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Leveraging Continuous Complementary Health Data Collection to Optimize Immunization Service Delivery

Continuously monitor public & private vaccine delivery using a network of citizen "data contributors," managed by a cloud platform.

Photo of Chris Watson
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Describe what you intend to do and how you'll do it in one to two sentences (required 350 Characters)

Premise Data will use our Groundtruth Platform to continuously monitor public and private vaccine delivery in Nigeria by leveraging our network of ordinary citizen "data contributors," and our intelligent cloud platform. We will partner with GAVI and the Nigerian Ministry of Health to leverage the data to optimize vaccine delivery and coverage.

Explain the innovation (2,500 characters)

Continuous monitoring of urban immunization poses data collection challenges. Administrative and survey data are characterized by profoundly poor data quality. This is due to a confluence of factors, including the proportion of health services provided by the private sector, weak public health facility data collection, and limited frequency and granularity of surveys. These challenges are compounded by the high mobility of urban populations, a dearth of data from informal settlements, and poor registration and oversight of private providers. Premise Data’s contributor network, local residents who make money collecting data using our smartphone app, will map and continuously monitor urban immunization service delivery in both public and private health facilities and monitor vaccine coverage. Contributors will also complete surveys on vaccination uptake, primary care, and MNCH that can be used to hone demand generation campaigns and quality improvements. This data will be visualized in real-time through dashboards developed with the Ministry of Health (MOH) and clinics responsible for health service delivery at the lowest level of decision-making (LGA in Nigeria). Our solution also benefits urban health service recipients and is capable of scaling to improve health service delivery in every urban LGA of Nigeria. Premise has built a network of 687,000+ contributors (7,668 in Nigeria). Premise recruits contributors through digital advertising and on-the-ground recruitment. Premise then works with partners to build data models and sampling frames for the queries they need answered and publishes them to the network using our cloud platform. Contributors start by completing survey tasks and gradually progress to more complicated tasks through an experiential process. Our data science team builds custom data visualizations and dashboards tailored to the operational needs of the MOH. Premise is currently using contributors to monitor immunizations in Nigeria and the DRC with the Gates Foundation. Our early results include discovery of thousands of private and public health facilities providing immunizations, identification of days and times at which immunizations are provided, regularized monitoring of these immunization sessions, and community immunization surveys. Premise’s focus on improving “resolution” and granularity of data and analytics means immunization stakeholders have the actionable data they need to improve their operations in real time.

Which part(s) of the world does this innovation target?

  • Western Africa

Geographic Focus

Premise works in 47 countries around the developing world and implements health-related programs in Kenya, Nigeria, DRC, Yemen and Colombia. We have chosen Nigeria, where we have a good MOH relationship, for the pilot but are open to almost any other country if GAVI prefers a different location.

Stage of Innovation

  • Early Adaption

Who will work alongside your organization in the project idea? (1,000 characters)

Premise will collaborate closely with the Nigerian Ministry of Health, GAVI, and any involved implementing partners. Our work on Zika Vector Control illustrates the typical nature of this relationship. In Colombia, Department level Health Directorates partnered with Premise to design data collection tasks and iterate on them as data flowed in. Simultaneously, we co-designed management-focused dashboards that monitor Zika outbreak risk at a neighborhood level in real-time. After 6 months of iteration and data analysis, The Health Directorate began managing all larvaciding and fumigation activities (scoped daily) based on a real-time outbreak risk model that is a function of mosquito prevalence. In addition to the Health Directorate, Premise indirectly partners with every community in the surveillance area as local residents provide the data that populates the risk model. USAID, the funder, receives a separate set of reporting and management dashboards.

How is your idea unique? (750 characters)

Premise uses ordinary citizens to collect data but ensures accuracy through task structuring and machine learning. We leverage monetary incentives to ensure task completion - which results in datasets that are more complete than HMIS data and include private sector providers. Our cloud platform is continuously improved by our 30+ person engineering team. This allows us to rapidly incorporate learnings into our platform as we go. Others have addressed immunization monitoring through HMIS’s that do not reach private clinics nor have a model to ensure adequate data collection. Premise augments this traditional data to create a more complete, real-time, high frequency, and geospatial picture of immunization service delivery and outcomes.

What is the name of your organization

Premise Data Corporation

Explain your organization (250 characters)

Premise is the premier global, on-demand, integrated human data collection and analytics platform. Premise's vision is to accelerate development outcomes by leveraging gig economy-based data collection and data science.

Type of Submitter

  • We are a For-Profit Startup or Startup Social Enterprise

Organizational Characteristics

  • Venture funded technology company with focus on international development

Gender and Diversity (500 characters)

Premise endeavors to mainstream and improve gender diversity in our contributors based through ads that target potential women contributors (possible on Facebook) and by providing higher incentives for women to complete tasks. Internally, we have an ongoing program to reach gender equity and increase ethnic diversity in our employee base. Premise currently has 40% women employees and is trying to improve this ratio - particularly on the engineering team.

Organization Location (less than 250 Characters)

Premise is headquartered in San Francisco and has offices in Seattle, Portland, and Washington, DC. We work in 47 countries, but as we are a digital company, we do not have offices in any of those countries.

Size of organization (number of employees):

  • 21-100 people

Website URL

www.premise.com

Scale of organizational work

  • Global (within 2 or more global regions)

Tell us more about you

Premise's cross-functional international development team includes representatives from every functional area that bring a desire to improve development outcomes. This includes: Chris Watson - Business Development Manager and International Development Product Lead Jenny Shapiro - Growth Analyst and MPH Mary Grace Reich - Growth Analyst and media expert Cameron Scherer - Director of Network Growth and media expert Andrew Howe - Program Manager and former agriculture consultant Janiece Marquez - Program Manager and former US Army Female Engagement Team Member (Afghanistan) Annalie Kruseman - Data Scientist and former vulnerable children researcher Jeff Nikolaisen - Solutions Consultant for international development

Applying to Gavi INFUSE

  • Referred by a friend / colleague
  • Encouraged by GAVI to apply

1 comment

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Photo of Uchenna Okafor
Team

Big Congratulations to you!
For effective immunization coverage in most developing countries especially in Africa, there is serious need to first incorporate a tracking system for disabled persons, else they may not be presented for any immunization exercise. For instance in Nigeria, it is assumed a shameful thing to identify with a disabled person, regardless of the relationship. It is almost a societal norm since they are in allegiance to the dictates of several local cultures in Nigeria. Parents easily abandon disabled children, maybe to retain their social ego. Global policies on disability are almost perfect, but there is need to re-orientate people from their destructive cultural practices of abandoning disabled persons to the vagaries of fate. Besides tracking for immunization, there is need for overall tracking of disabled persons in Nigeria, if their rights and human dignity are to be restored.