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Published articles, strategic plans, reports, guidelines, and press releases from ADSPHCDA.

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ALMANACH 2015 Open Access
ALMANACH: Improving Quality of Sick-Child Consultations (Shao et al., 2015)
First publication on ALMANACH implementation in Adamawa State. Documents the digital IMCI intervention and its initial clinical outcomes at primary health care level.
PLOS ONE — Shao AF, Bernasconi A, et al.
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ALMANACH 2018 Open Access
Clinical Outcomes of ALMANACH at PHC Level in Adamawa (Bernasconi et al., 2018)
Assesses clinical outcomes after ALMANACH scale-up. Reports on diagnostic accuracy, treatment appropriateness and antibiotic stewardship at 413 health facilities.
BMJ Global Health — Bernasconi A, Shao AF, et al.
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ALMANACH 2022
Antibiotic Stewardship via Digital Decision Support (Schmitz et al., 2022)
Evaluates the 80% reduction in antibiotic prescriptions attributable to ALMANACH digital IMCI decision support in Nigerian PHC facilities across multiple states.
The Lancet Digital Health — Schmitz R, Bernasconi A, et al.
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ALMANACH 2019 Open Access
National Scale-Up of ALMANACH Across Six Nigerian States (Bernasconi et al., 2019)
Reports on the expansion of ALMANACH from Adamawa State to Kano, Kaduna, Borno, Yobe, Taraba and Gombe — documenting implementation experiences and outcomes.
Journal of Global Health — Bernasconi A, Shao AF, Schmitz R, et al.
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NCH 2022 Open Access
National Council on Health Approval of ALMANACH (NCH 63rd Meeting, 2022)
Summary of the National Council on Health's formal approval of ALMANACH as a national clinical decision support platform at its 63rd session. Marks the transition to national policy adoption.
NCH / NPHCDA — Federal Ministry of Health Nigeria
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NSHIP 2020
Performance-Based Financing and Quality of Care: Evidence from NSHIP (Nigeria)
Evaluates the impact of the NSHIP Performance-Based Financing model on health facility quality scores, utilisation of MNCH services, and health worker motivation in Adamawa State.
Health Policy and Planning — Various Authors
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Immunization 2021 Open Access
Immunization Coverage in Adamawa State: Trends and Determinants
Analysis of routine immunization coverage data from Adamawa State DHIS2 platform, documenting trends, LGA-level disparities, and intervention effects across 21 LGAs.
Internal Technical Report — ADSPHCDA / UNICEF — ADSPHCDA Epidemiology Unit
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Strategic Plan 2021 Open Access
ADSPHCDA Strategic Plan 2021–2025
The five-year strategic plan guiding ADSPHCDA operations, programme priorities, resource mobilisation, and health outcome targets for Adamawa State primary health care.
ADSPHCDA Planning Department — ADSPHCDA
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Strategic Plan 2020 Open Access
Adamawa State Health Sector Strategic Plan (SSHDP) 2020–2025
The overarching state-level health sector strategic plan setting goals across curative, preventive, and promotive health services — including PHC targets for ADSPHCDA.
Adamawa State Ministry of Health — Adamawa State Government
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Operational Plan 2024 Open Access
ADSPHCDA Annual Operational Plan (AOP) 2024
Detailed annual operational plan outlining programme activities, responsible departments, timelines, and budget allocations for ADSPHCDA in the current financial year.
ADSPHCDA — ADSPHCDA Management
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ALMANACH 2023 Open Access
ADSPHCDA ALMANACH Roll-Out and Scale-Up Plan 2023–2025
Technical scale-up plan for ALMANACH digital clinical decision support across all 413 active facilities and planned expansion to additional health facilities in Adamawa State.
ADSPHCDA / SwissTPH / ICRC — ADSPHCDA Planning Research and Statistics
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Annual Report 2023 Open Access
ADSPHCDA Annual Report 2023
Comprehensive annual report covering all ADSPHCDA programme activities, achievements, challenges, and expenditure for the 2023 financial year across all departments.
ADSPHCDA — ADSPHCDA Secretariat
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Assessment 2022 Open Access
Adamawa State Health Facility Assessment Report
Assessment of functionality, infrastructure, staffing, and service availability across primary health care facilities in all 21 LGAs of Adamawa State.
ADSPHCDA / NPHCDA — ADSPHCDA Assessment Team
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Immunization 2022 Open Access
Immunization Coverage Survey — Adamawa State 2022
State-representative household survey measuring immunization coverage by antigen across all 21 LGAs, with LGA-level disaggregation and equity analysis.
ADSPHCDA / UNICEF / WHO — Survey Research Team
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DHIS2 2024 Open Access
DHIS2 State Health Dashboard — Quarterly Summary
Quarterly summary of key health indicators extracted from the DHIS2 platform covering immunization, MNCH, disease surveillance, and nutrition across Adamawa State.
ADSPHCDA Planning Research and Statistics — ADSPHCDA HMIS Unit
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ALMANACH 2023 Open Access
ALMANACH User Guide for Health Workers (English)
Step-by-step user guide for CHEW, JCHEW, and clinical staff on using the ALMANACH tablet application for under-5 consultations. Includes troubleshooting and data submission.
ADSPHCDA / SwissTPH — ALMANACH Technical Team
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Guidelines 2022 Open Access
Standard Operating Procedures — Cold Chain Management
SOPs for vaccine storage, temperature monitoring, cold chain equipment maintenance, and incident reporting at state, LGA, and facility levels in Adamawa State.
ADSPHCDA Essential Drugs and Logistics — ADSPHCDA Cold Chain Unit
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MNCH 2021 Open Access
ADSPHCDA MNCH Service Delivery Protocol
Clinical and service delivery protocols for antenatal care, skilled birth attendance, postnatal care, and newborn care at PHC facilities across Adamawa State.
ADSPHCDA Community Health Services — ADSPHCDA MNCH Unit
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Press Release 2024 Open Access
ADSPHCDA Marks World Immunization Week 2024
Official press release from ADSPHCDA on activities marking World Immunization Week, including campaigns across all 21 LGAs and progress toward state immunization targets.
ADSPHCDA Communications — ADSPHCDA Health Education Department
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ALMANACH 2022 Open Access
ALMANACH Receives National Council on Health Approval — Press Statement
Official press statement on the NCH approval of ALMANACH as a national platform, highlighting Adamawa State's pioneering role in digital clinical decision support.
ADSPHCDA Communications — ADSPHCDA Secretariat
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