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

By Moshood Isah

One of the key lessons from the COVID-19 vaccine rollout, according to the World Health Organization, is that countries with effective plans fared better than those without. This principle applies broadly to every vaccination campaign and public healthcare intervention. Thus, the consistent effort to reach every settlement across Nigeria with vaccination and general public health services seems to be an unending journey. While the conventional challenges, especially in Northern Nigeria, revolve around vaccine hesitancy and insecurity, experience also reveals that a lack of accurate data for planning and resource allocation may be impacting on vaccination and public health campaigns.

A recent conversation with primary healthcare workers in Northern Nigeria revealed that a lack of accurate data remains a major reason why it is increasingly difficult to reach every settlement with vaccination activities. Additionally, the complex nature of micro-planning contributes significantly to this challenge. These healthcare workers, consisting of Local Government Area (LGA) and Ward Focal Persons responsible for planning vaccinations, revealed that it takes up to six days to manually develop a micro plan for health campaigns. Despite these efforts, the plans remain vulnerable to human errors, resulting in varying degrees of inaccuracy.

Primary healthcare workers and partners reviewing master list of settlement

According to the World Health Organization, good data is crucial for mass-vaccination campaigns. Keeping it real-time and relevant requires the right software and systems. Recognizing that digitized data helps in planning and monitoring vaccination campaigns, eHealth Africa designed the Planfeld solution to enhance the planning of vaccination campaigns and ensure every child has access to the polio vaccine and other routine immunization services. 

Kicking off the Planfeld pilot workshop in Kaduna State, eHealth Africa’s Program Manager, Abubakar Shehu, and his team introduced the innovative application to primary healthcare workers and stakeholders. The demonstration showcased how Planfeld can streamline the creation of accurate micro plans and monitor vaccination activities more efficiently.

During the workshop, Abubakar explained, “The Planfeld application will allow us to know the exact number of settlements we are targeting, the number of children in those areas, and the amount of vaccine required for the activity. Previously, developing a micro plan manually, especially for polio vaccination, took at least four days. Now, with this digital tool, it takes less than 30 minutes.” 

Primary healthcare workers and partners reviewing master list of settlement

He further emphasized that digitizing micro-planning will ensure that more settlements are reached with essential public health interventions. The pilot workshop, according to him, is being conducted in Kaduna, Niger, Katsina, Kebbi, Sokoto, and Zamfara states. While appreciating the National and State Primary Healthcare Development Agency (N/SPHCDA), he said the organization looks forward to comments and feedback on how to further optimize the Planfeld solution to revolutionize the planning and execution of vaccination efforts.

Dr. Abdullahi Musa Garba, the Incident Manager of the Polio Emergency Operations Center (EOC) at the Kaduna State Primary Healthcare Development Agency (SPHCDA), expressed optimism about the successful deployment of the Planfeld application in the state. He highlighted that the digitization process would significantly improve accuracy in immunization efforts for polio and other diseases, minimizing errors that were common with manual micro-planning.

“Manual micro-planning is a difficult and error-prone process,” Dr. Garba explained. “With the deployment of the digitized micro plan, the work will become much easier for the teams managing immunization.”

Mr. Victor Obagunlu Adeleke, the Kaduna State team lead for polio outbreak intervention with the SOLINA Center for International Development and Research, emphasized the time-saving benefits and improved resource allocation that come with micro-plan digitization. “The significant reduction in time and energy spent on developing the micro-plan, coupled with the fact that it’s not a capital-intensive project, makes it a much easier process,” he explained.

Primary Healthcare workers reviewing master list of settlement

He further highlighted that the traditional micro-plan development process—from the settlement to the ward, then to the Local Government Areas , and finally the state—requires considerable time to aggregate data across these levels. “With digitization, however, real-time analysis becomes possible,” Mr. Adeleke noted. “You can monitor data entry from the settlement or ward level and receive immediate feedback even at the state level.”

Microplanning is critically essential in the health sector. Thus, digitization of micro plans will enhance the capacity of the State and LGA team, facilitate a sustainable geodataba

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.

    Panelists at the Insights Learning Forum 2024

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”.

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.

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.

Panelists at the Insights Learning Forum 2024

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.

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.