Practice of Epidemiological Surveillance and Availability of Resources in Health Facilities of the Littoral Region of Cameroon: A Cross-Sectional Study.

IF 4.5 Q2 MEDICINE, RESEARCH & EXPERIMENTAL
Research and Reports in Tropical Medicine Pub Date : 2025-09-18 eCollection Date: 2025-01-01 DOI:10.2147/RRTM.S545135
Ketina Hirma Tchio-Nighie, Augustin Murhabazi Bashombwa, Willy Armand Nguemnang Nguemnang, Collins Buh Nkum, Etienne Guenou, Jerome Ateudjieu
{"title":"Practice of Epidemiological Surveillance and Availability of Resources in Health Facilities of the Littoral Region of Cameroon: A Cross-Sectional Study.","authors":"Ketina Hirma Tchio-Nighie, Augustin Murhabazi Bashombwa, Willy Armand Nguemnang Nguemnang, Collins Buh Nkum, Etienne Guenou, Jerome Ateudjieu","doi":"10.2147/RRTM.S545135","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>Epidemiological surveillance is recommended in health systems to monitor existing and emerging health threats and guide the response to epidemics. This study was conducted to assess the distribution of tools and practice of epidemiological surveillance in health facilities in the littoral region of Cameroon.</p><p><strong>Materials and methods: </strong>This cross-sectional descriptive study was conducted in the health districts of the littoral region of Cameroon from April to May 2024. This study targeted health facilities selected through stratified random sampling from eight health districts. Surveyors collected data using a face-to-face structured questionnaire administered to the head of each health facility on the implementation of epidemiological surveillance activities.</p><p><strong>Results: </strong>Of the 345 health facilities reached, 320 (92.8%) consented to participate. Of 320 health facilities, 252 (78.8%) declared that they were involved in the implementation of epidemiological surveillance. None of the eight health districts had all of their facilities involved in disease surveillance. Less than 30% of health facilities conduct surveillance for hemorrhagic fever while approximately 80-90% conduct surveillance for cholera, measles, and yellow fever. Only 14 (5.6%) health facilities declared to conduct surveillance of all events. A total of 200 (79.4%) health facilities had at least one personnel trained in epidemiological surveillance and the mean number of personnel trained per health facility was 2.2 (±1.7). Nurses were the category more frequently involved in epidemiological surveillance (95.2%). A total of 123 (48.8%), 78 (31.0%), and 217 (86.1%) health facilities had registers/line listings, integrated disease surveillance and response guide, and notification forms, respectively.</p><p><strong>Conclusion: </strong>Health facilities' coverage regarding the implementation of epidemiological surveillance remains limited with the situation being more critical in private confessional health facilities. The implementation of epidemiological surveillance in health facilities needs to be monitored, and personnel training and surveillance tools should be considered.</p>","PeriodicalId":21138,"journal":{"name":"Research and Reports in Tropical Medicine","volume":"16 ","pages":"91-102"},"PeriodicalIF":4.5000,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12453041/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Research and Reports in Tropical Medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.2147/RRTM.S545135","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"MEDICINE, RESEARCH & EXPERIMENTAL","Score":null,"Total":0}
引用次数: 0

Abstract

Purpose: Epidemiological surveillance is recommended in health systems to monitor existing and emerging health threats and guide the response to epidemics. This study was conducted to assess the distribution of tools and practice of epidemiological surveillance in health facilities in the littoral region of Cameroon.

Materials and methods: This cross-sectional descriptive study was conducted in the health districts of the littoral region of Cameroon from April to May 2024. This study targeted health facilities selected through stratified random sampling from eight health districts. Surveyors collected data using a face-to-face structured questionnaire administered to the head of each health facility on the implementation of epidemiological surveillance activities.

Results: Of the 345 health facilities reached, 320 (92.8%) consented to participate. Of 320 health facilities, 252 (78.8%) declared that they were involved in the implementation of epidemiological surveillance. None of the eight health districts had all of their facilities involved in disease surveillance. Less than 30% of health facilities conduct surveillance for hemorrhagic fever while approximately 80-90% conduct surveillance for cholera, measles, and yellow fever. Only 14 (5.6%) health facilities declared to conduct surveillance of all events. A total of 200 (79.4%) health facilities had at least one personnel trained in epidemiological surveillance and the mean number of personnel trained per health facility was 2.2 (±1.7). Nurses were the category more frequently involved in epidemiological surveillance (95.2%). A total of 123 (48.8%), 78 (31.0%), and 217 (86.1%) health facilities had registers/line listings, integrated disease surveillance and response guide, and notification forms, respectively.

Conclusion: Health facilities' coverage regarding the implementation of epidemiological surveillance remains limited with the situation being more critical in private confessional health facilities. The implementation of epidemiological surveillance in health facilities needs to be monitored, and personnel training and surveillance tools should be considered.

喀麦隆沿海地区卫生设施流行病学监测和资源可用性的实践:一项横断面研究。
目的:建议在卫生系统中进行流行病学监测,以监测现有和新出现的卫生威胁并指导对流行病的反应。进行这项研究是为了评估喀麦隆沿海地区卫生设施中流行病学监测工具的分布和做法。材料与方法:本横断面描述性研究于2024年4 - 5月在喀麦隆沿海地区卫生区进行。本研究采用分层随机抽样的方法,从8个卫生区选取卫生设施。调查人员使用面对面的结构化问卷收集数据,问卷发给每个卫生机构的负责人,内容涉及流行病学监测活动的实施情况。结果:在345家卫生机构中,320家(92.8%)同意参与。在320个卫生机构中,252个(78.8%)宣布参与了流行病学监测的实施。8个卫生区没有一个将其所有设施都纳入疾病监测。不到30%的卫生机构对出血热进行监测,而大约80-90%的卫生机构对霍乱、麻疹和黄热病进行监测。只有14家(5.6%)卫生机构宣布对所有事件进行监测。共有200家(79.4%)卫生机构至少有一名流行病学监测人员接受过培训,每家卫生机构接受培训的人员平均为2.2人(±1.7人)。护士是参与流行病学监测最多的类别(95.2%)。共有123家(48.8%)、78家(31.0%)和217家(86.1%)卫生机构分别拥有登记/线路清单、疾病监测和应对综合指南以及通报表格。结论:卫生设施在实施流行病学监测方面的覆盖面仍然有限,私营忏悔卫生设施的情况更为严重。需要监测卫生设施中流行病学监测的实施情况,并应考虑人员培训和监测工具。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Research and Reports in Tropical Medicine
Research and Reports in Tropical Medicine MEDICINE, RESEARCH & EXPERIMENTAL-
自引率
0.00%
发文量
7
审稿时长
16 weeks
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信