TRANSFORMING VACCINE AVAILABILITY THROUGH REAL-TIME LAST-MILE VISIBILITY: A SYSTEMS APPROACH TO STRENGTHENING STOCK DATA IN NIGERIAN PHC FACILITIES
Author(s)
Maruchi Wotogbe, MSc.1, Olamide Akintibubo, MBA, MSPH2, Ofem Obeten, MBBCH, MPH1, Omofome Ikogho, MBBS, MPH3, Osi Kufor, MPH1, Precious Chukwuma, BSc1, Jedidiah Dada, BSc4, Olugbemisola W. SAMUEL, PhD5;
1Development Delivery Partners Inc., FCT, Abuja, Nigeria, 2Development Delivery Partners Inc., Boston+, MA, USA, 3Development Delivery Partners Inc., Ottawa, ON, Canada, 4Development Delivery Partners Inc., FCT Abuja, Nigeria, 5Development Delivery Partners; Miva Open University, Faculty of Public Health, FCT, Abuja, Nigeria
1Development Delivery Partners Inc., FCT, Abuja, Nigeria, 2Development Delivery Partners Inc., Boston+, MA, USA, 3Development Delivery Partners Inc., Ottawa, ON, Canada, 4Development Delivery Partners Inc., FCT Abuja, Nigeria, 5Development Delivery Partners; Miva Open University, Faculty of Public Health, FCT, Abuja, Nigeria
OBJECTIVES: The study evaluates the practicability and effectiveness of employing a real-time vaccine stock reporting system in all Nigeria health facilities, focusing on unifying existing digital platforms, interoperability and evidence-based supply-chain decision-making.
METHODS: This ongoing study funded by the Gates Foundation used integrated and contextually tailored approaches. A rapid diagnostic of digital readiness was conducted at the facility and national levels. The DHIS2 and OpenLMIS platforms were reviewed at the national level to evaluate their flexibility for timely last-mile vaccine stock-reporting and appropriateness for scale-up. At the facility level, 807 health facilities provided with cold-chain equipment across three piloted states of Ogun, Bayelsa, and Jigawa were assessed for the availability and usability of reporting structures. Capacity building was conducted for 1,498 logisticians at different levels in the 3 piloted-states on digital reporting workflows, data quality assurance, system integration points, dashboard use, and adoption of facility-level mentorship. Coordinated feedback loops were established with key stakeholders, mainly to align intervention with national vaccine resupply and cold-chain management processes. An evaluation of interventions implemented will be conducted to assess outcomes and effectiveness in 2026 Q1.
RESULTS: Although, an impact evaluation will be conducted in 2026 Q1, findings from the assessments have informed the development and upgrade of an integrated digital reporting and analytics platform, including a unified indicator reference guide and a color-coded visualization scheme to enhance stock monitoring and decision-making. The unified indicators and user-friendly last mile visibility dashboard will improve data consistency and strengthen the ability of key actors to interpret trends and initiate timely resupply actions. While the real-time visibility will enable quicker detection of stock-outs and expedited redistribution, reducing the frequency and duration of vaccine unavailability.
CONCLUSIONS: Addressing vaccine stock reporting issues in Nigeria PHC system requires the deployment of integrated effort for effectiveness and sustainable impacts.
METHODS: This ongoing study funded by the Gates Foundation used integrated and contextually tailored approaches. A rapid diagnostic of digital readiness was conducted at the facility and national levels. The DHIS2 and OpenLMIS platforms were reviewed at the national level to evaluate their flexibility for timely last-mile vaccine stock-reporting and appropriateness for scale-up. At the facility level, 807 health facilities provided with cold-chain equipment across three piloted states of Ogun, Bayelsa, and Jigawa were assessed for the availability and usability of reporting structures. Capacity building was conducted for 1,498 logisticians at different levels in the 3 piloted-states on digital reporting workflows, data quality assurance, system integration points, dashboard use, and adoption of facility-level mentorship. Coordinated feedback loops were established with key stakeholders, mainly to align intervention with national vaccine resupply and cold-chain management processes. An evaluation of interventions implemented will be conducted to assess outcomes and effectiveness in 2026 Q1.
RESULTS: Although, an impact evaluation will be conducted in 2026 Q1, findings from the assessments have informed the development and upgrade of an integrated digital reporting and analytics platform, including a unified indicator reference guide and a color-coded visualization scheme to enhance stock monitoring and decision-making. The unified indicators and user-friendly last mile visibility dashboard will improve data consistency and strengthen the ability of key actors to interpret trends and initiate timely resupply actions. While the real-time visibility will enable quicker detection of stock-outs and expedited redistribution, reducing the frequency and duration of vaccine unavailability.
CONCLUSIONS: Addressing vaccine stock reporting issues in Nigeria PHC system requires the deployment of integrated effort for effectiveness and sustainable impacts.
Conference/Value in Health Info
2026-05, ISPOR 2026, Philadelphia, PA, USA
Value in Health, Volume 29, Issue S6
Code
HTA32
Topic
Health Technology Assessment
Topic Subcategory
Decision & Deliberative Processes, Systems & Structure
Disease
No Additional Disease & Conditions/Specialized Treatment Areas, STA: Vaccines