Table 2 Comparison of IDSR indicators in selected health facilities, Sierra Leone, 2016–2021
Core Function | Indicators | Feb_2016 | July_2016 | May_2017 | Aug_2018 | Feb_2019 | Aug_2021 | End Line vs. Baseline | P value |
|---|---|---|---|---|---|---|---|---|---|
N = 71 n (%) | N = 99 n (%) | N = 101 n (%) | N = 126 n (%) | N = 139 n (%) | N = 156 n (%) | Difference (95 CI) | |||
Coordination | Health facility (HF) has IDSR focal person | 69 (97.2) | 97 (98.0) | 100 (99.0) | 121 (96.0) | 135 (97.1) | 153 (98.1) | 0.9 (-3.2, 7.9) | 0.67 |
HF IDSR focal person attends district monthly meetings | 53 (74.6) | 87 (87.9) | 93 (92.1) | 118 (93.7) | 132 (95.0) | 150 (96.1) | 21.5 (11.8, 32.9) | < 0.0001 | |
HF has IDSR Technical guidelines | 69 (97.2) | 89 (89.9) | 101 (100.0) | 102 (81.0) | 123 (88.5) | 128 (82.1) | 15.1 (6.5, 22.2) | 0.002 | |
Case Identification | Standard Case definition poster displayed in at least one location in the health facility | 54 (76.1) | 84 (84.8) | 89 (88.1) | 114 (90.5) | 127 (91.4) | 148 (94.9) | 18.8 (9.2, 30.2) | < 0.0001 |
IDSR focal person conducts active case search at least once a week | 56 (78.9) | 54 (54.5) | 34 (33.7) | 100 (79.4) | 75 (54.0) | 123 (78.8) | 0.1 (-12.1, 10.7) | 0.99 | |
Reporting of Priority diseases | HCW correctly defines epidemiologic week | 51 (71.8) | 93 (93.9) | 99 (98.0) | 108 (85.7) | 132 (95) | 151 (96.8) | 25 (15.0, 36.5) | < 0.0001 |
HCW correctly defines zero reporting | 67 (94.4) | 94 (94.9) | 99 (98.0) | 121 (96.0) | 138 (99.3) | 147 (92.2) | 2.2 (-6.4, 8.5)) | 0.55 | |
HCW knows the deadline for submitting weekly IDSR reports | 65 (91.5) | 96 (97.0) | 100 (99.0) | 115 (91.3) | 138 (99.3) | 151 (96.8) | 5.3 (-0.8, 14.3) | 0.09 | |
Weekly reporting forms available in HF | 63 (88.7) | 89 (89.9) | 96 (95.0) | 119 (94.4) | 127 (91.4) | 150 (96.1) | 7.4 (0.4, 17.1) | 0.03 | |
Line listing forms available in HF | 60 (84.5) | 78 (78.8) | 81 (80.2) | 95 (75.4) | 114 (82.0) | 122 (78.2) | 6.3 (-5.4, 16.0) | 0.27 | |
Case based forms available in HF | 66 (93.0) | 79 (79.8) | 91 (90.1) | 110 (87.3) | 114 (82.0) | 139 (89.1) | 3.9 (-5.4, 11.0) | 0.36 | |
Rumor logs available in HF | 39 (54.9) | 55 (55.6) | 52 (51.5) | 78 (61.9) | 84 (60.4) | 97 (62.1) | 7.2 (-6.3, 20.8) | 0.31 | |
Data Analysis and Use | HF conducts data basic data analysis | 28 (39.4) | 49 (49.5) | 41 (40.6) | 51 (40.5) | 63 (45.3) | 99 (63.4) | 24.0 (10.0, 36.7) | 0.0008 |
HF have current line graphs showing trends of priority diseases | 5 (7.0) | 11 (11.1) | 16 (15.8) | 29 (23.0) | 43 (30.9) | 72(46.1) | 39.1 (27.8, 47.9) | < 0.0001 | |
Outbreak notification and investigation | HF reported outbreak within 12 months | 12 (16.9) | 45 (45.5) | 32 (31.7) | 10 (7.9) | 7 (5.0) | 17(10.9) | 6.0 (-4.2, 16.1) | 0.31 |
Outbreak notified to DHMT within 48Â h* | 11 (91.7) | 29 (64.4) | 29 (90.6) | 9 (90.0) | 5 (71.4) | 15(88.2%) | 3.5 (-24.7, 27.1) | 0.09 | |
Monitoring and Communication | Supervisory visits from DHMT (at least once every three months) | 44 (62.0) | 91 (91.9) | 78 (77.2) | 79 (62.7) | 70 (50.4) | 144 (92.3) | 30.3(18.6, 42.4) | < 0.0001 |
Mobile network available in HF | 67 (94.4) | 79 (79.8) | 91 (90.1) | 120 (95.2) | 126 (90.6) | 144 (92.3) | 2.1 (-6.5, 8.4) | 0.57 |