2014

Annual Impact Report

Our Mission

To build stronger health systems through the design and implementation of data-driven solutions that respond to local needs and provide underserved communities with the tools to lead healthier lives.

Based in Africa, we establish new standards in health delivery and emergency response through the integration of information, technology, and logistics.

Our Vision

Our Values

• Impact and Quality​
• Innovative Problem Solving​
• Passion​
• Honesty​
• Growth & Learning​
• Ownership​

Hello

Where we work

We are a team of approximately 500 people working in Nigeria, Sierra Leone, the United States and Germany. We also execute projects in Chad, Cameroon, Democratic Republic of Congo, Niger, and other countries in sub-Saharan Africa. 

Disease Surveillance Systems

Overview

Disease Surveillance Systems integrate several ongoing data-driven activities—the collection, analysis, and interpretation of large volumes of data from multiple sources to monitor, prevent, and control public health emergencies. eHealth Africa provides technological tools and operational support to collect and analyze data from the field, including hard-to-reach communities, to increase the early detection of government-identified priority diseases and the coverage of near real-time case based reporting from communities and health facilities. We design, develop, validate and deploy predictive models to ultimately prevent the outbreak of diseases like Meningitis, Lassa Fever, Measles, Malaria and Cholera.

In 2018, we achieved this through the following projects:

117 Call Center

20000

Total alerts received by the 117 Call Center in 2018

The 117 Call Center is a Sierra Leone Ministry of Health and Sanitation initiative set up in 2012 as part of a wider support system to improve maternal and child health. In 2014, it was scaled-up in response to the Ebola Virus Disease (EVD) outbreak to serve as a tool to document, track and follow-up on suspected EVD cases and deaths. The 117 Call Center Provides an early warning mortality and syndromic surveillance system tool that can detect, prevent and respond to disease outbreaks.

In 2018, eHA upgraded the 117 Call Center software to include new features that support mortality surveillance. We introduced the display of live alerts through the Kibana dashboard at the Public Health National Emergency Operations Center (PHNEOC) and District Health Management Team (DHMT). Data management teams are now able to interact with the dashboard to obtain real-time information from the 117 Call Center system to drive decision-making.

Staff Spotlight

Lilian Admire-Taylor is a Quality Controller and Call Back Operator with the 117 Call Center in our Sierra Leone office.

‘’I am happy to have served eHA in my role as 117 Call Center Operator. The 117 Call Center was the first point of emergency contact during the mudslide disaster in Sierra Leone, all as a result of eHA’s ownership of database software. My own little contributions working with eHA have helped to save lives.’’

Auto-Visual AFP Detection and Reporting (AVADAR)

2000

AFP cases investigated in 2018 across 8 countries

100

True AFP cases confirmed in 2018 across 8 countries

500

Technical issues resolved in 8 countries by eHA field officers

“The AVADAR project has undoubtedly had a positive impact on the population in my area. The AFP alert reception rate has increased substantially in the district and thanks to AVADAR, I have visited many villages in my health area ,that I had never been to in order to confirm AFP cases. The AVADAR training that I received has reinforced my skills as a health agent and will definitely help me in my career”

Mme. Mamane Ouma,
AFP investigator and Head of Magaria Health area,
Niger​ State.

eHealth Africa collaborated with the World Health Organisation (WHO), Novel-T and the ministries of Health (MoH) in eight countries—Cameroon, Chad, Democratic Republic of the Congo (DRC), Liberia, Niger, Nigeria, Sierra Leone, and South Sudan— to implement AVADAR. AVADAR improves the detection, reporting and investigation rates of suspected AFP cases in Nigeria by engaging entire communities to find and report cases of Acute Flaccid Paralysis, the main indicator of polio, using an sms-based mobile app that contains a video showing a child with AFP. These reports are sent to the Disease Surveillance and Notification Officers who investigate and confirm if it is a true AFP case or not.
This year, AVADAR was launched for the first time in three districts of South Sudan. In Cameroon, Chad, DRC and Niger. eHA expanded AVADAR to reach three additional districts each and in Nigeria, Liberia and DRC pilot locations, AVADAR operations were successfully transitioned to the WHO. In countries where AVADAR has not yet been transitioned to WHO, eHA trained and re- trained community informants, provided AVADAR-enabled smartphones and resolved technical issues

Staff Spotlight: Teamwork makes the dream work - Wilson Inalegwu

Wilson Inalegwu is a Technical Assistant Project Manager for the AVADAR project. He planned and oversaw the training of 40 in-country facilitators in Chad, Cameroon, Niger and South Sudan.

“Working with a multilingual and multi-country team taught me the importance of carrying every team member along and establishing clear deliverables and action points. This helped me during my recruitment of the expansion training team. I liaised with eHA department managers to engage their team members with the required skill sets; including multilingual capabilities and prior experience implementing mobile-based application projects”

Staff Spotlight: Leading and Learning from a Diverse Team - Faye Simmonds

Faye Simmonds, a project manager in Sierra Leone, is one of the longest standing members of the AVADAR team. She started as the project manager for AVADAR Sierra Leone and then, led the expansion into Niger. Currently, she has a global coordination role and works with teams in all 8 countries.

“I am proud of how my team has delivered on AVADAR’s objectives and contributed to its success globally. I have watched as our project supervisors and technical officers rose to the challenge of implementing a technically difficult and geographically diverse project across multiple countries. We have continued to learn from one another and from the global AVADAR project teams.
When we encountered problems, we brainstormed together and found resolutions that worked within each country’s context. When we found things that worked well, we shared these ideas with each other to improve the overall capacity of the team. Every one of us has grown professionally and personally throughout the life of the project.”

True AFP Cases

Enabling Active Acute Flaccid Paralysis (AFP) Case- finding in South Sudan

Despite being polio-free for more than two years, South Sudan is still considered to be at risk of a polio outbreak. Jacyline Eluzai is a Payam surveillance officer in the Munuki area of Juba county in South Sudan. A payam is the second-lowest administrative level in South Sudan. Payams are required to have a minimum population of 250,000 and can be divided into bomas, the lowest level. She collects, collates and reports data on cases of priority infectious diseases such as Acute Flaccid Paralysis (AFP), Measles and Dysentery in her locality on a monthly basis. If there are unusual surges in the number of cases of these diseases, Jacyline is expected to notify the World Health Organization and other partners in South Sudan.

AFP surveillance was particularly challenging for her because of the insecurity and high migration rates in the country that weakened the routine immunization system and hindered active AFP case finding. With over 15 bomas in Munuki payam, finding, verifying, reporting and tracking AFP cases using the traditional paper-based methods was time- consuming and tedious. Most months, Jacyline found that she was unable to meet the WHO targets for AFP reporting timeliness and completeness targets. These indicators track the promptness of reporting suspected AFP cases, and the conclusiveness of investigations into reported cases.

“The protracted civil unrest left us with bad road networks and dispersed populations which make it difficult to access certain communities for AFP case finding. As a result, my reports were often incomplete. Even when I am able to visit the communities, I am often unable to track or follow up on previously- reported AFP cases because everything is paper-based”- Jacyline Eluzai

The Auto-Visual AFP (Acute Flaccid Paralysis) Detection And Reporting (AVADAR) project is a technology-driven process of AFP case reporting and investigation project. The project was introduced to South Sudan in May 2018, to ensure improved active tracking, reporting and investigation of suspected AFP cases. AVADAR uses a mobile application with an in-app video in the local language, that describes the physical features of AFP to help community informants to accurately identify cases. The application also has an electronic form to collect and submit the details of any child with suspected AFP. The data is uploaded onto a server which notifies Jacyline and other surveillance officers via SMS, to conduct further investigations.

