Notifiable disease reporting among public sector physicians in Nigeria: a cross-sectional survey to evaluate possible barriers and identify best sources of information

Lafond, Kathryn E.; Dalhatu, Ibrahim; Shinde, Vivek; Ekanem, Ekanem E.; Ahmed, Saidu; Peebles, Patrick J.; Kudumu, Mwenda; Bynum, Milele; Salami, Kabiru K.; Okeibunor, Joseph; Schwingl, Pamela J.; Mounts, Anthony W.; Nasidi, Abdulsalami; Gross, Diane

doi:10.1186/s12913-014-0568-3

Cited by 25 publications

(26 citation statements)

References 8 publications

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“…Several other studies have reported obstacles for disease noti cation similar to our ndings such as infrastructure issues and lack of human resources (20-23), lack of time (20,21,24,25) and lack of reporting forms/registers (25,26). These barriers were noted in the noti cation of other diseases like tuberculosis, malaria, and in uenza as well (21,(27)(28)(29).…”

Section: Discussionsupporting

confidence: 84%

Is Leishmaniasis adequately notified in Sri Lanka? A survey among doctors from an endemic district, Sri Lanka.

Hewawasam

Weerakoon

Thilakan

et al. 2020

Preprint

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Background: Leishmaniasis is a notifiable disease in Sri Lanka since 2008. Previous studies show a gap in the notification of leishmaniasis. Purpose of the present study was to determine the Knowledge, attitudes and practice of medical officers regarding leishmaniasis.Methods: A cross-sectional study was conducted in the Anuradhapura district which reported the highest case load of leishmaniasis. Medical officers from public and private health care institutes in the area filled a self-administered questionnaire in the presence of the investigators.Results: One hundred and eighty-eight (188) medical officers completed the questionnaire. Of them, 95.7% were aware of leishmaniasis as a parasitic infection and 84.7% correctly identified Leishmania donovani as the causative organism in Sri Lanka. From the respondents, 181 (96.8%) knew that the vector of leishmaniasis is sand fly. Cutaneous leishmaniasis was reported as the most prevalent form of leishmaniasis in the country by 176 (94.1%). Nearly half of the respondents (98, 54.1%) were aware of the fact that the Anuradhapura district has the highest disease burden. Many of them had the idea that leishmaniasis is an emerging disease (155, 84.3%,) and early diagnosis is important in controlling the disease (163, 89.1%). Although about three fourth (123, 73.7 %,) of the participants mentioned that leishmaniasis should be notified at first clinical suspicion, only 74 (42.5%) were aware that it is a legal requirement. Some medical officers (39, 22%) believed that the current notification system in the country is not effective. Unavailability of notification forms (60, 36.8%) heavy workload (85, 50.3%) and inadequate supportive staff (55, 35.1%) were reported as barriers for timely notification. Even though 105 (58.0%) of medical officers had suspected leishmaniasis during last eight years period only 35 (19.4%) had notified.Conclusions: Even though more than 90% of the participants had good theoretical knowledge about leishmaniasis; notification of leishmaniasis is considerably inadequate. This study emphasizes the need for greater efforts to improve the notification of leishmaniasis in Sri Lanka.

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Section: Discussionsupporting

confidence: 84%

Is Leishmaniasis adequately notified in Sri Lanka? A survey among doctors from an endemic district, Sri Lanka.

Hewawasam

Weerakoon

Thilakan

et al. 2020

Preprint

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“…In Beitbridge district, Juru et al (2015) also found out that not knowing the right form to use can have a resultant negative bearing on ability to notify diseases of public health importance [6]. In Nigeria a study done by Lafond et al (2014) on reporting of notifiable diseases, showed that low knowledge on to whom they would report first affected effectiveness on identification and reporting of notifiable diseases thereby failing to notify notifiable diseases timeously [7].…”

Section: Discussionmentioning

confidence: 99%

“…Low performance could be due to lack of reporting guidelines. In Nigeria a study by Lafond et al (2014), suggested that in order to effectively identify and report notifiable diseases, reporting system requirements need to be clearly communicated to the participating health personnel and this improves the notification of the notifiable diseases [7].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Notifiable Disease Surveillance System in Centenary District, Zimbabwe, 2016

