Nnebue C C, Onwasigwe C N, Ibeh C C, Adogu P O U
Institute of Human Virology/Department of Community Medicine, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria.
Niger J Clin Pract. 2013 Oct-Dec;16(4):483-9. doi: 10.4103/1119-3077.116894.
Disease surveillance and notification (DSN) has been shown to be weak in Nigeria, thus, its inability to promptly detect and control epidemics.
To examine the completeness and timeliness of data collection and information transmission process for DSN in the Anambra state.
The study was of cross-sectional design and employed the multistage sampling method to select 270 health workers who are involved in DSN in Anambra state. Data were collected by a mix method of interviewer administered questionnaire and observational checklist preceded by key informant interviews and desk review.
One hundred (43.9%) health workers reported regular supply of Integrated Disease Surveillance and Response (IDSR) forms, 25% and 16.2% reported it was irregular and usually out of stock, respectively. Most facilities (81.5%) returned completed forms monthly. Secondary health facilities were less likely to submit completed forms, while majority of primary health facilities submitted theirs monthly ( X 2 = 4.42, P = 0.035). With respect to correctness of records, Health Management Information System records (55.6%) were the least correct, while out-patient register (88.9%) was the most correct. Only 10.0% of health facilities submitted completed forms 5 days after completion, 88.9% of them submitted completed IDSR002 forms within 2 days of completion, while the remainder was submitted 4 days later.
The health workers were not operating the DSN system in the State to optimal functionality. Recommendations were therefore made for the periodic training-retraining of health personnel on DSN, improved funding, provision of logistics, improved supervision, and feedback of information.
疾病监测与通报（DSN）在尼日利亚已被证明较为薄弱，因此无法及时发现和控制疫情。
检查阿南布拉州疾病监测与通报数据收集及信息传输过程的完整性和及时性。
本研究采用横断面设计，运用多阶段抽样方法选取了270名参与阿南布拉州疾病监测与通报工作的卫生工作者。数据通过混合方法收集，在关键信息提供者访谈和案头审查之前，采用访谈员管理的问卷和观察清单进行收集。
100名（43.9%）卫生工作者报告综合疾病监测与应对（IDSR）表格供应正常，分别有25%和16.2%的人报告供应不规律且经常缺货。大多数机构（81.5%）每月返还填好的表格。二级卫生机构提交填好表格的可能性较小，而大多数初级卫生机构每月提交（X² = 4.42，P = 0.035）。关于记录的正确性，卫生管理信息系统记录（55.6%）最不准确，而门诊登记册（88.9%）最准确。只有10.0%的卫生机构在完成后5天提交填好的表格，88.9%的机构在完成后2天内提交了填好的IDSR002表格，其余的在4天后提交。
该州的卫生工作者未使疾病监测与通报系统发挥最佳功能。因此建议对卫生人员进行疾病监测与通报方面的定期培训和再培训，增加资金投入，提供后勤保障，加强监督，并反馈信息。
