Advancing Public Healthcare with Digital Innovations: Lessons from Insights Learning Forum 2024

by Moshood Isah

In recent times, the focus of conversations in digital health forums has increasingly centered around optimizing and integrating existing solutions to enhance surveillance, preparedness, and impact. This is not unconnected to the fact that the world and especially the African region has endured a series of public health emergencies and disease outbreaks which required urgent responses.

The World Health Organization also echoed that the 21st century health challenges like the pandemic have further accelerated the use of digital health interventions, including hotlines, online assistance, mobile phone applications and many more. These innovations have shown potential in reducing the interruption of Non Communicable Diseases (NCDs) and mental health services, making it necessary to continue scaling up digital health technology.

Health stakeholders have consistently taken intentional steps to stimulate ideas and expand advocacy to improve the impact of these solutions, especially when it comes to disease surveillance. One such conversation is the Insights Learning Forum (ILF 2024) hosted by eHealth Africa with the theme; “Digital Transformation in public Health practice: Innovations and Impact”. 

Deputy Director of Partnerships and Programs Dr. David Akpan

Reflecting on the theme of this event, the Deputy Director of Partnerships and Programs Dr. David Akpan raised critical questions on the perceived values and the role of stakeholders in ensuring digital innovation to thrive in public health. He also raised concerns around the investment being made to promote digital innovation and the impact criteria investors are focusing on. He emphasized, “we want to do this  because we want to make that grandmother and other persons in the rural community have access to quality healthcare. It's what they call equitable access that removes all barriers”. To achieve this, “you need to do the human-centered design approach, which takes the people into consideration when you're developing any form of innovation”, he stated. Thus he called for the need to document diverse salients points and outcomes from  various digital health forums for the purpose of effective advocacy. 

eHealth Africa’s Director of Partnerships and Programs  Ota Akhigbe

Speaking during the event, eHealth Africa’s Director of Partnerships and Programs  Ota Akhigbe said, the event is beyond a conversation on digital innovations but  a platform to advocate for a unified approach to digital transformation, emphasizing the importance of integrity in data usage.  She revealed that,  “The ILF serves as an advocacy tool to raise awareness and engage government agencies, ensuring that these innovations receive the necessary support and funding”. According to Ota, this collaborative approach between the private sector and government agencies is vital for the successful implementation of digital health solutions. 

She lauded the positive body language of Government at all levels to support and advance digital innovation in primary healthcare. This, according to her, is why the Insights Learning Forum is an opportunity for the stakeholders to communicate their needs and expectations to government representatives, ensuring that policies are aligned with the sector’s evolving needs.

Track Sessions at the IFLF 2024

Speaking on why it's vital for the government to continuously support digital innovations in health sector, Incident Manager, Polio Emergency Operation Center in Katsina state Dr Kabir Sulaiman said,  It is very important for us to know that, we need to embrace this era of digital technology that is currently transforming the paper based routine to electronic database. According to the Incident Manager, “Digital innovations will support the strengthening of health systems because some of these digital tools are currently being used in Nigeria.” For instance, “the Surveillance Outbreak Response and Analysis System (SORMAS), which was deployed to the state for reporting priority diseases, has brought about transformation in terms of real-time data and decision-making. So, when you look at the importance, you know there is a lot that we are going to benefit from this technology,” he reiterated.

Through a diverse array of plenary sessions, panel discussions, and track sessions, the Insights Learning  Forum 2024, empowered individuals, groups, and organizations to harness digital technologies to address emerging challenges and drive positive change in public health systems in Africa.

Uniting Against Circulating Variant Poliovirus: Traditional Leaders Lead the Way

eHealth Africa representatives addressing Traditional Leaders in Wammako LGA of Sokoto state

by Moshood Isah

A visit to Sokoto State, Nigeria’s historical Caliphate, is always an intriguing experience, despite the often challenging weather. The city's rich history complements the profound respect held for its traditional and religious institutions, which are similarly revered across Northern Nigeria. These esteemed leaders have consistently played pivotal roles in public health initiatives.

According to the World Health Organisation, the strategic partnership with traditional leaders in Northern Nigeria since 2009 has been instrumental in eradicating the wild poliovirus in the country. Professor Oyewale Tomori, Chairman of the Expert Review Committee on Polio Eradication, emphasized that overlooking these influential community figures would have been a colossal error.

A cross-section of traditional leaders during a one-day engagement of frontline traditional leaders on Polio vaccination in Sokoto state.

While these institutions were crucial in eliminating wild poliovirus in 2020, the emergence of the Circulating Variant Poliovirus demands a redoubled effort. To combat this new threat, traditional institutions across Northern Nigeria are being strategically deployed. Supported by the Bill and Melinda Gates Foundation (BMGF), eHealth Africa is collaborating with the Sultan Foundation for Peace and Development and other partners to engage these leaders in polio campaign activities.

Haruna Yusuf Aliyu, Senior Program Officer at the Sultan Foundation for Peace and Development, highlighted the significant role of traditional leaders in a sensitization workshop held in Wammako Local Government Area. He revealed that many are spearheading vaccination campaigns directly from their palaces, which has significantly reduced vaccine hesitancy and boosted uptake.

“You can see traditional leaders going house to house, supervising vaccination teams and resolving cases of non-compliance while providing guidance to the teams to make sure that all households are actually identified, enumerated,  then eligible children in those houses are vaccinated”, he said.

Through ongoing sensitization workshops, traditional leaders are equipped with the knowledge and tools to effectively communicate the importance of vaccination to their communities. Despite security challenges in some areas, Yusuf emphasized the organization’s commitment to working closely with community groups and traditional leaders to reach all children with essential vaccines.

Fatimah Howeidy, eHealth Africa’s Project Manager, expressed pride in supporting the Sultan Foundation and other partners to reduce vaccine hesitancy through the involvement of traditional leaders. The initiative has successfully bridged knowledge gaps and dispelled myths surrounding polio vaccination, particularly in underserved communities.

“It's so inspiring seeing traditional leaders in Sokoto state turn out in their numbers to participate in the polio campaign activities” she said.  We are indeed excited that this intervention remains a  platform to remind traditional leaders of the need to intensify the campaign to eradicate the Circulating Variant Poliovirus (cVPV2)”, she said.  

The Engagement of Traditional Institutions (ETI) project aims to strengthen advocacy by traditional leaders, increase community ownership of polio eradication efforts, and reduce vaccine hesitancy in high-risk Northern states. There are plans to expand the initiative to Southern Nigeria.

Connect, Learn, Innovate: Why You Should Attend the Insights Learning Forum (ILF) 2024

By Favour

Connect, Learn, Innovate: Why You Should Attend ILF 2024

Africa is on the brink of a healthcare transformation, one driven by the power of digital innovation. The Insights Learning Forum (ILF) is at the forefront of this movement, catalyzing collaboration, knowledge sharing, and the development of groundbreaking solutions.

Born from the success of the Insights by eHA webinar series, ILF has rapidly evolved into an indispensable platform for digital and public health professionals. As Dr. David Akpan, Deputy Director of Programs and Partnerships at eHA, aptly stated, "We are building a national collaboration with this forum to advance knowledge and give people the opportunity to learn what other ideas can be incorporated into their digital innovations. This whole essence is to ensure that we are all building people-centered digital solutions that are scalable and interoperable."

At its core, ILF is a community of passionate individuals united by a shared vision of a healthier Africa. It's a space where ideas are exchanged, partnerships are forged, and challenges are transformed into opportunities. By bringing together experts from diverse backgrounds, ILF fosters a rich environment for learning and growth.

The 2024 edition of ILF promises to be even more impactful, with a focus on "Digital Innovations in Public Health Practice: Innovations and Impact." As Atef Fawaz, eHealth Africa's executive director, emphasized, "This high-level forum will bring together digital and public health experts from across the world to harness the power of technology and collaboration in pioneering groundbreaking solutions to address the evolving health challenges facing Africa."

One of the key areas of focus at ILF 2024 is the optimization of geospatial data for disaster response and public health preparedness. By leveraging location-based information, healthcare providers and policymakers can better anticipate and respond to emergencies, saving lives and minimizing the impact of crises.

