Polio Archives - eHealth Africa

Beyond Polio: Sustaining the Impact of Emergency Operations Centers Across Africa

Posted on October 17, 2025October 17, 2025 by Moshood Isah

This year, the world commemorates another World Polio Day; a significant occasion first marked in 1988 when the World Health Assembly committed to eradicating the poliovirus. That commitment led to the launch of the Global Polio Eradication Initiative (GPEI), underscoring the critical role of every stakeholder in public health in ensuring the virus is completely eradicated. One of the major interventions that has contributed to this fight, particularly across Africa, is the establishment of Polio Emergency Operations Centers (EOCs) and Control Rooms.

This bold step, led by eHealth Africa (eHA) with support from the Bill & Melinda Gates Foundation in 2020, sought to create centralized hubs that harness the strengths of multiple partners for coordinated responses; not only to polio but to wider public health emergencies. Over time, these hubs have expanded their mission, transforming how countries tackle broader vaccination challenges and strengthening ownership of routine immunization systems. The conversation on sustaining this impact came to the forefront at the recently concluded International Conference on Primary Health Care (ICPHC) held in Ethiopia.

eHealth Africa seized the opportunity to convene a powerful panel session to present findings from its Cross-Country Impact Study of Polio Outbreak Control Rooms (POCRs) in Sub-Saharan Africa. Moderated by Loveth Metiboba, Senior Manager for Impact Measurement at eHealth Africa, the session provided empirical insights from key partners and users of the POCR model across Cameroon, DR Congo, Ethiopia, Guinea-Bissau, Mozambique, Somalia, and Zambia. The study, conducted by Clones House and the Busara Center for Behavioral Economics, revealed significant impacts and proposed critical steps for ensuring sustainability across Africa.

Opening the session, Atef Fawaz, Executive Director of eHealth Africa—and notably the project manager who initiated the establishment of EOCs in Nigeria and across Africa, reflected on the journey. “We’ve seen these EOCs grow over time, increasing their impact and expanding their purpose. They initially supported emergency response for polio but later played key roles during outbreaks of Ebola, measles, Lassa fever, COVID-19, and many others,” he said. He emphasized that the EOCs ensure collaboration over isolation: “Instead of everyone working in silos, the EOC brings people together to collaborate, innovate, and act toward one goal;solving problems.”

Presenting the study’s findings, Onochie Mokwunye, Research Consultant with Clones House, explained that the establishment of POCRs has revolutionized how countries detect, coordinate, and respond to outbreaks. “We found that POCRs didn’t just strengthen systems; they strengthened relationships, bridging the gap between data, decision-making, and real-world response,” he said.

His co-researcher, Dr. Mohammed M. Alhaji added that the success of POCRs stems from their ability to “build capability, create opportunity, and inspire motivation; the three essential ingredients for sustained behavior change.” He stressed that “infrastructure alone doesn’t drive change; it’s the people, their motivation, and shared sense of mission that make the difference.”

Reinforcing the need to look beyond polio, Kazeem Balogun, Deputy Director for Supply Chain Management at eHealth Africa, said, “EOCs must now evolve beyond polio; becoming engines of health security that strengthen primary health care and prepare nations for whatever comes next. The Polio Outbreak Control Rooms proved that when governments lead and partners align, every response becomes faster, smarter, and more accountable.”

From Cameroon, Dr. Shalom Ndoula, Permanent Secretary of the Expanded Program on Immunization, shared that the POCR model reduced the detection-to-response time from 75 days to just 30, thanks to structured coordination, real-time data use, and decentralized empowerment. A similar story came from Zambia, where Princess Lynettie Kayeye, a Coordinator at the Global Polio Eradication Initiative (GPEI) noted that “what started as a polio response tool has now strengthened our entire health system, introducing innovations like digital microplanning used across all ten provinces.”

In Mozambique, Benilde Conceição Salvador, Coordinator of the Public Health Emergency Operations Center in Tete, recalled how health coordination meetings once held in hotel rooms have been transformed. “Through the POCR, we’ve not only improved outbreak response but also used innovation to identify and vaccinate under-immunized children in our districts,” she said.

Somalia’s experience reflected resilience and renewal. Hassan Mohamed Ali, Director of Operations at the Somali National Health Professionals Council, explained, “Building seven EOCs across Somalia wasn’t just about infrastructure—it was about creating a foundation for resilience in one of the most fragile contexts in the world.”

Ultimately, beyond polio lies a broader story, one of collaboration, resilience, and shared systems that safeguard communities before crises strike. Preparedness, as this session highlighted, is not built in moments of crisis but in moments of coordination, learning, and trust. That is what truly makes health systems resilient.

