Factors associated with adequate weekly reporting for disease surveillance data among health facilities in Nairobi County, Kenya, 2013

  • Athman Juma Mwatondo
  • Zipporah Ng’ang’a
  • Caroline Maina
  • Lyndah Makayotto
  • Moses Mwangi
  • Ian Njeru
  • Wences Arvelo

Abstract

Introduction: Kenya adopted the Integrated Disease Surveillance and Response (IDSR) strategy in 1998 to strengthen disease surveillance and epidemic response. However, the goal of weekly surveillance reporting among health facilities has not been achieved. We conducted a crosssectional study to determine the prevalence of adequate reporting and factors associated with IDSR reporting among health facilities in one Kenyan County. Methods: Health facilities (public and private) were enrolled using stratified random sampling from 348 facilities prioritized for routine surveillance reporting. Adequately-reporting facilities were defined as those which submitted >10 weekly reports during a twelve-week period and a poor reporting facilities were those which submitted <10 weekly reports. Multivariate logistic regression with backward selection was used to identify risk factors associated with adequate reporting. Results: From September 2 through November 30, 2013, we enrolled 175 health facilities; 130(74%) were private and 45(26%) were public. Of the 175 health facilities, 77 (44%) facilities classified as adequate reporting and 98 (56%) were reporting poorly. Multivariate analysis identified three factors to be independently associated with weekly adequate reporting: having weekly reporting forms at visit (AOR19, 95% CI: 6-65], having posters showing IDSR functions (AOR8, 95% CI: 2-12) and having a designated surveillance focal person (AOR7, 95% CI: 2-20). Conclusion: The majority of health facilities in Nairobi County were reporting poorly to IDSR and we recommend that the Ministry of Health provide all health facilities in Nairobi County with weekly reporting tools and offer specific trainings on IDSR which will help designate a focal surveillance person.

Pan African Medical Journal 2016; 23

Author Biographies

Athman Juma Mwatondo
Kenya Field Epidemiology and Laboratory Training Program, Ministry of Health, Nairobi, Kenya
Zipporah Ng’ang’a
College of Health Sciences, Jomo Kenyatta University of Agriculture and Technology, Nairobi, Kenya
Caroline Maina
Disease Surveillance and Response Unit, Ministry of Health, Nairobi, Kenya
Lyndah Makayotto
Disease Surveillance and Response Unit, Ministry of Health, Nairobi, Kenya
Moses Mwangi
Centre for Public Health Research, Kenya Medical Research Institute, Nairobi, Kenya
Ian Njeru
Disease Surveillance and Response Unit, Ministry of Health, Nairobi, Kenya
Wences Arvelo
Kenya Field Epidemiology and Laboratory Training Program, Ministry of Health, Nairobi, Kenya; US Centers for Disease Control and Prevention, Nairobi, Kenya;  Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, USA
Published
2016-07-13
Section
Articles

Journal Identifiers


eISSN: 1937-8688