My vaccine specific experience in Nigeria (2014-2021) include the following:
• Supported integration of immunization services with surveillance systems for diseases like TB, HIV and Malaria in Northern Nigeria
• Coordinated the introduction of new vaccines and all activities related to Polio Eradication Initiatives at all levels of the state and ensured all key stakeholders were brought on board timely.
• Successfully procured and distributed Solar Direct Drive (SDD) cold chain equipment to all the essential health facilities across 23 LGAs in a Northern State of Nigeria
• Assisted the Local Government Areas (LGAs) to develop quality work-plans and monitor timely implementation of planned activities on primary health care systems with special focus on Vaccine Preventable Diseases (VPDs)
• Supported the development of training plans and assisted in the Facilitation of State and LGA level trainings for the polio eradication initiative with routine immunization, mass immunization outreaches and Supplementary Immunization Activities (SIAs).
• Raised awareness and developed targeted messages among communities on the need for vaccination of infants and children and general importance of timely vaccination to prevent Vaccine Preventable Diseases (VPDs).
• Provided technical assistance in the management of Adverse Events (AEs) following Immunization and participated actively in all the technical supports leading to the declaration of Nigeria as Polio-free country with evidence of zero polio case for three years
• Set up integration of TB screening into COVI-19 vaccination programs across 136 Health facilities in Lagos, Nigeria
• Supported the Nigerian Center for Disease Control (NCDC) in the integration of TB module into the COVID-19 surveillance application-SORMAS (Surveillance Outbreak Response Management & Analysis System) in Nigeria
• Worked with partners from Bill and Melinda Gates Foundation, Dangote Foundation, BSPHCDA, UNICEF, WHO, GAVI, TSHIP and e-health to manage rumors surrounding vaccination of eligible population in 23 LGAs in Northern Nigeria.
• Promptly and proactively rolled out activities towards circulating Vaccine Derived Polio Virus (Cvdp) with zero records of cVDPV
• Trained State and LGA Cold chain officers on vaccine supply chain management and Ward Focal Persons for cascade delivery.
• Functioned as health cluster coordinator, with vast operations in disease surveillance (including Covid-19), Polio Eradication Initiative (PEI), Epidemiological surveys, Routine Immunization Intensification Programme (RIIP), epidemic responses and Maternal, Neonatal and Child Health (MNCH)
• Implemented the Integrated measles and Men A targeted campaigns, Yellow fever and Maternal, Neonatal Tetanus Elimination (MNTE) vaccination campaigns with over 95% coverage in all the 23 LGAs for each antigen.
• Reduced vaccine stock-outs in all the State LGAs from 60% to less than 10%
• Facilitated Evening Review Meetings during IPD rounds to resolve non-compliance in communities through traditional and religious leaders as well as state officials and partners
• Achieved reduction in Measles and Meningitis seasonal outbreaks by 75% in all the health facilities in 23 Nigerian LGAs
• Effectively and efficiently managed wastes generated from routine immunization and campaigns within one month according to standard protocol.
Director, Strategic Information Institute of Human Virology of Nigeria (IHVN) September 2020-till date USAID Tuberculosis Local Organization Network (TB-LON 3)
• Provides overall technical, strategic and programmatic support to USAID funded TB-LON 3 project in Nigeria, including monitoring and evaluation activities, research, m-health innovations and learning in collaboration with consortium members: Society for Family Health, EPCON, Antwerp Belgium, Anadach Consulting and others
• Ensures the fidelity in the implementation of the activity monitoring, evaluation and Learning (AMEL) plan including its development and electronic TB patient management database
• Supports M& E, research in the areas of Tuberculosis, HIV, hepatitis, malaria, nutrition, cancers, neglected tropical diseases among others
• Worked closely with the Nigeria Center for Disease Control (NCDC), National TB, Leprosy and Buruli Ulcer Control Program, National AIDS Control Agency, donors and Government of Nigeria in the implementation of the National Health Management information System towards successful surveillance of infectious diseases in Nigeria.
