eHealth Africa Archives - Page 2 of 4

Data for Her: How Digital Health Tools Are Closing Gaps in Women’s Health

Posted on March 21, 2025July 7, 2025 by Tijesu Ojumu

Tijesu Ojumu

Across many parts of Nigeria and the African continent, health systems are often designed in ways that treat women as beneficiaries—but not as central users, decision-makers, or even visible in the data. Yet it is women and girls who are disproportionately affected by gaps in access, affordability, and information. This disconnect not only undermines health outcomes but weakens the ability of systems to plan effectively and equitably.

At eHealth Africa, we are seeing how digital tools can begin to shift this narrative—from invisibility to inclusion. We’ve learned that the question is not simply whether women are being served, but how they are being seen in the data. And more importantly, whether they are being counted in ways that reflect their full experience—across different life stages, geographies, and health needs.

Where Gender Gaps Begin

From our work in maternal health, childhood nutrition, outbreak response, and logistics, we’ve observed that gender disparities in health often begin with how problems are defined. In microplanning for routine immunization, for instance, women are frequently the primary caregivers who interact with the health system. But their perspectives, challenges, and time constraints are rarely captured in planning sessions or data sets.

In one rural state, a survey showed a drop in immunization uptake. The default explanation was “vaccine hesitancy.” But further community engagement revealed the real barrier: women had to travel over 5 kilometers on foot with multiple children, without access to safe transportation. When digital microplanning tools like Planfeld were introduced to visualize catchment areas and overlay them with settlement maps and facility capacity, local health teams saw the mismatch clearly. Outreach plans were revised, mobile teams were deployed, and uptake rebounded.

Making Women Visible in the System

Digital health tools, when designed inclusively, can correct blind spots in the system. They allow decision-makers to:

Track service delivery gaps specifically for women and adolescent girls.
Disaggregate data by sex, age, and location to identify who is being reached and who is not.
Enable frontline health workers—many of whom are women themselves—to feed back real-time information.
Map trends in maternal and reproductive health services to detect slippage or progress.

In our SRHR-focused work, we’ve used geospatial analysis to identify underserved areas with high adolescent birth rates. We’ve also supported monitoring frameworks that include indicators on menstrual hygiene access, antenatal care attendance, and community-level awareness. These efforts help reveal not just health outcomes, but the structural barriers behind them—whether it’s school absence due to lack of sanitary products or under-resourced health posts in remote communities.

Designing Tools That Fit Women’s Lives

Inclusion is not just about what data is collected, but how. Many digital health interventions assume consistent literacy, smartphone access, or connectivity—all of which can be barriers for women, especially in rural or low-income settings. That’s why we emphasize human-centered design.

Our team co-creates tools with users—including female community health workers, caregivers, and adolescent girls. Features such as:

Voice-based instructions
Visual prompts instead of text
Offline functionality
Integration with existing workflows

make the difference between a tool that is adopted and one that is abandoned.

Closing the Loop: From Insights to Action

Too often, women’s health data is collected but not used. It gets lost in reports, buried in dashboards, or aggregated into trends that erase nuance. At eHealth Africa, we work with government partners to ensure that insights become action. For example:

In our early childhood development project, we developed gender-sensitive monitoring tools that tracked girls’ access to education and nutrition alongside immunization coverage.
In outbreak surveillance, we built dashboards that differentiated between female and male case detection and response times.
In facility-level planning, we supported decision-making that prioritized SRHR services based on community-reported gaps.

These are not add-ons. They are core to building a public health system that recognizes and responds to women as full participants.

A System That Reflects Everyone

The push for gender equality in health systems is not new. But digital tools offer a new frontier for making it real. They can provide the clarity, speed, and granularity needed to surface inequities and act on them before they become crises.

But this only happens when the people designing and deploying digital tools ask hard questions:

Who benefits from this data?
Who is missing from this picture?
How will this tool shift power or access for women?

At eHealth Africa, we don’t just ask these questions—we embed them into our processes.

As digital health systems grow across Africa, we must ensure they are not built on old assumptions. A truly inclusive digital future will require a commitment to gender-aware data, systems that reflect lived realities, and tools that work for the people using them—especially women.

Because when we make women visible in health systems, we make everyone healthier.To learn more about eHealth Africa’s gender-focused digital health work, visit ehealthafrica.org.

From Passion to Proficiency: How eHA Academy is Shaping Future Tech Leaders

Posted on March 13, 2025March 13, 2025 by Moshood Isah

– Chinwendu Tabitha Iroegbu

Nigeria’s digital abilities are trailing below the global average because of a large skills gap. In Nigeria, digital skills will be necessary for about half of all jobs by 2030, and only 11% of graduates have formal tech training. Nigeria and Africa in general have a long way to go before they can truly compete in the digital world.

