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Deployment of WeMUNIZE mhealth registry to improve demand for Routine Immunization services.

WeMUNIZE is a platform-as-a-software mHealth immunization registry which enhances routine immunization uptake, retention and data quality.

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

WeMUNIZE uses a paas, mhealth registry to address demand creation, data tracking and home record keeping challenges for Routine Immunization across health facilities using scheduled targeted robocalls& SMS in local language and printed photographs of children immunized at the facility for every immunization visit are issued to caregivers.

Explain the innovation (2,500 characters)

In Sokoto state, northwestern Nigeria, only 1 in 10 children<1 year old complete their immunization appointments. RI uptake in some parts of northern Nigeria represents one of the poorest in the world. WeMUNIZE uses robocalls based on voice recordings made by respected, influential personalities of the community&SMS in local languages to remind& persuade primary care givers and their relatives to take children <1 year of age for Routine Immunization. Enrollment volunteers use a mobile device to collect&verify client details, including the date of birth of the child, his/her immunization history, the phone numbers of the primary caregiver and those of two other family members. The primary caregiver receives a picture album that is tagged with RFID, which will hold and protect the pictures of the child taken after each immunization session. RFID readers, located in the immunization centers, detect the presence of the tag on an album. The service provider is prompted by the RFID reader to confirm that automatic tag detection corresponds to physical presence of the client to whom the tag was assigned during enrolment. Caregivers/Child benefit by getting keepsake of the child's photographs through childhood. Community Mobilizers benefit by receiving notice and details of defaulters. Traditional/Religious Leaders benefit by having an opportunity for participation in intervention for routine immunization. Government agencies, policy makers and international partners have a source of verified, accurate RI field and facility data for effective planning and decision making. The WeMUNIZE solution was deployed over a 30-week period with an 18-month life of project target to enrolment 2,400 eligible infants. We enrolled a total of 4,126 infants, and had 1,122 on a waiting list resourced by the state. Of the 4,126 registered, 1,482 infants were new entrants into the immunization registry, starting at age 0. Of this number, 98%(1,452) had perfect RI attendance as scheduled through the WeMUNIZE platform. 80% (3,332) of the infants enrolled received their vaccination within seven days of their scheduled appointment, allowing for public holidays. The drop-out rate ranged from -8% to -21%. Card retention rate improved to 98%. An independent assessment of the Sokoto pilot of the WeMUNIZE funded by USAID/Nigeria identified the intervention as highly effective for increasing immunization attendance&access for RI services in under-served communities.

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

  • Eastern Africa
  • Middle Africa
  • Western Africa
  • Caribbean
  • South America
  • Central Asia
  • Eastern Asia
  • South-eastern Asia

Geographic Focus

Countries like Nigeria accounts for less than 1% of the world's population but contributes 10% of the global infant& child mortality. The innovation targets low income countries with high mobile phone usage, multi-cultural communities distributed across urban, semi-urban and rural settlements.

Stage of Innovation

  • Scale

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

Black Swan Tech Ltd will leverage existing institutional and technical experience in working with these organizations and key RI partners at all levels. In order to achieve the expected results, avoid duplicative efforts, and ensure the most efficient use of resources. At the national level, these critically include the NPHCDA, USAID-funded programs (including Integrated Health Project), the United Nations Children’s Fund (UNICEF), and World Health Organization (WHO). At the State level, it will include the State Primary Health Care Development Agency (SPHCDA), State Primary Health Care Boards, WHO, UNICEF, the US Centers for Disease Control and Prevention N-STOP project (CDC-NSTOP, the European Union-funded Support Immunization Governance in Nigeria (EU-SIGN), and Gates and/or Dangote funded partners and projects that could be put in place to help execute the project. Black Swan intends to integrate learnings from the Sokoto WeMUNIZE pilot to achieve concrete results.

How is your idea unique? (750 characters)

The WeMUNIZE mHealth software uses printed picture of infants as a non-monetary incentive for caregivers to increase demand for RI services that serve as evidence for attendance at RI services which addresses home-based record keeping, a source of under reporting in population-based surveys. To overcome the absence of mobile broadband, we created an SMS-based telecomms protocol that allowed our RFID readers, barcode scanners and android apps, in rural northern Nigeria, send and receive data from remote web servers.An SMS-based Internet of things, in a low resource environment, was our actual technical breakthrough. We leveraged significant social capital in local ancestral, tribal and religious leaders driving community ownership.

What is the name of your organization

BLACK SWAN TECH LTD

Explain your organization (250 characters)

A start-up which focuses on deploying contextually-relevant technological solutions for developmental challenges. We build platform, using contextually-relevant, scalable technology, to connect users to capacity, and manage user interactions.

Type of Submitter

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

Organizational Characteristics

  • Indigenous-led organization
  • Youth-led organization

Gender and Diversity (500 characters)

The pilot program secured the participation 123 female influential community leaders who consented and pre-recorded their voices to be used in scheduled Robocalls. The project recruits primarily women for the team of specially trained volunteers with mobile phones, empowering women to help their communities and overcome social barriers. The WeMUNIZE platform also supported the volunteer community mobilizers, mainly women, with RI schedules& information for defaulter tracking

Organization Location (less than 250 Characters)

Nigeria. Headquarters in Lagos. We have a presence in other states including Abuja, Sokoto.

Size of organization (number of employees):

  • 21-100 people

Website URL

www.blackswantechltd.org

Scale of organizational work

  • National (expansive reach within one country)

Tell us more about you

Dr. Tosan J. Mogbeyiteren: Public Health, Software Development Dr. Tinuke O. Adeyi: Public Health, Program Manager Mr. Olusolape Adebiyi: M&E, Knowledge and Learning Management Mr Opeyemi Obembe: Software Development, Mr Ado Bwala: Hardware Engineer

Applying to Gavi INFUSE

  • Referred by a friend / colleague

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