Figures & Tables
Figures
- FIGURE 1
Four Key Phases of the Electronic Management of Immunization Data System Optimization Process
- FIGURE 2
Map of Selected States in Nigeria Where In-Person Interviews Were Conducted During the Requirements Gathering Phase
- FIGURE 3
Electronic Management of Immunization Data System Baseline Architecture
Abbreviations: API, application programming interface; SMS, short message service.
- FIGURE 4
Electronic Management of Immunization Data System Redesigned Architecture
Abbreviations: API, application programming interface; EMID, Electronic Management of Immunization Data; LMIS, logistics management information system.
Tables
- TABLE 1.
Electronic Management of Immunization Data System Virtual Interview Respondents Disaggregation
Stratification Target Total Persons Interviewed National At least 1 key contact personnel from the 4 partner organizations: (eHealth 4 Everyone, Nigerian National Primary Healthcare Development Agency, Health Information Systems Program, and Electronic Management of Immunization Data app developers) 8 Zonal 6 Nigerian National Primary Healthcare Development Agency personnel per zone 36 State 1–2 state designated officers 40 Local government area 2 local government area officers per state and 2 recorders
76 Total 160 - TABLE 2.
Electronic Management of Immunization Data System In-Person Interview Respondent Disaggregation
No.
(n=59)
Location Urban 19 Rural 13 Hard-to-reach 4 User type Recorder Other facilities 31 Supersite 13 Electronic Management of Immunization Data system focal person State 6 Local government area 5 National 4 Baseline Findings Gap Identified Electronic Management of Immunization Data Mobile Application Data synchronization issues and missing data on EMID application. Existence of a proxy server between the EMID mobile application and DHIS2 server created an extra layer therefore slowing down the synchronization process and impairing the functionality of the EMID application. SMS functionality for online registration was not functioning. Hard-coded components of EMID system were out of date. Existing hard code did not allow modification and integration of new features. Poor user interface and experience. Functionality of the database was not conducive to a productive workflow and users became frustrated with the system. PubReg Updates on the PubReg were carried out on directly on the database. This made updating the platform difficult and time consuming. PubReg was enabled to only perform single registration for individual vaccinations. There was no option for users to create bulk/group vaccination registrations to cater for multiple registrations by corporate organizations. No user account interface. Client information and/or vaccination schedules could not be edited/changed once registered on the platform. PubReg and verification portals were maintained as separate platforms. The existence of these parallel systems resulted in data duplication. Verification Portal Updates on the verification portal were carried out on the backend. Updating the platform is difficult and time-consuming. Low level of security. There was a need to better authenticate accounts. Abbreviations: EMID, Electronic Management of Immunization Data; PubReg, Public Registration; SMS, short message service.
- TABLE 4.
Health Workers Trained on the Optimized Electronic Management of Immunization Data System
Trainee cadre Kano Oyo Bebeji Kano Municipal Ibadan Southwest Egbeda Health workers 48 52 63 100 State officers 26 20
