Department of Community Medicine, College of Health Sciences, University of Jos; Department of Community Medicine, Jos University Teaching Hospital, Jos, Nigeria.
Department of Community Medicine, Jos University Teaching Hospital, Jos, Nigeria.
Ann Afr Med. 2022 Apr-Jun;21(2):146-152. doi: 10.4103/1596-3519.349974.
Due to the continuous increase in the spread of epidemic-prone diseases and the associated morbidity and mortality, integrated disease surveillance and response (IDSR) was introduced as the main strategy in resource-poor settings for the detection and notification of these diseases. Integrated disease surveillance is a combination of active and passive systems using a single infrastructure that gathers information about multiple diseases or behaviors of interest.
: A comparative cross-sectional study was conducted between March and July 2018 among selected public and private health facilities in Jos North Local Government Area (LGA), Plateau State. Quantitative data were collected with the aid of a semi-structured interviewer-administered questionnaire and facility-based checklist. Data were analyzed using SPSS version 23. Statistical significance level was set at P ≤ 0.05 at a 95% confidence level.
A.
total of 126 health workers were studied. IDSR-trained health personnel was found in 52.7% of the public health facilities compared with only 16.7% of the private health facilities studied (P < 0.001). Awareness of IDSR was higher in the public health facilities than in the private ones (P < 0.001). IDSR implementation was poorer in the private health facilities 40.7% compared with 76.4% in public health facilities (P < 0.001). Evidence of previous disease notification and reporting was seen only in 33.3% and 16.7% of public and private health facilities, respectively (P < 0.001).
This study revealed that awareness and attitude of health workers in public health facilities in Jos North were higher than that of those in private health facilities and there is the sub-optimal implementation of IDSR among the health workers in Jos North LGA, especially among the private health facilities.
由于易患疾病的传播不断增加，以及由此导致的发病率和死亡率，综合疾病监测和应对（IDSR）作为资源匮乏环境中检测和通报这些疾病的主要策略被引入。综合疾病监测是一种结合了主动和被动系统的方法，使用单一基础设施收集有关多种疾病或感兴趣行为的信息。
2018 年 3 月至 7 月，在高原州乔斯北部地方政府区（LGA）的选定公立和私立卫生机构中进行了一项比较性横断面研究。使用半结构化访谈式问卷和基于设施的清单收集定量数据。使用 SPSS 版本 23 进行数据分析。统计显著性水平设置为 P ≤ 0.05，置信水平为 95%。
共研究了 126 名卫生工作者。在公立卫生机构中，发现有 52.7%的卫生人员接受过 IDSR 培训，而在所研究的私立卫生机构中，这一比例仅为 16.7%（P < 0.001）。公立卫生机构对 IDSR 的认识高于私立卫生机构（P < 0.001）。私立卫生机构的 IDSR 实施情况较差，为 40.7%，而公立卫生机构为 76.4%（P < 0.001）。仅在 33.3%和 16.7%的公立和私立卫生机构中分别发现了先前疾病通报和报告的证据（P < 0.001）。
本研究表明，乔斯北部公立卫生机构的卫生工作者的意识和态度高于私立卫生机构，乔斯北部 LGA 的卫生工作者实施 IDSR 的情况并不理想，特别是私立卫生机构。
