Research Article of International Research Journal of Public Health
Assessing the quality of the Acute Flaccid Paralysis surveillance system in Edo state, Nigeria 2017
Ireye F1, Bassey Enya B1, Walla H1, Onimisi A1, Okocha-Ejeko A1* , Onyibe R1, Sume G1, Braka F1, ,Bodeno E2, Ejiyere HO3
1World Health organization (WHO) Nigeria Country office, UN House, plot 617/618, Diplomatic Drive, Central Business District, PMB 2861, Garki, Abuja, Nigeria.
2Community Health Dept. University Benin Teaching Hospital, Benin City, Edo State, Nigeria
3Irrua Specialist Teaching Hospital, Irrua, Edo State, Nigeria
This paper accesses the quality of the Acute Flaccid Paralysis (AFP) surveillance system in Edo state using the May/June 2017 Rapid Surveillance Assessment tool for reviewing existing surveillance systems.
This was a descriptive cross-sectional study involving the Disease surveillance and notification officers (DSNOs), and their assistants (ADSNOs) in all 18 Local Government Areas (LGAs).
All the surveillance officers were 100% knowledgeable on the AFP case definition. About, 94% of the ADSNOs knew how the AFP stool specimens were transported. Only 75% and 50% of the DSNOs and ADSNOs respectively could mention all seven AFP differential diagnosis stated in the AFP surveillance guidelines.
Active surveillance was conducted by 89% of the DSNOs in their respective LGAs within the last six months prior to this study. Only 22% of the ADSNOs were actively involved in surveillance activities.
Records of documentation of AFP surveillance activities dating as far back as three years were readily available at the offices of 90% of the DSNOs and with the state epidemiologist.
Edo state has shown attributes of a quality surveillance system in terms of knowledge, AFP surveillance and documentation. We however encourage a surveillance system that is more inclusive with active participation from the ADSNOs.
Keywords: Acute Flaccid Paralysis surveillance system, Edo state, Nigeria, 2017
How to cite this article:
Ireye F, Bassey Enya B, Walla H, Onimisi A, Okocha-Ejeko A , Onyibe R, Sume G, Braka F1, ,Bodeno E, Ejiyere HO. Assessing the quality of the Acute Flaccid Paralysis surveillance system in Edo state, Nigeria 2017.International Research Journal of Public Health, 2019; 3:25. DOI:10.28933/irjph-2018-11-2507
1. Global Polio Eradication Initiative. Nigeria – GPEI. Available at: http://polioeradication.org/where-we-work/nigeria/. (Accessed: 8th November 2017)
2. Tagbo, B. Achieving polio eradication in Nigeria: Prospects and challenges. Niger. J. Paediatr.40, 15–23 (2012).
3. Premji, A. et al. Nigeria Will Become Polio-Free: Challenges, Successes, and Lessons Learned for the Quest to Eradicate Polio. (2016).
4. Bassey, B. E. et al. Assessment of the Quality of the Reverse Cold Chain Management in the Acute Flaccid Paralysis (AFP) Surveillance System for Polio Eradication; South-south Zone, Nigeria 2015. Am. J. Epidemiol. Infect. Dis. Vol. 4, 2016, Pages 100-1044, 100–104 (2016).
5. Watkins, R. E., Martin, P. A. J., Kelly, H., Madin, B. & Watson, C. An evaluation of the sensitivity of acute flaccid paralysis surveillance for poliovirus infection in Australia. BMC Infect. Dis.9, 162 (2009).
6. Mateen, F. J. & Black, R. E. Expansion of acute flaccid paralysis surveillance: beyond poliomyelitis. Trop. Med. Int. Heal.18, 1421–1422 (2013).
7. Global Polio Eradication Initiative. Certification – GPEI. Available at: http://polioeradication.org/polio-today/preparing-for-a-polio-free-world/certification/. (Accessed: 8th November 2017)
8. Deblina Datta, S., Tangermann, R. H., Reef, S., William Schluter, W. & Adams, A. National, Regional and Global Certification Bodies for Polio Eradication: A Framework for Verifying Measles Elimination. J. Infect. Dis.216, S351–S354 (2017).
9. Addo, J. K. odoom. N. A. A. E. B. S. J. Evaluation of AFP surveillance indicators in polio-free Ghana, 2009-2103. BMC Public Health14, 687 (2014).
10. Hamisu, A. W. et al. Sensitivity of Acute Flaccid Paralysis Surveillance in Nigeria (2006-2015). J. Infect. Dis. Treat.2, (2016).
11. Edo State Government. Edo People – EDO STATE. Available at: http://www.edostate.gov.ng/edo-people/. (Accessed: 8th November 2017)
12. Isibor, I. et al. Rapid assessments of acute flaccid paralysis surveillance in seven key polio high risk states in Northern Nigeria. Peak J. Med. Med. Sci.2, 33–40 (2014).
13. World Health Organisation, S.-E. A. Joint National/International Acute Flaccid Paralysis (AFP) Surveillance review (Indonesia).
14. Oyibo PG & Ejughemre UJ. Sustainable health care financing for low income communities in Sub-Saharan Africa: A review of the options and opportunities.