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Resource mapping and malaria surveillance capacity of health facilities in Federal Capital Territory, Abuja, Nigeria-June 2020
Abstract
Introduction: Malaria is responsible for about 500 million cases and one million deaths annually. A disease of high burden in sub-Saharan Africa, with challenges of resource deficit leading to delayed elimination, we determine resources available in health facilities for malaria surveillance, identified gaps, and made recommendations towards malaria elimination in Nigeria.
Methods: Cross-sectional survey was conducted to determine the availability of malaria surveillance tools and officers, their knowledge, and the laboratory capacity of facilities. Knowledge was graded against a total score of 100 percent and ?70 percent score was considered good knowledge. Descriptive, bivariate, and multivariate analysis was done, and the 95% confidence interval of the adjusted odds ratio were reported.
Results: A total of 221 facilities were studied. Mean age of respondents was 37.6 years ± 8.4, and 66.0% were males. All facilities studied had malaria focal persons and 85.5% were Community Health Officers (CHOs). Eighty-eight percent had good knowledge of malaria surveillance. Being a Nurse (p=0.004), Record Officers (p=0.03), and a duration of 1-5years as Malaria surveillance in-charge (p<0.001) were associated with, and predicting factors for good knowledge. While 95.0% report on indicators timely, 90.0% routinely analyzed their data. Surveillance tools available in facilities were outpatient and inpatient registers, outpatient and inpatient patient's card, and reporting forms. Only 16.3% of facilities had computers, while 59.0% of facilities had a functional laboratory with about half of the treated malaria cases laboratory confirmed.
Conclusion: Resources and capacity for malaria diagnosis within the health facilities were sub-optimal. Conscious and deliberate efforts through training, equipping, and enhanced supportive supervision would be required to improve the system towards malaria elimination.
