Factors associated with adequate weekly reporting for disease surveillance data among health facilities in Nairobi County, Kenya, 2013.
BACKGROUND
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 cross-sectional 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).


CONCLUSIONS
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.
Kenya Field Epidemiology and Laboratory Training Program, Ministry of Health, Nairobi, Kenya; College of Health Sciences, Jomo Kenyatta University of Agriculture and Technology, Nairobi, Kenya.
Athman Juma
AJ
Mwatondo
College of Health Sciences, Jomo Kenyatta University of Agriculture and Technology, Nairobi, Kenya.
Zipporah
Z
Ng'ang'a
Disease Surveillance and Response Unit, Ministry of Health, Nairobi, Kenya.
Caroline
C
Maina
Disease Surveillance and Response Unit, Ministry of Health, Nairobi, Kenya.
Lyndah
L
Makayotto
Centre for Public Health Research, Kenya Medical Research Institute, Nairobi, Kenya.
Moses
M
Mwangi
Disease Surveillance and Response Unit, Ministry of Health, Nairobi, Kenya.
Ian
I
Njeru
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.
Wences
W
Arvelo
D003140:Communicable Disease Control / Q000379:methods*; D003430:Cross-Sectional Studies; D006268:Health Facilities / Q000592:standards / Q000706:statistics & numerical data*; D006801:Humans; D007630:Kenya; D016015:Logistic Models; D015999:Multivariate Analysis; D011159:Population Surveillance / Q000379:methods*
Kenya; Surveillance; prevalence