The results have been remarkable. The community informants actively seek out and report suspected AFP cases in communities throughout Munuki payam, even in areas that Jacyline was previously unable to visit. Once she receives a notification, Jacyline investigates and confirms whether it is, in fact, an AFP case or not. Jacyline coordinates the community informants and together, they organize awareness creation activities to sensitize community members about the signs of AFP and other diseases. “We, in Munuki, meet every week. We have decided to share the work of AVADAR with everyone we know. We have spoken in our churches, at schools, and now people know to come to us when they have concerns about AFP.”

Most importantly, Jacyline is now able to submit complete and timely reports about AFP in her payam. “AVADAR has been really helpful to me. Through AVADAR, I now get accurate data from those communities which I was unable to reach before now. The community informants are so motivated and thanks to the video in the app, they know exactly what to look for.”

Using conventional AFP surveillance methods, Jacyline investigated no more than 12 cases and confirmed only two cases annually. Now, using AVADAR, she has investigated 25 cases and detected one true AFP case in only nine months. In South Sudan, AVADAR has improved the chances of detecting a true AFP case by 43 percent. In addition, the timeliness and completeness indicators of AFP reporting have increased to 95% and 98% respectively. eHA’s commitment to improving Disease Surveillance Systems across Africa is stronger than ever before. We continue to support countries across Africa including South Sudan to improve health outcomes for children using technology.

electronic Integrated Disease Surveillance and Response (eIDSR) System

“Moving to health facility electronic entry freed DSO from data entry responsibilities to focus on reviewing data and ensuring quality. It has also introduced flexibility in our work location on data entry days. We do not have to come to the office for example if the data entry falls on a public holiday, we can monitor data entry for whatever location we are as long as there is internet. Another advantage is is that we can extract our graphs from DHIS 2’’

Sahr Jumu
DSO 1
Western Area Urban

The 2014-2015 Ebola Virus Disease (EVD) outbreak highlighted the need to adopt disease surveillance interventions that ensure timely detection, reporting and data use in order to respond to public health problems in an effective manner. As a result, the Ministry of Health and Sanitation (MoHS), in partnership with WHO, U.S. Centers for Disease Control and Prevention (CDC), eHealth Africa and other partners developed an electronic reporting platform for the IDSR system in the country between 2015 and 2016 to improve the flow of information within health systems and enhanced disease prevention and control through the electronic capture and submission of data on epidemiologically important diseases.
In 2018, to strengthen the quality of the data captured by the system, eHA focused on addressing low weekly reporting rates, low quality of data, poor mobile and internet infrastructure by introducing two new features, data compression and data approval to tackle these recurring problems which can reduce the quality of data and lead to delayed decision making.

Additionally, District Health Management Team (DHMT) staff were trained to conduct facility level eIDSR training. All Integrated Disease Surveillance Response (IDSR) Focal Persons and In-charges in 7 districts (the Western Area Urban, Western Area Rural, Kenema, Bonthe, Moyamba, Kailahun and Kambia) trained to submit weekly IDSR now report electronically.

Health Delivery Systems

Overview

A Health Delivery System is comprised of the people, processes, supplies, and institutions that are needed to deliver quality health care services to those who need them. An effective health delivery system delivers services and interventions using people-focused and data- driven approaches.
eHealth Africa aims to improve the quality and availability of healthcare for underserved populations through data management and logistics support. By supporting integrated research, communications, the design of direct delivery models, and access to high-quality eLearning resources for health workers, eHealth Africa improves the quality and availability of information, supply chains for vital health commodities and services at last mile health facilities.
This year, we implemented the following projects under our health delivery systems focus area:

Community Health Officers Management and Leadership Training Program (CHO-MLTP)

0 %

Districts covered nationwide; CHOs in 2 additional districts are currently undergoing training.

0

Quality Improvement projects on either hypertension or Human Immunodeficiency Virus (HIV) screening were implemented by CHOs

0 %

CHOs graduated to date (29 additional CHOs currently on MLTP training)

0

Health promotion activities implemented on various topics including compost fencing, improving appropriate bed net use in communities.

Capacity building of health workers is a key component to developing and maintaining effective health systems. and this is especially true during a crisis situation such as the Ebola outbreak that exposed Sierra Leone’s weak health system.

The Community Health Officers Management and Leadership Training Program (CHO-MLTP) in Sierra Leone was developed to improve the public health management skills of CHOs to strengthen the existing health system in Sierra Leone at Chiefdom level; capacitate CHOs with basic management principles needed to run an effective health facility and outreach services, emphasize interpersonal communication and engagement with community leaders in order to develop practical and sustainable solutions to longstanding public health challenges.

In 2018, 93% of enrolled CHOs from Cohort 3 and 94% of enrolled CHOs in Cohort 4 successfully graduated after completing the necessary requirements. The program has 6 cohorts for 170 community health officers in all districts in Sierra Leone. Additionally, 82% of key Ministry of Health and Sanitation (MoHS) staff and Njala University Lecturers successfully completed 3 Training of Trainers (ToT) sessions organized by eHA, as part of the transition plan.

“ The CHO MLTP has greatly helped me realize the potential I have to be a better leader and manager in my home, community and work. The training has improved my knowledge and skills in leadership and management in my field of work, which involves supervision, communication and coordination. I can now assess leadership and management gaps in my organization and the institutions I supervise, and work with the teams to solve them by use of quality improvement model. I have also acquired facilitation skills through the Training of Trainers workshops and can confidently and effectively conduct facilitation at training of both higher and lower cadres of staff.
My approach in Community Engagement for better health outcome has changed and I can now organize and conduct better and productive Community Engagement meetings .I believe I am a better leader and manager than before when I did not really put a lot of emphasis on quality improvement of work at all levels in the health system.”

Elizabeth Musa
Principal CHO
Directorate of Primary Health Care, MoHS

Field Epidemiology Training Program (FETP)

0

participants enrolled/graduated in FETP-Intermediate, contributing to 70% of Sierra Leone Global Health Security Agenda goal of 1 epidemiologist per 200,000 population

0 +

urgent investigations of an unusual or unexpected case of disease or death conducted by program trainee/graduate in 2018

10 %

dropout of enrolled participants

1 %

of program graduates/trainees presenting at an International scientific conference

The Workforce Development action package of the Global Health Security Agenda recommends one trained field epidemiologist per 200,000 population. Prior to 2017, Sierra Leone did not meet this requirement nor did the country have the requisite epidemiology infrastructure to study patterns of frequency and the causes and effects of diseases in the population of 7 million. 

eHealth Africa (eHA), partnered with the U.S. Centers for Disease Control (CDC), MoHS and AFENET to implement the Field Epidemiology Training Program (FETP) starting in July 2017. The main objective of FETP is to strengthen Sierra Leone’s public health system by increasing district and national level public health workers’ skills in ensuring quality surveillance, capacity for case/outbreak investigations, data analysis, and making data-informed decisions. 

