,861 settlements.

5. An Expandable Model for other Public Health Campaigns

The success of eHealth Africa’s GIS technology in Nigeria is proof that digital innovations can effectively address a wide range of other public health challenges. The systems, data infrastructure, and training models developed for polio eradication are not only efficient but also highly adaptable and can be applied to combat other diseases and public health emergencies.

The successful deployment of GIS technology by eHealth Africa in Nigeria is evidence that digital innovations can help in the solution of many other public health problems. The systems, data infrastructure, and training models developed for the polio eradication program are not only effective but also flexible enough to be used for other diseases and public health threats.

Through continued investment in these technologies, Nigeria is not only positioned to become polio-free but also to build a more robust and resilient healthcare system that will benefit generations to come.

How Planfeld Can Eradicate Perennial Vaccination Campaign Challenges – Primary Healthcare Workers

Posted on September 13, 2024September 13, 2024 by Moshood Isah

By Moshood Isah

*Primary Healthcare workers during Planfeld workshop in Zamfara*

Vaccination campaigns, especially in Nigeria, are a Herculean task, particularly when navigating complex and hard-to-reach terrains. From the planning stage, where primary healthcare workers identify households and calculate target populations for vaccination, the challenges are immense.

Khadija Ibrahim, a Ward Focal Person from Bagama A in Suleja Local Government Area (LGA), often braves rain and harsh weather conditions while moving from one community to another to identify households and target populations for vaccination. According to Khadija, although community leaders play crucial roles in identifying target populations, some gatekeepers can be reluctant due to a lack of incentives.

While community leaders need to support public health campaigns, Khadija lamented that “sometimes, your community leader does not want to accompany you, and you cannot enter without them.” This sometimes leads to inaccurate information and, in many cases, missed settlements during the vaccination campaign, which affects the spread of the Circulating Variant of Poliovirus and other vaccine-preventable diseases.

Due to the challenging terrain in rural areas, Ward Focal Persons often rely on motorcycles for transportation. “There was a year when I had an accident and dislocated my left wrist while distributing vaccines as early as 6 a.m.,” Khadija recalled. Given that all documentation for planning and implementing public health campaigns is done manually on paper, these documents are vulnerable to destruction by rain, accidents, or human errors.

“This manual method is difficult because sometimes you may go to a community and find that the number of children is not as high as the numbers given to us,” Abdullahi Muhammad, another Ward Focal Person, said. This affects reporting and vaccine management.

Muhammad supervises 14 vaccination teams, each visiting over 100 households for daily immunization rounds. He noted that “because the profiles of the settlements are captured manually, it’s difficult to understand the accessibility of these settlements, whether they are rural, urban, nomadic, or scattered.” These complications also impact the identification of starting points, midpoints, and endpoints during implementation.

The challenges in developing an effective microplan sometimes lead to the postponement of vaccination campaigns. Thus, the introduction of Planfeld—designed to enhance the planning of vaccination campaigns and ensure every child has access to the polio vaccine and other routine immunization services—comes at an opportune time.

Muhammad is among the first healthcare workers to express excitement about the Planfeld pilot. “Planfeld saves time; rather than spending four to five days developing a microplan, we can achieve it in just a few minutes,” he said.

Echoing this sentiment, Usman Abubakar, the Niger State Immunization Officer (SIO), remarked that the Planfeld pilot workshop is timely. He noted that digitizing micro plans will significantly address the issue of resource allocation, which he considers one of the most challenging tasks in his 20 years in the health sector.

Having spent nearly two decades leading and supporting vaccination campaigns across the state, Khadija, Umar, Usman, and other unsung heroes of public health interventions share one common aspiration.

eHealth Africa is dedicated to advancing digital health innovations through a user-centered approach, aiming to meet the needs and aspirations of underserved communities.