Mairosi¹,

Tshuma²,

Juru³

et al. 2017

OJEpi

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Background: Notifiable disease surveillance system (NDSS) data guides immediate action for events of public health importance. In July 2016, 12 patients suspected of typhoid were reported to Centenary District Medical Officer by phone. Following reporting, notification forms (T1) were not submitted to district, hence province did not receive district consolidated report (T2) for the notifications. This implies underreporting of notifiable diseases. Study was conducted to evaluate NDSS in Centenary district. Methods: Using updated Centres for Disease Control and Prevention (CDC) guidelines, descriptive cross sectional study was conducted among health workers sampled from all health facilities in Centenary district. Interviewer administered questionnaire and checklists were used to collect data, assess data quality and resource availability. Epi Info TM 7 generated frequencies and proportions. Results: We

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“…However, the use of mobile phones proved not to be much reliable because only one health facility had electricity provided by means of a diesel-powered generator, hence posing challenges of running equipment such as computers, printers and charging mobile phones. The findings showed a worse effectiveness IDSR performance over the 2012 IDSR assessment in Nigeria, where 29% of Health facilities had computers and were powered by electricity through the use of generators and solar energy [17].…”

Section: Observational Check List Of Health Facilities In Rufunsa Dismentioning

confidence: 99%

Assessment of Factors Affecting the Implementation of the Integrated Disease Surveillance and Response in Public Health Care Facilities - The Case of Rufunsa District, Zambia

Haakonde¹,

Munsanje²,

Chishimba³

2018

Divers Equal Health Care

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Late reporting of disease outbreaks and other health related events of public health significance have been linked to poor implementation of the Integrated Disease Surveillance and Response (IDSR). As such strengthening the capacity of health workers involved in IDSR implementation is required. The main objective of this study was to assess the factors affecting the implementation of the IDSR in public health care facilities in Rufunsa District, Zambia.A cross-sectional facility based descriptive study design as well as observation was done in which 34 study subjects were conveniently sampled from the 9 health facilities in the district. Data collection was done using a pretested semi structured questionnaire and an institutional-tailored observational checklist. Analyses were done using SPSS version18.The study revealed that factors that affected the implementation of the IDSR were low knowledge levels among Health Workers about IDSR as only 36.3% of them received training in IDSR in the last 12 months at the time of this study. Other factors that created gaps in the implementation of IDSR were negative attitudes of the health workers as 9.0% of them were of the opinion that the IDSR system wasted much of their time, as its implementation interfered with their clinical work and about 51.5% were demoralised as they felt that support from the managers at the District, Province and Ministry of Health Headquarters was inadequate. Poor practices of health workers towards IDSR was also identified as a factor affecting IDSR Implementation. For instance, it was revealed that about 27.3% of the health workers either infrequently or never reported a disease which required mandatory reporting in the last 12 months as they stated that the process of reporting was cumbersome as the forms were too many and complicated. They further echoed that IDSR implementation lacked prompt feedback from the Managers at the District. Resource-wise, all facilities in the district lacked adequate resources for IDSR implementation. For example between 11.1 to 44.4% of the health facilities lacked one or more types of reporting forms. Other resources lacking were electricity, and good network connectivity since about 51.5% relied on mobile phones for sending reports which required prompt feedback. Therefore, to ensure effective IDSR implementation, adequate funding directed to the strengthening of IDSR activities should be deliberately put in the budget's yellow book. Regular IDSR trainings are to be offered to health workers which should be followed by mentorship and supervision by the District and Provincial Health Offices as well as the Ministry of Health. Keywords: Integrated disease surveillance and response; Implementation; Disease reportingKey points of what the paper will add to the topic:1. Integrated Disease Surveillance and Response(IDSR) as a strategy by the World Health African Regional Office (WHO-ARO), helps in keeping the countries alert about notifiable diseases occurences.2. It promotes generation of quality data abo...

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Notifiable disease reporting among public sector physicians in Nigeria: a cross-sectional survey to evaluate possible barriers and identify best sources of information

Cited by 25 publications

References 8 publications

Is Leishmaniasis adequately notified in Sri Lanka? A survey among doctors from an endemic district, Sri Lanka.

Is Leishmaniasis adequately notified in Sri Lanka? A survey among doctors from an endemic district, Sri Lanka.

Evaluation of Notifiable Disease Surveillance System in Centenary District, Zimbabwe, 2016

Assessment of Factors Affecting the Implementation of the Integrated Disease Surveillance and Response in Public Health Care Facilities - The Case of Rufunsa District, Zambia

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