FETP has implemented 2 training programs, FETP-Frontline & FETP-Intermediate, for key public health professionals involved in disease surveillance and public health emergency response. In 2018, we trained 103 public health professionals in basic field epidemiology, conducting case/outbreak investigations, and data for decision making. 

Additionally, a total of 7 of FETP program participants presented 14 abstracts on epidemiology) at the AFENET Africa Field Epidemiology Conference in Mozambique. These 14 abstracts have now been accepted into Africa Field Epidemiology Network Scientific Conference.

“FETP provides a unique opportunity for participants to build their skills in case or outbreak investigations and response. This program has also helped them in writing scientific reports, developing abstracts, and presenting in national and international conferences.”

Gebrekrystos Gebru
Mentor
FETP

“FETP has helped participants apply skills and knowledge gained and use epidemiological data in decision making.”

Jean Leonard Hakizimana
Mentor
FETP

Geo-Referenced Infrastructure and Demographic Data for Development (GRID3)

100000 +

points of interest across 36 states and FCT

0 +

data collectors trained in mobile data collection using ODK and GeoODK

10000

households enumerated in Kaduna and Lagos microcensuses

The GRID3 project is an offshoot of the mapping of 11 polio high-risk states in Northern Nigeria, that was conducted under the Global Polio Eradication Initiative (GPEI). The project addresses the challenges of paucity of infrastructure and demographic data in Nigeria by collecting accurate and complete geospatial data relevant to a variety of sectors across 25 states and the Federal Capital Territory (FCT) of Nigeria.

eHA trained data collectors in all 25 states and the FCT to collect geospatial data on various points of interest such as settlements, roads, schools and health facilities, using mobile data collection technology. The data was stored on a portal and data managers across the country were trained to use the portal and manage the data. In 2018, eHealth Africa completed the data collection (mapping) phase and launched the second phase of the project in Kaduna and Lagos States.

The aim of the second phase, launched in the states of Kaduna and Lagos, is to support decision makers across Nigeria to use this data to make better and more impactful policy and resource distribution decisions. eHealth Africa conducted a technology and knowledge transfer exercise for staff of the Kaduna State Bureau of Statistics (KDBS) to enable them ingest, manage, visualize and analyze this data. Furthermore, eHA supported the KDBS to utilize the training, tools and data to implement market and health facility surveys and household listing activities.

This year, eHealth Africa supported microcensus activities in Kaduna and Lagos states to update existing population estimates, and supported the creation and validation of operational ward boundaries in Lagos and Enugu states.

Staff Spotlight: Honesty is the best policy- Hannah Inikpi Akubo

The GRID3 project is a system with many organs, which must all work in perfect synergy for the project to be executed in an efficient manner. Hannah Inikpi Akubo is a Coordinator, Project Accountant with our finance team at the eHealth Africa headquarters in Kano. She coordinates the financial operations of the GRID3 project. In Hannah’s opinion, the eHealth Africa value of honesty is demonstrated clearly through the implementation of the GRID3 project.

“Honesty is very crucial in finance. From giving out accurate information to stakeholders, to admitting mistakes and taking steps to correct them and ensuring they do not reoccur. The project’s and the organization’s financial policies and procedures help to ensure accountability and honesty. Personally, working on this project has helped to strengthen my ethical compass.

Points of interest mapped in Nigeria in 2018

Health Facilities
26407
Human Settlements
1705506
Other Health Settlements
0
Business and Economy POIs
0
Other POIs
44248
Health Facilities
Human Settlements
Other Health POIs
Business and Economy POIs
Other POIs
Dec
2017
Jan
2018
Feb
2018
Mar
2018
Apr
2018
May
2018
Jun
2018
Jul
2018
Aug
2018
Sep
2018
Oct
2018
Nov
2018
Dec
2018

Kano Connect

1000

RISS submissions at the state, zone and LGA levels

0

technical issues resolved by the Kano Connect Operations Unit (KCOU)

0

dashboard users consisting of state and LGA level staff of KSPHCMB and partners

Routine Immunization Supportive Supervision (RISS) is a strategy used by the Kano State Primary Health Care Management Board (KSPHCMB) to monitor routine immunization implementation in health facilities across the state and to ensure that standard operating procedures are adhered to. 

In response to the non-use of data collected during RISS exercises and the long lags between reporting and response times to complaints at the health facility, eHealth Africa received funding from the Bill and Melinda Gates Foundation (BMGF) to implement Kano Connect in partnership with KSPHCMB. Along with the above challenges, Kano Connect improves the capacity of frontline health workers to provide quality RI services and improves peer to peer communication between health workers. Armed with ODK- enabled android phones, RISS officers can conduct their activities using electronic forms or checklists in a matter of minutes.The project was transitioned to KSPHCMB in 2016 and currently, eHA provides only technical support. 

In 2018, the focus was on reactivating the RISS GPS tracking system which would enable the android devices to detect the location of the health facilities visited. eHA also supported the update of the health workers directory application. 

This year, eHA and KSPHCMB launched the pilot phase of the eLearning platform with health workers in three local government areas of Kano state. The platform is web and mobile-enabled and is available in multiple languages. Using their Kano Connect Android phones, health workers accessed short online courses, texts, and presentations which helped them better deliver routine immunization (RI) services.  

In a true demonstration of ownership, KSPHCMB included Kano Connect into the routine immunization workplan and budget for 2019.

Enhancing Communication and Information Management for effective Health Service Delivery

In a health system, the delivery of health services to patients involves several different individuals who need to share data and information as quickly as possible. Therefore, the availability of communication platforms and technologies for managing data and information sharing and decision making across various levels and cadres, is essential for any system to function efficiently and achieve its objectives.

In 2014, eHealth Africa launched “Kano Connect”, an mHealth platform, to support the Routine Immunization (RI) program in Kano State and trained over 1400 community health workers in Kano state to send Routine Immunization Supportive Supervision reports using electronic forms and to use the dashboard for decision making. Using the features of the platform, health workers can access the contact details of any staff and communicate for free within a closed user group, allowing for prompt reporting, effective management and supervision of health services delivery by health workers in Kano state. Shamsudeen Mohammed was a deputy cold chain officer (CCO) at Gabasawa local government area (LGA) of Kano State. His major task was to support the collation of vaccine stock data from all the health facilities in the LGA and to maintain up-to-date records of vaccines available at the LGA cold store. He was also responsible for ensuring that vaccines and dry goods were made available to the health facilities  across all the wards in his LGA.

In 2016, when eHealth Africa handed over the project to the Kano State Primary Health Care Management Board (KSPHCMB), he was selected along with four other staff as part of the Kano Connect Operations Unit (KCOU), which would be responsible for managing the platform post-transition.

“Before I was introduced to the Kano Connect platform, I had always done my work using paper- based forms. I had to learn how to use the android phones I was given to enter and submit my data. After the project was handed over, I was nominated to be a part of the Kano Connect Operations Unit. I was worried because I had very minimal knowledge about using a computer and the tasks seemed very complex—like work that only computer engineers could do” Shamsudeen.

eHealth Africa trained and mentored Shamsudeen and other pioneer members of the KCOU to manage the day-to-day operations of the platform including tasks such as dashboard management, collation of summary reports from dashboards, conducting electronic surveys, contact directory update, and data management through form hub, for a period of six months.

After his training, Shamsudeen was able to manage the day to day operations of the platform by ensuring Routine Immunization Supportive Supervision reports are sent on time by across the three administrative levels (State, Zone, and LGA).