5 Lessons from the Planfeld Pilot Workshop Across Six States in Nigeria

Posted on September 13, 2024September 13, 2024 by Moshood Isah

By Moshood Isah

eHealth Africa team, partners and Stakeholders from the Kaduna State Primary Healthcare

Between August and September 2024, eHealth Africa’s Disease Prevention and Monitoring team conducted a comprehensive pilot workshop for its innovative digital solution, Planfeld. The tool is designed to enhance the planning of vaccination campaigns and ensure that every child has access to the polio vaccine and other routine immunization services. During the workshop, held in Kaduna, Niger, Katsina, Zamfara, Sokoto, and Kebbi States, eHealth Africa exposed over 350 primary healthcare workers, partners, and stakeholders to the efficacy of Planfeld in planning vaccination campaigns with greater speed and accuracy.

The impactful workshop, funded by the Gates Foundation, provided stakeholders with the opportunity to give insightful feedback during the tool’s demonstration. Here are some key lessons learned:

1. Time Management: Reducing Vaccination Plan Development from 5 Days to 10 Minutes

In all six states where Planfeld was piloted, Ward Focal Persons managing vaccination campaigns reported that developing a micro plan typically took between three to five days. This process involved manually collecting data from communities and engaging with local gatekeepers to identify target households and populations (children aged 0-59 months). However, with Planfeld, an updated Master List of Settlements, and input from primary healthcare providers, a near-accurate micro plan could be generated in just five minutes. Umar Muhammed, a Ward Focal Person in Niger State, noted, “If Planfeld works perfectly, it will solve all our challenges, as it can generate micro plans within a few minutes.”

Similarly, Victor Obagunlu from Solina, who attended the workshop in Kaduna State, said, “Planfeld is beneficial because it significantly reduces the time and energy spent on developing micro plans.”

2. Effective Resource Management and Allocation for Vaccination Campaigns

The workshop highlighted that with an accurate Master List of Settlements (MLoS) uploaded into Planfeld, the right number of vaccination teams can be effectively assigned to households. According to Friday Daniel, eHealth Africa’s Associate Manager supporting this intervention, “Accurately assigning vaccination teams to the right number of settlements will reduce undue burden and ensure every household is reached within the vaccination period.” Like many digital innovations, Planfeld relies on data for better decision-making, ensuring both financial and human resources are effectively utilized.

3. State Primary Healthcare Leaders Are Open to New Innovations

Dr. Larai Aliyu Tambuwal, Executive Secretary of the Sokoto State Primary Healthcare Development Agency (NPHCDA), summarized the views of other agency leaders by stating, “The integration of digital innovation in primary healthcare services will significantly improve precision in delivering vaccines to every settlement, ensuring comprehensive coverage.”

Key stakeholders at the state level were generally receptive to digitizing the microplanning process to enhance its quality. Mustapha Aliyu Alinkilo, Director of Disease Prevention and Control in Zamfara State, commented, “Technology will enhance the quality of microplanning in the state, and deploying the monitoring aspect of Planfeld will ensure a near-perfect vaccination campaign.”

4. User-Centric Approach Is Key to Success of Digital Innovations

To ensure an effective transition from manual to digital microplanning, eHealth Africa’s Program Manager Abubakar Shehu emphasized the importance of involving all relevant parties during the planning phase. “We brought in key players in the generation of micro plans at the state level, led by the Incident Manager and the State Immunization Officer for both Polio and routine immunization,” Abubakar said. Key partners, including the World Health Organization (WHO), United Nations International Children’s Emergency Fund (UNICEF), African Field Epidemiology Network (AFENET), and SOLINA, participated in the pilot workshop.

A crucial lesson learned from the Planfeld demonstrations is that understanding and prioritizing the needs, preferences, and behaviors of users is essential when developing digital innovations. Feedback from over 350 prospective end-users has highlighted areas for optimization to ensure that the Planfeld application resonates with its target audience.

