Over nine years of thinking, written down
On strengthening digital health systems, disease surveillance, emergency preparedness and response, M&E, and what working inside these systems actually teaches you.
Featured Series
Lessons in Public Health
Nine essays on what nine years inside WHO Nigeria and Nigeria's health systems actually teach you: on data, coordination, community, and what persists when the funding ends.
Integrated Disease Surveillance and Response (IDSR): A Systems Perspective
Every African Union member state has formally adopted the Integrated Disease Surveillance and Response framework. Most have IDSR-aligned reporting tools, IDSR-trained personnel, and IDSR-based national surveillance guidelines. Yet when outbreaks occur across West Africa, response gaps appear at precisely the points the IDSR framework was designed to close.
Logframe in Global Health: From Design to Use
The logical framework or logframe is probably the most universally required and least effectively used tool in global health M&E. Almost every WHO, USAID, GAVI, and Global Fund programme produces one. Very few programmes use it as it was intended: as a living document that links planning decisions to monitoring data and drives management action.
What Mpox Surveillance Taught Me About Data and Disease Detection
Lessons from investigating 231 suspected Mpox cases across 27 LGAs in Imo State, and what the data tells us about the future of disease surveillance in Nigeria.
Lessons in Public Health: What Polio Eradication Taught Me About Systems Thinking
Lesson 7 of 9: The global polio eradication programme is one of the most complex public health endeavours ever attempted. Working inside it taught me that you cannot solve a systems problem by optimising one part of the system.
Lessons in Public Health: Surveillance is a Social Contract
Lesson 6 of 9: Disease surveillance works only when communities participate willingly. That participation is not automatic. It is earned, and it can be lost.
More articles in progress. Topics include community health systems, eHealth implementation, and lessons from outbreak response.
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