Since he has access to the back- end of the dashboard, Shamsudeen is able to see reports before any other user. If he observes that supervision is not done at the right health facility, he obtains the contact details of the appropriate health worker and escalates the issue to the State Supportive Coordinator (SCC). This ensures that timeliness of RISS report. 

Shamsudeen describes the experience so far as empowering and is thankful for the skills he has gained. “I have gained so much knowledge and experience on this project. When I execute tasks now, sometimes, I marvel at how far I have come. I am now able to execute with ease, the same tasks that I once saw as complex.”

Following the success of the platform with RI and testimonies like Shamsudeen’s, eHealth Africa is currently working with Kano State Primary Health Care Management Board ( KSPHCMB) to expand Kano Connect to include other programs such as Nutrition and Maternal and Child Health, and to create similar platforms for health systems in other states in Nigeria.

Lake Chad Mapping and Microplanning Support

1000

points of interest collected in Cameroon, Chad and Niger 

The Lake Chad Mapping and Microplanning support project was funded by the Bill and Melinda Gates Foundation (BMGF) to provide the governments, partners and other stakeholders in the Lake Chad Basin with complete and accurate geographic data—including GIS coordinates, target population demographic information, settlements and other relevant points of interest—to support polio eradication efforts in 24 priority districts across Chad, Cameroon and Niger.

In 2018, eHealth Africa mapped Noukou and Ntiona regions of Chad and conducted an island settlement validation exercise to update the geodatabase. This validation and harmonization exercise identified various categories of island settlements, chronically missed settlements as well as settlements missed due to insecurity. With this information, the Chadian Ministry of Health (MoH) and other partners planned special interventions targeted at those settlements. eHA also held a capacity building workshop for stakeholders, task team consultants, the Ministry of Health and the WHO in Chad to ensure that they were able to produce and interpret maps, and navigate to various settlements during vaccination campaigns. Data managers were also trained to use Open Source GIS desktop tools. These efforts led to a significant reduction in the number of missed settlements after each campaign round.

Logistics Management Information System (LoMIS) Suite

100

Kano State health workers in the RI and Pharmaceutical program areas trained to use the LoMIS Stock application

100

health facilities reporting with LoMIS Stock

100

dashboard users

1000

deliveries to facilities in Bauchi and Sokoto states with LoMIS Deliver

10

SPHCDA staff trained to use the LoMIS Deliver dashboard

LoMIS Suite is a package of offline-capable mobile and web applications, LoMIS Stock and LoMIS Deliver. The products represent eHealth Africa’s efforts to strengthen accountability and visibility in vaccine management. LoMIS Stock facilitates upstream stock accountability by supporting health workers to submit vaccine stock and cold chain equipment status reports instantly using their mobile devices. The data from LoMIS Stock is used by supervisors to plan and schedule vaccines and other commodities to restock health facilities. LoMIS Deliver automates the process of paper-based vaccine ledger entry aiding drivers and health delivery officers to capture the quantity of vaccines on- hand at the health facilities and the quantity of vaccines delivered. LoMIS Suite enables efficient operations and provides decision makers with accurate, near real-time data to enable them make evidence based decisions that improve their supply chain strategy.

In 2018, eHealth Africa upgraded the LoMIS Deliver application and dashboard to include features such as packing/ drop-off lists, mapping and analytics. The upgrade improved functionality and user interaction, and reduced downtime on the app and dashboard. eHA trained staff of Sokoto State Primary Health Care Development Agency (SPHCDA) to use the LoMIS Deliver dashboard for monitoring deliveries.
This year, LoMIS Stock was scaled up to all administrative levels of the Vaccine supply chain in Kano state. The usage of LoMIS Stock in Kano State was expanded from being used to manage logistics and information for just Routine Immunization to Pharmaceuticals and Essential Drugs as well. To address the challenges of network and data issues which hindered some facilities from sending their reports in a timely basis, eHealth Africa piloted the USSD feature with staff of the Pharmaceutical department at the Kano State Primary Health Care Management Board. This new feature allowed health workers to send reports using a USSD short code if an internet connection or mobile data was unavailable.

Vaccine Direct Delivery (VDD) - LoMIS Deliver in Action

1000000

deliveries to facilities in Bauchi and Sokoto states with LoMIS deliver

1000000

dry goods delivered in 2018   

1000000

children under the age of 1 reached with life-saving vaccines

100

facilities reached in Bauchi and Sokoto States

eHealth Africa, through the Vaccine Direct Delivery (VDD) project, supports the state primary healthcare development agencies to achieve zero vaccine stockout rates by delivering potent vaccines and dry goods in correct doses from the state cold stores to health facilities at the ward level, in a timely manner. In addition, VDD ensures accountability by providing governments with accurate, near real- time visibility of immunization commodities in transit.
Using LoMIS Deliver, VDD eliminates the data errors associated with paper- based data collection and ledger entry by automating the process of determining what quantities of vaccines to pick up from the cold store and deliver to the health facilities.

As a result of the effective third party logistics operations, In 2018, the Vaccine Direct Delivery (VDD) project was expanded to cover all 284 health facilities in Bauchi state. In addition, eHealth Africa was contracted by the Sokoto State Primary Health Care Development Agency (SPHCDA) to deliver vaccines to an additional 38 facilities.

Staff Spotlight: Perpetuating the Cycle of Impact and Quality- Dauda Samaila Apust

Dauda Samaila Apust is a Project Coordinator in Sokoto and coordinates all the bi- weekly VDD activities in 247 primary health facilities across 23 local government areas across the State.

“I have learnt to always have a back-up plan not just for work but in life, generally. I can’t just wait for things to happen. I ensure that I print emergency delivery forms and schedules in case the LoMIS Deliver server is down and the HDOs are unable to access the delivery schedules. I visit the Central Medical Store regularly and once I notice that any vaccine is below threshold stock, I report immediately so that it doesn’t cause problems later. I am proud that the vaccine stock out rate in Sokoto state has dropped significantly.”

Adequate vaccines and timely delivery to my facility

Abdulhamid B. Bello is the officer in charge of routine immunization (RI) in Bayan Fada town dispensary in Bauchi state. The dispensary provides health services to about 160 people and handles an average of 12 vaccinations every day. Abdulhamid ensures that the needed vaccines are readily available and properly managed and that every child who visits the dispensary is vaccinated.

Previously, the practice was for Abdulhamid to make the 6-kilometer trip from Bayan Fada to the cold store at Bauchi LGA headquarters twice a week, to pick up the vaccines. Since his dispensary had a functional cold chain system, he was also tasked with redistributing some of the vaccines to cascade facilities within his ward, that did not possess their own cold chain facilities. Apart from the extra cost of transportation (almost N3,200 every month) which he incurred, several manhours were frequently lost waiting to collect the vaccines.

“Bayan Fada is 15 minutes from the LGA cold store, which commences operations at 9 am. The cold store staff takes at least 45 to 50 minutes to prepare records and double check the stock before attending to anyone. No matter when I get there, I have to wait the same amount of time before I can get the vaccines.”- Abdulhamid Bello

Sometimes, he would be unable to get certain vaccines and this affected RI sessions not just at his facility but at the cascade facilities which depended on his supply for their own sessions. In such cases, he would need to visit the cold store again.

