Building a Healthier Future: eHealth Africa’s Reflections from the Sankalp Summit

By – Moshood Isah

With fewer than half of African startups surviving beyond their early years, the continent continues to grapple with challenges such as climate change, economic inequality, and limited access to resources, networks, and funding. Many innovative businesses struggle to secure the capital and mentorship needed for growth and sustainability.

A concerning trend reveals that 90% of startups fail within their first five years, a statistic particularly troubling for emerging entrepreneurs. According to Forbes, financial constraints, including running out of cash and failing to raise capital, are the primary reasons for these failures. Nigeria, for example, has over 3,360 startups but also holds the highest failure rate in Africa at 61%. Other contributing factors include inconsistent government policies, inadequate skills, limited access to funding, and high business registration costs.

This challenge extends across various sectors, including healthcare. While the demand for affordable and accessible care continues to rise, business models that balance financial viability with social impact remain difficult to implement. Recognizing these challenges, eHealth Africa (EHA) participated in the recent Sankalp Summit, one of Africa’s largest convenings focused on entrepreneurship and sustainable development.

At the summit, EHA hosted a panel session titled “Sustainable Business Models for Primary Healthcare in Africa: Challenges and Opportunities.” Moderated by EHA Board Member Michelline Ntiru, the session brought together healthcare leaders to discuss key strategies for maintaining financial sustainability while expanding healthcare access. Discussions centered around lessons from successful scale-ups, the role of public-private partnerships, and innovative service delivery models.

Ahead of the session, EHA’s Executive Director, Atef Fawaz, emphasized the importance of summits like Sankalp in fostering investor partnerships, stating, “As an organization that has spent years working with governments and NGOs to improve health systems through data-driven solutions, conversations like these are crucial.” He further highlighted the organization’s vision for the coming years, adding, “We are intensifying efforts to transform healthcare, champion collaboration, and drive innovation to enhance economic prosperity. Events like Sankalp serve as motivation to scale our impact, particularly in underserved communities.”

Panelists explored various investment and funding challenges, recommending strategies to attract capital and ensure financial sustainability. The session also provided startups and investors with insights on navigating regulatory and operational barriers across different markets. After the discussion, EHA’s Director of Partnerships and Programs reflected on the event’s significance, stating, “We explored the intersection of cutting-edge technology, strategic investment, and collaborative partnerships—the very pillars of our vision. We are working across multiple countries and impacting millions of lives.”

She also emphasized the value of networking at the summit, sharing that “this platform connected us with organizations making real impact—from measuring social change to transforming food production and strengthening health systems. These conversations planted the seeds for future collaborations.” She reiterated that EHA is building a community of partners who align with the organization’s mission of better healthcare, women’s empowerment, innovation, tackling climate change, and strategic growth.

The event culminated with a significant announcement: EHA Impact Ventures (EIV) committed a $2 million equity investment in EHA Clinics, marking a pivotal step in strengthening sustainable and scalable primary healthcare models across Africa. This funding will support expansion efforts to reach more communities, technology-driven healthcare solutions, and innovative financing models like REACH, which provides community-based, membership-driven healthcare access.

According to EIV’s Chief Executive Officer, “This investment reflects a growing recognition of the need for flexible, long-term capital in the healthcare sector—balancing financial sustainability with impact.” This commitment reinforces EHA’s mission to transform healthcare accessibility, affordability, and efficiency across Africa, ensuring that innovative solutions continue to thrive.

As Africa’s healthcare ecosystem continues to evolve, EHA Group will continue to foster sustainable business models and strengthen partnerships to pave the way for a more resilient and inclusive future for healthcare and beyond.

