Category: Blog

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

Posted on 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 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 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
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.

On the Frontlines of Polio Eradication: Stories from the Field in Kano

Posted on by Favour Oriaku

By Favour Oriaku

Polio is a viral disease that spreads primarily through contaminated water and food, attacking the nervous system and leading to paralysis or even death. For decades, African nations faced persistent outbreaks due to limited healthcare infrastructure and access to vaccines, especially in rural areas. This led to the necessity of large-scale vaccination campaigns across the continent.

Global initiatives such as the Global Polio Eradication Initiative (GPEI) have made significant progress in reducing the incidence of polio. In Africa, mass vaccination programs have been critical in interrupting transmission and protecting millions of children from this devastating disease. However, despite eliminating wild poliovirus, Africa, particularly northern Nigeria, now faces a new challenge: a circulating variant of the poliovirus type 2 (cVPV2).

This variant emerges when the weakened virus in the oral polio vaccine (OPV) mutates and spreads in under-immunized communities. The virus circulates in areas with low vaccination coverage, putting children who have not been immunized at risk. This is why the ongoing Outbreak Response 3 (OBR3) is so vital to ensure that the spread of cVPV2 is interrupted before it does further damage.

Recently, I joined the eHealth Africa team on the ground during the OBR3 campaign in Kano State. After the symbolic flag-off of the campaign by the Executive Governor of Kano State, His Excellency Alh. Abba Kabir Yusuf, alongside key figures such as Deputy Governor Aminu Abdussalam Gwarzo who doubles as the chairman of the state task force on routine immunization and polio, and representatives from international and indigenous organizations like UNICEF, WHO, SOLINA, AFENET, Chigari, and Sultan Foundation and eHealth Africa, the mass vaccination campaign spread across eighteen local government areas in the state. This campaign brought me face-to-face with the realities of the fight against polio, as I had the chance to meet the unsung heroes behind the effort—vaccinators, recorders, trackers, healthcare workers, special teams community leaders and their supervisors, led by the ward focal persons—working tirelessly to protect the future of our children. I spoke with Muiaina Taiwo Abbas, eHealth Africa’s Local Government Coordinator for Fagge Local Government Area, who manages the tracking team. Muiaina oversees three take-off points where he briefs his team each morning before distributing tracking devices for the day’s work. He described the team’s daily routine: “When the team sets out, they go house-to-house, asking all necessary questions while inputting responses into the recorder. The tracking device works automatically after I switch it on at the take-off point.” According to Muiaina, the team records non-compliance cases, like when mothers refuse to let their children be vaccinated due to cultural or religious reasons, and meets each evening to discuss challenges and solutions. “At the end of every campaign day, we come back to the take-off point, talk about the issues we encountered, and plan on how to address them the next day,” he added.

We also met with Bashir Aliyu, eHealth Africa’s Kano State coordinator, who is responsible for deploying tracking teams, compiling daily reports, and addressing larger challenges. According to Bashir, “The importance of the Geospatial Tracking System (GTS) using Geographic Information Systems (GIS) technology cannot be overstated. This technology, deployed by eHealth Africa, ensures that no child is missed in the vaccination drive.” This approach allows the team to track every household and ensure full coverage, a game-changing tool in the fight against polio.

During the fieldwork, I also had the privilege of meeting some of the older vaccinators—women in their sixties who have seen firsthand the effects of polio in their communities. Their dedication is fueled by the pain they have witnessed, as they’ve watched children grow up with lifelong paralysis, unable to live full and meaningful lives. Their stories were heart-wrenching, and their motivation to prevent other families from experiencing such loss was evident in every word they spoke.

Comfort Audu, eHealth Africa’s Project Manager, was also out in the field, working with teams to resolve cases of non-compliance. She shared valuable insights into the importance of communication in overcoming resistance to vaccination. “One of the things I’ve learned from this campaign and others is that effective communication is key,” Comfort explained. “You need to speak their language, and it’s not just about dialect. It’s about helping them see why their children need to be vaccinated respectfully and not through coercion and that does the magic.” Her approach to resolving non-compliance demonstrates the power of empathy, understanding, and the importance of community engagement in health initiatives.

Walking alongside these dedicated teams reminded me that the fight against polio is more than just numbers and data; it is about people—parents, children, healthcare workers, and communities—coming together to protect the future. Every conversation, every door knocked on, and every child vaccinated is a step closer to eradicating polio for good. 

The commitment from local health workers, supported by organizations like eHealth Africa, continues to make a tangible difference. We are not just battling a virus; we are fighting for a future where no child is left to suffer the effects of polio.