“I used to spend between two to three hours going to the cold store and waiting to get vaccines. It was quite frustrating because I could have spent that time attending to patients at the dispensary.”

In 2016, the Bauchi State government engaged eHealth Africa to implement a biweekly push system called Vaccine Direct Delivery (VDD) in 136 facilities. The delivery process is well planned and scheduled so that the cold store staff and Abdulhamid know exactly when the vaccines will be picked up and delivered. eHA’s health delivery officers deliver the vaccines in quantities sufficient for the RI sessions at Bayan Fada dispensary and its cascade facilities.

“The eHealth Africa delivery staff always arrive at my facility on time and count the stock balance before making the delivery. Since VDD started, we have had an adequate supply of vaccines and deliveries are done in a timely manner. I am happy because I am confident that every child who is brought to my facility will be vaccinated”

This completely eliminates the hours spent to collect vaccines as well as the added transportation cost. More importantly, VDD ensures that vaccines are never out of stock at the dispensary, a feat necessary to increase the immunization coverage and reduce the chances of partially immunized or unimmunized children in Bauchi state.

The success recorded by VDD has been remarkable and this year, the Bauchi state government expanded the push system to reach an additional 148 health facilities in the state. Since its inception, VDD has delivered 13,050,132 antigens to facilities in Bauchi state; translating to the immunization of 6,920,427 children. The Vaccine Direct Delivery project is an example of how eHA develops context- specific, data-driven solutions to challenges in logistics and health service delivery in Nigeria.

Vaccinator Tracking System (VTS)/ Immunization Plus Days (IPD) Tracking

100

Tracked IPDs in these LGAs in 2018

100

machine-named settlements verified

1

Supplementary Immunization activities in 2018—National Immunization Plus Days (NIPDs), sub- national Immunization Plus Campaigns and Polio Outbreak responses.

VTS was developed by the Polio Eradication Initiative partners with the support of NovelT and eHealth Africa to ensure that eligible children in every settlement in Nigeria are vaccinated. VTS uses an Android-based mobile tracking application to collect passive tracks of vaccination teams, upload the track to the dashboard and provide Polio eradication partners with a visual representation of the daily geo-coverage and missed settlements during Immunization Plus Days (IPDs).
In this way, VTS improves the accountability of vaccinators and provides the government with near real-time data to aid prompt decision making to ensure full coverage of the settlements.
In 2018, eHA provided tracking support for the Immunization Plus Days and Polio Outbreak Response activities in Adamawa, Borno, Ebonyi, Gombe, Jigawa, Yobe, and Sokoto states. eHA also trained partners and staff of relevant government ministries, department and agencies to use Open Street Map for navigating to machine-named settlements. In addition, the VTS team conducted a physical validation of missed machine-named settlements . One of the highlights of the year was the identification of a settlement in Sokoto State that had been in existence for over 20 years but had never been visited by vaccination teams.

Staff Spotlight: Collaborating to Develop Innovative Solutions- Mustapha Hadi Mustapha

Mustapha Hadi Mustapha a member of the VTS team who has led teams in over 20 states to identify and rename machine-named hamlets and has had to develop innovative ways to solve problems in his work.

“My most significant contribution to my team and my department came is my transformational leadership style. I’m considered a blue-sky thinker and I like to promote this way of thinking with my team. I spend time working closely with my team inspiring them, encouraging effective communication/information sharing, and creating a comfortable environment, This helps my team members to ask the right questions and then we can solve problems.”

Identifying missed settlements and reaching missed children with the Vaccinator Tracking System

One of the strategies outlined in the 2018 Nigeria Polio Eradication Plan is to enhance the quality of supplementary immunization activities (SIAs) such as the Immunization Plus Days (IPDs) and Outbreak Responses (OBR) in prioritized vulnerable areas. Out of Nigeria’s 774 local government areas (LGAs), the National Emergency Operations Center identified and selected 115 local government areas across 26 states including Sokoto State to receive special attention and focus.

As the Incident Manager of Sokoto State, Dr. Abdulrahman Ahmad is the driver of all state activities relating to disease surveillance. He plans and manages campaigns and disease outbreak responses. He also coordinates the activities of stakeholders in relation to financing, requesting for vaccines and supportive supervision of response activities.
A constant challenge which often perplexed him was the consistent low coverage rates in certain LGAs in spite of the immunization activities conducted in the state. Follow- up monitoring activities often revealed a significant number of missed children who did not receive the polio vaccine. The occurrence of missed children poses a great threat to herd immunity and makes the state vulnerable to polio outbreaks in the future.

As part of the effort to halt the transmission of the poliovirus across the country, the National Emergency Operation Centre (NEOC) planned a robust outbreak response (OBR) in June 2018 and requested eHealth Africa to support the OBR by tracking 5 states including Sokoto State.

eHealth Africa through the Vaccinator Tracking System (VTS) helps the immunization coordination teams at every level to gain insight into what actually takes place at the wards, communities, and settlements during immunization campaigns.
For the duration of the campaign, VTS gave every vaccinator, a software- encoded phone which tracked, recorded and stored the coordinates of every location visited by the vaccinators. eHA also deployed project field officers to each local government area, to handle any technical difficulties and to ensure that the data from the phones were uploaded to a dashboard. At the daily evening review meetings, eHA shows how much progress has been made (in terms of coverage)—breaking it down to local government, ward and if necessary, settlement levels.

“During the Polio Outbreak Response II in June this year, the VTS team did a wonderful job of tracking and renaming missed settlements in Sokoto state. Looking at the impact and the importance of the application used for the exercise, it was agreed at the EOC that the VTS team should make the application available to other state and LGA staff to enable them to use it to track missed settlements in their domains.” -Dr. Abdulrahman Ahmad MBBS, MPH, PHD

At the end of the campaign, 28 missed settlements were identified. Furthermore, VTS supported Sokoto state to identify and rename 15 settlements fully- inhabited settlements with eligible children. Tungar Labbo in Sabon Birni ward of Kware LGA was one of such identified settlements. It had been in existence for over twenty years and had never been visited by immunization teams.

For Dr. Abdulrahman Ahmad, the jinx had been broken. The reason for the persistent low coverage rates has been discovered.
“When we discovered the unnamed settlements, I was completely shocked. At first, I didn’t believe it. I could now understand why our coverage rates were always low and why we always had missed children”.
The discovery completely transformed their coverage rates. Armed with this information, the IM was able to include Tungar Labbo and the 14 other settlements into the outbreak response microplan. The immunization geo-coverage rate for Sokoto state increased from 76% to 83 % between January 2018 and May 2018.

The impact of VTS has been tremendous and not surprisingly, the Sokoto EOC decided that VTS should support the state to track missed settlements in other LGAs in Sokoto State.

Just like in the case of Sokoto state, the VTS project continues to provide decision-makers and health workers with reliable data for better planning and health delivery.