Another critical theme is mastering public health emergency management. The COVID-19 pandemic highlighted the importance of robust emergency response plans. ILF 2024 will delve into best practices and strategies for effectively managing public health crises, ensuring that Africa is better prepared for future challenges.

Digital campaigns play a vital role in promoting health and preventing diseases. ILF will explore innovative approaches to digital campaign planning and monitoring, empowering organizations to reach and engage communities effectively. Additionally, the forum will address the challenges and opportunities of disease prevention and surveillance, with a focus on early detection and response.

Food security is a pressing issue in many parts of Africa. ILF 2024 will showcase how digital solutions can be harnessed to improve food production, distribution, and access. Technology indeed can play a crucial role in ensuring that everyone has access to nutritious food.

ILF offers a unique opportunity to connect with like-minded individuals, learn from experts, and contribute to building a healthier Africa. Whether you're a seasoned digital health professional or just starting your journey, there's something valuable for everyone at this event.

By attending ILF 2024, you'll gain insights into the latest trends and innovations, network with influential leaders, and leave inspired to make a difference. Join us in shaping the future of healthcare in Africa.

• Date: July 31, 2024

• Time: 9 AM to 5 PM

• Location: Transcorp Hilton Abuja, Nigeria

• Register now to attend virtually: https://bit.ly/ILF24-Online

Let's work together to create a future where technology empowers communities and improves lives.

eHealth Africa’s Digital Innovation Takes Center Stage at the Africa Digital Health Summit (ADHS)

by Moshood Isah

eHealth Africa’s Executive Director, Atef Fawaz (Second from right) receiving a partnership award alongside other partners at the ADHS

eHealth Africa’s Digital Innovation Takes Center Stage at the Africa Digital Health Summit (ADHS)

Nigeria and indeed the African region have continued to endure a series of public health emergencies, with the most recent being the cholera outbreak affecting more than 21 states. These and other issues necessitate engagement that brings stakeholders together to improve disease surveillance and response. One such engagement held recently was the Africa Digital Health Summit (ADHS). The summit is a platform for innovators, academics, entrepreneurs, researchers, regulators, policymakers, and development partners to share knowledge and experience in digital health across Africa.

The 2024 edition of the summit, with the theme "Digital Transformation of Health Systems: What, Why, and How?", featured industry experts from around the world. In the presence of the Honorable Minister of State for Health and Social Welfare, Dr. Tunji Alausa, and the Commissioner of Health in Lagos State, Prof. Akin Abayomi, eHealth Africa, and other organizations displayed crucial digital health solutions currently being used to address public health emergencies.

eHealth Africa leading panel session at the 4th ADHS

During the summit, eHealth Africa hosted a panel session where it discussed a series of digital innovations and how instrumental these solutions have been in public health and disease surveillance. The session, moderated by David Akpan, Deputy Director of Programs and Partnerships, featured Andrew Karlyn, a board member at eHealth Africa; Dr. Emmanuel Agogo, Director of Pandemic Threats at the Foundation for Innovative New Diagnostics (FIND); Dr. Monique Aaron Foster, Deputy Director of Programs at the Sierra Leone Division of Global Health Protection, Global Health Centers for Disease Control and Prevention; Dr. Ubong Okon, Deputy Director of Programs and Impact at eHealth Africa; and Motunrayo Bello, Chief Executive Officer of Womenovate.

In the words of Atef Fawaz, the Executive Director of eHealth Africa, after the session, "Digital innovation is the future of health and the world in general. If we want to avoid the next pandemic, we must build on existing digital solutions. Technology has helped in responding to health emergencies in the past, and it will help in the future."

Another key highlight of the event was the technical session moderated by Kazeem Balogun, Program Manager at eHealth Africa, which featured the demonstration of Electronic Integrated Disease Surveillance and Response (eIDSR). As revealed by Deputy Director of Global Health Informatics and ICT Operations, Abdulhamid Yahaya, the eIDSR is an optimized system created to improve the flow of information within health systems. This allows accurate and early detection of disease outbreaks right from the communities to the highest level of intervention. According to Abdulhamid, “This is an opportunity to reignite and energize stakeholders to drive the utilization of the eIDSR solution to improve early detection of disease outbreaks in our communities.”

The demo session was preceded by a technical session on leveraging digital innovation to strengthen early warning systems for early detection of outbreaks using an ecosystem approach, led by Dr. Emmanuel Agogo. He explained the importance of effective data flow during disease surveillance and how it helps in developing early warning systems from the communities to health facilities, state, and national levels.

While commending the insightful presentations, the Director of Programs and Partnerships at eHealth Africa, Ota Akhigbe, emphasized the need to consider all stakeholders playing an active role in promoting the early detection of disease outbreaks. She said the public sector is crucial in providing population data, while the private sector leverages its capabilities to develop innovative solutions and the academia contributes research to bring out learning points.

To reecho the words of Dr. Tunji Alausa, "Digital health innovation is no longer a luxury but a necessity." Thus, conversations like this should remain at the forefront of national discourse.

The conversation around digital health and the innovative use of digital technology in advancing public health cannot be overstated. In furtherance of this conversation, eHealth Africa is delighted to announce the second edition of the Insights Learning Forum, an annual event dedicated to advancing digital health in public health practice. The 2024 edition of this high-level forum will be held on July 31st, 2024, at the Transcorp Hilton, Abuja with the theme "Digital Innovations in Public Health Practice: Innovations and Impact."

Click here to learn more and register to attend.

eHealth Africa is Assessing Life Cycle of Insecticide-treated Mosquito Nets in Bauchi Communities

by Moshood Isah

eHealth Africa is Assessing Life Cycle of Insecticide-treated Mosquito Nets  in Bauchi Communities

Do you sleep under or inside insecticide-treated mosquito nets? It's an interesting question, right?. While both words are often used interchangeably, it's important to use the specific term "sleeping under" to ensure mosquito nets are used effectively for optimal impacts. 

When it comes to preventing or reducing malaria transmission, especially in high-risk regions like Africa,  the most effective method is arguably the consistent use of long-lasting insecticidal nets (LLINs) for sleeping. The World Health Organisation has constantly recommended this intervention as malaria remains a significant public health problem. 

Despite this, research reveals that underserved communities are less likely to purchase LLINs due to economic constraints. This may explain the frequent free distribution of mosquito nets in these  communities. One such free distribution campaign was conducted in Bauchi State, Nigeria last year. 

Led by the Against Malaria Foundation in partnership with the state Government, over 3 million insecticide-treated mosquito nets were distributed  to more than one million households across Bauchi state.

To assess the availability, effective use, and impact on malaria transmission of the distributed nets, eHealth Africa, in partnership with strategic stakeholders in the state, deployed a comprehensive Post-Distribution Monitoring (PDM) strategy.

During the entry meeting with the Bauchi State Agency for the Control of HIV/AIDS, Tuberculosis, Leprosy and Malaria (BACATMA), project manager Toju Ogele said that eHealth Africa will deploy over 100 data collectors and supervisors to visit about 20,000 households across the state. 

Data collectors and Supervisors after conclusion of training on Post Distribution Monitoring of Mosquito net

The households were randomly selected to prevent any bias in the Post Distribution Monitoring (PDM) process. “While data collectors conduct house-to-house surveys using electronic devices to ensure accuracy in the data collection process”, he said. 

The process which had already begun in the state capital, also involved roving supervisors who conducted spot checks and provided oversight. "The primary objective of the PDM intervention is to confirm net presence, assess their effective use, and determine their current condition across households," he said. 

“We recognize the important role of community gatekeepers, such as traditional and religious leaders, for intervention of this nature. Therefore, we conducted advocacy visits to different levels of leadership at the local government level to secure their support for the project”, he added.  Importantly, the team also deployed local guides familiar with the communities to ensure a smooth data collection process. 

In his remark, Sulaiman Danladi, Deputy Director of the State Malaria Alleviation Programme, commended the community-based approach to the intervention and pledged his support for an objective PDM outcome. He reiterated that “since 2009, the state has distributed Long Lasting Insecticide Treated Nets (LLINs)  every four years. It is an ethical standard to conduct follow-up to assess  the availability, hanging rates, and maintenance of the nets”. 

According to him, this is done to ensure the nets are being effectively utilized for the overall protection of the entire Bauchi State population, especially under-5 children and pregnant women, against malaria. 

