Data Driven Immunization Campaigns
Track immunization progress in children from birth to 5 years and identify and engage defaulters through data driven engagement with CHEWs
Video documentary of field and stakeholder experience with InStrat's Health Data Management Application.
Instrat's health data management process map.
Describe what you intend to do and how you'll do it in one to two sentences (required 350 Characters)
InStrat will use patient records for immunization history, track and engage defaulting parents to ensure full coverage of immunization to children up to 5 years. We will partner with Lagos State Primary Health Care Board to expand existing data capture tools to cover the full range of immunization services across 3 Local Government Areas.
Explain the innovation (2,500 characters)
InStrat has deployed a point-of-care data capture and decision support tool which includes immunization records for infants. We will use these records to document each child’s immunization history from birth to five years. In built algorithms will identify what immunization each child is due for, and when and notify the HWs as well as create reports that program managers can use to ensure the availability of the right vaccines. These algorithms will also identify defaulters, or parents that have missed immunization schedules. Since we have patient contact information (name and/or address), we can generate alerts to HWs to contact the defaulting parents or send direct messages to them.
InStrat has consistently managed electronic health data management in Nigeria since September 2013. Wirelessly connected tablets equipped with the applications have been provided to midwives and health workers in almost 700 rural and urban Primary Health Centers in eight States in Nigeria. In our experience the critical technology adoption factor has always been the interplay between availability of hands-on support at the PHCs and the simplicity of the technology. Our Theory of Change is that improved availability of patient level clinical data will allow evidence-based decision making which will improve health outcomes and ultimately reduce mortality. We have validated this TOC repeatedly as evidenced by the following case study from Ondo State Nigeria: InStrat presented data on syphilis testing at a quarterly review meeting with the Ondo State Primary Health Care Development Board. The data revealed that no syphilis testing was done for over a year and this triggered a query. The explanation was that the labs were not equipped with the appropriate reagents to conduct the test. Consequently, an audit of was ordered on all PHCs that resulted in an upgrade of all labs in the State to ensure that all labs could carry out all tests required for primary health care service delivery. This resulted in all labs being upgraded between August and September 2018.
Nigeria has approximately 30,000 PHCs, most of which are owned and operated by the State Primary Health Management Boards and cater predominantly to the lowest rung of people in the Socio-economic ladder. By partnering with Lagos State Primary Health Care Board, we will deliver a sustainable model for ensuring full coverage of immunizations to children from birth to 5 years across Nigeria.
Which part(s) of the world does this innovation target?
Nigeria is the most populous country in Africa, seventh in the world and has a youthful age structure, with nearly three-quarters of its population under the age of 30. Women of childbearing age (15-49 years) account for 22.5 percent of the population and the total fertility rate (TFR) is 5.5.
Who will work alongside your organization in the project idea? (1,000 characters)
We will partner with The Lagos State Primary Health Management Board. All three tiers of government (Federal, State and Local) share responsibilities for providing health services in Nigeria. The federal government is largely responsible for providing policy, planning and technical assistance, coordinating state-level implementation of the National Health Policy and establishing health management information systems. The responsibility for the management of health facilities and programmes is shared by the State Ministries of Health, State Hospital Management Boards and the LGAs. The states operate the secondary health facilities and primary health care facilities. The local governments oversee the operations of primary health care facilities within their geographic areas. This includes the provision of basic health services, community health, hygiene and sanitation.
How is your idea unique? (750 characters)
• Most organizations introduce technology in LMICs without the appropriate levels of hands-on support to give HWs to comfort and space to learn and adopt.
• We have credibility and relationships to drive adoption.
• We make the data outputs relevant, useful and actionable to all stakeholders in the value chain.
What is the name of your organization
InStrat Global Health Solutions
Explain your organization (250 characters)
InStrat improves healthcare in Nigeria using 3 product platforms: electronic health data management, disease surveillance and mobile HW training. This innovation is consistent with our goals as it involves data driven decisions and actions.
Type of Submitter
We are a For-Profit Startup or Startup Social Enterprise
Gender and Diversity (500 characters)
Females occupy two of the four most senior positions in the company and are 60% of InStrat staff.
Organization Location (less than 250 Characters)
Headquartered in Abuja, Nigeria. Offices in Akure and Kano. Field operations in Lagos State. Maintain offices in NJ, USA.
Size of organization (number of employees):
Scale of organizational work
National (expansive reach within one country)
Tell us more about you
Okey Okuzu is an accomplished healthcare visionary and entrepreneur, whose innovations have enabled improved healthcare delivery to underserved populations. Okey founded InStrat Global Health Solutions in 2010 to focus on Global Health Innovation.
Abiola Oshunniyi is a serial innovator and has provided strategic support for projects from community to regional levels funded by international organizations such as Society for Family Health, World Bank, Pact Nigeria and USAID.
Bamidele Omatuyole is an astute Information Technology Project Planning, Implementation and Management Specialist with several years’ experience in managing the deployment of information technology infrastructure projects across Nigeria.
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