Laboratory & Diagnostic Systems

Overview

To respond appropriately to public health events, effective laboratory and diagnostic systems must be in place. Laboratory & diagnostic systems are composed of infrastructure, qualified people and the standardized processes interacting simultaneously to identify and classify pathogens and potential health threats from both human and environmental samples.
We build and operate effective laboratories, and develop tools and technologies needed for labs to collect and analyze data,and ultimately disseminate information to stakeholders. We participate in public health laboratory research and aim to increase access to timely and quality diagnostic services for providers of maternal and child health. In 2018, we operated managed two laboratories under this focus area:

eHA-IFAIN Kano Laboratory

0 %

Sensitivity

0 %

specificity of HemeChip when compared with the gold standard High-performance Liquid Chromatography (HPLC) test

0

research study participants enrolled in the clinical trial

eHealth Africa has been collaborating with Case Western Reserve University, HemexHealth Inc., and University of Nebraska Medical Center to reduce turnaround time for genotype screening and to increase access to sickle cell screening in Africa.
This year, the clinical trial phase of HemeChip, a point-of-care screening device for children with sickle cell disease, was completed. HemeChip allows Sickle Cell Disease to be diagnosed in children as early as 6 weeks old rather than at 6 months, as with current screening devices.

In addition, eHA and its partners won the Vodafone Wireless Initiative Project prize for SMART (Sickle and Malaria Accurate Remote Testing). SMART is designed to diagnose, track and monitor sickle cell disease and malaria in low resource settings

Sokoto Meningitis Laboratory

100

samples processed by the Sokoto Lab in 2018

0

positive samples confirmed

1- 0

days to process CSF Culture results

The Sokoto Mobile Meningitis lab is at the forefront of laboratory diagnosis of meningitis in the Sokoto- Kebbi- Zamfara tristate area of Northern Nigeria. It was conceived in response to the 2016 Meningitis outbreak in partnership with the International Foundation Against Infectious Diseases in Nigeria (IFAIN), the Sokoto State Ministry of Health, Nigeria Center for Disease Control and Prevention and the World Health Organization (WHO). The lab supports the isolation and diagnosis of cerebrospinal meningitis-causing organisms from biological samples collected from all three states.

Apart from the management of the facility and the coordination of laboratory operations, eHealth Africa transports samples under optimal, aseptic conditions from health facilities across local government areas in Sokoto state. In 2018, eHealth Africa supported the training of medical officers to address the knowledge gaps in proper techniques of sample collection including lumbar puncture, aseptic blood collection, and media inoculation techniques. eHA also supported the Epidemiological unit to conduct active case finding and surveillance across Sokoto state

Increasing efficiency in Laboratory Stock and Inventory Management

Purchasing and inventory management is a crucial and essential component of quality management in a laboratory system. Managing inventory in the lab can be a challenging task. It remains one of the single most effective ways to reduce costs and improve productivity, although it can be easily forgotten. As a Project Coordinator at the International Foundation against Infectious Diseases in Nigeria (IFAIN), Dr. Theresa Ajose, is aware of the disruptive effect of poor laboratory purchasing and inventory management in the execution of public health research programs.
Many laboratories manage their lab inventory data first on paper forms before transferring to a spreadsheet. This method duplicates efforts and leads to several errors. More importantly, labs lose valuable man-hours that could be spent on actual laboratory research procedures.

“We have a large network of labs and managing their stock levels is a huge task. Paper forms and spreadsheets could not help me capture all the information and track records efficiently. Apart from frequently monitoring the availability of supplies and reagents in stock, we need to monitor their expiration dates. You cannot do this effectively using paper records”

Another problem associated with paper-based inventory management is that it does not support continuous information tracking. In 2017, eHealth Africa presented Odoo, an enterprise resource planning system for effective and efficient laboratory inventory management, to IFAIN. This system completely eliminates the paper-based system by allowing the monitoring of stock levels in real-time. eHealth Africa deployed the application, trained project coordinators and lab staff to use Odoo and developed a user guide to facilitate the adoption of the application. eHA also provides regular technical support to users if they encounter any challenges.

The introduction of Odoo completely changed inventory management at IFAIN. Requisition for laboratory consumables became easier and more coordinated because the inventory manager can determine reagent and stock levels in only a few minutes. IFAIN is better able to monitor the use and storage of reagents and supplies to prevent wastage or damage.

“Odoo has really improved our inventory management; we are now able to maintain more detailed and useful records of all incoming and outgoing supplies across all our labs. High-quality reagents are obtained at an appropriate cost because there are no longer unplanned purchases.”

Using Odoo, IFAIN has been able to drop the number of unplanned purchases and this has positively impacted on their use of funds. Efficient and cost-effective laboratory operations require the uninterrupted availability of reagents, supplies, and services. An inability to test, even for a short time, could negatively affect the results of any research.

eHealth Africa is passionate about improving data management especially in the field of Laboratory and diagnostics, one of our focus areas.

Public Health Emergency Management Systems

Overview

Under the Public Health Emergency Management Systems focus area, eHealth Africa works with stakeholders to prepare for and respond to potential and active public health emergencies such as Ebola, Polio and many others, in order to eliminate or lessen their negative impact on populations by designing context-appropriate technologies and smarter operations.
eHA provides infrastructure and human capacity support to improve governments’ abilities to detect, investigate and mount rapid, coordinated responses to public health threats even in the most remote and hard to reach areas.
This year, we executed the following projects under this focus area:

Emergency Management and Preparedness

Lassa Fever Simulation Exercise

0

participants from Ministry of Health and Sanitation; Office of National Security (ONS); Ministry of Agriculture; Public Health National Emergency Operation Center(PHNEOC) and Environmental Protection Agency (EPA)
participated in the simulation exercise

Cholera simulation exercise

0

health workers participated in Cholera simulation in the Kambia District

Foundational Incident Management Systems training

0

health care workers from 14 districts were trained on Incident Management Systems

Meningitis tabletop simulation exercise

0

participants in the Meningitis Simulation

PHEM 101- Operations and Management training

0

health workers such as District Surveillance Officers (DSO); Laboratory Technicians; and Districts Social Mobilization Coordinators (DSMC) were trained.

The objective of the Emergency Management and Preparedness Project (EMP) is to increase the ability of the Sierra Leone Ministry of Health and Sanitation to prepare, prevent and adequately respond to current and future outbreak of diseases. It is focused on training of MoHS personnel on emergency preparedness and management processes to enhance their capacity to prepare and respond to public health-related treats.
In 2018, the EMP project supported 3 simulation exercises and 2 training in 5 districts where representatives were drawn from all 14 administrative districts in Sierra Leone. In total, we trained a total of 196 emergency response team members from different Ministries Department and Agencies (Ministry of Health and Sanitation, Ministry of Agriculture, Office of National Security and Environment Protection Agency) in Cholera and meningitis simulation exercises, Foundational Incident Management Systems, Operations and Management across the country. All districts in Sierra Leone now have trained EOC Focal persons that can readily respond to public health emergencies.

“Initially, we responded to emergencies in silos and it created lots of misunderstanding and misinformation to the ministry and partners. After going through the training on public health emergency management, we have seen the benefits of the Incident Management System which is used to manage incidents in any circumstance; be it small or large and can also accommodate any partner that may have a stake in the response.’’ 

Sahr Gbandeh,
PHNEOC Operations Coordinator, Sierra Leone

Field Tracking Systems

0

health districts covered

0

data collectors trained in mobile data collection using ODK and GeoODK

10000

settlements covered

0

vaccination campaigns supported

52%- 52 %

Vaccination coverage increase

The Field Tracking System (FTS) is a web-based tracking system for monitoring and tracking special activities such as Island Polio vaccination campaigns in Chad. The system collects and provides comprehensive data about geographic settlements, population estimates, settlement coverage and the activities of field vaccinators during the campaign period leading to improved planning and vaccination team distribution, based on more accurate geographic settlement and population estimates.
This year, eHealth Africa deployed FTS for the first time in both island and mainland settlements in two districts, Bol & Mani, and provided data management and analysis support for the areas covered.
eHealth Africa also provided capacity building support on the use of digital tools for field tracking to WHO Chad field vaccinators, heads of health areas, government and staff through training programs.

