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

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’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.

Empowering Nigeria’s Healthcare System with EMID App Training

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.

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.