Family Health International 360
HIV Surge Intervention Specialist, Akwa-Ibom (Temporary Appointment) August 2019 –Date
Project: Strengthening Integrated Delivery of HIV/AIDS Services (SIDHAS) Project, USAID-funded
Hours Worked: 40-50 hours per week (including weekends)
• Provide technical leadership at state and LGA levels to the USAID funded Strengthening Integrated Delivery of HIV/AIDS (SIDHAS) Project through implementation of high quality care, treatment and support activities with primary focus on technical areas of comprehensive TB and HIV/AIDS programs including laboratory, pharmacy, logistics, prevention, care, treatment, TB, RMNCH, mitigation, monitoring and evaluation.
• Lead Innovations to fast track achievement of 95:95:95 Target (Differentiated Service Delivery Model, HIV Self Testing, Partner Notification Services, Index Testing Services, recency testing, Operation Triple Zeros (OTZ) for adolescents Living with HIV, HIV Self-testing, enhanced adherence counseling for virally unsuppressed, Tracking LTFU and Retention in Care and LAMIS electronic documentation)
• Provide technical leadership on optimization of testing through innovations like sunrise, moonlight, evening, weekend and creek HIV testing; utilization of church based obstetrics services for screening and linkage of elicited partner of index patients for testing
• Provide overall leadership to project operations including work plan development, budgeting, financial and activity reports, recruitment, coaching, mentoring and training of over 80 staff including Clinician, ,technical assistants, cluster unit leads, Case managers, reporting consultants, Data Entry Clerks, HIV counselor and testers, community mobilizes and Index Case testers, U=U champions, pharmacists, Medical laboratory Scientists among other staff and volunteers
• Jointly developed and introduced protocol for the initiation of IPT for successfully treated TB patients
• Co-designed and led the introduction (training, tools, protocol, pilot and scale-up) of Preexposure Prophylaxis (PreP) for serodicodant partners in AkwaIbom State
KNCV Tuberculosis Foundation
DGIS Project Coordinator, Lagos, Nigeria May 2016 –April 2019
Project: ‘Improved TB/HIV Prevention & Care- Building models for the future Project’
Budget- Euro 8.5 million (Nigeria, Kazakhstan and the Philippines) funded by Dutch Ministry of Foreign Affairs and integrated into USAID funded Challenge TB Project
Supervisor: Kelly Schuts (Portfolio Manager); firstname.lastname@example.org
• Led a team of 20 full time and 30 ad-hoc staff in the implementation of a multi-country project across 60 clinics, 250 Patent Medicine Vendors and Community Pharmacists in Partnership with 3 International Dutch NGOs (Pharmaccess Foundation in Nigeria, HIVOS in Kazakhstan and AIDS Foundation East West, AFEW in the Philippines), local partners like the Ministry of Health, National and State TB Program and HIV Control Program, NACA, SACA, Association of General Private Medical and Nursing Practitioners, Guild of Medical Directors, Association of Community Pharmacist of Nigeria, Pharmacy Council of Nigeria, Medical and Laboratory Science Council of Nigeria (MLSCN) and other Implementing Partners with funding from the Dutch Ministry of Foreign Affairs, Global Fund and USAID.
• Piloted, tested and scaled up innovative engagement approaches of private sector and developed sustainable TB/HIV PPM models in 3 countries (Nigeria, Philippines and Kazakhstan).
