Digital Health Needs Local Investment to Thrive

Ota Akhigbe

It’s exciting to see how digital tools can be tailored to meet the unique health needs of communities across Africa. But this promise will only become reality if these tools are designed to fit the local context, and backed by sustained, long-term investment.

Critically, local investment in digital health goes beyond only financial commitments. It means investing in infrastructure, cultural understanding, and, perhaps most importantly, human capacity. These dimensions are essential to building ownership and, ultimately, ensuring sustainability. Without them, we’ll continue to witness multi-million-dollar digital health projects struggling to meet the needs of underserved populations.

Saadatu Atiku, 30 a house to house mobilizer  shows off the GIS tracking app on her phone which she uses to track the areas she has covered in  Yabo LGA, Sokoto state
December 10, 2023
Saadatu Atiku, 30 a house to house mobilizer shows off the GIS tracking app on her phone which she uses to track the areas she has covered in Yabo LGA, Sokoto state

Why Digital Solutions Struggle to Scale

Too often, digital health interventions are designed without the direct input of end users, or they’re created for broad global application. This disconnect limits their real-world impact and stifles both scale and sustainability.

In places where infrastructure is weak, digital literacy is low, and cultural dynamics are misunderstood or ignored, even the most sophisticated tools will fall short. Moreover, when local communities lack the financial means, or a seat at the design table, they understandably hesitate to take ownership. That lack of buy-in has consequences; interventions become short-lived, donor-dependent, and disconnected from local priorities.

As someone working at the intersection of health systems and innovation, I’ve seen firsthand how solutions thrive when they are rooted in the lived realities of the people they aim to serve. This is why we must go beyond pilot programs and start investing in the full ecosystem that supports digital health, technical infrastructure, skilled local talent, and policy environments that encourage innovation and accountability.

The Case for Local Investment

In low- and middle-income countries (LMICs), the success of digital health isn’t simply about access to tools, it’s about the intent and structure of the systems supporting them. When governments, donors, and private actors prioritize local funding and ownership, digital solutions become more relevant, adaptable, and impactful.

Local investment also fuels homegrown innovation. It supports research tailored to real community needs, and it helps bridge the persistent digital divide. When communities have reliable internet, basic infrastructure, and trained personnel, the effects are far-reaching; not only does healthcare improve, but economic opportunities expand and public trust deepens.

Data generated through these investments can also empower governments to make better decisions, designing evidence-based policies that reflect the realities on the ground, not assumptions from afar.

A Timely Call to Action 

This is why the 2025 Insights Learning Forum could not be more timely, or more necessary.

Under the theme “Local Investment for Connected Communities: The Power of Digital Health Networks in Public Health Transformation,” this year’s ILF will provide a dynamic platform for collaboration, discussion, and action. Scheduled for July 30, 2025, the Forum will bring together policymakers, innovators, development partners, and investors to align around one core truth: that Africa’s digital health revolution must be locally led.

Since its launch in 2023, ILF has grown into a space where real solutions are shared, strategic partnerships are formed, and bold ideas are transformed into tangible outcomes. This year, it promises to be even more impactful, with case studies, keynotes, and workshops spotlighting how local talent, funding, and infrastructure are already reshaping health systems across the continent.

At eHealth Africa, we believe in solutions that scale, and we know they only do so when local communities lead the way. ILF 2025 is more than just another conference. It’s where vision meets action. We invite all stakeholders, governments, donors, innovators, and community leaders, to join us in shaping a digital health ecosystem that puts local investment at the heart of transformation.

Ota Akhigbe is the Director of Partnerships and Programmes at eHealth Africa. She writes at the intersection of health, equity, and systems innovation. Her weekly BusinessDay column explores practical paths for inclusive development and structural transformation in Africa.

Reflections on the One Health Conversation at ADHS 2025

Tijesu Ojumu

At the 2025 Africa Digital Health Summit (ADHS) in Lagos, eHealth Africa had the privilege of hosting a side session on a topic of growing urgency: The Role of Digital Innovation in Advancing One Health in Africa.

The session brought together health experts, environmental scientists, animal health professionals, and digital innovators for one clear purpose: to explore how a more connected, data-driven approach can strengthen our ability to predict, prevent, and respond to health threats that cross sectors and species.

The One Health approach recognizes that the health of people, animals, and the environment are deeply interconnected. In a continent where zoonotic diseases are common, food security is vulnerable to climate shifts, and health systems are often fragmented, a siloed approach simply doesn’t work. If we want to control disease outbreaks, we can’t wait until humans are affected. We have to monitor the animals, the environment, and the social systems surrounding them.

