Odelola Oluwaseyi Isaiah, Raji Farouk Oladeji, Akadri Adebayo Adekunle
Department of Obstetrics and Gynaecology, State Hospital Ijebu-Ode, Ogun State, Nigeria.
Department of Surgery, Olabisi Onabanjo University Teaching Hospital, Sagamu, Ogun State, Nigeria.
Niger Med J. 2025 Jun 16;66(2):500-511. doi: 10.71480/nmj.v66i2.643. eCollection 2025 Mar-Apr.
Over time, disease outbreaks in Nigeria have been attributed to under-reporting by healthcare workers. Disease surveillance and notification are important for early detection of disease outbreaks, timely response, and reduction of morbidity and death. This study assessed the knowledge and practice of disease surveillance and notification (DSN) among health workers in public health facilities in Wamakko LGA of Sokoto State.
A descriptive cross-sectional study was conducted among 167 healthcare workers of all cadres in six primary health facilities. Data was collected from participants selected via convenience sampling method, using an interview-based semi-structured questionnaire. Data were analyzed using descriptive and inferential statistics.
Most of the participants were Community Health Extension Workers (CHEW) (34.1%). The majority were aware that some diseases required notification (98.8%), where or who to report/notify diseases (83.8%), and of the DSN system (68.9%). The practice of disease notification was also comparatively good. Educational qualification (p=0.004) and years of working experience (p=0.041) were found to be significantly associated with the level of knowledge on disease surveillance and notification. There was no significant association between the level of practice of DSN and the level of knowledge (p=0.515), work experience (p=0.303), supervision (p=0.372), and motivation/incentives to disease reporting (p=.293). The notable identified challenges to disease reporting were the non-availability of reporting forms and stationery.
Even though disease notification and surveillance are common in Nigeria, the practice and specific use of the surveillance and notification tools still fall short of the standard required for effective monitoring of the trend of disease and forestalling outbreaks. Regular training and revision courses on DSN for healthcare workers at the LGA level, especially on the uses of each DSN form are recommended.
随着时间的推移，尼日利亚的疾病暴发一直被归因于医护人员报告不足。疾病监测和通报对于疾病暴发的早期发现、及时应对以及降低发病率和死亡率至关重要。本研究评估了索科托州瓦马科地方政府辖区公共卫生机构中卫生工作者对疾病监测和通报（DSN）的知识和实践情况。
对六个初级卫生机构中167名各职级的医护人员进行了描述性横断面研究。通过便利抽样法选择参与者，使用基于访谈的半结构化问卷收集数据。使用描述性和推断性统计方法对数据进行分析。
大多数参与者是社区卫生推广工作者（CHEW）（34.1%）。大多数人知道某些疾病需要通报（98.8%）、向何处或向谁报告/通报疾病（83.8%）以及了解疾病监测和通报系统（68.9%）。疾病通报的实践情况也相对较好。发现教育程度（p = 0.004）和工作年限（p = 0.041）与疾病监测和通报知识水平显著相关。疾病监测和通报的实践水平与知识水平（p = 0.515）、工作经验（p = 0.303）、监督（p = 0.372）以及疾病报告的激励措施（p = 0.293）之间没有显著关联。疾病报告中明显发现的挑战是报告表格和文具不可用。
尽管疾病通报和监测在尼日利亚很常见，但监测和通报工具的实践和具体使用仍未达到有效监测疾病趋势和预防暴发所需的标准。建议为地方政府辖区一级的医护人员定期开展关于疾病监测和通报的培训及复习课程，特别是关于每种疾病监测和通报表格的使用。