This digital skills gap has significant consequences for Nigeria’s economic growth and global competitiveness. Without a workforce equipped with essential tech skills, businesses struggle to adopt emerging technologies, leading to reduced productivity and innovation. Additionally, the lack of digital expertise limits job opportunities for young Nigerians, increasing unemployment and widening economic inequality. As industries worldwide shift toward automation and artificial intelligence, Nigeria risks being left behind, unable to fully leverage the benefits of the digital economy.

How eHA Academy is Closing the Gap

To bridge these critical gaps, eHealth Africa (eHA) founded eHA Academy in 2016 to give young people across Africa the technical skills that meet industry standards. The academy is also assisting people in pursuing professions in data analytics, UI/UX design, and software development. The Academy provides rigorous, 16-week training courses. These courses offer practical, industry-focused, and high-quality, easily available training that prepares graduates for the current tech workforce.

Beyond merely imparting technical knowledge, eHA Academy provides the opportunity for project-based learning, mentorship, and experiential learning. This guarantees that students acquire practical experience and develop a solid portfolio that improves their employability.

Proven Success: The Impact of eHA Academy

Since its inception, eHA Academy has trained over 140 students, many of whom have successfully transitioned into careers in tech. The impact of the program is evident in the success stories of graduates who have made remarkable career shifts.

Dr Lawan Hassan Adamu, a Ph.D Associate Professor of Human Anatomy at the Faculty of Basic Medical Sciences, did not delay in applying to join the Academy as it aligns with his interest in deploying innovative solutions in his field of endeavor.

According to Dr Lawan, “I saw this as an opportunity to enhance my technical capabilities and contribute to innovative solutions for challenges in public health and biomedical sciences.” Having received practical knowledge on UI/UX design, web development, Agile project management tools amongst others, Dr Lawan says, “My focus will remain on creating scalable, impactful solutions that bridge the gap between healthcare delivery and technology”. This, according to him, includes the creation of e-learning platforms, public health tools, and further deploying data management tools to improve community health.

On her part, Fatima Muhammad Bashir started her journey in agricultural science but discovered a passion for web development through eHA Academy. Today, she is building digital solutions that impact lives. Fatima plans to use these skills to build websites for small businesses in her community, focusing on user-friendly designs and impactful solutions. “Additionally, I aim to take on freelance projects to refine my expertise while working towards a long-term career in tech”, she said.

For Orazuilike Chinazaekpele Francisca, who previously worked in the hospitality sector, she will leverage her training at eHA Academy to secure a role in the tech industry. This will not only refine my web development skills but also allow me to contribute to a cause I’m passionate about.” Chinaza hopes to build her career with practical application and continuous learning.

According to her, “I will use these skills to help build a responsive and informative website for Non Governmental Organizations advocating for early education and children’s welfare.

For others, like Emmanuel Oga, eHA Academy provided the structured learning environment he needed to transition from struggling with self-learning to becoming a software developer. Many graduates have gone on to work with established companies, startups, and some have launched their tech initiative. The Academy’s influence extends beyond individual success, it is actively shaping Nigeria’s digital economy by supplying a skilled workforce ready to drive innovation. In addition to collaborating with professionals in the sector and working on real-world projects, students also receive experienced mentoring.

The Future of Tech Education in Africa

Programs like eHA Academy are essential to preparing Africa for the future, as the continent’s demand for digital skills is only going to grow. Africa’s technological future is bright, as the Academy is demonstrating by providing students with employable skills, encouraging innovation, and establishing career routes.

Muflihat Abdulmajid, a proud alumni of eHA Academy, reflects on her journey: “The joy and fulfillment I now have, being part of a team building software solutions for public health interventions in Africa is compared to none.”

Her story is a testament to how eHA Academy empowers individuals with the skills to drive impactful change in health technology.

For those eager to embark on a transformative learning journey, eHA Academy remains a gateway to endless opportunities. With the right education and resources, Africa’s next generation of tech leaders is being built one graduate at a time.

“We are excited to see the impact our graduates will have on the world. They are now equipped to address complex challenges in health tech and contribute to shaping a future where technology and healthcare work hand-in-hand to improve lives across the continent,” said Jamil Galadanci, Senior Manager, Software Engineering, eHealth Africa.

eHA Academy is transforming lives and influencing the future of Africa’s digital economy with its dedication to innovation and education. As more students have access to high-quality tech education, other industries will be impacted, which will help Nigeria and other countries grow economically and advance technologically.

Delivering Every Dose: How Smarter Vaccine Systems Are Saving Lives in Africa

Posted on February 28, 2025July 7, 2025 by Tijesu Ojumu

Tijesu Ojumu

Vaccines have long been one of humanity’s greatest health success stories. They’ve helped us wipe out deadly diseases, keep children healthy, and respond to emergencies like the COVID-19 pandemic. But what happens when vaccines don’t reach the people who need them?