This is where digital innovation comes in.

At eHealth Africa, we’ve seen the value of tools like geospatial tracking systems for disease surveillance, digital microplanning platforms like Planfeld, and integrated data dashboards that offer real-time visibility into emerging health threats. But what truly stood out in the ADHS conversation was this: technology alone is not enough.

Speakers across the session emphasized that digital tools only work when they’re part of a broader ecosystem that includes trust, interoperability, local engagement, and strong multisectoral coordination. One of the key takeaways was the need to design systems that are inclusive—tools that work not just for human health, but also for veterinary services, environmental monitors, and community-based responders.

Several powerful insights emerged:

  • Data Quality & Ownership: Without high-quality, context-rich data that is owned and trusted by local actors, digital tools will never achieve their full potential.
  • Workforce Readiness: Intersectoral collaboration only works when human capacity is strengthened across the board. This includes training veterinarians, environmental scientists, and frontline health workers to engage with shared systems.
  • Inclusive Infrastructure: It’s not enough to have the tech; systems must be built to work across rural and urban settings, among both literate and non-literate populations, and in regions with limited internet connectivity.
  • Impact Beyond Tools: As one speaker noted, “Success is not a shiny new dashboard. Success is when an outbreak is stopped before it spreads.” That’s the standard we must hold innovation to.

For eHealth Africa, this session was not just about sharing our work—it was about listening, learning, and reinforcing our commitment to support African governments and partners with digital tools that make sense locally and can scale regionally.

This is why we are investing in interoperable systems, building relationships across sectors, and focusing on solutions that don’t just react to emergencies but build long-term resilience.

As we left the ADHS 2025 summit, one thing was clear: Africa doesn’t need more tech for tech’s sake. It needs systems that reflect our realities, connect our knowledge, and protect our communities.

The One Health approach offers a framework for that kind of transformation—and digital innovation, when done right, can help bring it to life.

Let’s build those systems together. To explore eHealth Africa’s One Health work and digital health partnerships, visit ehealthafrica.org or follow @eHealthAfrica across all social media channels.

Digital Surveillance in Action: How Geospatial Tools Are Strengthening Polio Response in Kebbi State

Tijesu Ojumu

eHealth Africa Program Manager, Disease Prevention and Monitoring presenting at the ADHS 2025

In northern Nigeria, where healthcare access is challenged by terrain, insecurity, and resource gaps, responding quickly to a disease outbreak can mean the difference between containment and catastrophe. That’s why innovative disease surveillance strategies are essential—and why eHealth Africa’s work in Kebbi State is setting a new standard.

At the 2025 Africa Digital Health Summit, eHealth Africa presented an abstract during the Scientific Session III titled “Applications of Geospatial Tracking Systems and Digital Microplanning Tools to Improve Polio Outbreak Response in Kebbi State, Nigeria.” The research, jointly authored by Abubakar Shehu, Comfort Audi, Dayo Akinleye, and Ruth Nkem, highlights a replicable model for how integrated digital tools can dramatically improve response times, accuracy, and community coverage.

Polio remains a persistent threat in parts of northern Nigeria, where complex geography, nomadic populations, and infrastructural limitations make it difficult to identify and reach all at-risk children. Traditional microplanning often relies on outdated or incomplete maps, leaving gaps in immunization coverage and exposing communities to preventable outbreaks.

That’s where geospatial tracking and digital microplanning come in.

In Kebbi, eHealth Africa deployed a suite of tools that included:

  • Geospatial mapping and tracking: Accurately plotting settlements, population clusters, and hard-to-reach areas using satellite data and field validation.
  • Digital microplanning via Planfeld: Replacing manual registers and static Excel sheets with dynamic dashboards that allowed health teams to plan campaigns based on real-time data.
  • Mobile-based feedback loops: Enabling vaccinators and supervisors to report field challenges instantly, improving accountability and mid-campaign adjustments.

The result? A notable increase in vaccination coverage, reduction in missed settlements, and better identification of high-risk zones. By layering population data, health facility readiness, and campaign performance onto interactive digital maps, the team in Kebbi could visualize gaps and reallocate resources with unprecedented speed and precision.

This was not just about technology—it was about coordination, capacity building, and data-informed action.

Key to the success of this approach was local ownership. Field teams were trained extensively to use the new tools, and state and LGA health officials were actively involved in planning sessions. This made the data more meaningful and the tools more sustainable.

