Improving public health delivery in northern Nigeria using open source technologies

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Improving public health delivery in northern Nigeria using open source technologies
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that the to Kidman everyone my name
is Danny and today I want talk to us about how e-Health Africa has been using open source technologies to improve public health delivery in northern Nigeria so fast that I'm just say on you know it's so good to be here in the midst of a very bright people In using open source technologies to do great things says that we did very brave background all from what he held Africa and doors as an organization so the of Africa and we II technology based on non governmental organization and our main mission is to improve on have delivery systems on in areas that are hard to reach and and underserved communities and we did this on by partnering with all the non-governmental organizations on the governance of 2 the deploy technology to help in the implementation of public health initiatives and we've been doing this now for well over 5 years in Nigeria and in the last few years we started working in all the time African countries on which is serially of Guinea come on Liberia so this is just the amount of data shows on by the overview of Nigeria and the different states in Nigeria where we work and then it is added different states to the states clothing gradient at this stage where we work on in other West African countries so in delivering health initiatives 1 of the main things that we've been working on will walk in and doing work about these people you I'm in your fuzzy and neural and you the polio William and it is this is OK great so I'll give us a brief background just to give us some context of of what's on the URI so a colleague of mine was on In the FOSS for g in Asia and last year and I gave a very detailed representation of all what we've been doing with poor you and the boiler in the West Africa and so audio is if filed disease and it's mainly affects young children so it would be very in simple you these are cute fluffy practices which of course is on power people to them and children to be comparable on whether there is only 1 out of 200 children that that get infected people you know to get paralyzed but are still a number which means did is this needs to be eradicated so that people can children can have held the lights are on and let strategy to eradicate polio is on increasing immunization on all of you do that and then deploying immunization plus days to this is a sure of that my children get vaccinated and the way we do it is is simply to increase the dual graph the call for each of on during those immunization plus these and this is where the technology and constant and this is where we'll be using geospatial technology to to support these initiatives because so and then major feature of northern Nigeria is that the geographic area is very wide and is very sparsely distributed so you have a very very small hamlets in you know in the logic area which are very very widely distributed and also the other thing is it's very very difficult to to find these areas so they called the hard to reach areas so and if we don't know where these places are under a lot of children this so how do we find it and how do we know vaccinating so this is where we've been doing in the last few years and the good thing about how this has worked out is on so this year the WHO declared Nigeria a diploma in Nigeria to be non endemic and what this means is that we've not seen a case of or you fall over a year and then we're going to continue doing this work on you know for the next few years to make sure that use continue on completely eradicated and in Nigeria and better to get to this stage so it was gender and you know it's a journey that has been going on between us and the friend and use working together and the playing technologies to to make this happen and so what I'm going to do today is I won't go into too much of details and is where I'm going to focus on relative wrote the open source component of the technologies we've deployed and after played during these old process and I would just give us a few examples of different case studies of different programs I on different projects that will be working on on the program so the 1st is we talked about you know a wide on geographic area and technology it's is not useful without data because to do this sort of what we need data so the 1st thing we did was to start collecting data from about the different areas so this just shows us the different and levels of data we've been collecting cross another Nigeria so we've collected or administrative boundaries we've collected points of interest on you know as I have facilities and we've collected meat-eating says wrote and then we've done this and fall over 5 kilometres of roads and currently and so this is the architecture that we've deployed to of mine each our our data so n we run our operations on proprietary software and but then we need to share the data we need to and use all the open source technologies you know for example we use some open-source tools for things and so we need to expose the data true different web services and so that because of that we have deployed a Highbury technology and so what we've done here is to the expert is the data from our home Microsoft's across several Tuesday and expose it to post race and then we've deployed map server and choose server on top of clothes trees and we used the time you years to enable way of editing on on the prosperous and what we then do is we use on custom visualization tools
like cattle DB to create and cost on way bumps on you consuming web services from our choose server and maps several platform and we've also deployed EC can on on top LOD use several amounts of to consume of web services and and the which is if which eventually helps us to share the data we order organizations because we need to collaborate and share data to achieve a common goal and this just shows our and open source architecture in which we currently use so we to basic work and and some geospatial operations on q GIS and then we stopped the data on POS GIS and we the have visited as a from those jails is using a custom on of mobile applications and then we show that data on using our c can I borrow so well you can see here is so a lot of times we send people to the field to collect data on the mobile applications how this data from a database and also synchronize data on back to our database and right into decide to do these and you know why we we we had we had the proprietary software which is working really well so why move tool consists in the 1st thing that