2014 © eHealth Africa, All Rights Reserved.

Direct Vaccine Delivery

at your Doorstep

Presentation Title; Direct Vaccine Delivery at your DoorstepPROJECT TITLE; Kano Vaccine Direct Delivery

Background & Insights

1

The Kano State Primary Health Care Management Board launched an initiative to ensure

routine immunization at points of services in all wards in kano by stability supply, inspiring

confidence in the system , and building demand for routine immunization

Increase Ward Storage Capacity

Streamline Supply Chain

Routinize Deliveries

Rationalize Allocations

Bi-weekly top up

GIS Support to provide logistics support through mapping and batch routing for 328

facilities in 300 wards in 30 LGAs in Kano State to ensure routine immunizations at the

points of service

Presentation Title; Direct Vaccine Delivery at your Doorstep PROJECT TITLE; Kano Vaccine Direct Delivery

Strategy and Considerations

2

OSM: OSM base map and OSRM was used for the routing

Scheduling: EOC serves as the start point, routing was based on proximity and

FIFO, which is used to determine cluster and drops for a particular date within a

time zone (9am-11am,11am-1pm,1pm-3pm) to be delivered by a driver.

Routing: It is based on proximity of health facilities to each other using road

network

Historical Data: There are no historical data on roads hence the travel time was

pegged at 60km/h to count for traffic jam, bad roads, check points, rain, etc.

Cascade maps: These are maps that shows parent and child facilities, service &

coverage areas, supply method and frequency.

Drivers Training: Drivers were trained on use of mobile apps for routing and

data collection. (osmand, GPS Essentials, My tracks, Google Maps)

Presentation Title; Direct Vaccine Delivery at your Doorstep PROJECT TITLE; Kano Vaccine Direct Delivery

Apps & Trainings

3

Google Maps

OsmAnd

My TracksGPS Essentials

Presentation Title; Direct Vaccine Delivery at your Doorstep PROJECT TITLE; Kano Vaccine Direct Delivery

OSM & OSRM

4

http://map.project-osrm.org/

https://www.openstreetmap.org/#map=19/12.00426/8.54537

Presentation Title; Direct Vaccine Delivery at your Doorstep PROJECT TITLE; Kano Vaccine Direct Delivery

QGIS; Cluster; Drops; Time Zone

5

.

https://docs.google.com/a/ehealthnigeria.org/spreadsheets/d/198o-vBBx1CJ45uzynhDqhmCiGOPRFWE6cz6BSEDOiio/edit#gid=1200386844

Presentation Title; Direct Vaccine Delivery at your Doorstep PROJECT TITLE; Kano Vaccine Direct Delivery

Cascade Mapping

6

Analysis of the Cascade Network in practice• 80% of DDF are informal stores to CF, a third of which are in wards other than their own

• 32% of CF lie in wards other than their DDF Parent’s ward

• 90% of CF fall beyond a 2km radial service zone of its parent and 70% fall beyond a 4km radial delivery zone

Presentation Title; Direct Vaccine Delivery at your Doorstep PROJECT TITLE; Kano Vaccine Direct Delivery

Accomplishments, Challenges & Prospects

7

Accomplishments

98% Delivery Success Rate

Over 2000 Deliveries over 13 rounds

Over 192 wards visited

Decreased in incidence of stocked out antigens

Challenges

No real time data on traffic

Poor road Infrastructure such as wash away bridge

Insufficient supplementary data on road Infrastructure

Multi batching routing

No zonal cold store for each zone

Prospects

Multi Day Deployments

Batch Routing on GUI

Updated data on road and its associated data

Presentation Title; Direct Vaccine Delivery at your Doorstep PROJECT TITLE; Kano Vaccine Direct Delivery

Web GIS applications of eHealth Africa

8

This web GIS applications (browser) can be used for:• URL: http://gis.ehealthafrica.org:8081/eHealth/ehaloc/

• View data updated monthly by the GIS Team at eHealth Africa

• Search by Nigerian Territory (State, LGA, Ward)

• Share map to others as a link (zoom, layers activated)

• Launch simple OSRM routing process for a specific area anywhere in Nigeria:

Presentation Title; Direct Vaccine Delivery at your Doorstep PROJECT TITLE; Kano Vaccine Direct Delivery

Acknowledgements

Web LinksWikiProject Nigeria: http://wiki.openstreetmap.org/wiki/WikiProject_Nigeria

OSM Nigeria on Facebook: https://www.facebook.com/openstreetmapnigeria?ref_type=bookmark

OSM Nigeria on Twitter: http://twitter.com/openstreetmapNG

OSM Nigeria on Google: https://plus.google.com/111950932706827998068

learning OSM: https://github.com/hotosm/learnosm/wiki/English-Learning-Guides

learning QGIS: http://qgis-tutorials.mangomap.com/

9

Thankyou

Presentation Title; Direct Vaccine Delivery at your Doorstep PROJECT TITLE; Kano Vaccine Direct Delivery

Discussions, Comments and Questions, etc.

10