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eImmReg: Improving immunization timeliness, completeness and coverage using an automated identification, tracking and reminder system

Designed and deployed mobile technology to solve challenges of no identification, inadequate tracking and cumbersome data management

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

AFENET Nigeria aims to use USSD integrated with DHIS2 to improve immunization timeliness, completeness, coverage & effective data management in Nigeria health centers by using an automated identification, tracking, reminder and notification system. To partner with National Primary Health Care Development Agency & Federal Ministry of Health Nigeria

Explain the innovation (2,500 characters)

In Nigeria, 2016/2017 National Immunization Coverage Survey shows 40% of children did not receive any vaccination from RI, 31% received at-least one vaccination from RI. Reasons for not fully immunized, 42% was attributed to lack of awareness and this call for a change of strategy towards RI education, social mobilization, defaulter tracking and RI data management systems. Low demand for immunization among other reasons has been identified as a key barrier to improving RI coverage in Nigeria Currently in Nigeria, RI data management is majorly paper-based which is a limitation to electronic approaches that can document a child’s immunization record electronically in the form of a registry, assigns unique identifier to each child and send reminders to mothers which could potentially improve demand for RI services and lead to adequate follow-up of children who had missed the scheduled RI sessions (tracking) and also improves evidence of vaccination as against absolute reliance on ‘child health card’ and ‘mother’s recall’ (usually during coverage surveys) which are always not available We designed an Unstructured Supplementary Service Data (USSD) interface integrated with an electronic immunization registry based on the tracker module (which supports management of individual records and data visualization) of District Health Information System version 2 (DHIS2) to remind mothers of their child’s immunization appointment. DHIS2 is the only approved platform adopted for routine health data management in Nigeria and can be adapted in other regions. Upon presentation at the health facility for RI services, the Field Volunteer initiates the electronic registry using the USSD code which displays the menu for registering a new child and updating a child’s immunization record. The USSD app synchronised with tracker module on DHIS2 platform which has been designed as the electronic registry with customised dashboard is used to capture the socio-demographic data (name, date of birth, date of first contact, settlement, etc), dates of vaccination for each antigen, mobile phone number of the child’s parent, caregiver or anyone in the child’s household, neighborhood or settlement who can transmit a reminder message to the child’s mother/caregiver. Over 1200 children had been registered on the registry and currently used to track the immunisation status of > 500 under 1 children in Kware LGA, Sokoto state in Nigeria where >10, 000 reminders had been sent to mothers.

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

  • North Africa
  • Eastern Africa
  • Middle Africa
  • Southern Africa
  • Western Africa

Geographic Focus

Urban slums low resource settings in Sub Saharan African countries often plagued with inefficient data management system required for data driven decision at all levels

Stage of Innovation

  • Early Adaption

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

Nigeria Federal Ministry of Health, Nigeria National Primary Health Care Development Agency, Health Care Centres and Telecommunication companies in Nigeria.

How is your idea unique? (750 characters)

This solution works offline and utilizes the tracker module and dashboard of DHIS2 which is the only government adopted platform for routine health data management in Nigeria and fast becoming the choice platform for Health Management Information System globally. This idea avoids burden of data tools multiplicity on health care workers which usually results from other parallel systems. The unique identifier assigned to each child has potential to improve evidence of immunization required during coverage surveys as against the traditionally used methods of ‘child health card’ and ‘mother’s recall’. We have robust implementation experience in public health programs with cordial working relationship with government at all levels.

What is the name of your organization

African Field Epidemiology Network (Nigeria Country Office)

Explain your organization (250 characters)

A networking and service alliance of Field Epidemiology and Laboratory Training Programs, and other applied epidemiology training programs dedicated to ensuring effective prevention and control of epidemics and other priority public health problems

Type of Submitter

  • We are a registered NGO or Non-Profit Organization

Organizational Characteristics

  • Female-led organization
  • Women’s health/rights focused organization
  • Indigenous-led organization
  • Community-led organization (CBO)
  • Youth-led organization

Gender and Diversity (500 characters)

AFENET is an equal opportunity employer. We don’t discriminate against any employee because of race, color, religion, national origin, sex or age. Where the required skills for a job role is met, each sex functions equally as designed and stipulated in the organizational structure.

Organization Location (less than 250 Characters)

AFENET Nigeria Country office is registered and based in Abuja Nigeria. AFENEt secretariat is based in Uganda, Kampala

Size of organization (number of employees):

  • 101-1,000 people

Website URL

www.afenetnigeria.net

Scale of organizational work

  • Regional (reach within 1 geographic region)

Tell us more about you

Our team is made of a technically sound and experienced professionals with backgrounds in apps development, human centered design approach, public health, huge program/project implementation and administration. Bidemi serving as the Project Manager has over 5 years’ experience in mHealth, Public Health Informatics, M&E and project implementation. Mathew serving as the Technology Specialist has over 5 years’ experience in software development, database administration and information system design and deployment. Dr. Endie Waziri brings wealth of experience in Polio eradication efforts, one health, TB, routine immunization, and several outbreak responses. She is leads strategic partnerships and stakeholder’s management.

Applying to Gavi INFUSE

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