Evaluation of malaria surveillance system in Benue State, Nigeria

Evaluation of malaria surveillance system in Benue State, Nigeria

Malaria is a priority global health disease with high morbidity and mortality especially among children under-five and pregnant women. Malaria elimination requires an effective surveillance system. The malaria surveillance system in Benue State was evaluated to assess its attributes and performance...

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Bibliographic Details
Published in:Malaria journal Vol. 21; no. 1; pp. 348 - 14
Main Authors: Amede, Peter Okpeh, Umeokonkwo, Chukwuma David, Abege, Susan, Akawe, Joseph, Derek, Jeh, Adedire, Elizabeth, Balogun, Muhammad Shakir
Format: Journal Article
Language:English
Published: England BioMed Central Ltd 23-11-2022
BioMed Central
BMC
Subjects:
Adult
Attributes
Benue State
Care and treatment
Child
Data collection
Decision making
Diagnosis
Disease control
Disease prevention
Fatalities
Female
Global health
Health Facilities
Health Information Systems
Health surveillance
Human diseases
Humans
Information systems
Local Government
Malaria
Malaria - epidemiology
Malaria - prevention & control
Male
Management information systems
Medical informatics
Methods
Morbidity
Mortality
Nigeria
Nigeria - epidemiology
Pregnancy
Public health
Seasons
Surveillance system
United States
Vector-borne diseases
Women
Nigeria
United States
United States > US
Attributes
Surveillance system
Malaria
Nigeria
Benue State
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Summary:Malaria is a priority global health disease with high morbidity and mortality especially among children under-five and pregnant women. Malaria elimination requires an effective surveillance system. The malaria surveillance system in Benue State was evaluated to assess its attributes and performance in line with set objectives. The updated United States Centers for Disease Control and Prevention guideline for evaluating surveillance systems was used. The surveillance system's key attributes was quantitatively and qualitatively assessed. Semi-structured questionnaires were administered to all Local Government Area (LGA) Roll Back Malaria (RBM) focal persons and five key informants were interviewed at the State level. The Benue State District Health Information System-2 (DHIS-2) malaria data and monthly summary forms were reviewed from January 2015 to December 2019. A total of 46 RBM focal persons and 5 key-informants participated. About 56.9% were males, the mean-age 43.8 (SD ± 9.3) years and 32 (62.8%) had ≥ 20-year experience on malaria surveillance with mean-year-experience 20.8 (SD ± 7.8) years. All 46 (100%) RBMs understood the case definition; 43 (93.5%) found it easy-to-fill the standardized data tools and understood the data flow channels. The malaria surveillance system in Benue is simple, acceptable and useful to all stakeholders, 36 (70.6%) found switching from the paper-based to the electronic-data tools with ease and 45 (88.2%) stated that analysed data were used for decision-making. Data flow from LGA to State is clearly defined, however majority of the data is collected from public health facilities through the DHIS-2 Platform. The overall timeliness and completeness of reporting was 76.5% and 95.7%, respectively, which were below the ≥ 80% and 100% targets, respectively. The malaria surveillance system in Benue State is simple, useful, acceptable, and flexible, but it is not representative and timely. Public-private and public-public-partnerships should be strengthened to encourage reporting from both private and tertiary health facilities and improve representativeness, and frequent feedback to improve reporting timeliness.
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ISSN:1475-2875
1475-2875
DOI:10.1186/s12936-022-04367-4