Growing up in Nigeria, Kayode Odusote liked figuring out how things work. As a young boy, he would often purchase Radio Shack do-it-yourself kits and assemble them.
Years later he became a neurologist and professor, and more recently served as director for human resources development at the West African Health Organization (WAHO). WAHO is an umbrella organization of 15 member countries, and one of Professor Odusote’s key aims was to help these countries gather and use health worker data to inform their decisions. But this wasn’t easy. “We found that none of them had the kind of human resources information system that they could use for planning,” he recalls.
Working with limited resources, he wanted to avoid installing systems that relied on proprietary software, which entails various fees for licensing, upgrades, and customization. “With proprietary products,” he explains, “the vendor controls the costs.” He has stories of proprietary applications developed by vendors in Burkina Faso and Togo; the computers they were built for became outdated and the applications could not be updated to match current operating systems of new, donated computers. They became useless.
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All eyes were on newly appointed Minister of State for Health Dr. Muhammad Ali Pate as he presented his vision of health for Nigeria: 1,000,000 lives saved and quality of care measurably improved. He expertly laid out four pillars to achieve this goal: expanding basic services; disease prevention (particularly through scaling-up Hib and pneumococcal vaccination); increasing quality of care via improved clinical governance; and unlocking the health sector’s market potential via increased public and private investment. 
