ArticleBMC public health2018
Health worker knowledge of Integrated Disease Surveillance and Response standard case definitions: a cross-sectional survey at rural health facilities in Kenya.
Article in BMC public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.
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Who cites it
10 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Barriers and facilitators to the implementation of integrated disease surveillance and response (IDSR) in Africa: a systematic review using the consolidated framework for implementation research (CFIR).Frontiers in public health · 2026Pooled it
- Systematic review of Integrated Disease Surveillance and Response (IDSR) implementation in the African region.PloS one · 2021Pooled it
- Advance Warning and Response Systems in Kenya: A Scoping Review.medRxiv : the preprint server for health sciences · 2025Article
- Health professionals' knowledge on dengue and health facility preparedness for case detection: A cross-sectional study in Dar es Salaam, Tanzania.PLoS neglected tropical diseases · 2023Article
- Twenty years of integrated disease surveillance and response in Sub-Saharan Africa: challenges and opportunities for effective management of infectious disease epidemics.One health outlook · 2021Review
- Assessment of the core and support functions of the integrated disease surveillance and response system in Zanzibar, Tanzania.BMC public health · 2021Article
- Medical practitioner's knowledge on dengue management and clinical practices in Bhutan.PloS one · 2021Article
- Kenya's response to the COVID-19 pandemic: a balance between minimising morbidity and adverse economic impact.AAS open research · 2021Article
- Predictors of health workers' knowledge about artesunate-based severe malaria treatment recommendations in government and faith-based hospitals in Kenya.Malaria journal · 2020Article
- Use of technology for public health surveillance reporting: opportunities, challenges and lessons learnt from Kenya.BMC public health · 2020Article
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Authors and funding
6 authors.
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Abstract
backgroundThe correct knowledge of standard case definition is necessary for frontline health workers to diagnose suspected diseases across Africa. However, surveillance evaluations commonly assume this prerequisite. This study assessed the knowledge of case definitions for health workers and their supervisors for disease surveillance activities in rural Kenya.
methodsA cross-sectional survey including 131 health workers and their 11 supervisors was undertaken in two counties in Kenya. Descriptive analysis was conducted to classify the correctness of knowledge into four categories for three tracer diseases (dysentery, measles, and dengue). We conducted a univariate and multivariable logistic regression analyses to explore factors influencing knowledge of the case definition for dysentery.
resultsAmong supervisors, 81.8% knew the correct definition for dysentery, 27.3% for measles, and no correct responses were provided for dengue. Correct knowledge was observed for 50.4% of the health workers for dysentery, only 12.2% for measles, and none for dengue. Of 10 examined factors, the following were significantly associated with health workers' correct knowledge of the case definition for dysentery: health workers' cadre (aOR 2.71; 95% CI 1.20-6.12; p = 0.017), and display of case definition poster (aOR 2.24; 95% CI 1.01-4.98; p = 0.048). Health workers' exposure to the surveillance refresher training, supportive supervision and guidelines were not significantly associated with the knowledge.
conclusionThe correct knowledge of standard case definitions was sub-optimal among health workers and their supervisors, which is likely to impact the reliability of routine surveillance reports generated from health facilities.
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