DISTRICT

About DISTRICT, a free simulation in immunization implementation science

DISTRICT is a free simulation in implementation science for immunization. You take charge of Kwara North, a fictional district where vaccination coverage is falling in four wards, and work out why children are being missed and what to do about it.

Enter the simulation

How it works

You enrol with your name, role and institution, then move through a briefing, five missions, a methods module and a final assessment. Each mission asks you to make the decisions a district team makes: read the data, choose a strategy, check whether it is delivered, judge what changed and make the case to sustain it. Your choices are scored, and feedback explains the reasoning. Your progress is saved on your device, so you can stop and continue later.

Course outline

  1. Briefing. Why zero-dose children mark a place where the health system did not reach a family, and how to calculate how many there are.
  2. Mission 1 · Identify. Context assessment with CFIR, equity analysis, missed opportunities for vaccination and root causes.
  3. Mission 2 · Reach. Matching implementation strategies to barriers with ERIC and COM-B, and co-designing responses with the people affected.
  4. Mission 3 · Monitor. Fidelity and reach, supportive supervision with routine data, and a review rhythm that turns data into decisions.
  5. Mission 4 · Measure. RE-AIM, implementation outcomes, contribution analysis, cost-effectiveness, and financial and economic cost.
  6. Mission 5 · Advocate. Stakeholder engagement, sustainability, and the difference between scale-up and scale-out.
  7. Methods module · Learning in Action. A cycle for studying implementation in your own district: find the root cause, co-design the response, then track and adapt.
  8. District Review Board. Nine challenges in a new district that bring all five missions together, followed by your certificate.

Every concept is explained in the Field Guide, which you can read without enrolling.

From DISTRICT to Mataki

DISTRICT builds the judgement. Mataki is the companion field tool where State and LGA Immunization Officers and their health workers assess barriers, plan strategies, track actions and review what worked, with their own data.

Frequently asked questions

Is DISTRICT free?
Yes. DISTRICT is free to use.
Who is DISTRICT for?
Immunization practitioners: vaccinators, facility in-charges, district and LGA immunization officers, programme managers, and anyone learning to apply implementation science to immunization programmes.
Do I need to install anything?
No. DISTRICT runs in the web browser on a phone or computer. You can add it to your home screen, and pages you have already opened keep working without a connection.
Is Kwara North a real district?
No. Kwara North, its wards, people and figures are fictional, built for teaching. The concepts and sources in the Field Guide are real.
Do I get a certificate?
Yes. After the District Review Board you can download a certificate of completion as an image, or ask for it by email.
How does DISTRICT relate to Mataki?
DISTRICT teaches the foundations and the methods. Mataki is the companion field tool where you apply them to real places and real data.

Who made DISTRICT

DISTRICT is made by Scalentric Limited, a health systems research and practice firm specialised in implementation science.