As Comfort Audu said, “We must do everything in our power to ensure that no child is missed. This is a battle we can, and must, win.”

The road ahead may be challenging, but with each successful campaign, we move one step closer to a future where the fear of polio is a distant memory. Let’s continue supporting this vital work, ensuring that we create a healthier and brighter future for all.

Polio in Nigeria: A Milestone Achieved, but the Fight Continues

Posted on by Favour Oriaku

By Favour Oriaku

In August 2020, Nigeria achieved what many had once thought impossible. The country was declared free of wild poliovirus by the World Health Organization (WHO), a moment that marked the end of a long, hard-fought battle against a virus that had paralyzed children and devastated families. For us at eHealth Africa, it was a moment of immense pride and hope. This victory proved that even the most persistent challenges can be overcome through commitment, collaboration, and tireless effort.

This success did not come easily. It was the result of years of determined action by local communities, government bodies, international/indigenous organizations, and healthcare workers who ensured that even the most remote and conflict-prone areas were reached. Through routine immunization, community engagement, and continuous surveillance, Nigeria’s wild poliovirus transmission was halted. For us at eHealth Africa, it was more than just a victory against a disease; it was a testament to the power of partnership and resilience.

However, even as we celebrate the elimination of the wild poliovirus, we face a new and evolving challenge: the emergence of the circulating variant poliovirus type 2 (cVPV2). This variant strain, which can mutate from the oral polio vaccine (OPV) in under-immunized communities, poses a serious threat to children in northern Nigeria, particularly in areas where immunization coverage remains low.

In response to the rise of cVPV2 cases, eHealth Africa, alongside other partners, has intensified efforts to ensure that this new strain is swiftly and effectively contained. One such effort is the Outbreak Response 3 (OBR3) campaign, recently flagged off simultaneously in Kano State and several high-risk northern states.

The flag-off ceremony was a powerful reminder of the collective effort required to defeat this virus. The Executive Governor of Kano State, His Excellency Alh. Abba Kabir Yusuf, along with key figures including Deputy Governor Aminu Abdussalam Gwarzo who doubles as the chairman of the state task force on routine immunization and polio, representatives from international and indigenous organizations like UNICEF, WHO, SOLINA, AFENET, Sultan and Chigari Foundation, and eHealth Africa, called on parents to allow their children to be vaccinated to prevent the spread of this devastating disease.

Speaking at the event, the Deputy Governor reassured the public of the government’s commitment, stating, “We are putting everything in place to ensure that polio is eradicated within the next 3 to 4 months, God willing.” The urgency of the situation was further underscored by Governor Yusuf’s sharing of statistics, revealing that Kano State accounted for 36 of the 272 cases of cVPV2 recorded in Nigeria between 2023 till date. This accounted for 13% of the total.

As we continue our work, we know that vaccines alone are not enough. Addressing polio in Nigeria requires a holistic approach—one that includes house-to-house tracking to ensure no child is missed, even in the most remote or resistant communities. We must engage with families, dispel myths, and break down cultural barriers to vaccination. 

At eHealth Africa, we are implementing innovative solutions to support these efforts. Through projects like the Geospatial Tracking System (GTS), we are ensuring that vaccination teams reach every household, no matter how far or difficult to access. The 11 Polio Emergency Operation Centers we manage serve as hubs for coordination and planning, allowing partners and stakeholders to track progress and adjust strategies in real-time. We are also working closely with traditional leaders, whose influence within communities is critical to promoting the benefits of vaccination and overcoming resistance.

As Abubakar Shehu, Program Manager at eHealth Africa, emphasized during the flag-off, “eHealth Africa is simultaneously implementing several projects to support the mass OPV vaccination campaign. These include the Geospatial Tracking Project (GTS) that tracks the vaccination teams, ensuring no household is missed.” He went on to add, “We also manage the Polio Emergency Operation Centers and engage traditional leaders to ensure their involvement in the campaign, as well as the fight against cVPV2 and other vaccine-preventable diseases.”

The journey to a polio-free Nigeria has not ended with the eradication of wild poliovirus, it has only shifted focus. The fight against cVPV2 requires the same level of determination, vigilance, and collaboration that got us this far. Each child vaccinated brings us one step closer to ensuring that no child ever suffers from the paralysis caused by polio again.

As we move forward, we call on communities, leaders, and international partners to remain steadfast in their support. Together, we will protect the children of Nigeria and ensure a future free from the crippling effects of polio.

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

Posted on 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 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.