What makes the Kebbi experience so powerful is its replicability. The lessons from this deployment can apply not just to polio, but to any outbreak-prone disease. Whether it’s cholera, measles, or Lassa fever, the ability to map, plan, and respond in real time is becoming a cornerstone of effective public health systems.

eHealth Africa’s work in Kebbi is a clear example of how digital innovation can bridge systemic gaps in the last mile. As outbreaks grow more complex and resources remain limited, Africa must invest in the kind of solutions that make every dose, every data point, and every decision count.

We’re proud of the team that led this work and grateful to all field workers, partners, and government agencies who made it possible.To learn more about eHealth Africa’s digital tools for outbreak response, visit ehealthafrica.org.

How eHealth Africa Is Shaping Health-Tech Conversations Across the Continent

Tijesu Ojumu

In boardrooms, conference halls, and digital health roundtables across Africa, the conversation is changing. It’s no longer just about deploying technology—it’s about designing systems that last, policies that enable, and innovations that scale. And eHealth Africa isn’t just in the room for these conversations. We’re helping shape them.

At a recent Stakeholder Alignment Workshop on Health-Tech Innovations for Advancing Universal Health Coverage, hosted by the leadership of the National Primary Healthcare Development Agency, Solina Centre for International Development and Research (SCIDaR) and the leaderships of CCHub, Salient Advisory, and the i3 team, eHealth Africa’s leadership was represented by the Director of Partnerships and Programs, Ota Akhigbe whose remarks emphasised that the future of health in Africa is about aligning innovation with national strategy, embedding it into real systems, and measuring what truly matters; equitable outcomes.

At the recently concluded Africa Digital Health Summit 2025, eHealth Africa Deputy Director, Programs and Partnerships- Dr. David Akpan co-chaired a session and what emerged was a refreshing reminder that innovation isn’t always about the newest, flashiest tools. As Dr. David put it, “Innovation can be as simple as improving an existing process. If it makes it easier, faster, more accessible—then it’s innovation that matters.”

This focus on relevance and usability is central to eHealth Africa’s mission. Over the years, we’ve deployed digital health solutions across West and Central Africa, but what has remained consistent is our belief in building tools with, not just for, health systems.

From supporting national campaigns with GIS and real-time dashboards, to co-developing platforms like Planfeld for microplanning and outbreak response, our work bridges the gap between field realities and digital opportunities.

Our presence at policy workshops, innovation forums, and high-level summits isn’t accidental. It reflects a shift in how eHealth Africa is viewed across the continent: not just as a technical partner, but as a thought partner. We bring field-tested experience, deep partnerships with governments, and a practical lens that balances ambition with implementation.

Why does this matter? Because Africa’s digital health future won’t be driven by theory alone. It will require influence. Influence that is earned through delivery. Influence that helps shape funding priorities, regulatory frameworks, and capacity development.

When we sit on panels, moderate discussions, or present research at summits like ADHS or ILF, we’re not there to just showcase tech. We’re there to advocate for approaches that work. To ask tough questions about inclusivity, equity, interoperability, and long-term system fit. To amplify the voices of field workers, innovators, and underrepresented communities.

And it’s working. More governments are requesting support not just to run programs, but to co-design policy blueprints. More funders are asking how to align their interventions with existing local infrastructure. More innovators are looking to us as conveners and collaborators.

The health-tech landscape in Africa is maturing. And eHealth Africa is proud to be part of the cohort helping define what comes next.

Because in the end, influence isn’t about the microphone—it’s about the message. And our message is clear: If we want systems that last, we must design them together.

To explore how eHealth Africa contributes to policy and partnership development in digital health, visit ehealthafrica.org or follow @eHealthAfrica.

Powering  Primary Healthcare Facilities with Renewable Energy Solutions

Fatima Ayomitide Azeez

Renewable Energy Solution at Daurawa PHC Kano

Primary Healthcare Centres (PHCs) are the frontline of Nigeria’s healthcare system, especially in rural and underserved areas. Yet, many of these facilities operate in darkness due to erratic power supply, severely compromising patient care, delaying emergencies, and rendering critical equipment useless. 

According to a report by Sustainable Energy for All (SEforALL), approximately 40% of PHCs across Nigeria lack reliable electricity access, forcing many to rely on costly and inconsistent alternatives such as generators. This persistent lack of power undermines everything from vaccine storage to safe deliveries, causing health workers to delay procedures, refer patients unnecessarily, or improvise under unsafe conditions. Consequently, communities lose faith in the healthcare system, and health outcomes deteriorate.