During the first phase of the Post Distribution Monitoring, a community leader in Bauchi metropolis, Mallam Ya’u Adamu praised the process saying the PDM helps identify gaps experienced during the initial net distribution process. He explained that “some of the ad-hoc staff deployed to identify households and collect information for net distribution purposes are not necessarily familiar with the communities they are deployed to."

eHA Completes the training of 25 Supervisors for Post Distribution Monitoring in Bauchi

This undoubtedly impacted  access to mosquito nets in the community.  He, therefore,  called on partners to always involve community leaders in the identification of households and distribution of insecticide-treated nets. 

Community Health Workers, Patients Get Boost in Battle Against Non-Communicable Diseases

by Moshood Isah

Nana Abdullahi, a Community Health Extension Worker residing in Nasarawa Local Government of Kano State has just completed a 3-day comprehensive training on effective screening, diagnosis and management of Non-Communicable Diseases.  The training  built the capacity of 24 Community Healthcare workers in both the Federal Capital Territory (FCT), Abuja, and Kano state, Nigeria on adopting the World Health Organisation (WHO) Package of Essential Non-Communicable Diseases Intervention (N-PEN) in Nigeria. 

Nana, a health extension worker for some years now, has encountered a mix of experiences with her patients.  The most heart-wrenching is that after screening and providing them with medication, many of these patients lack the financial resources to consistently purchase the necessary medications. This often leads to a decline in their health, complications and potentially culminating in death. 

“We used to have issues with the patients due to lack of   drug compliance because they complain of financial challenges and without the medications you cannot manage hypertension”, she said. 

According to Nana, “there is a patient whose Blood Pressure (BP) keeps rising despite the drugs I prescribed for her. Unfortunately, after visiting her a couple of times, she confessed that she could not afford to buy the drugs”.  Faced with this situation, Nana felt compelled to purchase the medication herself to save the patient's life.

While the training exposed Nana to a more effective way of screening, communicating and administering medications to patients, Nana is even more excited that this intervention by eHealth Africa will be providing free medication for her clients. She said, “we are glad that this project (Digitizing for Impact, Improving Access to Integrated Services for NCDs in Nigeria) by eHealth Africa  will be giving our patients free medications so that will help them with compliance with their medications”. 

“I have upgraded from my previous knowledge on how to screen and prescribe medications. We will now use the national protocol for treating diabetic and hypertensive patients”, said Nana. . 

Beyond Primary Healthcare facilities, the intervention also collaborates with REACH clinics (Reaching Everyone with Accessible Community Healthcare) located in selected communities. Dr Adawiya Mahmud Ila, a Product Quality Assurance Coordinator at the EHA’s REACH Clinics in Kano has been supporting free medical outreach programs in Kano while also managing the community health extension workers. She identified challenges faced by healthcare workers, including determining when to introduce new antihypertensive medications, reduce existing medications, or wean patients off them entirely.

“We have been properly trained on how to identify and screen for hypertension and diabetes and how to counsel patients”, she said.  After this training, Dr Adawiya expects improvement in the way hypertension and other Non-Communicable Diseases are being treated and managed. 

“My expectation from the Community Health Extension Workers is to treat hypertensive and diabetic patients the right way and not make the mistakes of inadequately reducing or increasing medications”  She is also optimistic that the training will lead to proper management and better follow up with patients. 

Non-Communicable Diseases (NCD) like Diabetes, Cancer, Hypertension and heart disease are considered among the most deadly diseases globally. According to UNICEF, it is estimated that one in five deaths among adolescents are caused by NCDs.  Similarly, the disparities in access to healthcare services contribute to the ineffective diagnosis and management of NCDs. 

Digitizing for Impact; Improving Access to Integrated Services for NCDs in Nigeria, is a brainchild of eHealth Africa currently being piloted in the FCT, Abuja, and Kano communities. This intervention is a household-based and integrated approach especially for underserved communities to improve the coverage of appropriate NCD services.  

The N-PEN intervention basically identified the primary health care system or facility as the most effective and cost-effective means of getting a lot of people to treat common NCDs like Hypertension and Diabetes. This is because Primary healthcare services are the closest to the poor and vulnerable and they could easily walk in and access the services. 

eHealth Africa Named One of Nigeria’s Best Places to Work for the Third Consecutive Year

by Favour Oriaku

For the third year running, eHealth Africa (eHA) has been recognized as one of the best places to work in Nigeria. This certification, a result of the rigorous Best Places to Work assessment, underscores eHA's commitment to creating an exceptional workplace environment. The assessment, renowned globally for capturing employee sentiments, highlights eHA's status as an Employer of Choice, a testament to its dedication to its workforce.

At the heart of eHA's success is a culture that champions excellence, innovation, and inclusivity. This culture is fostered through a range of employee engagement programs designed to empower and motivate staff. One such program is the Innovation Challenge, where employees are encouraged to form teams and develop innovative ideas. The most promising ideas receive sponsorship from eHA’s board, with funding of up to $10,000, driving both personal and organizational growth.

Complementing the Innovation Challenge is the Culture Club, a dedicated group within the organization that ensures employee voices are heard. Representatives from each department are members of the club and they gather feedback from their colleagues and present it to management. This continuous feedback ensures that employees are continually engaged and that their suggestions are implemented, reinforcing a culture of openness and responsiveness.

Additionally, the HR team collaborates with the Culture Club to organize various programs aimed at boosting morale and fostering team spirit. One of the standout events is the "Thank God It’s Friday" (TGIF) celebrations, where staff come together at the end of every month to unwind and recharge for the upcoming month. Such events, along with monthly recognition programs for high-performing employees, ensure that the eHA team feels valued and appreciated.

"As a team, we're constantly searching for innovative ways to keep our employees engaged. In fact, it's one of the core responsibilities of the Human Resources team. We go beyond an open-door policy – we've eliminated the door altogether! We consistently reach out to our employees to understand their needs and well-being. This is because we recognize them as our greatest assets," said Adesina Matti, Human Resources Manager at eHealth Africa.

The certification celebration, attended by representatives from the Best Places to Work organization, was a moment of pride for eHA. Dr. David Akpan, Deputy Director of Programs and Partnerships at eHA, spoke on behalf of the Executive Director, Atef Fawaz. "It is very exciting that we have continued to build the right work environment, earning us the Best Places to Work certification for the third time in a row. This achievement is a testament to the hard work of all our employees. I want to take this opportunity to let you know once again that you are all valued. Let’s continue to uphold our high standards and celebrate being one of the best places to work."

To commemorate the achievement, Dr. Akpan announced that Friday, May 31st, 2024, would be a work-free day for all staff, giving everyone a chance to rest and recharge.

Peter Burg, President of Best Places to Work, also spoke at the celebration. “We survey over six thousand employers each year, and our research is teaching us that many more employers than ever before are focused on increasing employee engagement, which is so great to see. Even though many are getting better, only a select few would receive this kind of recognition, and that includes you, eHealth Africa. So, for that, I say congratulations.”

Hamza Ibiza, Global Program Director at Best Places to Work, provided an overview of the survey results that led to eHA's recognition. The survey assessed eight key areas: leadership, corporate social responsibility, HR practices, compensation, benefits, teamwork and relationships, employee engagement, and workplace procedures. eHA's high marks across these categories reflect its comprehensive approach to employee satisfaction and workplace excellence.

eHealth Africa, headquartered in Kano, Nigeria, is an international non-profit organization dedicated to strengthening health systems in Africa through data-driven solutions. By responding to local needs and providing underserved communities with the necessary tools, eHA aims to foster healthier lives through the integration of information, technology, and operations.

Advancing Public Health: Niger State Set to Inaugurate State-of-the-Art Emergency Operations Center

by Favour Oriaku

Following the successful commissioning of the Emergency Operations Centers (EOCs) in Kebbi and Zamfara states earlier this year, the spotlight now shines on Niger State as they prepare to inaugurate their own EOC, marking the 11th such facility constructed and overseen by eHealth Africa across Nigeria. 

 The inclusion of Niger State in this initiative can be traced to the state being one of the critical regions in Nigeria's fight against the circulating variant of the polio virus and other vaccine-preventable diseases. Aligned with the objectives of the Global Polio Eradication Initiative (GPEI) and its partners, this new EOC aims to enhance coordination and response strategies for Niger State.