Building Resilience: How eHealth Africa Sets Up Emergency Operations Centers in Conflict Zones

Posted on by Favour Oriaku

By Favour Oriaku

In today’s world, robust health systems are essential in ensuring the health and safety of populations, particularly in regions prone to disease outbreaks. According to the World Health Organization (WHO), a strong health system is key to achieving universal health coverage, and one of the pillars of such systems is the ability to manage health emergencies effectively. This is where Emergency Operations Centers (EOCs) come in, acting as crucial hubs for coordinating responses to health crises. In countries like Somalia and the Democratic Republic of Congo (DRC), where security challenges and infrastructure deficiencies are prevalent, setting up these centers is not just about logistics—it’s a herculean task that requires resilience, resourcefulness, and a deep understanding of local dynamics.

eHealth Africa is at the frontline of strengthening health systems through its Polio Outbreak Control Rooms (POCR) project. This initiative, supported by the Bill and Melinda Gates Foundation (BMGF), aims to equip governments across Africa with the tools needed to combat polio and other vaccine-preventable diseases. Over the past two and a half years (March 2022 – June 2024), eHealth Africa has successfully set up more than 24 POCRs across countries like Cameroon, Somalia, the DRC, and Niger, Tanzania among others. The scope of the project includes constructing or renovating facilities to become POCR, training government-assigned staff on basic EOC operations management, providing IT and GIS/mapping support, and offering assistance for high-level national meetings and public health campaigns. While this work is essential in peaceful nations, it takes on an entirely new dimension in fragile and conflict-affected regions like Somalia and the DRC, where insecurity and logistical difficulties have become part of the daily routine.

For eHealth Africa’s Operations Leads (OLs), setting up these centers in Somalia and the DRC meant facing these difficulties head-on. Abukhasim Salisu, who was part of the operations in these countries, highlighted how complex the process was: “The major challenge was security-wise because Somalia is a very fragile country with regard to security. We had to be extremely careful when dealing with vendors… We were very cautious to ensure we were not dealing with insurgent groups.”

In the DRC, the vastness of the country compounded logistical issues. “DR Congo is about two and a half times the size of Nigeria. Sometimes it could take two to three days just to get from one location to another. The logistical challenges, combined with the limited number of operational airlines, made transportation very difficult,” said Abukhasim.
Security issues in these regions inevitably impacted the timelines for project completion. In Somalia, movement restrictions delayed progress. “In Somalia, movement restrictions delayed the project. In the DRC, it was the logistics. Items could take up to two to three months to arrive, and some arrived damaged, which impacted our delivery timelines,” Abukhasim noted.

Atiku Haruna, another Operations Lead, echoed similar sentiments: “In Somalia, movement across cities requires a security clearance every time we go from point A to point B, always with a well-armored escort. The movement of services and goods to the sites is equally challenging.”

In regions of high-security risks, resilience is not just a desirable quality, it’s a necessity. Both OLs recounted incidents that tested their resolve and commitment to the project. Abukhasim shared a harrowing experience during a flight: “We crash-landed, and the aircraft stopped right on the runway. That incident made me think deeply about my life, my job, and the risks we face. But despite these dangers, the work had to continue.” Atiku, too, faced life-threatening situations: “One of the incidents that tested me was when our aircraft refused to fly after landing, and I had to witness the repair in my presence.”

While security was a major obstacle, engaging with local communities and authorities was equally crucial to the success of these projects. Both OLs emphasized the importance of cultural adaptation. “In DR Congo, my ability to speak the local language gave me a big advantage. I could identify as Congolese, which made it easier to navigate and gain trust from the local authorities and communities,” said Abukhasim. Atiku added: “Learning the basics of the Somali language was key. This language unlocks societal freedom and helps build rapport.”

Despite the daunting challenges, the rewards of setting up these EOCs are immeasurable. The OLs took immense pride in their work, knowing they were making a difference in regions that desperately needed health system support. Abukhasim reflected on the scale of his accomplishments: “Being able to lead the set up of 11 EOCs across different countries is a huge achievement for me. It’s something I’ll always look back on with pride, even after my time at eHealth Africa.” For Atiku, the most rewarding aspect was seeing the tangible results of his efforts: “The most rewarding part is seeing my achievements across locations that have proven to be difficult.”

Atiku also shared how significant the EOC project has been for Somalia: “In Somalia, it may seem like just a mere building, but it’s a turnaround, a whole ministry, and its staff were in a rented location with no idea how to develop their building. Shortly after, through eHA’s technical expertise and funding from the BMGF, we were able to build seven EOCs that can comfortably accommodate both the EOCs staff and the Ministry, strengthening coordination of public health interventions.”

