Publications by authors named "David Akpan"
Background: In 2021, Nigeria developed a novel Electronic Management of Immunization Data (EMID) system to address COVID-19 data management challenges and ensure the successful implementation of its COVID-19 vaccine deployment plan. The EMID system was envisioned to be interoperable with the DHIS2 national data management system and serve as a gateway into the integration of other primary health care (PHC) service data management. However, the EMID system faced challenges, including inability to filter reports, missing or loss of data, and difficulties with data synchronization, which curtailed its potential to meet the country's needs for COVID-19 data management and negatively impacted system scalability to enable integration with other PHC data systems.
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- Vaccine stockouts in Africa, particularly Nigeria, impact vaccination rates and health outcomes, prompting the introduction of the Vaccine Direct Delivery (VDD) program utilizing eHealth technology to address this issue.
- The study analyzed the operational costs of the VDD program, finding it cost USD10,555 monthly over 42 months, which resulted in an incremental cost of USD20.6 to vaccinate one additional child.
- The VDD program demonstrated a significant reduction in stockouts (over 55%), indicating it is a cost-effective method for improving vaccination coverage in low-income regions, yet further studies are necessary to explore cost minimization strategies.