Polio Emergency Operations Center (PEOC)

The Polio Emergency Operations Centers (PEOCs) are government-led initiatives aimed at improving data and information sharing and real time, joint program planning, implementation, monitoring and evaluation for improved public health management. eHealth Africa received funding from the Bill and Melinda Gates Foundation (BMGF) in 2012 to build and manage eight polio EOCs including a national EOC and state EOCs in Bauchi, Borno, Kaduna, Kano, Katsina, Sokoto and Yobe.

In line with the Global Health Security Agenda (GHSA) which aims to close the gaps in disease prevention, detection and response, eHealth Africa provided operational support to the EOCs across Nigeria as they planned and executed supplementary immunization activities (SIAs) aimed at reaching children with vaccines and halting the transmission of the poliovirus. The activities at the EOC ensure that polio eradication partners come together and work with the state government to improve the immunization coverage and to resolve challenges in immunization service delivery within their states. This has resulted in the elimination of resource wastage and duplication of efforts.

This year, the state PEOCs received commendation letters from the National Primary Health Care Development Agency (NPHCDA) and its state- level counterparts for their improvements in program implementation quality, accountability, effective partner coordination, and the use of innovative management tools. In addition, the Sokoto State team received the World Health Organization (WHO) National Award for Dedication and Innovation for the Sokoto PEOC’s determination to eradicate polio in spite of the security challenges in the state.

“On behalf of the partners, we wanted to thank you profusely for your leadership and organization of today’s very successful mid-year review. We greatly appreciate the amazing work you and your team have been doing in support of polio and RI and the progress is truly commendable. We also understand how much work these reviews are. From the Seattle side, I can assure you that Mr. Gates was super impressed with Bauchi’s tremendous progress in just over a year. We look forward to continuing to work closely with you on the action points and priority areas for the remainder of 2018.”

-Violaine Mitchell,
Deputy Director, Programs and Partnerships Vaccine Delivery,
Global Development, BMGF.

Nutrition & Food Security Systems

Overview

Farming and animal rearing are the main forms of livelihood in Africa but the continent is still the most affected by food insecurity. Food insecurity is one of the underlying causes of malnutrition, and is itself caused by two chronic factors—Poverty and Population growth, two conditions which are prevalent in Africa.

Most initiatives targeted at alleviating food insecurity focus on increasing access to high yield seeds, affordable fertilizers and mechanized equipment, but this can only go so far. eHealth Africa’s holistic approach involves the provision of data- driven, technological tools for every level of the value chain—producer, processor and consumer—to improve the quality and availability of food for vulnerable populations such as women, children and internally displaced people. We strengthen the supply chains and provide storage facilities for emergency nutrition commodities to internally displaced people in security- challenged locations. We also design, develop, validate, and deploy information tools to inform decision making for nutrition programs.

This year, we executed the following projects under this focus area:

Household and Individual Dietary Diversification survey/ GIZ Survey

0

 enumerators and supervisors trained

0

households and individuals assessed in the survey

0

States in Nigeria which Nutrition calendars were developed for 

The Household and Individual Dietary Diversification Survey was a follow- up to the Competitive African Rice Initiative (CARI) and Sustainable Smallholder Agri-business (SSAB) projects implemented by the German Corporation for International Cooperation GmbH (GIZ), which provided support and training to local rice and cocoa smallholder farmers in several states across Nigeria.
The nine-month survey was designed to gather data to measure significant changes in household and individual diets among beneficiary farmers of both projects between the baseline and the endline for phase one, in Cross River, Jigawa, Kebbi, Kogi, Niger and Ondo states. The survey also provided insight into the nutritional adequacy of their diets and their economic capacity to access a variety of foods.

eHealth Africa developed digital data collection tools such as ODK forms and trained enumerators and supervisors to collect data from 600 households for improved data quality and accurate reporting. eHealth Africa also provided remote monitoring and coordination of field teams as many of the enumerators were inexperienced with mobile data collection tools. In addition, eHA conducted a comprehensive analysis of the collected data and developed a nutrition calendar for each state.

“We are very impressed with the quality of work delivered and we would be glad to recommend you to other teams within GIZ”

Anna Thinius,
M&E Advisor, Competitive African Rice Initiative, GIZ

World Food Programme Warehouses & Third Party Monitoring

0

food distribution sites monitored on a monthly basis

0 +

focus group discussions conducted with male and female beneficiaries in Adamawa, Yobe and Borno states to assess level of satisfaction with WFP’s assistance and distribution process

100 +

distribution-point exit interviews conducted in Adamawa, Yobe and Borno states to assess level of satisfaction with WFP’s assistance and their experiences at the food distribution point

100 +

households sampled in the beneficiary outcome monitoring survey

10

beneficiaries of WFP participated in the Food security outcome monitoring survey

1000000

packages of food handled at the WFP warehouse in Kano

1000000

people provided meals in Northeast Nigeria through the WFP warehouses

The World Food Programme warehouses are an essential part of the WFP supply chain to alleviate food insecurity within Nigeria by providing food relief to vulnerable populations in North East Nigeria. eHealth Africa supports the WFP to make good, quality food available to internally- displaced persons by receiving, storing and dispatching food and non- food commodities in a timely manner to cooperating partners such as Care International, Danish Refugee Council and INTERSOS for distribution. This year, eHA set up and managed the operations of the Gunduwawa warehouse in Kano and the Ngala warehouse in Borno State. Later this year, eHA expanded the Ngala warehouse by an additional 1,600 square meters. eHA also commenced the construction of the Rann warehouse in Borno state, Nigeria.
This year, eHealth Africa also provided onsite third- party monitoring (TPM) of WFP humanitarian interventions and assistance in a total of nine LGAs in Adamawa, Borno and Yobe states to provide an in-depth understanding of the food and cash aid distribution processes in volatile environments for evidence-based decision making and improved humanitarian services in the Northeast
Using ODK-enabled android phones, eHA conducted qualitative and quantitative data collection activities such as focus group discussions, distribution-point exit interviews and household level surveys in the three states to assess beneficiary satisfaction with the WFP’s assistance and distribution process, and progress towards food security outcomes. Despite the ongoing insurgency in the three states, eHA’s field monitors were able to achieve 100% monitoring coverage of all food/cash distribution points in Geidam, Yunusari and Yusufari LGA, Yobe in November and December

Metric Tons of food stored in 2018

156,545

In January

16,029

In February

22,942

In March

13,918

In April

19,696

In May

16,094

In June

12,465

In July

8,477

In August

2,352

In September

14,603

In October

18,097

In November

10,039

In December

1,833

Our Solutions

Overview

We respond to local needs and provide underserved communities with the tools to lead healthier lives through the integration of information, technology, and operations. This strategic advantage allows us to deliver specialized services in Geographic Information Systems (GIS) and Infrastructure and to develop solutions that allow efficient, real- time data capturing and management.

Infrastructure

Our team of highly qualified engineers, field staff and project managers follow international best practices to design, build, renovate and maintain diverse sites and facilities across Africa. Reliable infrastructure is the backbone for any successful health project and field support is vital to build and maintain such systems.