• Led initial BMF project set-up in Nigeria including TB/HIV landscape mapping of disease burden, partners and stakeholders; stakeholder inception meeting, signing of Memorandum of Understanding (MoU); recruitment of facilities and clinics; design of project strategies; recruitment and training of staff, consultants, ad-hoc staff and subgrantee in alignment with project needs and strategies; development of project M&E tools and Quality improvement methodologies, protocols and workplan; management of consortium partner (Pharm access Foundation); financial and activity reporting and participation in biannual Country Directors ‘Home Week’ in the Netherlands
• Led the Nigeria component of the project in addressing challenges of Paper-based TB underreporting by designing algorithm and introducing an android-based Mobile Application for Tuberculosis Screening and Notification (MATS/MANTS) tool across 60 supported private clinics. This innovation increased TB case notification and had been linked with National Electronic Tuberculosis Information Management Systems (NETIMS) scaled up nationally among the private and public sector providers including Patent Medicine Vendors and Community Pharmacists
• Designed and rolled out Integrated quality tools (Safecare and ISTC) for baseline and follow up assessment of quality of care among private sector providers and linkage of good/high-ISTC adherence performance scores with incentives (annual accreditation and empanelment into the Lagos State Health Insurance program with continuous capitation for successful providers)
• Identified staff training needs, mentoring, coaching, performance appraisal and individualized performance improvement
• Designed TB/HIV disease GIS mapping and the Provider Referral Network between Private hospitals, Patent Medicine Vendors and Community Pharmacist, Traditional Birth Attendants and Healers for the incentivized identification and referral of presumptive Drug Susceptible and Drug Resistance TB patients to proximate clinics and diagnostic centers
• Created innovative tools, documents, protocols and manuals as part of the PPM Model: Patient Charter for TB Care Operational Manual for use of public and non-public sector; International Standards for Tuberculosis Care Assessment Protocol, Finding and Treating Missing TB Patients (FTMP)
• Integrated Continuous Professional Development Programs with award of CPD points into Annual General Meetings which led to engagement of 200 non-NTP private clinics for TB notification
• Developed Training of Trainers (ToT) curriculum and rolled out National-level ToT for professional Public and Private Sector Associations and Training institutions of doctors, nurses, pharmacists and laboratory scientists leading to adoption of project ISTC quality improvement tools
• Integrated project QI tools into Ministry of Health’s Inspection and Supervision Tool leading to sustained routine supervision of clinics.
• Coordinated with Lagos State Ministry of Health, Pharmaccess Foundation and Abt Associate’s Health Finance and Governance (HFG) Project in the design of TB Health financing framework and inclusion of TB/HIV services (AFB microscopy, HIV testing services) into Lagos State Health Insurance Scheme
• Supported the implementation of Medical Credit Fund (MCF) which provided access to short- and long-term loans for private clinics thereby strengthening investment/business case for provision of quality services in the private sector
• Wrote quarterly and annual project reports on achievement versus target against milestone
• Reviewed case finding strategies to include innovative exchange visit from high- to low performing clinics; annual staff awards and integration of TB screening and health education into antenatal clinics
• Drafted culturally sensitive advocacy messages and IEC materials translated in local languages for ‘RAPPID TB-LINK’ and the one-stop-shop “Wellness on the Wheels”, innovative community TB case finding strategies that prescreen using CAD4TB
• Supported the pilot introduction of TB LAM for diagnosis of TB in HIV infected patient with low CD4 count) as well as TB LAMP
• Supported design of strategy for national costing of Bedaquiline for the management of DRTB prior to its introduction in 5 pilot states in Nigeria
• Led the design and implementation of project internal and external evaluation, close-out activities (asset disposal plan, staff management, identification of transition partners and coordination with USAID funder, audit, facility level transition plan, close out ceremony etc.), operational research, lessons learnt/best practices, technical briefs/manuscripts and success stories
• Supported the integration of the BMF PPM Model into the development of the Global Fund TB Grants in Nigeria (2019-2021) which was approved by GF for implementation/scale-up in 5 Nigerian States (Rivers, Akwa-Ibom, Benue, Kano and Katsina)
Management Sciences for Health (MSH)
State Technical Advisor July 2014 – April 2016
Project: Prevention Organizational System AIDS Care and Treatment Project (PRO-ACT) funded United States Agency for International Development (USAID) (Kebbi and Niger State Nigeria, Subnational, Regional)