Upon its completion, health stakeholders anticipate a state-of-the-art infrastructure that will streamline the planning and execution of public health interventions in Niger State. Through data-driven decision-making processes, the EOC promises to yield improved outcomes, benefiting not only the citizens of Niger State but also its neighboring regions.

During a recent site inspection, discussions with key figures including Eyitayo Samuel, the supervisory site manager, Dr. Abdullahi Usman Imam, Permanent Secretary of the Niger State Ministry of Public Health Care (NSMPHC), and Dr. Samuel Jiya, Director of Disease Control and Immunization at NSMPHC, shed light on the construction progress, and future collaboration prospects.

Eyitayo Samuel, the supervisory site manager, shared insights into the construction progress, affirming the dedication to quality and functionality. He stated, "The progress of the work reflects meticulous planning and execution, indicating a facility that is poised to meet its objectives effectively."

Dr. Ibrahim Ahmed Dangana, the Honourable Commissioner for Primary Health Care Development in Niger State, along with Dr. Abdullahi Usman Imam, Permanent Secretary of NSMPHC, Dr. Samuel Jiya, Director of Disease Control and Immunization, and other essential stakeholders, conducting a site inspection of the ongoing construction of the Niger State Emergency Operation Center.

Dr. Abdullahi Usman Imam commended the meticulous planning evident in the design phase of the EOC, foreseeing its potential to significantly enhance primary healthcare services in Niger State. He affirmed the government's commitment to maintaining the facility at world-class standards, allocating resources for its upkeep and even planning to establish a Data Center to complement its activities. Dr. Abdullahi Usman Imam remarked, "Looking at the progress of the work, it is obvious that a lot of planning has gone into the design phase, as It is already looking like a world class facility that would serve the purpose for which it is being built thereby making very significant impact on Primary Health care services in Niger state."

He further stated, "The government of Niger state will ensure that a budget is set aside to ensure that the facility is maintained to world class standard. The government of Niger state has already set aside in its budget for this year to establish a Data center, this will complement the activities of the EOC."

Dr. Samuel Jiya emphasized the EOC's role in fortifying the state's immunization campaigns, likening them to strategic warfare where planning and execution are paramount. With the EOC as the central hub for coordination, he expressed confidence in the state's ability to combat prevailing diseases effectively. Dr. Samuel Jiya stated, “The campaigns are like a war situation whereby a lot of planning and strategizing goes into play, and this EOC as well equipped would be the hub of that planning and strategizing, ensuring that we efficiently fight the existing variant of polio and other vaccine-preventable diseases, and kick them out of the state.”

The construction and management of the Niger State EOC by eHealth Africa, with support from The Bill and Melinda Gates Foundation and Aliko Dangote Foundation, exemplify the potential for impactful achievements when communities, leaders, and partners unite for public health initiatives.

Empowering Communities Through Data: Saleh Umar Vulegbo’s Story with eHealth Africa’s EMID App

Group photo of eHealth Africa's training team, the National Primary Health Care Development Agency (NPHCDA) training team, and Health Workers from Lapal Local Government Area  following the EMID cascade training in NIger State.

By Tijesu Ojumu

In the heart of Lapai Local Government Area in Niger State, Nigeria, Saleh Umar Vulegbo stands as a beacon of hope and efficiency. Working as a data recorder at the Bow Comprehensive Primary Health Center, Saleh's dedication to his community is evident in every entry he makes and every record he keeps. His journey, intertwined with the Electronic Management of Immunization Data (EMID) by the National Primary Healthcare Development Agency (NPHCDA) and optimized by eHealth Africa with funding from the Global Alliance for Vaccines and Immunization (GAVI), is a testament to the power of technology and training in transforming lives and communities.

Saleh’s introduction to data recording and immunization came early in his career. “The first time I started hearing about data recording and immunization was when I began my work,” he recalls. “Without recording, it means you haven’t done anything because the record speaks on behalf of any assignment you did in your facility or local government.” This realization fueled his passion for data accuracy and reliability, ensuring that every immunization was documented meticulously.

The turning point in Saleh’s career came with the introduction of the EMID app. Before this innovation, data recording was a laborious task, relying on pen and paper. The transition to electronic data management was revolutionary. “The day I was introduced to the system, inputting and outputting data electronically, was memorable. Before then, everything was done with pen and paper. Now, things have turned to electronics,” he reflects.

The EMID app not only simplified data recording but also enhanced accuracy and traceability. “With EMID, you input biodata, scan a QR code, and take a personal picture to identify the person. It’s much more efficient than the old pen-and-paper method. It’s easier to identify and locate individuals now,” Saleh explains. This technological leap meant that immunization records were no longer confined to dusty registers but were accessible and verifiable in real time.

eHealth Africa’s role in this transformation cannot be overstated. After optimizing the EMID native app, eHealth Africa conducted comprehensive training, ensuring that health workers across Nigeria’s 36 states, 774 local government areas, and the Federal Capital Territory, Abuja, were proficient in using the EMID app. The training program equipped data recorders like Saleh with the skills needed to navigate the digital landscape. For Saleh, this training was more than just skill acquisition; it was empowerment. “The world is moving from hard copy to digital. Anything you do now is being watched globally. You must come out boldly and be transparent in your work,” he emphasizes.

Saleh’s mentor, an experienced Monitoring and Evaluation (M&E) officer, played a significant role in shaping his career. “He coached me since I was a child, teaching me the importance of monitoring and evaluation through proper reporting,” Saleh says. This mentorship, combined with eHealth Africa’s training, positioned Saleh as a crucial player in his community’s health system.

Saleh Umar Vulegbo, data recorder at the Bow Comprehensive Primary Health Center, Lapal LGA, Niger State.

Saleh’s impact extends beyond data recording. His dedication ensures that immunization programs run smoothly, with accurate data guiding every step. His work serves as a foundation for decision-making, policy formulation, and resource allocation. By maintaining precise records, Saleh helps safeguard his community against preventable diseases, contributing to a healthier future.

eHealth Africa’s optimized EMID app has revolutionized the way immunization data is managed, making the process seamless and efficient. Their commitment to training and empowering health workers like Saleh has had a ripple effect, enhancing healthcare delivery across Nigeria. Saleh’s story is a shining example of how technology, when coupled with proper training and dedication, can transform lives and communities.

In the words of Saleh, “In this global world, anything you do now is being watched. Inputting data into systems means everyone can see what you’re doing in real time, and it ensures accountability and accuracy.” His story is a reminder that behind every data point is a human story, a commitment to excellence, and a desire to make a difference.

Through Saleh’s eyes, we see the profound impact of eHealth Africa’s efforts both in optimizing the EMID app and in disseminating training to empower healthcare workers to use the app. Their work not only streamlines processes but also inspires individuals to rise above challenges, making meaningful contributions to their communities. As we celebrate these achievements, we are reminded that the heart of innovation lies in the people who bring it to life.

OutREACH: eHealth Africa, Clinic Collaborate to Tackle Non-Communicable Diseases

by Moshood Isah

Hypertension is a major public health problem in Nigeria, with prevalence of 37.5%. This means that nearly 4 out of 10 Nigerian adults have hypertension. Similarly the prevalence of diabetes is increasing worldwide, and Nigeria is no exception; an estimated 7% of adults in Nigeria have diabetes, making it among the most common cardiovascular diseases in the country.

Unfortunately,  lack of access to quality and affordable hypertension and diabetes services in rural communities and primary health care is a major concern. This is largely due to  disparity in access to quality healthcare, especially between rural and urban areas in Nigeria as a result of  economic, social, geographic, and health workforce factors. For instance, the secondary health facilities where the few drugs are, with the facility for testing and the medical professionals are far from the rural communities, making access difficult. This is exacerbated by the high cost of medications, making it difficult for some clients to afford the treatment they need, resulting in low treatment outcomes.

Thus, adapting and digitizing  the World Health Organisation Package of Essential Noncommunicable (PEN) disease interventions for primary health care, eHealth Africa is collaborating with the EHA Clinic Reaching Everyone with Accessible Community Healthcare (REACH) program to reach out to marginalized communities with healthcare interventions. This, according to the Project Manager Lucy Okoye, is aimed at improving access to quality care and affordable services for persons with hypertension and diabetes and others at risk. 