Thus in a bid to bridge this infrastructural gap, eHealth Africa with support from  United Nations International Children Emergency Fund (UNICEF) launched an ambitious intervention to solarize primary healthcare centers in 12 states across Nigeria.  

As a matter of fact, 28 facilities out of the planned 238 PHCs have already been equipped with sustainable renewable energy power systems. This is not just replacing  the  unreliable alternative sources like fuel-powered generators with clean, consistent energy, it goes a long way in bridging healthcare delivery while protecting the environment.

Speaking during the commissioning of one of the facilities in Kano, Toju Chibuzor Oghele, Project Manager for the Solarization project at eHealth Africa said, “We recognized that consistent power is the absolute backbone of effective primary healthcare,”. “This solarization initiative is a strategic investment in building resilient health systems from the ground up, ensuring that life-saving services are never interrupted by a lack of electricity. It directly translates to tangible improvements in child survival and routine immunization coverage across these communities.” , he added 

The renewed spirit is particularly evident among health workers on how critical this intervention is to general healthcare delivery in Primary Healthcare. At Jeli PHC, Kano State, Saleh Haruna, the public health official  In-Charge of the facility says he now looks forward to a future that was previously unimaginable.  He said, “by the grace of God, with this installation, we can finally go ahead and request equipment upgrade and procurement of some medical equipment that we do not have”

He added that the PHC  hasn’t been able to get facility upgrades over the years  but this renewable energy solution has opened doors to providing better healthcare services. “This signifies a leap from basic functionality to aspiring for comprehensive, upgraded care”, he said.

For Ilya Muhammad, a 52-year resident of Jeli, the change is deeply personal. Having witnessed the hospital’s prime and its subsequent decline, he now feels immense relief.  “I am just grateful that now we do not need to travel to far away medical facilities to get treated as we always did when emergencies occurred. If any of my family members fall sick now, straight to our neighborhood PHC.” The project has brought essential healthcare back to their doorstep, alleviating a significant burden.

Sani Umar, Assistant In-Charge at Kofa PHC, shares his revitalized outlook.  He said, ” with our PHC now solarized, I genuinely look forward to work. No more heat because we have a conducive working environment and our morale is at an all-time high now as we do not need to turn patients away anymore on the basis of lack of power supply.” 

These powerful testimonies showcase the tangible improvements in working conditions and the profound relief of being able to serve patients without the previous limitations. 

The  UNICEF delegation, who conducted an independent assessment of the installations, validated the functionality of the systems while gathering on-the-ground feedback from healthcare workers and communities. This evaluation successfully  verified the effectiveness of the renewable energy  systems, gauged their real-world impact on healthcare delivery, aligned stakeholders on future phases of the nationwide rollout, while  strengthening accountability for both partners and beneficiaries. 

The solarization effort is more than just a technical upgrade. It’s a strategic investment in health resilience. Through detailed assessments, tailored installations, and training of local health workers, each renewable energy  system is built to serve the specific needs of the facility. While this intervention is still in early stages, its promise is undeniable. Reliable electricity enables vaccine preservation, emergency night services, lab diagnostics, and safer deliveries. It boosts staff morale and rebuilds community trust.

Why Local Investments Matter: Reflections from the Road to ILF 2025

Tijesu Ojumu

As Africa’s health systems face growing pressure, from rising disease burdens to climate shocks and stretched infrastructure, there’s an urgent question on the table: How do we build solutions that last? At eHealth Africa, our answer begins with one word: local.

On the 30th of July 2025, eHealth Africa will host the 2025 edition of the Insights Learning Forum (ILF), a flagship platform that brings together leaders, policymakers, innovators, funders, and health practitioners across the continent to exchange ideas and share solutions. The theme for this year is ambitious but necessary: “Local Investments for Connected Communities: The Power of Digital Health Networks in Public Health Transformation.”

But what does “local investment” really mean? And why does it matter so deeply?

At its core, local investment is about ownership. It’s the recognition that no one understands the health challenges of a community better than the people who live there. When local governments allocate funding to community health initiatives, when African entrepreneurs are empowered to build and scale digital tools, when public health programs are co-designed with the input of frontline workers, we see results that are more sustainable, context-appropriate, and trusted.

eHealth Africa has seen this firsthand. Whether it’s building Emergency Operations Centers in West Africa, supporting governments to digitize microplanning, or deploying cold-chain innovations to protect vaccines in remote areas, our most impactful work has come from listening, co-designing, and investing in local systems and talent. These aren’t side efforts. They are central to how systems become resilient.