Budget- USD 500,000
• Provided overall technical leadership in the areas of Prevention of Mother to Child Transmission of HIV, Tuberculosis/HIV co-infection, integration of HIV into maternal and child health and family planning services, inpatient and outpatient nutritional support and therapeutic management of malnourished pediatrics and adolescents living with HIV, antiretroviral therapy for adults and children, quality improvement, Orphans and Vulnerable Children Programs managed through sub-grantee awards
• Partnered with Ministry of Health, States AIDS Control Agency, State Tuberculosis and Leprosy Control Program, Network of people Living with HIV, Community Based Organizations and other members of the Technical Working Group and led the development of innovative one-year facility level strategic health plan and resource mobilization mapping/ financial planning based on WHO’s Health System Strengthening Building Blocks with 60% implementation by facilities within 6 months
• Institutionalized the use of complimentary Quality improvement tools (USAID Site Improvement through Monitoring Systems and NigerQual) across 28 USAID funded and MSH supported health facilities
• Designed an Excel monitoring and reporting tool for every Site Improvement through Monitoring Systems (SIMS) capacity building visit to hospitals, generated gaps and improvement plans for follow-up visit
• Represented MSH in all technical meetings and Led for communication strategies in the state in line with MSH and USAID branding and marketing strategies
• Developed the transition framework from USAID to Government of Nigeria and led the communication and implementation strategies. This led to host government successfully procuring test kits for HIV testing services and supported facility independently hosting and funding monthly quality improvement/data review meetings
• Led the Sputum/Dry Blood Sample transport hub-and-spoke model that connected sputum/blood collected from TB suspects/HIV exposed infants from rural clinics with GeneXpert/PCR machine in the state capital resulting in 500% improvement in GeneXpert utilization, 200% increase in TB diagnosis and notification and 50% reduction in Turn Around Time for DBS results for exposed infants
• Trained, mentored, coached and supervised consultants, volunteers, frontline healthcare workers , CBOs, Network of People Living with HIV/AIDS and other members of State TB/HIV Technical Working Group on clinical audit of patient folder, 30-day retention calendar to minimize early Lost to Follow Up on ART, Retention and Audit Determination Tool (RADET), documentation in source documents and PMM tools, data quality assurance, and addressed gaps through service Standard Operating procedures and data-driven decision making
• Identified and flagged human resource needs, sourced, recruited, on-boarded and regularly appraised based on individualized performance plan
Medical Officer/Quality Improvement Coordinator Oct 2013 – June 2014
Location: (Lagos, Nigeria, Regional)
Funder/Implementing Partner: DFID, Society for Family Health
• Built capacity of nurses and midwives on administration of long term reversible contraception including IUCD and Implants, management of side effects, basic and emergency obstetric care, sexual and reproductive health including Sexual Transmitted Infections (STI) management, integration of Family planning and HIV services in this Society for Family Health supported franchise network of clinics
• Supported roll-out of social franchise model which increased access to modern family planning commodities.
• Trained and mentored doctors and nurses in current management of malaria, diabetes, hypertension
Corps Medical Officer of Health/Community Development Service Coordinator, Ondo State Government, Isua-Akoko; March 2012-February 2013
Donor (Multiple): World Bank Assisted, UNICEF, Corporate Social Responsibility
• Designed a fundraising campaign and raised USD 3,000 from religious houses, independent donors Local Government Chairman and self-donation for the construction of VIP toilet for a primary school which lacked the facility for 32 years
• Screened 300 adults for Diabetes, HIV, Hypertension and provided medications for DM and HTN
• Mentored and trained over 300 youth corps recent graduates on STI prevention, Sexual and Reproductive Health as well as employability skills, Resume Writing, Business proposal writing, Penprenuship (online writing for money) in collaboration with Federal University of Technology Akure center for Gender and Entrepreneurship in Science and Technology (CEGIST), and STOWECROFT CV writing services
Intern Doctor/House Officer, Ekiti State University Teaching Hospital; January 2011-December 2011
• Provided clinical leadership on current management of HIV positive women and exposed infants including prescription of ART in line with current national guideline
• Identified gaps in hospital service delivery and raised a proposal on gap-stopping measures
Volunteer Medical Officer, Seventh Day Adventist Hospital, Ile-Ife, Osun State Nigeria; October 2010-December 2010