She said, “Social mobilization activities will increase rural communities' knowledge of hypertension and diabetes”, saying  the identification of risk factors and the signs of hypertension and diabetes will likely result in the adoption of a preventive healthy lifestyle and prompt seeking of treatment. Another potential impact of the intervention according to her is to reduce the prevalence of hypertension and diabetes and improve the health and well-being of the target communities, helping people to live longer and lead healthier lives. 

In February, eHealth Africa supported the free medical outreach conducted in the Kuje community of the Federal Capital Territory and Gyadi-Gyadi community of Kano state. According to Adawiya, Mahmud Ila, Product and Quality Assurance Coordinator at the EHA REACH clinic said the outreach is an opportunity to reach the people accessible and  to provide free healthcare within the community. 

“We are having an outreach where we see hypertension and diabetic patients,we measure the blood pressure and fasten blood sugar.”  If there is a need for us to give hypertensive and glycine medication we give them which is going to be free for 6 months”, she said.

She said, the economic realities in developing countries like Nigeria limits citizens especially the older generation from accessing good medical care.  She said, “You know how the economy is in Nigeria; economically it's hard for them to go to the hospital so we are just trying to make an impact in the community”.

Speaking on community acceptance and mobilization strategy for the outreach, Adawiya said, the partners leveraged on its Community Health Extension Workers (CHEW) to discuss the impact of the intervention  with traditional leaders and community influencers. 

Community Feedback

Zainab Abdullahi is  a resident of Kasuwan Dare area of Gyadi-Gyadi community of Kano state. She heard of the REACH Clinic Outreach through community influencers. “Now they checked our BP,Blood sugar level and from here we will proceed to see the doctor”, she said. 

Zainab lauded the outreach initiative saying the community is receptive to ideas like this. “the hospital environment is clean and welcoming and this is why you can see close to 100 people coming for this outreach”.  “If they can spread their tentacles and establish  this kind of hospital in all areas, we will be happy so that everyone will visit the nearest hospital rather than going far from home to access healthcare”, she said.  There is also a need to have additional doctors to attend to a growing number of patients in a bid to reduce waiting time, she said.

Ahmed Salisu Musa has spent 45 years in the community.  He expressed his excitement saying the outreach has brought good healthcare delivery to his doorstep. “They took my blood samples, gave me some medications and I was told, I am not diabetic”, he said

He said, “as a community leader myself, I am glad to  have witnessed what is happening and will pull  in more people to come and get checked.” Musa called for increased mobilization of citizens and more importantly expansion of the intervention to reach other communities.

Empowering Nigeria’s Healthcare System with EMID App Training

Group photo of eHealth Africa's training team, the National Primary Health Care Development Agency (NPHCDA) training team, State Train the Trainers representatives, and other stakeholders following the EMID cascade training in Ebonyi State.

by Favour Oriaku

Since March 2022, eHealth Africa (eHA) has been instrumental in enhancing the capabilities of the Electronic Management of Immunization Data (EMID) System in Nigeria. This project, funded by the Global Alliance for Vaccines and Immunization (GAVI), is in partnership with the National Primary Healthcare Development Agency (NPHCDA). The goal is to streamline immunization data management at Primary Healthcare Centers (PHCs) across the country, improving vaccination scheduling, real-time data entry, and the overall process of data collation, analysis, and validation.

Dayo Akinleye, a technical Project Manager at eHealth Africa and a member of the EMID project implementation team, shared insights on the progress  made. "The EMID app has been optimized significantly ," he said. "We've introduced several new features, such as the integration of a dedicated Routine Immunization (RI) module, liveness detection, geo-fencing, Frequently Asked Questions (FAQ), real-time help desk support, and overall enhancements to the app's user-friendliness."

Following these improvements, eHealth Africa and NPHCDA, with support from Data-Fi, initiated a comprehensive training for health workers across Nigeria's 36 states, 774 local government areas, and the Federal Capital Territory, Abuja. The series of trainings, recently conducted in several states including Kogi, Nassarawa, and Ebonyi states, were meant  to familiarize healthcare professionals with the updated EMID native app.

James Gambo, a Data Processing Officer with NPHCDA and a member of the training team, emphasized the app's evolution and the significance of the training. "Originally designed for COVID-19 vaccination data, the EMID app now includes a module for routine immunization. It eliminates paper-based records, allowing immediate data access at the NPHCDA headquarters. We're conducting nation-wide training to ensure all users are proficient with the app," he explained. The training strategy involves National Training of Trainers (NTOT), who go on to lead the training at the State level. The State Training of  Trainers (STOT) comprises LGA EMID Focal persons and the State EMID teams. After the STOT, the LGA EMID Focal Persons  then go on to train the recorders at the LGA levels with oversight from both eHealth Africa and NPHCDA/State teams. The hands-on training has received positive feedback, and we've observed participants adeptly navigating the app during the training.

Christopher Nwodom, the Ebonyi State Immunization Officer (SIO), also shared his thoughts. "The EMID native app has revolutionized immunization data collection. It's not just about moving away from paper; it's also about ensuring data accuracy. This training will undoubtedly enhance the skills of EMID focal persons in recording and uploading data in real time," he remarked.

Nwonu Victor Onyedikachi, an EMID recorder who underwent the training, expressed his enthusiasm for the new app. "I find the new EMID native app incredibly user-friendly, efficient, and responsive. The added features have made my experience even more enjoyable," he stated.

Once the training phase is completed, an official launch and deployment date for the new EMID native app will be announced. This marks a significant milestone in the collaborative efforts of GAVI, NPHCDA, and eHealth Africa to enhance health data collection, recording, synchronization, and storage in Nigeria.

Nasarawa SPHCDB set to Sustain Vaccination Progress with User-Friendly EMID Mobile App

by Moshood Isah

The race to  ensure accessibility to  COVID-19 Vaccine and  intensive campaigns to promote the uptake of the vaccines led to its routinization especially in developing countries.   To further ensure the successful implementation of its COVID-19 vaccine deployment plan and address existing challenges of data management, Nigeria developed the Electronic Management of Immunization Data (EMID) system in 2021. By the end of the year,  the National Primary Health Care Development Agency (NPHCDA) revealed that Nasarawa state, located in North Central part of Nigeria has again overtaken other states in the COVID-19 mass vaccination campaign in Nigeria.

However, recent experience has also revealed that manual data collection remains vulnerable to damage or manipulation. Digital solutions remain mostly more recommended as it enables more accurate data capturing and better storage process.  However, the potential challenges that could hamper the progress of development and utilization of digital solutions for management of immunization data are likely technical glitches and capacity limitations of health officials, especially in underserved communities. 

 To Address these challenges, eHealth Africa in partnership with National Primary Health Care Development Agency supported by GAVI developed an optimized version of the EMID mobile application, incorporating routine immunization to further standardize and harmonize data collection and storage. Thus, eHA successfully completed the training of healthcare personnel across the country, in the use of the EMID Native App.

Speaking during the training session for healthcare personnel and immunization recorders across over 300 Primary Health facilities in Nasarawa state, key stakeholders highlighted how the optimum utilization of the EMID application will sustain vaccination progress in the state.

LGA EMID Focal Persons in Nasarawa state after a Training of Trainers on optimised EMID application

Abubakar Alilu Awei, State Primary Healthcare Development Board, (SPHCDB) Immunization Officer (SIO) said the presence of EMID Focal persons at the LGAs ensuring that all recorders upload information of clients on the national server was indeed instrumental in the state progress during the COVID 19 vaccination.  He said, “You may recall that Nasarawa state emerged as the overall best performing state in Nigeria in terms of COVID-19 vaccination and also the best performing state in the North central zone. This may not be unconnected to the good use of our EMID application that we adopted during the COVID 19 vaccination.”

Awei further lauded the incorporation of routine immunization into the application saying, the training is timely as it  will enable the state to have  data on the server to enable adequate tracking of client information. He said, “with the optimized EMID app,  at a glance we can  check on the client that has been vaccinated with the first antigens. So when they come back to the health facilities for the next antigen it's just for the recorder at the health facility to go to the server and update the current antigens that they have received”. It reinforces the prospects for effective management of immunization data.