ILF 2025 isn’t just another conference, it’s a strategic gathering with a clear mandate: to connect people and ideas that are shaping Africa’s digital health future. It’s a place where funders can hear directly from innovators working in communities. Where health ministries can see what’s working in neighboring countries. Where startups don’t just pitch, they partner.

Too often, health investments on the continent are externally driven, short-term, and detached from local realities. ILF offers a counter-model. We believe that a nurse in Kano, a policymaker in Kigali, and a health-tech founder in Accra all have something to teach each other and that together, they can create networks of action far more powerful than any single intervention.

Take, for example, the growing ecosystem of health startups across Africa, many of which were launched with little more than a laptop, local insight, and determination. What they often lack is catalytic capital, access to government systems, or strategic visibility. ILF gives them that platform. In 2024, several emerging innovators made connections at ILF that led to grant funding, pilot programs, and partnerships with international health bodies. That’s what local investment unlocks: not just funding, but opportunity.

It also means asking harder questions: Are we measuring what matters? Are we funding overheads or outcomes? Are we backing shiny ideas, or solutions that communities actually use and trust? Local investment means holding ourselves accountable to the lived realities of the people we serve.

That’s why ILF 2025 will feature not just keynotes and panel discussions, but also hands-on innovation showcases, fireside chats with health workers, and collaborative workshops on data, financing, and equity. Every element is designed to move beyond theory into application.

We’re particularly excited about this year’s focus on interoperability and connected systems. In fragmented health environments, no tool can stand alone. Investment has to focus on infrastructure that speaks across platforms and sectors from disease surveillance to supply chains, from labs to mobile health units.

Local investment doesn’t mean we ignore global partnerships far from it. It means we reframe them. Donors, multilaterals, and philanthropies have a vital role to play, not as sole drivers of solutions, but as enablers of scale and sustainability. When global partners listen to and fund what’s already working, rather than starting from scratch, they make their impact deeper and longer lasting.

As we count down to ILF 2025, we invite everyone committed to the future of African health to join the conversation. What does local investment mean where you stand? What do you need to scale what works? What would it take to truly own and sustain your system improvements?

Because if we want connected communities, we need connected thinking. And if we want transformation that lasts, we need to start by building where we stand.

To learn more about the Insights Learning Forum 2025, follow @Insightslearningforum or visit insightslearningforum.org.

Building a Resilient Health Workforce: Lessons from eHealth Africa’s Insights Webinar

Tijesu Ojumu

In the latest episode of Insights Webinar (Ep. 32), eHealth Africa gathered health leaders, field experts, and technologists to tackle a pressing question:
“How can we strengthen the frontline health workforce to build resilient, effective health systems?”

This conversation went beyond theory—grounded in real-life stories from Nigeria and across Africa. It revealed that empowering frontline workers isn’t just a matter of investment—it’s the cornerstone of sustainable public health.

Across Nigeria and much of Africa, health systems are only as strong as the people who carry them. Community health workers. Surveillance officers. Data collectors. Midwives. These frontline actors form the invisible spine of the healthcare system. Yet too often, their voices, tools, and training are the last to be prioritized.

This was the urgent focus of a recent eHealth Africa-hosted webinar titled “How Do We Strengthen the Frontline Health Workforce to Build Resilient Systems?” Held as part of the Insights Webinar Series, this virtual conversation gathered public health leaders, digital health experts, and frontline practitioners to confront a truth that cannot be ignored: there is no strong health system without a strong frontline workforce.

Why Frontline Health Workers Matter More Than Ever

In an era of pandemics, climate-linked outbreaks, and rising health demands, the frontline workforce must be empowered—not stretched thin. The stories shared during the webinar were vivid. A health worker in Bauchi recounted how, using eHealth Africa’s microplanning tool, Planfeld, she helped identify a remote settlement that had been missed in previous immunization campaigns. Her digital training enabled her to map and reach families, ensuring over 200 children were vaccinated.

These stories, while inspiring, also reveal a gap: our systems cannot scale if the people on the ground are unsupported.

What Makes a Resilient Health Workforce?

According to the panelists, resilience is not about working harder—it’s about working smarter. And smarter systems require deliberate investment in three pillars:

1. Tools That Work Where the Roads Don’t

Digital tools are only effective when they fit the reality of field workers. The success of platforms like Planfeld in places like Kebbi and Lagos stems from their design: offline functionality, ease of use, and integration into daily health tasks. When CHWs can carry tools that work regardless of network coverage, data improves, and so does decision-making.