Across many parts of Africa, health workers face an invisible challenge: vaccine wastage. This occurs when vaccines are lost, spoiled, or expire before they can be used. Sometimes, it’s because of unreliable power, poor storage, or long travel delays. Other times, it’s simply because more vaccines were sent than were needed and by the time they’re opened, they’ve already gone to waste.

For communities where every dose counts, vaccine wastage doesn’t just cost money. It costs trust. And lives. This was the focus of a powerful Insights Webinar hosted by eHealth Africa, where public health leaders, field experts, and digital health innovators came together to ask one question:
How can we make sure every vaccine reaches the people it was meant for, safely and on time?

The Problem: Wasted Doses, Missed Opportunities

When we think about vaccines, we often picture the jab, the moment of protection. But getting a vaccine to that moment involves a long, delicate journey: it must be stored at just the right temperature, tracked across distances, and kept safe until the moment it’s used.

In this journey, a lot can go wrong. One speaker at the webinar described how even a short power outage can spoil an entire batch. Another explained how, in some remote clinics, health workers open a vial expecting 10 children to show up but only 2 come. The rest of the doses? Tossed out. These are not rare issues. In fact, it’s estimated that up to 50% of vaccines can be wasted globally if systems aren’t strong.

The Good News: Smarter Tools Are Making a Difference

While the challenges are real, so is the progress. Across Nigeria and other African countries, digital solutions are helping health workers plan better, respond faster, and waste less.

Take Planfeld, for example, a tool developed by eHealth Africa. It helps local teams map out exactly where people live, how many doses are needed in each area, and how to deliver them efficiently. With better planning, fewer doses go to waste.

There’s also the rise of real-time temperature sensors. These small, smart devices sit inside vaccine coolers and alert health teams if temperatures become unsafe. That way, problems can be fixed before vaccines spoil. In areas without reliable electricity, solar-powered fridges are a game changer. These eco-friendly units are keeping vaccines safe in even the most remote villages.

Innovation Doesn’t Stop at Technology

Not all solutions are high-tech. In fact, some of the most effective fixes are surprisingly simple. Health workers shared stories of success from the field: planning vaccination days to match market days, making reminder calls to parents, checking expiry dates more often, and involving local leaders to boost turnout. Some clinics even use WhatsApp to coordinate last-minute deliveries between sites. “Digital systems are powerful,” one speaker said, “but it’s the people behind them who make them work.”

Why It Matters: Trust, Safety, and Equity

Reducing vaccine wastage isn’t just about numbers on a spreadsheet. It’s about protecting lives and building trust in healthcare systems. When people see vaccines are handled carefully, they feel safer getting them. And when health workers are supported with the right tools, they can serve their communities with confidence. There’s also an issue of fairness. Every wasted dose is a missed chance to protect someone often in communities that already struggle with access. Smarter systems help ensure no one is left behind.

What’s Next?

The panelists ended the webinar with a clear message to governments, donors, and the public:
We must invest not just in vaccines but in the systems that deliver them. That includes:

Training for frontline health workers
Digital tools for planning and tracking
Cold chain infrastructure like fridges and coolers
Community engagement to reduce missed appointments

When we do this, we don’t just reduce waste. We increase impact.

One Dose at a Time

Africa is leading the way in turning vaccine challenges into opportunities for innovation. From the use of AI to plan smarter routes, to mobile clinics reaching the last mile, these efforts are not just saving money — they’re saving lives. Because behind every successful vaccination is a system that worked. A nurse who planned ahead. A delivery that was on time. A fridge that kept running. And a child who will grow up healthy, all because one dose made it through.

Let’s make sure every dose does.

Learn more about these efforts at ehealthafrica.org

Malaria: eHealth Africa Applauded for Excellent Post Distribution Monitoring in Plateau

Posted on February 26, 2025March 10, 2025 by Moshood Isah

eHealth Africa earns plaudits from Against Malaria Foundation (AMF)’s recognition for its precision and professionalism in Plateau State’s Post-Distribution Monitoring (PDM), ensuring accurate data collection.

By Joyce Shinyi

In malaria prevention, delivering mosquito nets is just the first step to making an impact, tracking their usage and effectiveness is all part of what makes an impact. That is where Post-Distribution Monitoring (PDM) comes in.

For the third time in a row, the Against Malaria Foundation (AMF) has entrusted eHealth Africa with implementing Post-Distribution Monitoring in Nigeria, following successful implementations in Bauchi and Zamfara states. This continued partnership is a testament of eHealth Africa’s commitment to data accuracy, structured execution and transparency.