National Primary Health Care Development Agency (NPHCDA) and Borno Ministry of Health Renovations

10

NPHCDA staff participated in the technical know-how/ product knowledge training

0

new office workspaces created for the HMIS staff in Borno state

This year, eHealth Africa renovated the administrative blocks and upgraded the IT facilities of three zonal NPHCDA offices in Bauchi, Kano and Minna. eHA also installed solar power systems in the zonal offices, thus putting an end to power outages. eHealth Africa also renovated the Borno State Ministry of Health (MoH) offices and provided the staff of the Health Management Information System (HMIS) department with new computers to enhance their work. Relevant staff were trained to configure, use and maintain the IT equipment.
These renovations were carried out to make the work environments at NPHCDA and the Borno MOH more conducive, to boost staff productivity and to ensure that the NPHCDA and Borno MoH meet their set objectives .

“I wish to really appreciate eHealth Africa for carrying out the renovation, furnishing and the IT facility upgrade of our new Zonal office at Na’ibawa in Kano. The transformation of our working environment will definitely improve our work performance. I salute the various workers engaged by eHA who tolerated the difficulties we encountered during the course of the renovation. Great outcome achieved at the end.”

Dr. Adamu Nuhu,
Director, North-West Zone, NPHCDA

Logistics Sector,Nigeria- Borno Warehouses

0

humanitarian organizations served by the Ngala and Rann warehouses in 2018

200000

units of commodities handled by the Ngala and Rann warehouses in 2018

Humanitarian organizations and agencies face a major obstacle in the execution of relief activities in Nigeria: the lack of logistics capacity. To address this challenge, Logistics Sector, Nigeria provides free storage space for non- food items and other dry commodities to all humanitarian organizations in Nigeria.

This year, eHealth Africa commenced and completed the construction of the Logistics Sector warehouses in Ngala and Rann in Borno State. Later in the year, eHA expanded the capacity of the Ngala warehouse by an additional 240 square meters, to accommodate more commodities. eHealth Africa also managed the receipt, storage and dispatch operations of the warehouses using software provided by the Logistics Sector.

Aether: Effortless data collection and curation

Whether controlling disease outbreaks, containing natural disasters, planning vaccine stocks or integrating disease surveillance systems, health organizations need to easily collect, curate, and share relevant information. While the importance of data exchange is widely acknowledged in the public health sector, its implementation is not always easy to achieve. Information management systems can rarely “speak the same language”, and are therefore often unable to accurately and quickly share information.
At eHA, this problem was undermining our ability to scale ehealth solutions and capitalize on the work we had done in the past.

Committed to our value of innovative problem solving, we decided to find a solution to an issue that not only we faced, but that had long been a challenge to the development and deployment of many healthcare systems worldwide.

In 2018 we launched Aether, an ambitious project to create a framework for the development of ehealth solutions. Aether is an open source software platform that facilitates developers’ work and ensures that ehealth products are built with the highest standards for interoperability, security, and privacy.

Staff Spotlight: Adam Butler, Technical Team Manager

“Re-implementing Gather on the Aether platform has given us access to a whole world of possible functionality and integrations “for free”, and has transformed it into a uniquely powerful solution for large scale data collection“

About Aether

Aether for Healthsite.io

Aether is also central to our collaboration on The Global Healthsites Mapping project (Healthsites) to build a global commons of health facility data. The Healthsites project aims to improve outcomes in the medical and humanitarian sectors by establishing an accessible global baseline of health facility data.
One of the main barriers to easily accessible and accurate health facility data is a lack of interoperability between different information management systems, which is why Healthsites is using eHA’s Aether platform to facilitate information sharing and allow for a large-scale exchange of data between numerous organizations.

Staff Spotlight: Developing solutions with Passion- Nuratu Abdullahi

Nuratu Abdullahi is a Senior Manager in Software and Solutions Development with our Global Health Informatics team. She establishes and guides the selection, prioritization, balancing and termination processes for the software and solutions development team’s project portfolio to ensure alignment with wider organizational strategy.

“My work at eHA reflects my values and I am always passionate about it because it is making a positive difference in underserved communities. I am not perfect but knowing that I am contributing, in some way, to expanding access to necessary health interventions especially for children, motivates me to do better and to ensure that my team develops quality solutions. I keep this in mind as I mentor, lead, and collaborate with colleagues to meet organizational objectives.“

This Year at eHA

Awards

CornBot

Out of 225 applications from countries all over the world, eHealth Africa’s entry, CornBot scaled through four stages and emerged as one of the six winners of the Fall Armyworm Tech Prize. The FAW Tech Prize sought for timely, context-specific entries that would enable smallholder farmers to identify, treat and track the incidence of Fall Armyworm in Africa.

CornBot won the Fall Armyworm Tech Prize Frontier Innovation Award and US $50,000 prize money for its human-centered design, easy-to-use app interface and comprehensive FAW identification system for farmers.

This year, eHealth Africa and its partners, Case Western Reserve University, Hemex Health and the University of Nebraska Medical Center, won the Vodafone Wireless Initiative Project Prize for SMART (Sickle and Malaria Accurate Remote Testing). SMART is designed to diagnose, track and monitor sickle cell disease and malaria in low resource settings.

Sickle and Malaria Accurate Remote Testing (SMART)

This year, eHealth Africa and its partners, Case Western Reserve University, Hemex Health and the University of Nebraska Medical Center, won the Vodafone Wireless Initiative Project Prize for SMART (Sickle and Malaria Accurate Remote Testing). SMART is designed to diagnose, track and monitor sickle cell disease and malaria in low resource settings.

Our Partners

Addis Clinic

Bayero University, Kano

Bill and Melinda Gates Foundation (BMGF)

Center for International Earth Science Information Network, Columbia University

CDC Foundation

Clinton Health Access Initiative (CHAI)

CoLab Innovation Hub

College of Medicine and Allied Health Sciences (COMAHS)

Concern Worldwide

Department for International Development (DFID)

Deutsche Gesellschaft für Internationale Zusammenarbeit (GIZ)

Emory University

Federal Ministry of Health, Nigeria

Flowminder Foundation

Focus 1000 Foundation for Innovative New Diagnostics (THINKMD/FIND)

GFA Consulting Group

ICAP

Intellectual Ventures/Global Good

International Foundation Against Infectious Diseases in Nigeria (IFAIN)

John Snow International (JSI)

Kaduna State Government

Kaduna State Bureau of Statistics

Kaduna State Budget and Planning Commission

Logistics Sector Nigeria

National Population Commission (NPC)

National Primary Health Care Development Agency

Nigeria Center for Disease Control and Prevention (NCDC)

Novel-T

Regional Disease Surveillance Systems Enhancement (REDISSE)

Restless Development

Sierra Leone Ministry of Health and Sanitation

SightSavers International

Solina Group

State Ministries of Health (SMOHs)

State Primary Health Care Management Boards (Bauchi, Kano, Sokoto states)

Statistics Sierra Leone

University of California, Los Angeles

University of Nebraska Medical Center (UNMC)

United Nations Population Fund (UNFPA)

U.S. Centers for Disease Control and Prevention, Sierra Leone

Washington State University (WSU)

World Food Programme (WFP)

World Health Organization (WHO)

World Hope International

World Bank Group