2. Training That Doesn’t Stop After Day One

Introducing a new app or system is just the beginning. True transformation happens when health workers receive ongoing mentorship and support. Webinar participants cited cases where follow-up sessions led to 30% improvements in data quality. Iterative learning, not one-off workshops, is the foundation of workforce development.

3. Systems That Listen Back

Collecting data is important. Acting on it is essential. The most resilient systems create feedback loops where CHWs, supervisors, and planners can respond to what the data reveals. One technical advisor shared that a nurse who flags a vaccine stockout should expect a response the next day—not weeks later. Otherwise, the system loses credibility.

Elevating Local Expertise

An important theme echoed throughout the session: those closest to the problem are often closest to the solution. When health workers participate in the design and rollout of digital tools, uptake and sustainability improve. Several speakers emphasized the value of “co-creation,” where CHWs and local stakeholders help shape the very systems they are expected to use.

Lessons for Donors and Partners

For partners, funders, and development agencies, the path forward is clear:

  • Integrate technology and training. Don’t fund digital platforms without allocating resources for hands-on, repeated training.
  • Support pilot-to-scale models. Programs that start small and evolve with user feedback are more likely to succeed.
  • Invest in supervision and follow-through. Data must lead to action. Tools are only as strong as the systems they plug into.
  • Make frontline workers visible in policy. Include their needs, voices, and priorities in health systems planning.

Building the Future, One Worker at a Time

eHealth Africa continues to embed these principles across its programming. From early disease detection to microplanning and cold chain logistics, frontline workers are central to every success story.

The vision is clear: a health system where digital tools serve people, not the other way around. Where midwives, CHWs, and health informants have the tools they need, the training they deserve, and the power to shape decisions.

Because ultimately, health systems don’t fail because technology is lacking. They fail when the people who carry them are left behind.

And if we truly want resilient systems, we must begin at the base—by backing the backbone.

Want to explore more?
Watch the full webinar here: https://youtu.be/gmaNtXPsG2M

Visit ehealthafrica.org to learn how we’re supporting health workers through technology, training, and partnership.

Digital Microplanning in Lagos: Transforming Primary Health Care with Planfeld

By Tijesu Ojumu

In Nigeria’s most populous state, a quiet transformation is underway—one that could redefine how health services reach millions. This transformation isn’t marked by ribbon-cutting ceremonies or grand speeches. Instead, it’s happening behind the scenes, in consultation rooms, in data dashboards, and through the steady work of planners, health workers, and technologists. It’s the digitization of microplanning, and in Lagos State, it might just change everything.

At the heart of this shift is eHealth Africa (eHA), in partnership with the Lagos State Primary Health Care Board (LSPHCB) and UNICEF. In May 2025, the organizations came together for an inception meeting that laid the groundwork for this bold new chapter: using technology to digitize and strengthen microplanning for primary health care (PHC) delivery.

Why does this matter? Because microplanning is the lifeblood of effective PHC. It’s how local governments decide where to send health workers, how many vaccines to procure, which communities need more outreach, and what gaps remain in the system. Done well, microplanning ensures no one is left behind. Done poorly or manually, it opens the door to inefficiencies, missed targets, and avoidable disease outbreaks.

Today, Lagos has a growing population of over 21 million people, many of whom rely on the public health system for essential services—from immunization and maternal care to malaria prevention and nutrition programs. With such scale comes complexity. Lagos is not a place where a one-size-fits-all health strategy works. Different local government areas (LGAs) have vastly different needs. Communities in riverine areas face completely different access issues than those in dense urban districts. Microplanning allows for nuance. And digitizing that process? That allows for real-time decision-making.

A group picture of eHealth Africa team and Lagos State Primary Health Care Board team members.

Through the Planfeld platform—developed by eHealth Africa—Lagos is now exploring how digital tools can simplify the entire microplanning process. Planfeld is a dynamic, user-friendly system designed to support data collection, service mapping, and planning workflows at the local level. It reduces the paperwork, centralizes information, and makes updates accessible across teams. With this tool, LGA health planners can visualize health service gaps, allocate resources more efficiently, and track implementation progress without relying on outdated Excel sheets or handwritten registers.

More importantly, it gives health workers and managers access to data they can trust. Imagine a scenario where a health facility can quickly identify which community was missed during the last vaccination round. Or a logistics team that can plan distribution routes based on real-time facility readiness. That’s not just efficient—it’s life-saving.