World GIS Day: Underscoring the Impact of Geographic Information Systems in Public Health

– Atef Fawaz

About a fortnight ago, Chairman of the National Population Commission, Nasir Isa-Kwarra announced that this administration is set to launch a Geospatial data repository along with an Electronic Civil Registration and Vital Statistics System (ECRVS) as the country plans to conduct its first digital census. This is basically in a bid to ensure every part of the country is comprehensively covered as census has continued to prove to be an effective way to ensure equity in  allocation of resources.  This coming a few days before the annual celebration of the World Geographic Information Systems (GIS) day further reiterates the importance of GIS in virtually every sector of the Nigerian economy, especially public health. 

Recently, it seems a lot of experts who have dedicated their lives to designing and implementing digital innovations to solve critical world problems may have not received the appropriate accolades for their efforts. This may be partly due to the proliferation of digital technological solutions across various sectors with varying degrees of efficacy. Thus it is heartwarming to see that the theme of the 2023  World Geographic Information Systems (GIS) day is dedicated to celebrating the immense efforts made by GIS professionals to achieve sustainable impact in solving problems in the area of public health, security, environmental preservation, emergency response and disaster management, geospatial data management and other critical decision making process. 

While it looks simplistic to say GIS is basically the use of maps to inspire change but that’s how the system has consistently been deployed over the years to identify problems, develop solutions and track changes. Importantly, data from geospatial analysis has consistently proven to be instrumental in detecting  and responding  to public health emergencies and natural disasters. This can go a long way in determining where and when relief materials, medical support and even vaccines could be deployed. 

According to the World Health Organisation, by connecting maps, applications, data and people, GIS has the potential of  supporting countries and partners to make informed public health decisions faster and to extend the reach of geospatial information across the organization. For instance, while the world is gradually moving on from the COVID-19 pandemic, the role Geospatial tools played in equitable response to the pandemic cannot be downplayed.  The booming global availability of geospatial information according to – Karin Källander, Global Digital Health Lead, UNICEF, provided unprecedented opportunities that ensured the challenge of equitable distribution of COVID-19 vaccines is met. 

At National and regional level, organizations like ehealth Africa have consistently installed and deployed GIS tools most recently in the fight against polio in Nigeria. The team successfully provided equipment and human resources to support the tracking of Polio Special Intervention campaigns in northern Nigeria. These support to a large extent not just identify hard to reach rural locations that are yet to be covered during vaccination but also track vaccination personnel in the process. As a matter of fact, the use of GIS tools significantly contributed to the mantra of “leaving no one behind when it comes to vaccination and other health interventions. Thus it proves an adequate framework when it comes to equity, coverage and resource allocation. 

Similarly, in March 2012, the World Health Organization (WHO) issued a policy recommendation on Seasonal Malaria Chemoprevention (SMC); a new intervention against plasmodium falciparum malaria. The intervention deployed GIS to monitor the intermittent administration of a curative dose of antimalarial medicine to children at high risk of severe malaria living in areas with seasonal transmission, regardless of whether they are infected with malaria. While providing near real time updates on vaccination coverage, the GIS tracking system also flagged omitted households promoting accountability and transparency during and after  the intervention.

Over the years, GIS professionals have dusted the odds using a geographic approach in addressing unprecedented health challenges like Polio, Malaria, climate change, global warming and most recently, the  COVID-19 pandemic.  Beyond public healthcare interventions, Geospatial tools have been recommended as a critical solution for town planning, development of housing units, polling units location, and fight against insecurity amongst others.

In a nutshell, GIS provides an immense avenue to further amplify the success stories of GIS and importantly the professionals who consistently dedicate time and resources in developing digital solutions that can be tailored to provide context-specific insights.  It will thus be fascinating to see organizations like National Population Commission (NPC), Federal Capital Territory Administration (FCTA), the National Space Research and Development Agency (NASRDA), Jamitan Tech Nig. Ltd, the Environmental Systems Research Institute (Esri), and other critical Geographic Information Systems (GIS) Organizations and Societies collaborate to chart pathways of strengthening GIS and its prospect as the world host  World GIS day.

Atef Fawaz is the Executive Director of eHealth Africa. He is a Complex operations Management and ICT expert with experience in Humanitarian Response and Digital Health