that that we needed to do when we started thinking of on the problems they had was we wanted to do at the end goal of every project that we work on is to transfer that technology come to the government to continue to manage and and that that helps the project to be sustainable so if you think about of you know the data that we have and the team that we have the works on the data you know it's it's an expensive tend to try to maintain on the proprietary software so we we decided to stop moving over to open source and as well at our 1st strategy was to deploy on a hybrid technology to transport everything that we have from proprietary software and to open source so our that that we've been doing also is building capacity so we for example we we just we signed the memorandum of understanding with different universities on in northern Nigeria to train them using geospatial technologies and even our staff we also deploy training images which technologies so reducing the licensees we have an uniform proprietary software helps release of friends to train more personnel and in geospatial technology so we reduce the cost of licensing and then deployed out for capacity development and you know and also like I mentioned before we always need to integrate them data and software we all and open source technology so it makes sense to move from proprietary software and to open source technology and the so to well then and so this is an example of that that upload 0 on that we built based on the C can technology and our web application that is built on open layers so this web application uses tiny with over the years to enable way editing and you know talks to our map server and use several to addressed 1st on the data sets so the the in talking about sperm are open did I cannot talk about open data and we mentioning the OpenStreetMap platform so while we started doing is because of their lot as its news to use I'm opened it always that it brings a lot of I did on the OpenStreetMap platform and we've been able to do this for all kinds of cut are so good to suffer and biology states in northern Nigeria and so based on these we build custom applications that concerned there are built from our web services and also from Our OpenStreetMap platform and and in the new next fall in the next slides language to be showing us some use cases all of the different projects that we've been doing some work on these so the 1st I wanna talk about is Volvox interleaved free projects so I was just thinking about you know polio an increasing coverage and and then you know the routine immunization to vaccinate children so the 1st thing is you need to ensure that delivery of oxins right because if people go to the health facilities and they don't give oxins so they'll be no vaccination and then disease continues so but the time and then use we're dealing we're working in areas that are really hard to reach so the 1st question is how do you get from point a to point B and then the next question is how do you efficiently gets from point a the 2 point B and then you know the next question then is you know while we efficiently carrier from point a to point B which is to reduce stockpiles all of these VOCs and in the health facilities to make sure there some always available in and where we did where there Belarus to you would it cost and brought in application and um so we used a strategy called for a 1st in 1st out which means we deploy drivers to go straight to the last facility and then deliver up to the nearest facility and the reason we do that is because so think all vaccines ranting that makes them and delivery vaccines you know to critical is because of temperature so we need to ensure appropriate temperature for for the fuck seems to sub the units of the input states so we do that and the way we do that is we start by time you know customize allows songs on routing and you know in Q GIS so we define zones in Institute GIS and then we did you we build a custom from Rupp batch rotten application using the or siren and you know so so we've done is to a siren to enable from multiples stalled for bar-chart if you've used word that is there anyone here that has used always are before so if you use the word Sarah before you know it is only just use use directional from point a 2 . be body not case we are delivering C over 1 thousand on health facilities I we have to do these every month so which means you need to ensure that the flux you know go to the right facility
that the shutters Roberts and
so and then you know can't figure out the multiple stops for the drivers to build
so we we we we it cost and so on we open words platform that enables drivers you know he gives the optimal rods from multiple fossil it is you know from point a to point B 2 point C and what I I wouldn't 2 so when drivers when we give drivers on these directions for them to go to the there's went that we don't have the power to do which is to 1st and to take the rights and you know Rauss that we've described for them so why we then do is which means we need to measure the driver behavior so what we then do this to use person and and mobile applications to measure the Geralts and taken by each driver so that we we analyze these 2 on the standard driver behavior and see how they are responding to the directions we've given you know and it is also helps us to form increase accountability because then they know that they have been measured and then they try to and follow the right from which means VOCs and think it's the leverage of of the rights and time because they're taking the right from on and this is just an interface of the costume of of the a serum which we've customize from the back end and so on my colleague easier candidate is going to be talking more about our routing on this afternoon so if you're interested in knowing you know most of that we've been trained on routing in detail you can on Portuguese presentation on so talking about vaccine delivery you know we've talked about the getting from point a to point B side of things when adapting that
