ArticleBMC public health2020
A rapid assessment of the implementation of integrated disease surveillance and response system in Northeast Nigeria, 2017.
Article in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 37 citations in OpenAlex.
- 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
- Evaluation of cholera surveillance systems in Africa: a systematic review.Frontiers in epidemiology · 2024Pooled it
- Performance of Routine Disease Surveillance in Sub-Saharan Africa (2010-2024): A Systematic Review and Meta-Analysis of Core Reporting and Detection Indicators.Health science reports · 2026Review
- Early Detection and Surveillance of Infectious Disease Outbreaks in Nigeria : Integrating Nigerian Pidgin English (NPE) into the EPIWATCHJournal of medical systems · 2026Article
- Cholera surveillance time series in Africa between 2010 and 2023.Gates open research · 2026Article
- Challenges and opportunities in controlling and eradicating neglected tropical diseases: Public and private health operators in Somalia 2025.Tropical medicine and health · 2025Article
- Communicable Disease Surveillance in South Africa and LMICs: A Systematic Review of Systems, Challenges, and Integration with Environmental Health.Tropical medicine and infectious disease · 2025Review
- A review of the performance of the early warning alert and response system (EWARS) in conflict-affected Borno State, Nigeria: a five-year descriptive analysis.Conflict and health · 2025Article
- Barriers and facilitators of infectious disease outbreak reporting: a One Health scoping review.One health outlook · 2025Article
- Assessment of the National Disease Surveillance System in The Gambia, January 2025: best practices and lessons learned.The Pan African medical journal · 2025Article
- Article
- Cholera outbreak trends in Nigeria: policy recommendations and innovative approaches to prevention and treatment.Frontiers in public health · 2024Article
- Influences of community engagement and health system strengthening for cholera control in cholera reporting countries.BMJ global health · 2023Article
- Integrated disease surveillance and response in humanitarian context: South Sudan experience.The Pan African medical journal · 2022Article
- Evaluation of integrated disease surveillance and response (IDSR) and early warning and response network (EWARN) in South Sudan 2021.The Pan African medical journal · 2022Article
- Risk factors for some tropical diseases in an African country.BMC public health · 2021Observational
- 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
- Comparative Assessment of the Implementation of Integrated Disease Surveillance and Response in Public and Private Health Facilities in Jos North Local Government Area of Plateau State, Nigeria.Annals of African medicineArticle
- From the grassroots up: Redefining Public Health Surveillance in Nigeria through Community Action Networks.Nigerian medical journal : journal of the Nigeria Medical AssociationReview
Corrections and comments
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Authors and funding
14 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIntegrated disease surveillance and response (IDSR) is the strategy adopted for public health surveillance in Nigeria. IDSR has been operational in Nigeria since 2001 but the functionality varies from state to state. The outbreaks of cerebrospinal meningitis and cholera in 2017 indicated weakness in the functionality of the system. A rapid assessment of the IDSR was conducted in three northeastern states to identify and address gaps to strengthen the system.
methodThe survey was conducted at the state and local government areas using standard IDSR assessment tools which were adapted to the Nigerian context. Checklists were used to extract data from reports and records on resources and tools for implementation of IDSR. Questionnaires were used to interview respondents on their capacities to implement IDSR. Quantitative data were entered into an MS Excel spreadsheet, analysed and presented in proportions. Qualitative data were summarised and reported by thematic area.
resultsA total of 34 respondents participated in the rapid survey from six health facilities and six local government areas (LGAs). Of the 2598 health facilities in the three states, only 606 (23%) were involved in reporting IDSR. The standard case definitions were available in all state and LGA offices and health facilities visited. Only 41 (63%) and 31 (47.7%) of the LGAs in the three states had rapid response teams and epidemic preparedness and response committees respectively. The Disease Surveillance and Notification Officers (DSNOs) and clinicians' knowledge were limited to only timeliness and completeness among over 10 core indicators for IDSR. Review of the facility registers revealed many missing variables; the commonly missed variables were patients' age, sex, diagnosis and laboratory results.
conclusionsThe major gaps were poor documentation of patients' data in the facility registers, inadequate reporting tools, limited participation of health facilities in IDSR and limited capacities of personnel to identify, report IDSR priority diseases, analyze and interpret IDSR data for decision making. Training of surveillance focal persons, provision of IDSR reporting tools and effective supportive supervisions will strengthen the system in the country.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.