In a similar vein, Beatrice Samuel, NPHCDA, Zonal technical officer,  Nasarawa state said, “one of the things we really enjoyed is that we could see the accessibility, the user friendly and not much challenge”. While describing the optimization of the EMID app as a milestone for the agency and eHealth Africa, she called for its sustainability. 

“I  want to believe that the excitement we have now would not just go away. It should be something that will not give us challenges when we go to the field.  There should be a sustainable native app for us to enjoy more and more”.

Immunization Recorder in Doma LGA of Nasarawa State

In his words, Ahmed Ibrahim, EMID State Focal Person for Nasarawa State lauded eHealth Africa for leading the optimization of the application saying, “ our recorders at the health facility will now know the value and importance of keeping record”. He said the application guarantees the safety of data in its electronic form saying,  “even if the facility is burnt you can still go to the database and search for the record of any person”, he concluded. 

Celebrating the Handovers of EOCs in Zamfara and Kebbi States

Kazeem Balogun, Senior Programs Manager at eHealth Africa, and Dr. Muyi Aina, Executive Director of the National Primary Health Care Development Agency (NPHCDA), during the handover ceremony for the Zamfara State Emergency Operations Center.

by Favour Oriaku

In the ongoing battle to eradicate the polio type 2 virus, Kebbi and Zamfara states, alongside six others - Borno, Katsina, Kaduna, Niger, Sokoto, and Yobe - have been identified as critical regions in Nigeria's fight against this debilitating disease. These states, collectively referred to as the Axis of Intractable Transmission (AIT), face unique challenges due to areas that are difficult for vaccination teams to access. To bolster the efforts of the Global Polio Eradication Initiative (GPEI) and its partners, the establishment of additional Polio Emergency Operation Centers in Kebbi and Zamfara States became essential. This strategic move aims to accelerate the journey towards the complete eradication of polio in Nigeria and the wider African continent.

January 2024 marked a pivotal period in Nigeria's public health sector with the official handovers of Emergency Operations Centers (EOCs) in both Zamfara and Kebbi States. Held on the 29th and 31st of January respectively, these events signified major advancements in healthcare systems in these regions.

Governor Dauda Lawal, Executive Governor of Zamfara State, cuts the ribbon at the handover ceremony of the Zamfara State Emergency Operations Center.

Zamfara State's EOC Handover

The transfer of the EOC to the state government in Zamfara on January 29th was a celebration of partnership, progress, and a vision for a healthier future. The day included visits to Governor Dauda Lawal and HRH Alh. Ibrahim Muhammad Bello Sarkin Katsinan Gusau, the Emir of Gusau, followed by the official handover ceremony.

This event saw participation from state officials, traditional leaders, and representatives from various organizations. Dr. Muyi Aina, the Executive Director of NPHCDA, stressed the governor's vital role in upkeeping the EOC. In response, Governor Lawal expressed, "I am deeply grateful to all our partners and pledge to ensure the EOC's effective management for the benefit of Zamfara's residents."

Kazeem Balogun, Senior Programs Manager, and Abubakar Shehu, Programs Manager at eHealth Africa, during the courtesy visit to the palace of Alhaji Sama'ila Muhammad Mera, the Emir of Argungu.

Kebbi State's EOC Handover

On January 31st, Kebbi State echoed this progress with its EOC handover in Birnin Kebbi. The day began with a visit to the Emir of Argungu, Alhaji Sama'ila Muhammad Mera. The Emir, emphasizing his commitment to health, said, "80% of the conversation we have around the palace is geared towards health and wellbeing, as I have been a health practitioner for a very long time." He also facilitated a tour of the Argungu war museum for the delegation.

The handover ceremony was attended by state health officials and representatives from supporting organizations. Governor Abubakar Atiku Bagudu, represented by Alhaji Safiyanu Garba Bena, Head of Service, received the EOC keys and new trucks donated by Unicef. Relaying the governor's message, Bena stated, “We deeply appreciate our partners' efforts in supporting Kebbi's health and wellbeing. We assure you of our commitment to not only using this facility effectively but also ensuring its proper maintenance.”

Muyi Aina, handing over the facility, emphasized the need for collaboration. "For this to work, there needs to be a conscious effort towards the judicious use of the facility," he advised. He also called for the swift appointment of an Incident Manager to manage the EOC.

A Testament to Partnership and Progress

The establishment of EOCs in Zamfara and Kebbi, built and managed by eHealth Africa with support from The Bill and Melinda Gates Foundation, Aliko Dangote Foundation symbolizes a renewed commitment to public health. The handover represents more than just new buildings; they are a collective resolve to improve healthcare in both states. Additionally, the events were utilized to hand over maps derived from micro planning and tracking by eHealth Africa. These maps are intended for the state's use in health and other social development planning, providing valuable resources for more effective and targeted initiatives.

As these EOCs commence operations, they stand as testaments to the power of partnership and dedication to improving health outcomes. The handovers in Zamfara and Kebbi are vivid examples of the remarkable achievements possible when communities, leaders, and partners unite for public health.

Optimised EMID Mobile App Aids Immunization Data Collection, Storage in Kogi

By Tijesu Ojumu

In March 2021, Nigeria rolled out a COVID-19 Vaccine national campaign. Just as with every other campaign effort, it was met with initial scepticism and hesitation. While some states were able to quickly accept and adopt the vaccine, some other states were hesitant. A prime example of this was the Kogi state government.

This hesitancy may have contributed to the state’s delay in kicking off the vaccination campaign for the virus. As a matter of fact, the State was the last to commence vaccination of its citizens; one month after the national roll out.  Having kicked off its own vaccination campaign, the race to catch up with the rest of the country became daunting with the state ranking amongst the lowest in terms of progress made with vaccine uptake.

Interventions have been made by leaders in the health sector to not just ensure vaccine accessibility but also advocacy for stakeholders to encourage vaccine uptake across the state.  One of the most recent interventions is the optimization of the Electronic Management of Immunization Data (EMID) application by eHealth Africa for the National Primary Health Care Development Agency (NPHCDA) supported by GAVI. 

The EMID Application is a tool used for real-time data collection, including offline data. It was developed for the Nigerian terrain in which most health facilities are in areas with little or no internet connectivity and deployed for the collation of COVID-19 data across the 36+1 states. However, in line with the development roadmap of the EMID application, it has now been expanded to include Routine Immunisation services (Electronic Immunization Registry) Primary Health Care (PHC) services, and Polio Supplemental Immunizations Activities (PSIAs)/Non-Polio Supplemental Immunization (NPSIAs) campaigns. 

In view of these optimization efforts, eHealth Africa implemented a week-long State Training of Trainers (STOT) & step-down training in Kogi State on the use of the EMID mobile application.   

The aim of the training of trainers was to build the knowledge and skills of the 21 Local Immunisation Officers (LIO) in the use of the updated EMID mobile application and to provide further training and capacity-building activities to about 500 other data recorders and EMID focal persons at the individual local government areas (LGA) level. The EMID app would be used for effective real-time facility-level data collection and daily health services data transmission.

The Project Manager of Kogi State Emergency Routine Immunisation Coordination Center (SERICC), Mrs. Garba Khadijat, while speaking at the training said: “The introduction of this application will afford Kogi State efficient immunization data coverage, reporting and reduce the gaps experienced due to manual data recording” 

The training was instructor-led, It was delivered through lectures, use of visual aids, and engaged the participants through individual activities, role play, video and slide presentations, simulations, and do-it-yourself tasks.

In his own words, Mr Salami Oni, the EMID focal person at Okehi LGA, said 'I am very impressed with the training we were given at the state level and confident enough to step it down at the LGA. He added that any immunization work done without proper reporting is void.

Through supportive supervision, the eHealth Africa team ensured a correct assessment of the learning progress: pre-training and post-training tests were administered during the beginning and end of the training, containing both open-ended and multiple-choice questions. This accounted for an average improvement in observable knowledge and skills.

During and after the training, all participants expressed their enthusiasm to learn and commitment to explore the application further to strengthen their knowledge of its usage. This would make them efficient in data collection and reporting.