5. Opportunity for Optimization of Planfeld

As with any digital solution, Planfeld has room for optimization. After the workshop in Niger State, the State Immunization Officer (SIO) Usman Abubakar Kpantu suggested that Planfeld be optimized to include the allocation of accurate resources and commodities, especially vaccines, to various settlements. Abubakar recommended, “Micro plan structures should accommodate advocacy, communication, and social mobilization tools to promote ownership of vaccination campaigns across communities.”

Other stakeholders advised that Planfeld should identify the exact number of households and children a vaccination team should expect to cover during daily activities. This, they believe, will further enhance planning accuracy and ensure that no child is left unvaccinated.

Overall, as agreed by all stakeholders during the Planfeld pilot workshop across the six states, an accurate Master List of Settlements is crucial for developing effective micro plans. An accurate micro plan remains vital for reaching every household and target population with the appropriate vaccines. Therefore, primary healthcare providers and community gatekeepers play essential roles in collecting and disseminating accurate information. This will help ensure that technical partners like eHealth Africa use the right information to support vaccination campaigns, as efforts continue to eliminate the Circulating Variant Poliovirus and other vaccine-preventable diseases.

eHealth Africa Pilots Digital Innovation to Boost Planning of Public Health Campaigns

Posted on August 28, 2024August 28, 2024 by Moshood Isah

By Moshood Isah

One of the key lessons from the COVID-19 vaccine rollout, according to the World Health Organization, is that countries with effective plans fared better than those without. This principle applies broadly to every vaccination campaign and public healthcare intervention. Thus, the consistent effort to reach every settlement across Nigeria with vaccination and general public health services seems to be an unending journey. While the conventional challenges, especially in Northern Nigeria, revolve around vaccine hesitancy and insecurity, experience also reveals that a lack of accurate data for planning and resource allocation may be impacting on vaccination and public health campaigns.

A recent conversation with primary healthcare workers in Northern Nigeria revealed that a lack of accurate data remains a major reason why it is increasingly difficult to reach every settlement with vaccination activities. Additionally, the complex nature of micro-planning contributes significantly to this challenge. These healthcare workers, consisting of Local Government Area (LGA) and Ward Focal Persons responsible for planning vaccinations, revealed that it takes up to six days to manually develop a micro plan for health campaigns. Despite these efforts, the plans remain vulnerable to human errors, resulting in varying degrees of inaccuracy.

*Primary healthcare workers and partners reviewing master list of settlement*

According to the World Health Organization, good data is crucial for mass-vaccination campaigns. Keeping it real-time and relevant requires the right software and systems. Recognizing that digitized data helps in planning and monitoring vaccination campaigns, eHealth Africa designed the Planfeld solution to enhance the planning of vaccination campaigns and ensure every child has access to the polio vaccine and other routine immunization services.

Kicking off the Planfeld pilot workshop in Kaduna State, eHealth Africa’s Program Manager, Abubakar Shehu, and his team introduced the innovative application to primary healthcare workers and stakeholders. The demonstration showcased how Planfeld can streamline the creation of accurate micro plans and monitor vaccination activities more efficiently.

During the workshop, Abubakar explained, “The Planfeld application will allow us to know the exact number of settlements we are targeting, the number of children in those areas, and the amount of vaccine required for the activity. Previously, developing a micro plan manually, especially for polio vaccination, took at least four days. Now, with this digital tool, it takes less than 30 minutes.”

He further emphasized that digitizing micro-planning will ensure that more settlements are reached with essential public health interventions. The pilot workshop, according to him, is being conducted in Kaduna, Niger, Katsina, Kebbi, Sokoto, and Zamfara states. While appreciating the National and State Primary Healthcare Development Agency (N/SPHCDA), he said the organization looks forward to comments and feedback on how to further optimize the Planfeld solution to revolutionize the planning and execution of vaccination efforts.