Both OLs have valuable advice for those embarking on similar projects in security-challenged regions. Abukhasim advised: “My advice is to always develop security consciousness. No matter how much you prepare, the actual scenario can be very different. You have to be aware of your environment, and security must always be a top priority.” Atiku’s advice was simpler but no less critical: “Stay out of any form of trouble.”

Setting up Emergency Operations Centers in security-challenged regions is a task filled with complexities, risks, and challenges, but it’s a mission that eHealth Africa undertakes with commitment and resilience. The success of the POCR project in countries like Somalia and the DRC is a testament to the dedication of the teams involved, who continue to strengthen the health systems of these countries under some of the most difficult conditions imaginable. Through their efforts, eHealth Africa is helping governments build lasting public health infrastructure that can save lives and manage health crises more effectively.

Balancing Work and Parenthood: A Day at the Office with the Little Ones

Posted on by Favour Oriaku

By Favour Oriaku and Uforo Umoh

Building a more vibrant, secure, and sustainable future is important to eHealth Africa (eHA). And a key part of that mission is engaging the next generation with real-life work experiences. Where better to do that than around their heroes—their parents? Bringing kids into the office might conjure up images of chaos: papers scattered everywhere, loud noise, and maybe even crayon drawings on the walls. But at eHA, “Bring Your Kids to Work” day has turned into a big hit that everyone looks forward to—kids, parents, and colleagues alike.

For the past two years, eHA has been hosting “Bring Your Kids to Work” days. This event gives families a chance to learn more about what we do, understand our culture, and see our mission in action. We recently held our second edition, and it was a huge success! The office was buzzing with excitement as staff members welcomed their children into the workplace, creating a unique day filled with learning, creativity, and lots of laughter.

The day was jam-packed with activities to engage and educate the children. There were career talks where professionals shared insights into different career paths, inspiring the kids to think about their own futures. Health tips were provided, thanks to the eHA Clinics, where the children learned about healthy living and even received vaccinations. They had a chance to ask questions about what their parents do at work, giving them a better understanding of the “mystery” behind the job titles. A campus tour allowed the kids to explore the office space, and creative painting sessions gave them the chance to unleash their imaginations. Of course, it wouldn’t be a kids’ day without playtime—bouncing castles were set up, and they were a big hit. Throughout the day, there were plenty of snacks and a delicious lunch to keep everyone energized. Each child left with wonderful gifts to remember the day by, a little piece of the organization’s branded materials to take home.

The event was about more than just fun, though. As Mr. Adesina, our HR Manager at eHealth Africa’s Kano HQ, put it, “This event was inspired by the HR team to bring families together, seeing that the staff are usually busy with a lot of work. It was also an avenue for the kids to meet other family members of eHA and for the children to see where their parents work, what they do, and integrate family life with work. We want to make sure our staff feel a sense of belonging. After the maiden edition, staff wanted it to be an annual event, hence the second edition.” He continued, “One of the intentions of this event was to educate staff kids on healthy living and career choices. Thanks to Dr. Ben Igbinosa, our Director of Finance and Administration (DFA), and eHA Clinics, these goals were achieved. There is an improvement from last year’s edition with the inclusion of health talks and vaccinations. We have plans to accommodate hybrid and remote staff, using technology as eHA is technology-driven. I appreciate the Executive team and staff for their support to the HR team and for making their children available for the event.”

Safety was a top priority for us during the event. Regina, our Associate HR Manager at eHealth Africa’s Kano HQ, highlighted this, saying, “What stood out for me is ensuring a safe space for the kids. Though eHA is always a safe space, with children, extra attention was needed. Knowing that kids love to explore their environment, we worked to seal up all electrical points.” We wanted to create a memorable experience, so each child went home with gifts to remember the day. “As one of the best places to work, our goal is to make eHA a family-friendly organization, so the ‘Bring Your Kids to Work’ event speaks to that,” Regina added.

Linda, our Senior HR Coordinator in the Abuja office, explained that this event is part of our corporate social responsibility towards our staff. “eHA believes in the power of shared experiences and the value of family,” she said. “Bringing your kids to work is a fun activity for the children while also showing our commitment to creating and supporting an inclusive workplace for all our staff. It also helps us recognize work-life balance, which is part of our culture.” Linda praised our staff for their ability to balance work and family life, noting, “Parents, especially those who have a professional career, are doing so well. I commend eHA staff for being able to balance their work with family life.”

At eHealth Africa, we know that our employees perform at their best when they can balance their professional and personal lives. Events like “Bring Your Kids to Work” not only provide a fun day for the children but also strengthen the bond between employees and the organization. We’re already looking forward to next year’s event and many more opportunities to celebrate our staff and their families.

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

Posted on 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.” 

