Nass Shafique Sani, Danawi Hadi, Cain Loretta, Sharma Monoj
World Health Organization, Katsina State Office, Katsina State, Nigeria.
Health Serv Res Manag Epidemiol. 2017 Sep 13;4:2333392817729585. doi: 10.1177/2333392817729585. eCollection 2017 Jan-Dec.
The incidence and mortality rates of neonatal tetanus (NNT) remain underreported in Nigeria. The goal of the study was to compare the NNT prevalence and the mortality rates from the existing surveillance system and active surveillance of health facility records in 7 selected health facilities from 2010 to 2014 in Katsina State, Nigeria.
The study is a retrospective record review using extracted data from NNT records and analyzed using descriptive statistics.
The prevalence of NNT and mortality rate were 336 cases and 3.4 deaths per 100 000 population, respectively, whereas the prevalence of NNT and mortality rate reported through the Integrated Disease Surveillance and Response (IDSR) system were 111 cases and 1.0 death per 100 000 population, respectively.
The study shows underreporting of NNT in the existing IDSR system.
Active surveillance is a good strategy for verifying underreporting of NNT in the surveillance system. The IDSR system should be strengthened with the capacity to detect events associated with a disease toward global elimination.
在尼日利亚，新生儿破伤风（NNT）的发病率和死亡率仍未得到充分报告。本研究的目的是比较2010年至2014年期间尼日利亚卡齐纳州7家选定医疗机构中现有监测系统和对医疗机构记录进行主动监测所得的NNT患病率和死亡率。
本研究是一项回顾性记录审查，使用从NNT记录中提取的数据，并采用描述性统计方法进行分析。
NNT患病率和死亡率分别为每10万人口336例和3.4例死亡，而通过综合疾病监测与应对（IDSR）系统报告的NNT患病率和死亡率分别为每10万人口111例和1.0例死亡。
该研究表明现有IDSR系统对NNT的报告不足。
主动监测是核实监测系统中NNT报告不足情况的良好策略。应加强IDSR系统检测与疾病相关事件的能力，以实现全球消除目标。