During AMF’s visit to Plateau State, Representatives Shaun Walsh and Alicja Szałapak shared insights into why PDM is critical and how eHealth Africa’s execution stands out.

A Strong and Long-Term Partner – Shaun Walsh, AMF

For Shaun Walsh, working with trusted partners is key to ensuring malaria prevention programs aren’t just implemented but properly evaluated.

“One of the key components is the accurate collection of household data because the accuracy and integrity of the data are very important. It tells the story of the use and the condition of the net.”

He further emphasized eHealth Africa’s commitment to professionalism and execution:

“The data and the communications we’ve had before this visit have really strengthened our opinion on the professionalism and integrity of eHealth… The quality of their work and the due diligence they put into the training have emphasized that eHealth is a strong and long-term partner of AMF in Nigeria.”

This acknowledgment reinforces eHealth Africa’s role as a trusted leader in data collection.

eHealth Africa’s commitment to the reliability of the data – Alicja Szałapak, AMF

For Alicja Szałapak, the success of PDM isn’t just about conducting surveys, it’s about ensuring reliable and actionable data.

“The measure of success of the PDM is whether the data collected reliably shows the situation on the ground… We don’t expect to always see good results, but we want to make sure that if the nets are not there, we see the situation as it is.”

She also praised eHealth Africa’s rigorous approach to gain reliable data by properly training enumerators:

“We were very impressed with eHealth Africa’s commitment to the reliability of the data. A lot of effort has gone into making sure that all the enumerators really understand the questionnaire and ask questions in an understandable way…… We have been very impressed with how PDM was implemented here in Plateau State.”

This focus on precision, ethics, and methodology ensures that AMF receives data it can trust to drive future malaria interventions.

Teaching Households how to use mosquito nets – Fatima Ibrahim

Beyond data and reports, real families benefit from these interventions. In Plateau State, Fatima Ibrahim, shared how PDM has impacted her family’s understanding of mosquito nets:

“Before, we didn’t use the nets every night, but now we understand why they are important…… We were also taught how to properly use mosquito nets by data collectors.”

Her testimony highlights how PDM isn’t just about tracking progress, it’s also about ensuring people are using their nets appropriately and efficiently.

Build trust within the communities – Toju Ogele, Project Manager

For Toju, eHealth Africa’s Project Manager, PDM is about accountability and community trust.

“AMF wants to know: are these nets available in households, and are they being used? That’s why accuracy in data collection is crucial.”

He also emphasized that data isn’t just about numbers, it’s about real-world application:

“We checked if these nets are in use? We also looked at the coverage… Our aim was to build trust within the communities and to remind them of the use of this net. So, we are hoping that this would snowball into continuous use of the mosquito nets. It has helped address some of the myths and misconceptions people had about the use of the mosquito nets.”

Through ethical data collection, rigorous training, and close community engagement, eHealth Africa ensures that every data point reflects reality.

Looking Ahead: Why AMF’s Recognition Matters

AMF’s continued engagement with eHealth Africa across Bauchi, Zamfara, and now Plateau demonstrates trust in our expertise.

From Shaun Walsh’s recognition of eHealth Africa’s professionalism to Alicja Kuskowski’s praise for data accuracy, it’s clear that monitoring isn’t just about collecting data, it’s also about finding out if malaria prevention efforts are working.

With our proven track record, we at eHealth Africa remain committed to delivering credible and quality data.

What’s next? Stay tuned for more insights as eHealth Africa continues to push forward with data-driven solutions that transform healthcare in Nigeria and beyond.

eHA Academy: Inspiring Stories of Aspiring Tech Leaders

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

–— Funmilayo Joseph ——

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

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

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

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

Fatima Mustapha: Embracing Challenges Necessary for Growth

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

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

Elijah Ishaku: Transitioning from Passive Tech Consumer to Active Creator

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

Francis Ojapa Emmanuel: Determination and Resilience

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

Murja Amadi Kurfi: Mastering the Art of Web Development

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

Empowering the Next Generation of Technological Innovators

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

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

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

EndPolio: eHealth Africa Supports Cross-Border Vaccination Tracking

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

– Moshood Isah

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Moshood Isah

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

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

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

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

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

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

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

Focus Group discussion LGA Cold Chain officers on effective Vaccine delivery

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

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

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

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

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

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

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

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

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

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

Moshood Isah is a Communications Coordinator at eHealth Africa.

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

Posted on October 2, 2024October 3, 2024 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 September 30, 2024October 3, 2024 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.

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

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

By Moshood Isah

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

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

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

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

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

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

2. Effective Resource Management and Allocation for Vaccination Campaigns

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

3. State Primary Healthcare Leaders Are Open to New Innovations

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

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

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

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

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

5. Opportunity for Optimization of Planfeld

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

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

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