Nigeria uses GRID3 data in its push to vaccinate its population against COVID-19
In Nigeria, the National Primary Healthcare Development Agency (NPHCDA) was charged with implementing the country’s COVID-19 vaccination mandate through the coordination of mass vaccination campaigns. At first, the agency’s vaccination efforts focused on the entire country when vaccines became available. However these efforts shifted in early 2021 to nine priority states (Adamawa, Benue, Borno, Ekiti, Kwara, Niger, Osun, Plateau, and Yobe) after the agency noticed low vaccination rates in these areas.
To understand why there was low vaccine uptake and the effect of COVID-19 vaccines, NPHCDA partnered with Center for Disease Control Nigeria (CDC Nigeria). This institution conducted national studies between July and August 2021. The findings revealed a lack of confidence in vaccines and issues around access to vaccination services as major reasons.
Using this information, CDC Nigeria, with the support of African Field Epidemiology Network (AFENET) and Sydani, began helping NPHCDA in late 2021 to increase COVID-19 vaccination rates in priority states. These organisations supported NPHCDA by overseeing the collection and analysis of vaccination-related data.
Aware of GRID3’s previous support of mass COVID-19 vaccination campaign, NPHCDA began discussions with GRID3 again between November and December 2021 to determine additional ways of using geospatial data to support the country’s planning of campaigns in states with low vaccine uptake.
In response, GRID3 made an openly available ‘Optimisation for COVID-19 Mass Vaccination Campaign Sites in Nigeria’ dashboard that enables users to easily visualise GRID3 data (such as population estimates, settlements, and existing health centre locations). It also visualises the placement of potential new vaccination sites (using a site placement optimisation algorithm by GRID3 partner Flowminder).
The ‘Optimisation for COVID-19 Mass Vaccination Campaign Sites in Nigeria’ dashboard displays GRID3 data on settlements extents (in orange), boundaries, settlement locations (in red), and population (these appear as counts/numbers within the settlement extents labeled in orange). The dashboard also visualises potential locations for new vaccination sites (buffers in blue). To learn how to use the dashboard to support COVID-19 vaccination efforts, please read this guidance note.
Integrating GRID3 data into vaccination plans
In early 2022, the dashboard was presented by NPHCDA at a COVID-19 Strategy Group meeting where international organisations with country offices in Nigeria, such as CDC Nigeria, were in attendance. Dr. Hadley Ikwe, a Senior Immunisation Specialist at CDC Nigeria, saw the value of the dashboard. He noticed how GRID3 population estimates could be used to prioritise efforts within daily implementation plans (DIPs, a series of documents produced and used by health staff each day to determine where they plan to cover and how many vaccines they should try to administer). With this purpose in mind, Dr. Hadley spent time familiarising himself with the dashboard and then he, with support from AFENET and Sydani, met with state/Local Government Area Immunisation managers and COVID-19 vaccination teams to train them on how to use the tool within their vaccination planning process.
‘The dashboard made it very easy to visualize, use and understand the data even though I am not a GIS expert. I was able to intuitively make vaccination planning-related decisions from it,’
explains Dr. Hadley.
Then, on 04 March 2022, immunisation managers and vaccination teams began integrating the tool into their decision making. Using the dashboard, they were able to prioritise areas with the highest population estimates. Health facility staff used this information to determine how many vaccination teams to assign to various geographical locations. For example, areas with larger population numbers were sent bigger vaccination teams to ensure maximum vaccination coverage.
The impact on vaccination coverage
Since the introduction of the GRID3 dashboard into the DIPs at the beginning of March 2022, six of the nine states (Adamawa, Kwara, Osun, Plateau, Ekiti, and Yobe States) have exceeded the national target vaccination rate of 70% vaccination rate, set by NPHCDA.
For example, in Adamawa and Kwara States, the number of vaccines administered nearly tripled:
Dr. Hadley and NPHCDA believe GRID3 data were critical to the daily vaccination planning process:
Dr. Hadley Ikwe
Before March 2022, vaccination teams were deployed to sites based on very broad assumptions around need by program managers. However, after the introduction of geospatial data and GIS-based tools, we saw weekly vaccination rates more than double across states, with teams sustaining and surpassing daily vaccination targets of 60 people per day. The GRID3 data and dashboard made it easier to understand where access to health services may be low for a high percentage of eligible populations and better supervise teams. We line-listed these areas and prioritized them during campus and market storms. As a result, we have been conducting additional GIS training for other program managers.
Senior immunisation specialist at CDC Nigeria
The dashboard is user-friendly, self-explanatory, and requires no prior GIS experience to interpret and use. The teams [CDC Nigeria, AFENET, GRID3, and others] did an excellent job in putting together all the information required to enable vaccinations teams to plan better.
Delivery Unit, Office of the Executive Director, NPHCDA
GRID3 is proud to support NPHCDA’s efforts to improve health service delivery in Nigeria. Since March 2022, GRID3 has continued to provide technical assistance around the deployment of its dashboard for the country’s mass COVID-19 vaccination campaigns.