Dr. Abdullahi Musa Garba, the Incident Manager of the Polio Emergency Operations Center (EOC) at the Kaduna State Primary Healthcare Development Agency (SPHCDA), expressed optimism about the successful deployment of the Planfeld application in the state. He highlighted that the digitization process would significantly improve accuracy in immunization efforts for polio and other diseases, minimizing errors that were common with manual micro-planning.

“Manual micro-planning is a difficult and error-prone process,” Dr. Garba explained. “With the deployment of the digitized micro plan, the work will become much easier for the teams managing immunization.”

Mr. Victor Obagunlu Adeleke, the Kaduna State team lead for polio outbreak intervention with the SOLINA Center for International Development and Research, emphasized the time-saving benefits and improved resource allocation that come with micro-plan digitization. “The significant reduction in time and energy spent on developing the micro-plan, coupled with the fact that it’s not a capital-intensive project, makes it a much easier process,” he explained.

*Primary Healthcare workers reviewing master list of settlement*

He further highlighted that the traditional micro-plan development process—from the settlement to the ward, then to the Local Government Areas , and finally the state—requires considerable time to aggregate data across these levels. “With digitization, however, real-time analysis becomes possible,” Mr. Adeleke noted. “You can monitor data entry from the settlement or ward level and receive immediate feedback even at the state level.”

Microplanning is critically essential in the health sector. Thus, digitization of micro plans will enhance the capacity of the State and LGA team, facilitate a sustainable geodataba

Advancing Public Healthcare with Digital Innovations: Lessons from Insights Learning Forum 2024

Posted on August 8, 2024August 22, 2024 by Moshood Isah

– By Moshood Isah

In recent times, the focus of conversations in digital health forums has increasingly centered around optimizing and integrating existing solutions to enhance surveillance, preparedness, and impact. This is not unconnected to the fact that the world and especially the African region has endured a series of public health emergencies and disease outbreaks which required urgent responses.

The World Health Organization also echoed that the 21st century health challenges like the pandemic have further accelerated the use of digital health interventions, including hotlines, online assistance, mobile phone applications and many more. These innovations have shown potential in reducing the interruption of Non Communicable Diseases (NCDs) and mental health services, making it necessary to continue scaling up digital health technology.

*Panelists at the Insights Learning Forum 2024*

Health stakeholders have consistently taken intentional steps to stimulate ideas and expand advocacy to improve the impact of these solutions, especially when it comes to disease surveillance. One such conversation is the Insights Learning Forum (ILF 2024) hosted by eHealth Africa with the theme; “Digital Transformation in public Health practice: Innovations and Impact”.

Reflecting on the theme of this event, the Deputy Director of Partnerships and Programs Dr. David Akpan raised critical questions on the perceived values and the role of stakeholders in ensuring digital innovation to thrive in public health. He also raised concerns around the investment being made to promote digital innovation and the impact criteria investors are focusing on. He emphasized, “we want to do this because we want to make that grandmother and other persons in the rural community have access to quality healthcare. It’s what they call equitable access that removes all barriers”. To achieve this, “you need to do the human-centered design approach, which takes the people into consideration when you’re developing any form of innovation”, he stated. Thus he called for the need to document diverse salients points and outcomes from various digital health forums for the purpose of effective advocacy.

Speaking during the event, eHealth Africa’s Director of Partnerships and Programs Ota Akhigbe said, the event is beyond a conversation on digital innovations but a platform to advocate for a unified approach to digital transformation, emphasizing the importance of integrity in data usage. She revealed that, “The ILF serves as an advocacy tool to raise awareness and engage government agencies, ensuring that these innovations receive the necessary support and funding”. According to Ota, this collaborative approach between the private sector and government agencies is vital for the successful implementation of digital health solutions.

She lauded the positive body language of Government at all levels to support and advance digital innovation in primary healthcare. This, according to her, is why the Insights Learning Forum is an opportunity for the stakeholders to communicate their needs and expectations to government representatives, ensuring that policies are aligned with the sector’s evolving needs.