COP28: Spotlighting the Impact of Climate Change on Public Health - Atef Fawaz

Atef Fawaz, Executive Director, eHealth Africa

Less than a fortnight ago, the  World Health Organisation,  Director-General, Dr Tedros Adhanom Ghebreyesus warned that the impact of climate change may reverse the progress made in the fight against malaria. This according to him is due to “COVID-19-induced public health disruptions, humanitarian crises, drug and insecticide resistance, and global warming impacts”. As contained in the recently released World Malaria report, the changing climate poses a substantial risk to progress against malaria, particularly in vulnerable regions. This may just be another critical reason needed to lift the climate change/health nexus while ensuring effective mainstreaming of  health in the global climate change agenda.

There is no gainsaying that developing countries like Nigeria and others  must be on the alert to prepare for the potential impact of this new development necessitated by climate change. Despite the hysteria that greeted the reported number of Africa’s delegates (especially Nigeria) to the just concluded 28th United Nations Climate Change Conference otherwise referred to as  Conference of Parties (COP28), It is pertinent to reflect on the economic and human resources invested in the event to explore actual opportunities. 

The conference was no doubt a huge platform  where thought leaders and experts across the  world come together to chart pathways  to address the climate crisis, and proffer succor on how  vulnerable communities can adapt to the effects of climate change. This is in a bid to achieve the  overall goal of  net-zero emissions by 2050. With over 70,000 delegates expected to attend this important event every year; from business leaders, young people, climate scientists, Indigenous Peoples, journalists, and various other experts and stakeholders; the opportunities are boundless. 

With the 2023 Intergovernmental Panel on Climate Change report revealing that over 3.5billion people live in areas that are vulnerable to climate change, it's just a matter of time before nations feel the impact if there are no effective measures for early preparedness and response against climate change.  This may have contributed to the call for urgent action on climate change and health by  the Global Health Community.  This is also not a coincidence as similar calls were made before the 2022 Conference as the World Health Organisation reiterated the fact that,  climate crisis continues to make people sick and jeopardizes lives. This yet again buttressed the call to make healthcare delivery amidst climate change  a critical area of discussion during the conference.  Thus it was not surprising when the COP28 Presidency joined with the World Health Organization to announce a new ‘COP28 UAE Declaration on Climate and Health’ (the Declaration) to accelerate actions to protect people’s health from growing climate impacts.

Thus developing countries like Nigeria have a huge opportunity to build on their participation in the conference to explore ways to alleviate the grueling impact of climate change on healthcare delivery and policies.  One of the first signatory to the Declaration on Climate and Health, Malawian President Lazarus Chakwera revealed that  extreme and unfavorable weather events have consistently displaced citizens, causing the spread of infectious diseases that has led to the death of thousands in countries like Malawi. 

Nigeria specifically in recent times witnessed increased flood and rapid desertification. For instance, in the last 18 months, Nigeria experienced massive floods caused by global warming with huge economic and health implications like loss of lives, properties leading to chronic hunger and vulnerability to water-borne diseases.  Also, the potential threat to  livelihoods like agriculture and  fishing is no doubt cause for concern with potential challenges of food security which negatively impact health and nutrition.

While a handful of organizations are taking both intentional and unintentional steps to combat the impending impact of climate change, it is vital to galvanize important stakeholders  across all sectors to discuss their role in supporting the process.  A typical example of such steps is eHealth Africa's deployment of a modular solution that involves the design and implementation of renewable energy solutions for healthcare facilities, especially in low-resource settings. The  Renewable Energy for Public HealthCare (RE4PHC) solar system is designed to be deployed to health facilities with minimal access to power but at the same time reducing the emission of greenhouse gas from generating sets due to lack of electricity. 

However there is need for public and stakeholder sensitization and coordination on the potential impact of climate change in the African region especially in Nigeria. Organisations and government agencies like Nigerian Park service, Great Green Wall, ministries of Agriculture, Marine and Blue economy amongst other Non governmental organizations both within and outside the region must coordinate to ensure effective action against climate change.

This is in a bid to further explore the causes and impact of climate change within and around the African context while educating the people on activities that have consistently escalated the current risk. A basket fund can also be created to pull resources from the public and private sector, especially companies whose activities contribute to emission of greenhouse gasses and global warming with support from international thought leaders and experts in climate change interventions.

The idea of dissecting the nexus between climate change and health is to ensure that Low and Medium Income (LMIC) like Nigeria to advance its aspiration to meet up with acceptable global standards as regards critical actions that aides early preparedness and response. 

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

SARMAAN: Towards a Successful Mass Drug Administration Implementation

#Child Health, #SARMAAN, #Data Management

By Mohammed Bello

In a bold move to address infant mortality, the Nigerian government through the Federal Ministry of Health, in collaboration with implementation partners, initiated the Safety and Antimicrobial Resistance of Mass Administration of Azithromycin on Children 1-11 months in Nigeria (SARMAAN) research project. The project's focal point is the mass administration of Azithromycin to children aged 1 - 11 months to understand its impact on safety, antimicrobial resistance, and overall reduction in infant mortality.

The SARMAAN project unfolds in two phases: firstly, to investigate the safety and pattern of antimicrobial resistance (AMR) resulting from Azithromycin administration, and secondly, to assess the cost, feasibility, and acceptability of the drug delivery through various platforms. With three (3) successful cycles completed across six states, the project is well on its way to achieving its milestones.

The study areas - Jigawa, Kebbi, Kano, Sokoto, Akwa Ibom, and Abia are a microcosm of the diverse challenges and opportunities in Nigeria. Their unique characteristics- geographical features to economic structures, provide a rich backdrop for a comprehensive understanding of the SARMAAN project's impact on healthcare delivery. The research looks at the interplay of factors such as regional health disparities, cultural nuances, and existing healthcare infrastructures. This nuanced examination allows for a more profound appreciation of the project's significance within the context of Nigeria's varied landscapes and sociodemographic compositions.

eHealth Africa worked on data management in six implementing states, using digital tools to streamline processes. Key deliverables included the digitization of paper-based case reporting forms, the creation of a study database, and the training of data collectors. The meticulous approach ensured data accuracy and reliability.

The implementation approach, outlined in the document, emphasizes a systematic methodology. With a focus on data processing, storage, and dissemination, the project leveraged digital platforms like Kobotoolbox and Tableau to ensure a smoother information flow.

The raw data is collected, filtered, sorted, processed, analyzed, stored, and then presented in a readable format. The stages deployed to process the collected data. 

For this study, data uploaded to the Kobo server is first processed in the Feature Manipulation Engine (FME) before being sent to the study's Postgre SQL database. The next stage is GeoServer, where fields are exposed as needed and finally disseminated using Tableau.

The SARMAAN project has seen significant achievements in its implementation, with over 18,100 children reached out of the 17893 children targeted across 3 cycles. Training initiatives, data processing, and cleanup were conducted meticulously, contributing to the success of the project. The Tableau dashboard provided a comprehensive overview of the progress, ensuring transparency and accountability. The SARMAAN project dashboard can be accessed via the link. 

Despite the successes, the project encountered challenges, including violations of daily community visitation targets, inadequate training facilities, and security concerns. In addition, some data collectors needed more essential tools. Stakeholder engagement gaps existing in certain states also hindered compliance.

The project offers valuable insights, highlighting the importance of daily visitation plans, group training approaches, and adapting to cultural norms. Recommendations include the need for targeted outreach strategies, increased female data collectors in specific regions, and an extended training period for enhanced proficiency.

The SARMAAN project stands as a testament to the power of research and collaboration in addressing critical health challenges. By navigating challenges and incorporating key lessons, the project is poised to continue making a positive impact on infant mortality rates in Nigeria. The journey so far reflects a commitment to innovation, data-driven decision-making, and the well-being of the nation's children.

PARTNERS

How eHealth Africa Champions Holistic Well-being through Sporting Activities

By Favour Oriaku

At eHealth Africa, we recognize that our greatest asset is our people. Their hard work, dedication, and passion are the driving force behind our mission to build stronger health systems across Africa. Understanding the importance of mental and physical well-being in sustaining high levels of performance and engagement, we have instituted a series of work-life balance activities across our office locations. Central to this initiative is our commitment to fostering a culture of health, unity, and mutual support through our sporting events every Tuesday and Thursday.

These are not just games; they are a fundamental part of our organizational fabric. We have tailored these sessions to involve everyone comfortably, with football attracting many of our male colleagues and volleyball popular among our female staff. This thoughtful categorization ensures widespread participation and is in line with our core values of inclusivity and respect for individual preferences.