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

Posted on May 20, 2025May 21, 2025 by Moshood Isah

*eHealth Africa meets traditional leader in Gwandu, Kebbi state*

By Joyce Shinyi

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

New Era for Zimbabwe Polio Lab After Biggest Upgrade in 20 Years

Posted on April 29, 2025April 29, 2025 by Moshood Isah

Moshood Isah

“This is the biggest transformation I have witnessed in the Polio laboratory, University of Zimbabwe, since I started working here over 2 decades ago”, these are the words of Professor Rooyen Mavenyengwa, Director of Zimbabwe Polio Laboratory as he expresses excitement about the recent upgrade of the Lab.

For five years, Professor Mavenyengwa has served as the Director of Zimbabwe Polio Laboratory, where he leads surveillance work on viral vaccine-preventable diseases like Polio, Rubella, Measles, and Rotavirus. But his journey in public health stretches back over two decades. As a scientist, educator, and principal investigator, Professor Mavenyengwa wears many hats but none more proudly than the one guiding Zimbabwe’s Lab into a new era.

“Before the upgrade, our challenges were multitude,” he recalls. “Our equipment, internet, fire alarm system, needed an urgent upgrade. In some instances we even lacked basic safety features like eyewash stations. It was not just inconvenient—it was unsafe.”

These challenges changed drastically, thanks to the comprehensive Lab modernization by World Health Organisation (WHO AFRO) and eHealth Africa with funding from Gates Foundation. The lab upgrade features new infrastructure, modern Information Communications Technology (ICT) systems, enhanced safety measures, and even state-of-the-art restrooms now define a space that was once struggling to keep pace with the demands of new global health surveillance trends.

Beyond aesthetics, the upgrade is about saving lives due to its new capacity for laboratory diagnosis of sewage samples for environmental surveillance (ES) in addition to the Acute flaccid paralysis (AFP) testing which was already done. Environmental surveillance is a key method in detecting polio in wastewater before it spreads to humans. Zimbabwe was the last country in the WHO Afro Regional network of 16 Labs to implement this technique—but not anymore.

“For years, we had to send our environmental samples to South Africa. Now, we can test them right here, saving both time and money, and building our own local expertise,” he shares proudly.

With the evolution extending to genomic sequencing, Zimbabwe is now one of only nine countries piloting this initiative, allowing scientists to track and understand viral mutations in real time. “It’s a major leap for our scientific capabilities,” says Professor Mavenyengwa. “We’re not just participating, we’re leading.”

Beyond diagnostics, the upgraded Lab has become a center for training and capacity building. Undergraduate students now rotate through the Lab for hands-on experience, while postgraduate researchers make up over half the Lab staff. A new conference facility allows for in-house training, attracting experts from across and beyond the region and creating a ripple effect of scientific knowledge.

Professor Mavenyengwa believes this shift holds lasting promise. “The future is very bright,” he says. “Our data already informs national immunization policies, like the rollout of the nOPV2 vaccine. With stronger systems and better-trained personnel, Zimbabwe can make an even greater contribution to global polio eradication.”

For someone who has spent 23 years in academia and public health, this isn’t just about milestones, it’s personal. “We’ve waited a long time for this,” he reflects. “Now that we have it, we’re going to use it to the fullest, to protect our children, to protect our future.”

Speaking during the commissioning of the Polio laboratory in Zimbabwe, Dr Desta A. Tiruneh, World Health Organization Country Representative lauded the initiative stating that the launch of this laboratory is not only a significant advancement in Zimbabwe’s health infrastructure but also a vital move toward protecting the health and well-being of children throughout Africa. He said, “The fact that the Polio Lab belongs to a network of 16 other polio Labs in Africa also entails that Zimbabwe could also be called upon to support other Labs if the need arises. This advancement will increase the quality and timeliness of poliovirus detection not only in Zimbabwe but in Africa as a whole.”

Similarly, Deputy Director, Partnerships and Programs at eHealth Africa, Dr. David Akpan highlighted the significance of this impactful intervention to eHealth Africa’s mission of strengthening health systems across Africa. According to David, eHealth Africa team is excited that, “Beyond supporting prevention and swift response to health emergencies, the laboratory will also serve as a valuable resource for research and training for researchers in genomic sequencing and public health interventions”

In his own remark, Head of Zimbabwe Polio laboratory, Prof Rooyen Mavenyengwa expressed gratitude for the partnership, stating, “This is the biggest transformation we have seen in this laboratory since 2003. We deeply appreciate this collaboration with the Ministry of Health and Child Care, University of Zimbabwe, eHealth Africa, WHO AFRO, and the Gates Foundation. The enhancement of our National Virology Laboratory is a game-changer for Zimbabwe, allowing us to improve disease surveillance, strengthen response mechanisms, and build local expertise in genomic sequencing.“

In a world where laboratories are often hidden behind microscopes and machines, Professor Mavenyengwa’s story reminds us that behind every virus tracked and every outbreak prevented, a child’s life saved, there are passionate people pushing boundaries and quietly transforming systems, one upgrade at a time.

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.

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

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

Judith Owoicho

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

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

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

A 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 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.

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