Dada Augustine Olajide, Lee Christopher T, Elisha Ande, Oyebanji Oyeronke, Danjuma Jenom S, Sagir Khadijah, Eteng Womi, Abubakar Anwar, Dalhat Mahmood, Kamateeka Moreen, Aderinola Olaolu, Oladejo John, Agogo Emmanuel, Ihekweazu Chikwe
Augustine Olajide Dada, MD, MPH, is a Technical Advisor, National Action Plan for Health Security/Regional Disease Surveillance Systems Enhancement Implementation Support Unit.
Christopher T. Lee, MD, MSc, MPH, is Director of Global Epidemic Preparedness and Response, Resolve to Save Lives, New York, NY.
Health Secur. 2022 Mar-Apr;20(2):147-153. doi: 10.1089/hs.2021.0126. Epub 2022 Apr 11.
Timely access to emergency funding has been identified as a bottleneck for outbreak response in Nigeria. In February 2019, a new revolving outbreak investigation fund (ROIF) was established by the Nigeria Centre for Disease Control (NCDC). We abstracted the date of NCDC notification, date of verification, and date of response for 25 events that occurred prior to establishing the fund (April 2017 to August 2019) and for 8 events that occurred after establishing the fund (February to October 2019). The median time to notification (1 day) and to verification (0 days) did not change after establishing the ROIF, but the median time to response significantly decreased, from 6 days to 2 days ( = .003). Response to disease outbreaks was accelerated by access to emergency funding with a clear approval process. We recommend that the ROIF should be financed by the national government through budget allocation. Finally, development partners can provide financial support for the existing fund and technical assistance for protocol development toward financial accountability and sustainability.
及时获得应急资金已被确定为尼日利亚应对疫情的一个瓶颈。2019年2月，尼日利亚疾病控制中心（NCDC）设立了一项新的循环疫情调查基金（ROIF）。我们提取了该基金设立之前（2017年4月至2019年8月）发生的25起事件以及基金设立之后（2019年2月至10月）发生的8起事件的NCDC通报日期、核实日期和应对日期。设立ROIF后，通报的中位时间（1天）和核实的中位时间（0天）没有变化，但应对的中位时间显著缩短，从6天降至2天（P = 0.003）。通过明确的审批流程获得应急资金加快了对疾病暴发的应对。我们建议ROIF应由国家政府通过预算拨款提供资金。最后，发展伙伴可为现有基金提供财政支持，并为制定财务问责和可持续性的方案提供技术援助。
