IMPLEMENTATION OF INTEGRATED DISEASE SURVEILANCE AND RESPONSE BY PUBLIC AND PRIVATE HEALTH FACILITIES IN TWO LOCAL GOVERNMENT AREAS OF OYO STATE
- Project Research
- 1-5 Chapters
- Abstract : Available
- Table of Content: Available
- Reference Style: APA
- Recommended for : Student Researchers
- NGN 5000
ABSTRACT
Integrated Disease Surveillance and Response (IDSR) was adopted in 1998 by the World Health Organisation–Regional committee for Africa as a strategy for strengthening the existing weak and multiple national surveillance system. Within the framework of IDSR strategy, all health facilities are required to have IDSR focal persons, ensure timely and regular provision of disease data to the Local Government Area (LGA) using approved IDSR reporting format and instruments. However, there is paucity of information regarding its implementation. This study was carried out to assess and compare the knowledge and practice of disease surveillance, and implementation of IDSR strategy at public and private health facilities in two LGAs of Oyo State, Nigeria. A comparative cross-sectional study was carried out in all health facilities in Ibadan North (urban) and Ibarapa East (rural) LGAs selected by cluster sampling technique. Surveillance focal person or a facility head designated personnel in each health facility was interviewed using a pretested semi-structured questionnaire. Information was obtained on knowledge of disease surveillance, pre-existing surveillance practices and IDSR implementation. Response to each variable was scored 1 for correct and 0 for incorrect response. Composite scores were computed given maximum scores of 29, 6 and 13 for knowledge, pre-existing surveillance practice and IDSR implementation scores respectively. Data were analysed using descriptive statistics and student’s t-test. One hundred and thirty-two health facilities [30 public (22.7%) and 102 private (77.3%)] were studied. There were 117(88.6%) fr om urban and 15(11.4%) from rural LGAs. Overall mean knowledge score was 16.1+ 4.1. Mean knowledge score in the public and private facilities were vii 15.2 + 3.4 and 16.4 + 4.2 respectively; and in the LGAs; 16.3+4.1 (Ibadan north) and 14.5+3.4 (Ibarapa East). Overall score for mean disease surveillance practice was 2.7+1.4. The mean disease surveillance practice score was 2.8+1.5 in public and 2.7+1.5 in private facilities. The overall median IDSR implementation score was 1.00 (min 0.00, max 11.00) .The median IDSR implementation score was significantly higher in public facilities 3.00 (min 0.00, max 11.00) compared with 1.00 (min 0.00, max 11.00) in the private facilities, p<0.05. No difference existed in the median implementation scores between Ibadan North, 1.00(min 0.00, max 11.00) and Ibarapa East,2.00(0.00-7.00) LGAs. Surveillance focal persons existed in only 11 facilities (8.3%). Mean scores for pre-existing surveillance practice where focal persons existed was 3.5+1.5 compared with 2.6+1.4 where none existed (p< 0.05). Median IDSR implementation scores in facilities with surveillance focal person was 3.00 (min 1.00, max 11.00) and 1.00 (min 0.00, max 11.00) where none existed (p<0.05). Knowledge and practice of disease surveillance as well as implementation of Integrated Disease Surveillance and Response strategy were generally below average in all the health facilities irrespective of status and location with poorer implementation in the private facilities. The existence of a surveillance focal person improved surveillance practice. There is a need to institute measures to improve awareness and participation of health facilities in disease surveillance to achieve set goals. Keywords: Integrated disease surveillance, Health facilities, Implementation compliance
Related Project Materials
VIOLENCE AND THE GIRL-CHILD IN SELECTED NOVELS OF BUCHI EMECHETA, YVONNE VERA, NURUDDIN FARAH AND IKECHUKWU ASIKA
Background to the Study
Violence has remained a very complex subject which takes different dimensions in societies of the world today. It...
An Examination of Undernutrition and Stunting in Children Under Five in Kebbi State
Background of the Study
Undernutrition, particularly stunting, remains a significant public health ch...
An Assessment of Postpartum Depression Awareness Among Mothers in Kaduna State
Background of the Study
Postpartum depression (PPD) is a serious mental health condition that affects w...
An assessment of global market integration in investment banking operations: a case study of United Bank for Africa
Background of the Study
Global market integration has reshaped investment banking by enabling banks to participate in cros...
The effect of continuous assessment on the academic achievement of students with special needs in Minna LGA, Niger State
Background of the Study
Continuous assessment is an educational approach that involves the regular evaluation of student p...
A study of public relations ethics on improving corporate image: Evidence from a government agency in Abuja, Nigeria
Background of the study
Public relations ethics are foundational for building and sustaining a positive corporate image, especially withi...
CREDIT RISK ON BANKS PERFORMANCE IN NIGERIA
ABSTRACT
The aim of this study is to examine the pattern of credit risk and the consequential effect of bad, doubtfu...
traditional_institutions_as_instruments_for_rural_developement
Abstract
This research work is an attempt to examine the prospects and part played by traditional rulers in community development in Awom...
An assessment of the psychological effects of conflict on children: A study of Bama Local Government Area, Borno State
Background of the Study
The ongoing insurgency in northeastern Nigeria, particularly the Boko Haram conflict, has had devas...
THE IMPACT OF MORTGAGE BANKING IN NIGERIANS ECONOMIC DEVELOPMENT PROGRAMMES
BACKGROUND OF THE STUDY
FEDERAL MORTGAGE BANK OF NIGERIA (FMB)
...