Speaking on why it’s vital for the government to continuously support digital innovations in health sector, Incident Manager, Polio Emergency Operation Center in Katsina state Dr Kabir Sulaiman said, It is very important for us to know that, we need to embrace this era of digital technology that is currently transforming the paper based routine to electronic database. According to the Incident Manager, “Digital innovations will support the strengthening of health systems because some of these digital tools are currently being used in Nigeria.” For instance, “the Surveillance Outbreak Response and Analysis System (SORMAS), which was deployed to the state for reporting priority diseases, has brought about transformation in terms of real-time data and decision-making. So, when you look at the importance, you know there is a lot that we are going to benefit from this technology,” he reiterated.

Through a diverse array of plenary sessions, panel discussions, and track sessions, the Insights Learning Forum 2024, empowered individuals, groups, and organizations to harness digital technologies to address emerging challenges and drive positive change in public health systems in Africa.

Uniting Against Circulating Variant Poliovirus: Traditional Leaders Lead the Way

Posted on August 6, 2024August 22, 2024 by Moshood Isah

by Moshood Isah

A visit to Sokoto State, Nigeria’s historical Caliphate, is always an intriguing experience, despite the often challenging weather. The city’s rich history complements the profound respect held for its traditional and religious institutions, which are similarly revered across Northern Nigeria. These esteemed leaders have consistently played pivotal roles in public health initiatives.

According to the World Health Organisation, the strategic partnership with traditional leaders in Northern Nigeria since 2009 has been instrumental in eradicating the wild poliovirus in the country. Professor Oyewale Tomori, Chairman of the Expert Review Committee on Polio Eradication, emphasized that overlooking these influential community figures would have been a colossal error.

eHealth Africa supporting engagement of Traditional leaders in the fight against Polio

While these institutions were crucial in eliminating wild poliovirus in 2020, the emergence of the Circulating Variant Poliovirus demands a redoubled effort. To combat this new threat, traditional institutions across Northern Nigeria are being strategically deployed. Supported by the Bill and Melinda Gates Foundation (BMGF), eHealth Africa is collaborating with the Sultan Foundation for Peace and Development and other partners to engage these leaders in polio campaign activities.

Haruna Yusuf Aliyu, Senior Program Officer at the Sultan Foundation for Peace and Development, highlighted the significant role of traditional leaders in a sensitization workshop held in Wammako Local Government Area. He revealed that many are spearheading vaccination campaigns directly from their palaces, which has significantly reduced vaccine hesitancy and boosted uptake.

“You can see traditional leaders going house to house, supervising vaccination teams and resolving cases of non-compliance while providing guidance to the teams to make sure that all households are actually identified, enumerated, then eligible children in those houses are vaccinated”, he said.

Through ongoing sensitization workshops, traditional leaders are equipped with the knowledge and tools to effectively communicate the importance of vaccination to their communities. Despite security challenges in some areas, Yusuf emphasized the organization’s commitment to working closely with community groups and traditional leaders to reach all children with essential vaccines.

eHealth Africa team after a meeting with Sultan Foundation for Peace and Development in Sokoto

Fatimah Howeidy, eHealth Africa’s Project Manager, expressed pride in supporting the Sultan Foundation and other partners to reduce vaccine hesitancy through the involvement of traditional leaders. The initiative has successfully bridged knowledge gaps and dispelled myths surrounding polio vaccination, particularly in underserved communities.

“It’s so inspiring seeing traditional leaders in Sokoto state turn out in their numbers to participate in the polio campaign activities” she said. We are indeed excited that this intervention remains a platform to remind traditional leaders of the need to intensify the campaign to eradicate the Circulating Variant Poliovirus (cVPV2)”, she said.

The Engagement of Traditional Institutions (ETI) project aims to strengthen advocacy by traditional leaders, increase community ownership of polio eradication efforts, and reduce vaccine hesitancy in high-risk Northern states. There are plans to expand the initiative to Southern Nigeria.

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