The inception meeting between eHA, LSPHCB, and UNICEF was more than a formality. It was a deliberate step toward co-designing solutions that work for the people who use them. Frontline workers, program managers, and system architects came together to share their realities and chart a path forward. This collaborative approach ensures that the digital tools being developed are not imposed, but integrated into workflows in a way that feels natural and sustainable.

This transformation also sends a powerful message: that digital health isn’t a luxury, it’s a necessity. As climate change, urbanization, and population growth continue to stretch public health systems, the only way to deliver quality care at scale is to equip decision-makers with timely, granular, and actionable data.

And that’s precisely where Planfeld shines. The platform doesn’t just digitize planning; it democratizes it. It empowers health workers with the information they need to advocate for their communities. It brings transparency to decision-making. And it gives Lagos—a mega city with mega challenges—a real shot at responsive, resilient, and equitable health care.

For eHealth Africa, this is more than a project. It’s a reaffirmation of its core mission: to build stronger health systems through technology and collaboration. Supporting the Lagos State Primary Health Care Board is part of a broader strategy to show how locally developed solutions can create impact at state and national levels.

The road ahead will not be without challenges. Change requires buy-in, infrastructure, training, and continued support. But if the energy in the room during the inception meeting was anything to go by, Lagos is more than ready. Health systems work best when they are built with the people who rely on them. And with digital microplanning, Lagos is proving that the future of health isn’t just digital—it’s local, inclusive, and already within reach.

To learn more about planfeld, visit: https://planfeld.ehealthafrica.org/

No Missed Child, No Rejection of Vaccines”: A Traditional Leader’s Voice in Vaccine Advocacy

eHealth Africa meets traditional leader in Gwandu, Kebbi state

By Joyce Shinyi

“I once told vaccinators that if you find even one household that refuses vaccines in this community, I will give you $200. They went around and found none.”
– Alhaji Sani Umar Jabdi, District Head of Gagi and Sarkin Yakin Gagi, Sokoto State

In Gagi, a rural community in Sokoto State, Northern Nigeria, the fight against Circulating Variant Poliovirus and other vaccine-preventable diseases is being led not just from Primary Healthcare facilities, but also from the palaces of traditional leaders across the region.

Alhaji Sani Umar Jabdi is one of such leaders. Beyond settling community disputes, he has become a powerful advocate for immunization, championing vaccines as a means of protecting every child in his domain.

His commitment is part of the Engaging Traditional Institutions (ETI) project by eHealth Africa (eHA), in collaboration with the Sultan Foundation for Peace and Development, Chigari Foundation, and other key partners. The intervention has strengthened advocacy by traditional leaders, increased community ownership of polio eradication efforts, and reduced vaccine hesitancy in high-risk Northern states.  

“I am a community gatekeeper,” Alhaji Umar Jabdi said. “My role is to bridge the gap between the community and service providers, the community and the government, between the community and development partners. This time, immunization is the top priority.” 

 “I ensure we reach out to every eligible child, no missed child, no rejections, and ensure we reach 100% coverage in immunization.

In a bid to build visible trust through their leadership, Umar Jabdi and other district heads publicly immunize their children during campaign flag-offs. This method has been modeled by even the highest level of traditional leadership, like the Sultan of Sokoto. Following the Sultan’s lead, all 87 district heads in Sokoto did the same.

According to Alhaji Umar, “The Sultan loves all our children, he believes in vaccines, he is 100% sure that it protects from paralysis and deadly diseases, and we trust him 100%, so when he brings his child forward, we follow.”

Just like other communities, this strategy has paid off in Gagi. Vaccine acceptance is high! Community members trust the process because their leaders are part of it. “I once told evaluators that if you find even one household that refuses vaccines in this community, I will give you $200. They went around and found none.” Umar Jabdi boasted.

Through Engaging Traditional Institutions, traditional leaders like him are not only using their influence to improve vaccine uptake and support stronger community health systems, but are also receiving continuous technical support. “Under the Engaging Traditional Institutions intervention led by the Sultan Foundation (with support from eHealth Africa), we are mentored, coached, and trained regularly,” he says. “They visit palace by palace to guide us, correct us, and strengthen our ability to promote vaccination the right way.”

The visible results are hard to ignore. “This is the cold season, but we’ve not seen a whooping cough, we no longer see measles in our community. Routine immunization is working, and children are safe.” he says.