Primary healthcare workers and partners reviewing master list of settlement

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

A New Dawn in Blood Supply Management Championed by eHealth Africa

Posted on by Favour Oriaku

By Favour Oriaku

In times of crisis—whether it be a natural disaster, armed conflict, or a large-scale public health emergency—the demand for safe and quality-assured blood and blood products rises dramatically. Ensuring a steady supply of these life-saving resources is crucial to maintaining healthcare systems, saving lives, and preventing further destabilization in an already chaotic environment. Without adequate blood supplies, the consequences can be devastating.

According to the World Health Organization (WHO), safe blood saves lives and improves health, but millions of patients requiring transfusion do not have timely access to safe blood. Ensuring the availability of safe blood products is particularly crucial during emergencies. Globally, approximately 118.54 million blood donations are collected each year. However, managing this enormous volume of donations without a streamlined electronic process for collection and tracking can lead to serious challenges.

Recognizing the pressing need for innovation in blood supply systems, eHealth Africa, in partnership with the Aminu Kano Teaching Hospital (AKTH), has embarked on a groundbreaking initiative—the Blood Information System for Crisis Intervention and Management (BISKIT) AKTH Pilot Project. This project, supported by the eHealth Africa Board, aims to digitize and streamline the process of blood collection, management, and distribution, ensuring that safe blood is always available before, during, and after crises.

According to Francis Ayo, the project manager, “This groundbreaking initiative is exploring a key question: How can digital solutions help ensure a sufficient supply of safe and quality-assured blood and blood products before, during, and after a crisis? In an attempt to answer this question, eHealth Africa, in collaboration with other consortium partners, developed the Blood Information System for Crisis Intervention and Management (BISKIT) app.”

Empowering Healthcare Professionals through Training

Last week, eHealth Africa successfully conducted a pilot training session for AKTH medical doctors, laboratory scientists, and other healthcare professionals. This training marked a pivotal moment in the project’s timeline, laying the foundation for the digital transformation of blood supply management in Northern Nigeria. The participants’ expertise and engagement were vital as they collectively embarked on a mission to strengthen the blood supply chain through cutting-edge technology.

The training, which focused on the BISKIT system, helped participants deepen their understanding of the app’s functionalities and their role in improving the safety and availability of blood. It also gave them the opportunity to explore the app’s potential for collecting, analyzing, and visualizing blood supply data to generate insights that can influence decision-making, policy advocacy, and long-term strategies in healthcare.

One participant, Dr. Yahaya Ibrahim, a medical doctor at AKTH, expressed his satisfaction with the BISKIT app: “The app is user-friendly and easy to navigate. I foresee it significantly improving access to safe blood during critical moments.” His reflection encapsulates the thoughtful work that went into developing the BISKIT app to meet the needs of healthcare providers on the front lines of crises.

Williams Isong Akpan, the Deputy Director of Medical Laboratory Services at AKTH, was impressed by how the system allowed for task-specific roles and completion sign-offs. He remarked, “What stood out for me during the training was the seamless sign-off after completing each task and the allotment of different roles in the BISKIT system. This shows that a lot of thought was given to streamlining the blood donation chain, ensuring efficiency.”

Similarly, Abimbola Ajayi, the Assistant Chief Medical Laboratory Scientist at AKTH, noted the potential impact on patient care. “The BISKIT app will definitely improve the turnaround time for patients receiving our services. Overall, it will enhance the effectiveness of our services, making us more responsive to patients’ needs.”

Looking to the Future

The successful pilot training is just the beginning. The official launch of the BISKIT application in Kano State is underway, and expectations are high for the role the app will play in modernizing blood supply systems. The potential to capture data on blood donors and health workers, analyze trends, and visualize key metrics offers healthcare providers powerful tools to not only respond effectively during crises but also prepare for them.

The BISKIT app is about more than just blood. It is about hope, preparedness, and the power of technology to save lives. With the combined efforts of eHealth Africa, AKTH, and other stakeholders, the future of blood supply management is brighter, safer, and more resilient.

As we look ahead, we are reminded of the words of Francis Ayo: “At the heart of every crisis is an opportunity to innovate, and the BISKIT app is one of those innovations that will change the way we think about blood supply management. The goal is simple but profound: to save lives.”

In a world where the unexpected is always around the corner, tools like the BISKIT app will ensure that when the next crisis comes, we are prepared to respond with speed, efficiency, and compassion.

This project will undoubtedly revolutionize blood supply management, not just in Kano but potentially across Nigeria and beyond. The commitment to innovation and resilience shown by all the stakeholders involved is a powerful testament to what can be achieved when technology meets healthcare.

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