Benin was VaxTrac’s first implementation and remains VaxTrac’s largest project to date. VaxTrac began working in Benin in 2012, with pilot funding from the Bill & Melinda Gates Foundation (BMGF) to launch the first iteration of a netbook-based vaccine management system in two coastal, semi-urban Health Zones, Allada and Porto-Novo, covering approximately 30 public health facilities. In 2013, with additional funding from BMGF VaxTrac was able to scale up the project and implement the project in the health zones of Allada-Ze-Toffo (AZT) and Porto Novo-Aguegues-Seme Kpodji (PAS). In 2015, VaxTrac added an additional health zone, Djougou-Copargo-Ouake (DCO), and all three zones are now running the latest tablet based version of the VaxTrac system in 99 health facilities and over 160 health workers trained. By using an electronic vaccine registry system, we reduced the average submission time for a recorded vaccine dose from the clinic to the central level HMIS from about two months using a paper based system to less than a week with VaxTrac. We’re getting better data more quickly to people who need it.
The Vial to Child Project was launched in Nepal in 2014 with joint support from UNICEF, WHO, and the Nepal Ministry of Health and Population. VaxTrac is currently working in two districts, Dadeldhura in the Far Western Hills, and Nawalparasi in the Western Terai, covering a total of just over 60 various types of health centers from rural health posts to a sub-regional hospital.We have conducted information mapping activities adapting parts of the data demand and use toolkit from MEASURE Evaluation to identify how data is collected, stored, analyzed, reported on, and used at each level of the health system. This process has helped us build consensus with stakeholders as well as understand opportunities for VaxTrac to add value in creating automated reporting and aggregation of clinic-based records. In addition, we have begun to develop an online dashboard for decision-makers to have access to clinic and district data on a monthly basis to make informed and timely decisions. We will be collecting feedback from our stakeholders in the coming months to understand how to improve program implementation from different perspectives.
Sierra Leone is VaxTrac newest implementation. Working hand-in-hand with VaxTrac and the Child Health Division at the Ministry of Health and Sanitation, eHealth Africa will support the initial project design and implementation in 50 urban health facilities in Freetown. The first round of facilities launched the system in early November 2016 and the pilot phase will run through May 2017. We have begun our monitoring and evaluation activities in collaboration with eHA. We have collected needs assessment information to gain a better understanding of the context of the public health units where VaxTrac will be implemented, identify similarities and differences in pilot sites, and prepare for training. We have also begun to co-create a logic model that reflects our shared goals for the project and defines short-, medium-, and long-term outcomes for project implementation.