The benefits we're seeing go far beyond physical fitness. Regular exercise is scientifically proven to reduce severe health risks, but we're witnessing firsthand the positive energy, reduced stress levels, and the bonding that's building a more resilient eHealth Africa family. The effects spill over from the football field and volleyball court into daily office interactions, enhancing teamwork and easing communication.

But perhaps it's best expressed directly by our team members, who have embraced this initiative wholeheartedly:

In Abuja, Solomon Eteng, one of our dedicated senior network administration associates, observes, "These sessions are about more than just exercise. They're an avenue for bonding with colleagues, sharing a laugh, and easing the day's stress. It's amazing to see the impact on our work environment - there's a boost in morale and productivity."

Also in Abuja, Aisha Yakubu, a key member of our operations  team, adds, "Initially, I wasn't sure sports was for me, but I gave volleyball a try and I'm glad I did! It's refreshing and, beyond the health benefits, it shows the organization values our overall well-being. That really matters."

In our Kano office, the enthusiasm is just as infectious. Mohammed Bello, a project manager who also doubles as the Culture Club lead says, "The football sessions are something I look forward to. It's not just the physical health benefits; it's the improved sleep, the relaxed mind, and the strengthened bonds with colleagues. You can see that team spirit reflected in our work collaborations."

Likewise, Tosin Williams, a coordinator with the GIS department at our Kano office reflects, “Our sporting activities have been a revelation for me. It's not just about keeping fit; it's about the relationships we're building. This has made a huge difference in making our work interactions even more effective and enjoyable."

Our sports initiative is not just another organizational initiative; it's a strategic approach to holistic well-being, reflecting our belief that when we take care of our staff, they can perform at their best, both professionally and personally. By investing in these activities, eHealth Africa is not only promoting healthier lifestyles but also fostering a culture of unity, mutual respect, and emotional support. So, as our teams in Abuja and Kano take to the field each week, we're not just scoring goals in football or volleyball; we're championing the well-being of our staff, and by extension, the communities we serve.

eHealth Africa's Integration of Digital Solutions for Public Health Impact

By Favour Oriaku

eHealth Africa (eHA) has the strong belief that access to proper healthcare is a right, not just a privilege. Consequently, eHA continues to create innovative solutions that provide underserved communities in Nigeria with the tools to take charge of their health and well-being. Through their digital innovations, eHA is bridging the gap between technology and healthcare. Currently, the organization is improving their offering by merging their two main applications - LoMIS Deliver and  LoMIS Stock - into one, all-encompassing platform: LoMIS Suite. This platform will enhance the management and delivery of vaccines and other health supplies. By doing so, ensuring that essential healthcare services are consistently available. 

LoMIS Deliver alone has successfully delivered over 17 million vaccine doses and 16 million essential goods to their destinations, overcoming logistical challenges to keep healthcare running smoothly. At the same time, LoMIS Stock has provided healthcare workers with a more efficient way to report, offering real-time visibility of stock levels and streamlining the planning process through a mobile app.

The merging of these two applications by eHA, promises to be a powerful tool for improving existing health systems. It will help manage stock levels, track deliveries, and enhance decision-making processes with ease and precision. With these merged applications, every piece of data collected will contribute to better delivery schedules, improved stock availability, and, most importantly, ensuring that every member of the community has access to essential healthcare services. The integration of the LoMIS applications represents not just a technological advancement, but a ray of hope for a society in pursuit of a dependable and efficient healthcare system at the last mile.

Fatimah Howeidy, the project manager, shares her perspective, saying: "Every data point we collect represents real people, families, and their futures. By merging our LoMIS Deliver and LoMIS Stock applications, we're not only improving our technology but also ensuring that vaccines and health supplies are always available when and where they're needed most, and the process is managed using a more improved system."

This initiative is supported  by the Digital Health Innovation Accelerator Program (DHIAP), which was launched in 2021, and is powered by the WFP Innovation Accelerator and BMZ digilab – the innovation lab for digital solutions, initiated by the Federal Ministry for Economic Cooperation and Development (BMZ) in collaboration with GIZ, the German Development Bank KfW, and the Bill and Melinda Gates Foundation. eHA project has been selected as one of 5 finalists for the WFP Sprint Programme, and is supporting the implementation by providing  financial support, as well as access to mentorship, guidance, and a strong network of peers and stakeholders to inspire and share knowledge and best practices. 

Through initiatives like these, eHA is empowered to offer not just technological solutions; they are weaving a future where healthcare is consistent and accessible to all. This future includes mothers who wish to see their children thrive without vaccine-preventable diseases, healthcare workers who rely on dependable data and supply chains, and communities that rightfully deserve equitable healthcare. In the synergy of technology and health facilitated by eHA, each vaccine delivered represents a stride towards improved health outcomes. Every report submitted through the app strengthens the battle against vaccine preventable diseases. And each decision made with precise, real-time data paves the way for equal healthcare accessible to all.

Fatimah encapsulates eHA's spirit by saying, "Our solutions, especially when combined into the LoMIS Suite platform, are more than just applications. They are our commitment, represented in data, ensuring that every child and every family in our communities has reliable healthcare."

In this intricately woven digital solution created by eHA, technology and health are seamlessly interconnected, ensuring that each individual and every community can consistently count on fair and reliable healthcare. It's not just a project; it is a commitment to accessible healthcare through the power of technology and unwavering dedication of our healthcare professionals.

Inside eHealth Africa's Vibrant 'TGIF' Tradition

By Favour Oriaku

Finding the harmony between professional obligations and personal well-being is not just a perk—it's a necessity. Our commitment to fostering a nurturing work environment has birthed our beloved tradition: the "Thank God It's Friday" (TGIF) activity. This vibrant, monthly gathering is not only a testament to our organizational culture but also a celebration of the diversity, unity, and spiritedness that define us.

Held on the last Friday of each month, our TGIF is a variety of activities designed to ignite joy, foster connections, and refresh our team. The event is a lively mix of indoor games—including chess, card games, ludo, and Wood Block Game—as well as outdoor activities with volleyball and table tennis. But the festivities don't stop there; they sometimes reach a climax with karaoke sessions, where our staff showcase their vocal talents, followed by a feast of food and drinks, making it an absolute delight.

Why do we do this? At eHealth Africa, we believe that work-life balance is crucial for the mental health and overall productivity of our team. These activities provide an informal setting for staff to unwind, connect with each other outside of work protocols, and build a sense of family and togetherness. It's a reminder that we're not just colleagues—we're a family.

Our staff's reflections beautifully articulate the impact of these gatherings:

Deborah Solomon, a Senior Project Support Coordinator  from our Kano office, shares, "TGIF is the highlight of my month! The games, the singing, the laughter—it's the perfect way to unwind. I feel deeply connected to my colleagues, and it's wonderful to see everyone let their guard down and just have fun!"

Ibrahim Adepoju, who is part of our network administration team, adds, "The last Friday of the month is something I eagerly await. The activities help me de-stress, and I've discovered so many hidden talents among my colleagues! It's a fantastic way to wrap up the month."

From Abuja, Diligence Saviour Albert, a member of our business application team, remarks, "I've always believed in work-life balance, and the TGIF initiative reinforces that. From board games to karaoke, there's something for everyone. It's not just about relaxation; these moments enhance our teamwork and make us look forward to the challenges ahead."

Similarly, Onyeka Onwuama, an associate project manager in our Borno office, reflects, "These gatherings are not just for fun; they're essential to our well-being. Connecting with colleagues over a game of chess or a song builds a support system that transcends professional relationships. It's refreshing and, honestly, a major morale booster."

Our TGIF tradition is embedded in our core belief at eHealth Africa: we are as dedicated to our staff's well-being as we are to the communities we serve. Creating spaces for our team to relax, connect, and recharge is not just about building a positive work culture; it's a fundamental part of our success story. As we continue to strive for excellence in building a stronger health system in Africa, we remain equally committed to nurturing a work environment where staff are appreciated, celebrated, and cared for—ensuring that at eHealth Africa, every last Friday isn’t just the end of a month, but a celebration of the people who make our mission possible.

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

Atef Fawaz - Executive Director of eHealth Africa

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