Nigeria – Integrated TB, vaccination, and primary care services with Wellness-on-Keke
The Wellness-on-Keke (WoK) mobile clinic delivered integrated TB screening, COVID-19 vaccination, and basic health services in hard-to-reach areas. The intervention improved vaccination uptake, enabled efficient TB case finding, and demonstrated the value of integrated point-of-care services in low-resource settings.
Integrated mobile health service
The Wellness-on-Keke is a locally assembled tricycle-based mobile clinic designed to reach hard-to-reach and difficult-terrain areas.
AI-enabled TB screening
The WoK is equipped with an ultra-portable digital X-ray supported by AI and Truenat for TB screening and diagnosis.
Support for COVID-19 vaccination
A solar-powered vaccine carrier and vaccination supplies were included to support COVID-19 immunization outreach.
Multi-disease community outreach
The WoK delivered integrated services, including TB screening, COVID-19 vaccination, blood pressure monitoring, glucose testing, malaria testing, and basic medicines when available.
From October 2022 to January 2023, the WoK was deployed every week to hard-to-reach & difficult terrain areas to provide integrated service, including free blood pressure monitoring, serum glucose check, malaria testing, and dispensing basic medicines when available.
- The WoK intervention can be a useful tool to provide integrated point-of-care TB services, including COVID-19 vaccination, in a cost-efficient manner, especially in hard-to-reach or rural areas.
- There are more opportunities to provide expanded medical services, such as surveillance and control of non-communicable diseases like hypertension & diabetes, using the integrated WoK intervention.
REFERENCE: Babayi, A. (2023, November 15-18). Leveraging active TB case-finding using the Wellness-on-Keke intervention in the community to improve COVID-19 vaccine uptake in Nigeria [Conference session]. The Union World Conference on Lung Health 2023, Paris, France.