尼日利亚西南部监测单位的卫生官员对易流行疾病监测与应对指南的遵守情况。

Compliance with epidemic-prone diseases surveillance and response guidelines among health officers at surveillance units in South-West Nigeria.

作者信息

Dairo Magbagbeola David, Afolayan Daniel Ola, Akinyemi Joshua Odunayo

机构信息

Department of Epidemiology and Medical Statistics, Faculty of Public Health, College of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria.

出版信息

Afr Health Sci. 2018 Jun;18(2):428-436. doi: 10.4314/ahs.v18i2.28.

DOI:10.4314/ahs.v18i2.28

PMID:30602970

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6306966/

Abstract

INTRODUCTION

Although compliance with surveillance guidelines is crucial to epidemic diseases control, determinants of use of these guidelines in Nigeria are poorly documented. We assess health workers compliance and factors associated with the surveillance and response guidelines for epidemic-prone diseases in South-West Nigeria.

METHODS

In a cross-sectional study, 199 disease surveillance and notification officers in Oyo state were interviewed using a questionnaire on knowledge of disease surveillance and performance of surveillance activities. Data were analysed using descriptive statistics, chi-square and multiple logistic regression at P= 0.05.

RESULTS

Most surveillance units submitted disease outbreaks reports (81.48% at the health facility and 100% at the local government level). Timeliness and completeness of weekly reporting were 94% and 95% respectively. a quarter (25.9%) adhered to national case definitions guidelines. About 85.7% did laboratory case confirmation while 2.6% did facility level data analysis. Predictors for six months reporting activity include attending a training on surveillance and reporting (OR=7.92; CI=1.65-37.92), fund adequacy (OR=27.81; CI=7.68-100.60) and knowledge of surveillance dataflow (OR=4.80; CI=1.64-14.10).

CONCLUSION

In addition to provision of adequate financial and laboratory resources, surveillance activities would benefit from continuous training on surveillance data flow.

摘要

引言

尽管遵守监测指南对传染病控制至关重要，但尼日利亚使用这些指南的决定因素鲜有记录。我们评估了尼日利亚西南部卫生工作者对易流行疾病监测和应对指南的遵守情况以及相关因素。

方法

在一项横断面研究中，使用关于疾病监测知识和监测活动执行情况的问卷对奥约州199名疾病监测和通报官员进行了访谈。数据采用描述性统计、卡方检验和P = 0.05的多元逻辑回归分析。

结果

大多数监测单位提交了疾病暴发报告（医疗机构层面为81.48%，地方政府层面为100%）。每周报告的及时性和完整性分别为94%和95%。四分之一（25.9%）的人遵守国家病例定义指南。约85.7%的人进行了实验室病例确认，而2.6%的人进行了机构层面的数据分析。六个月报告活动的预测因素包括参加监测和报告培训（OR = 7.92；CI = 1.65 - 37.92）、资金充足（OR = 27.81；CI = 7.68 - 100.60）以及对监测数据流的了解（OR = 4.80；CI = 1.64 - 14.10）。