Nexacare strengthens integrated primary healthcare platforms to support equitable, high-quality immunization and essential child-survival interventions.

Our approach supports fixed, outreach, and mobile routine immunization strategies targeting zero-dose and under-immunized children, particularly in hard-to-reach and underserved settlements.

Key areas of support

• GIS-enabled microplanning and identification of missed or underserved settlements.
• Zero-dose child identification, referral, defaulter tracking, and follow-up.
• Fixed, outreach, and mobile immunization service planning.
• Data-quality improvement, supportive supervision, and performance monitoring.
• Cold-chain functionality, vaccine visibility, accountability, and last-mile tracking.
• Integration with nutrition, maternal, newborn, and child health services.
• Community engagement and referral of vulnerable children and households to appropriate primary healthcare services.

Nexacare supports evidence-based malaria prevention and case-management interventions, with particular attention to high-burden and underserved populations.

Key areas of support

• Integrated community case management and timely referral.
• Insecticide-treated net distribution, utilization, and community education.
• Intermittent preventive treatment in pregnancy.
• Diagnostic quality assurance and appropriate treatment following confirmed testing.
• Commodity forecasting, allocation, and monitoring.
• Data-driven microplanning and performance monitoring.
• Climate and environmental risk analysis, including seasonal transmission, flooding, drainage, and changing vector conditions.
• Community communication, prevention, early diagnosis, treatment adherence, and referral.

Nexacare supports integrated maternal, newborn, child health, and nutrition interventions across antenatal, delivery, postnatal, primary healthcare, and community platforms.

Our approach recognizes that nutrition outcomes are influenced by healthcare, household food security, agricultural production, livelihoods, market access, safe water, food hygiene, caregiving practices, and environmental conditions.

Maternal, newborn, and child health

• Antenatal, delivery, postnatal, and community follow-up systems.
• Skilled birth attendance and emergency obstetric and neonatal referral.
• Family planning, reproductive health, and commodity accountability.
• Service-quality improvement, supportive supervision, and referral coordination.
• Integration with immunization and primary healthcare services.

Nutrition and agricultural systems

• Maternal nutrition counseling during antenatal and postnatal care.
• Infant and young child feeding education, growth monitoring, and nutrition referral.
• Household dietary diversity and locally appropriate nutritious-food promotion.
• Nutrition-sensitive agriculture, home gardening, nutrient-rich crop production, food preservation, and safe household food use.
• Linkages between health facilities, agricultural extension systems, farmer groups, women’s groups, and community structures.
• Identification and referral of pregnant women, children, and households at increased nutrition risk.
• Digital and routine-data systems for monitoring nutrition services, referrals, community reach, and geographic gaps.

Capacity building

• Training for frontline health workers, community mobilizers, agricultural extension workers, and local supervisors.
• Coaching on maternal nutrition, infant feeding, dietary diversity, counseling, referral, and documentation.
• Supportive supervision and performance monitoring across health and community platforms.

Nexacare supports stronger and more resilient health systems through governance, planning, financing, workforce development, supervision, accountability, and supply-chain improvement.

Key areas of support

• Evidence-based planning, budgeting, and resource allocation.
• Workforce development, performance management, mentoring, and task sharing.
• Integrated supportive supervision and accountability systems.
• Triangulation of logistics and routine health information for commodity security.
• Institutional coordination across national, state, local government, facility, and community levels.
• Intersectoral collaboration across health, agriculture, environment, water resources, and local government.
• Climate-resilient planning where environmental conditions affect service continuity, access, or health outcomes.

Nexacare develops and strengthens practical digital systems that improve data collection, quality, integration, analysis, visualization, and use.

Key areas of support

• Routine health information systems, including DHIS2 data quality, completeness, and timeliness.
• Mobile data tools, digital forms, offline collection, and automated reporting.
• Interactive dashboards for facilities, local governments, states, and partners.
• GIS, spatial analysis, settlement mapping, coverage analysis, and route planning.
• Data pipelines, validation systems, and performance-monitoring platforms.
• Immunization tracking, disease surveillance, commodity monitoring, and microplanning.
• Application of digital and geospatial systems across agriculture, nutrition, environment, climate, and water-resource programs.
• Capacity building in data quality, visualization, interpretation, and responsible data use.

Nexacare supports integrated disease surveillance, early warning, outbreak preparedness, and responsible emergency response systems.

Key areas of support

• Community and facility-based disease surveillance and reporting.
• IDSR data quality, timeliness, completeness, and use.
• Early warning and alert-management systems.
• Laboratory linkage, verification, and priority-disease reporting.
• Rapid investigation, risk communication, and incident-management coordination.
• Reporting of unusual animal illness, zoonotic risks, environmental hazards, water-related concerns, and climate- sensitive threats.
• Coordination between health, veterinary, agriculture, environment, water resources, and community structures.
• Digital tools and dashboards for alert tracking, response monitoring, and decision-making.

Nexacare works with communities, traditional and religious leaders, women’s groups, youth groups, caregivers, health workers, community volunteers, community mobilizers, CHIPS agents, agricultural extension workers, and local institutions to strengthen trust, participation, and informed decision-making.

Our social and behavior change approach combines community engagement, interpersonal communication, social listening, community feedback, rumor management, local evidence, and targeted communication.

Community engagement and SBC priorities

• Community dialogue and engagement sessions with caregivers and community groups.
• Advocacy and orientation for traditional, religious, and community leaders.
• Household visits, interpersonal communication, and caregiver education.
• Identification and referral of zero-dose and under-immunized children.
• Defaulter tracking and follow-up for missed immunization and other priority services.
• Community-based disease surveillance and reporting of priority health events.
• Community feedback, social listening, rumor tracking, and misinformation management.
• Male engagement, youth engagement, and women-led community participation.
• School, radio, television, digital, and social-media communication.
• Development and responsible use of IEC, BCC, and community communication materials.
• Community engagement for nutrition, safe water, food hygiene, malaria prevention, maternal and child health, environmental responsibility, and climate resilience.

Capacity building and local ownership

• Competency-based training for community mobilizers, volunteers, and frontline workers.
• Coaching on interpersonal communication, caregiver counseling, and respectful community engagement.
• Training on zero-dose identification, referral, defaulter tracking, and documentation.
• Capacity building in community feedback, social listening, rumor management, and adaptive communication.
• Supportive supervision, performance monitoring, and practical field mentoring.
• Use of digital tools, dashboards, and simple reporting systems for accountability and learning.
• Community participation in planning, implementation, review, and improvement of activities.
• Strengthening the capacity of agricultural extension workers and community structures to communicate nutrition, food security, environmental health, and climate-resilience messages.

Continuous feedback loops help programs adapt to community concerns, improve service responsiveness, address misinformation, and strengthen accountability between communities, service providers, and government institutions.