He calls for more support from other stakeholders to further boost success. “If more partners can support this engagement, we can expand outreach. We can engage more religious leaders, more women, town halls, traditional media, and even social media. There are rumors online that we need help countering.”

He also believes the model should expand to other traditional rulers who have not yet received the same capacity building. “Many of my colleagues are intelligent and capable, they just need the training and the opportunity. If we are empowered, we can protect our people better.”

Above all, he insists that community ownership is key. “If you come to our health facility today, you will see the evidence: zero home deliveries, children with immunization cards. The people are involved because they trust us.”

We are doing this,” he says firmly, “and we will continue doing it until we die. No paralyzed child, no disease that could have been prevented.

The Engaging Traditional Institutions intervention is positioning traditional rulers not just as custodians of culture, but as protectors of health. By building on existing trust, it is laying the foundation for stronger, more resilient health systems across underserved communities. For eHealth Africa, this kind of transformation is the goal of the Engaging Traditional Institutions project, using trusted traditional institutions to drive change in underserved communities.

BISKIT: Bridging the Gap in Blood Information Management  System

By – Fatima Abdulaziz Ayomitide

The persistent and critical blood shortage in Nigerian hospitals, as revealed by the National Blood Service Agency (NBSA) in December 2024, shows that Nigeria can only meet less than 30% of its blood transfusion needs. This severe deficit creates a life-threatening situation for patients and strains hospital resources, particularly during emergencies. The World Health Organization has also estimated that 1.5 million units of blood are needed annually to meet healthcare demands, yet only about 500,000 units are collected each year. This shortfall of nearly 67% has serious implications for patient care. Emergency cases often depend on last-minute donations, and in some instances, the available stock is either insufficient or compromised due to poor storage practices.

Underlying this crisis is a deeper issue of uncertainty. Donors, even those who regularly volunteer, are often left questioning where their blood goes, who it helps, and whether it makes the intended impact. This lack of transparency discourages participation, especially among first-time donors.

Evidence suggests that potential blood donors in African countries are more inclined to donate when they have a clearer understanding of how their contributions are utilized. Recognizing this desire for transparency and impact, a team of researchers and technologists began exploring how digital tools could build trust and improve the efficiency of the blood donation system.

Among them is Mohammed-Faosy Adeniran, the Project Manager for BISKIT, short for The Blood Information System for Crisis Intervention and Management (BISKIT), a mobile-based platform developed by eHealth Africa to address some of these critical gaps. “We realized the problem wasn’t a lack of willingness to donate but a disconnect between that willingness and actual blood requests. There were willing donors on one end, and urgent needs on the other, but no real-time system to link them.”

According to him, eHealth Africa is currently piloting the use of BISKIT at the Aminu Kano Teaching Hospital in Kano state. This is in a bid to standardize the digitization of blood information and management systems. During this implementation, the application allows users, donors, health workers, hospitals, and blood banks to manage and track blood donations from start to finish. Built with offline and mobile capabilities, BISKIT can function even in areas with limited internet access, ensuring wider reach and usability.

Halima Kabir Abdulkadir, a Research Assistant whose role involves performing cross-matching for patients, emphasized the complexity of managing donor and recipient data. “It contains a lot of information from the donors to the recipients. Having everything tracked in one system helps reduce errors and makes the process more efficient.”

For instance, when a health worker submits a request, nearby donors registered on the app are notified immediately. Through this direct and efficient channel, response times are reduced significantly.

Beyond logistics, the app also focuses on building trust. For donors, BISKIT offers a more transparent experience. They receive updates about their donations, pre-book appointments, and are guided through the donation process especially helpful for newcomers. “People just want to know their effort counts,” said Faosy. “The feedback we’ve received shows that donors are more encouraged to return when they can see the impact of their contribution.”

He added that the BISKIT application seeks to tackle structural issues like blood wastage. By integrating Geographic Information Systems and barcode tracking, BISKIT makes it easier to monitor the location and condition of blood bags, helping prevent mishandling or loss.

While still in its early stages of rollout, the platform has already shown promise. In pilot locations like Aminu Kano Teaching Hospital, Kano state, health workers report faster donor mobilization and fewer delays in emergency response.

Ultimately, BISKIT presents a compelling case for how technology can bridge gaps in public health systems, especially in contexts where trust, efficiency, and transparency are critical. Whether this model can scale across the country or even regionally remains to be seen. But for now, the app offers a practical solution to an urgent problem and a hopeful shift toward a more connected and accountable blood donation ecosystem.

Fatimah Azeez-Ayodele Ayomitide is a communications intern at eHealth Africa