we then need to do is we always need to call the drivers and a new drivers always need to call the health facility workers under operated coaching the equipment before they delivered evokes and and so we went good this is and in Nigeria there are more than that will provide a study that we have 100 per cent coverage which is not true for the Arduino you this coverage in different health facilities because on the APC KPI is that we need to meet and we need to know that and the people like these health facilities before going to deliver on complex students and also we also ran projects or other projects to support on health intervention and so we have on on the platform whereby we deployed forms to different health workers in different health facilities to bull and easy communication between health workers on on diet call User Group Network on which means we need to look give the inference that can connect to each other but you and in this to be done in a cost-effective manner so the title and then is hard you know what networks to give to on these of health workers you know and then I'm also also in this house fast it is people then take information the that take information from about different diseases that are you know that they're recording in the house fossil this is on this concept of of disease surveillance activities which means you know it's very important to understand the telecommunications natural at different help facilities so well we've done is to employ a passive data collection mechanisms and so we did play on an application called on crisis signals and to collect information about the telecommunications signals at different help facilities on distance that is then passed on to some our PostScript instance it's synchronize from the crisis signal and database which is also built on POS GIS we use or so Jeltz on FAME sometimes and to synchronize from up and the crisis signal directories to our own POS that are based on which then build some cost processes using FME and to process this data and this is then saved into our own web GIS platform on them with they use cuts DB we customize cuts D B 2 harvest and these huge is seen as a foreign policy and to create custom visualizations that show the telecommunications signals at different felt facilities so these 2 maps and just show you on the different help facilities that we've measured for on different network providers and you can see you know in our urban centers here for example we've seen that we have very good natural wanting that is as help those 2 and realizes you in especially the right areas to understand how to perform run talks in those areas and then we're going to play mechanisms to boost the natural to support activities and so in terms of moving forward and I mentioned that we do our work mainly on proprietary software you know our internal processes so what we've just better working on now is to migrate all our all operational activities from custom software to the open source platform and trust me this looks really simple board it's not affected the so currently operate on inversion editing environment I GIS staff capacity is over 20 so over 20 people work on you know on different areas in different parts of the country so 1 thing that we do in this operation is to defined geographic areas when creating replicas for users so 1 of the things that we've been working on is to deploy on it in acute has version employed in there has been built by our ausland here and so this has not been in various modes process but we are getting there but and I think my colleague from more slender is over there at about so what we're working on these and so 1 of the things that we're trying to build their work and are currently used to do D branch in aspects of the
plugin and we're working on that resource land to improve on that operation and then we can start of version environment in open source and that and I would think then being working on you know apart from our version in environment is to improve how we share data and closing in the health sector there is and a lot of sensitive data so what we're doing is in a way that applying the OpenStreetMap about from to mine each sensitive data and then we're using that to synchronized and the free data that we have back to the OpenStreetMap love from using all spouses so that's it so I think I have maybe when we need so who has the 1st question the haven't and that variable and the of the and you so uh sorry the delivery service so uh you said that you will use the mobile application right in so that was the end of the small would be so the end users so these mobile applications our our drivers so what if the driver he doesn't think that's right for them I mean how can reinforcement him to so they had so this is done so the drivers our stuff right and we are working toward the common goal and so when these we have very responsables powder that understand the big picture so like the UN prior mentioned area so the domain is not mainly about the technology so we've got to understand here that the main thing we're trying to do is these saving lives right on the technology is just a means to that end so 1 thing that is always helpful in these cases is to make sure that you know everyone that works you know in this sort of thing understand that if anyone doesn't understand and and they shouldn't be doing what we do right the yes any other questions divided the so use have a capacity of 20 to do this migration work uh maneuvers started but how long How much longer this kind of property so it open on migration into different faces right so we conclude that the 1st phase by and I was last month and the 1st phase was to make sure that spatial lights and was working for the offline check and the next phase is to make sure that things like branching on and on and then the jury to graphic user interface is welcome figure that is aimed to be completed by mid-November I think and then we aimed for migration by around on December January and then we aim full operation by March next so sorry is hunting for another question tha is the so there was a question them thank you for the presentation and I was redundant and if you're looking into your capacities in this technology is and 11 individuals themselves to get which you prepared to data in that such as road and maritime like that advance have children so that make use of a that's possibility going that can have about the same time but in musician in a way that is that there is a path of the correct picture from wikipedia that KIT into this is yeah so in terms of working with the communities and yes we do that and you're not going to me if you've wrapped in the rural area before the work-energy communities is an ongoing process in so for example right now we're epic communities and the you did come out and some of them reports these things you know 2 rows and you know and then we keep and mobile applications in such a way that they have very user friendly and easy for lookup people to use because 1 main thing that we do is to make sure that is local content and in everything we do and recently moved does read you really so nose you know for use in our mom or our platform and these are being translated to a house a language which is the language of the Northern Nigeria so the answer to your question is yes we are working on that and we will continue to work thank you very much that the


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