Awareness and Knowledge of Health Care Workers at Dots Facilities on the Management of Tuberculosis in Lagos, Nigeria: A Public - Private Comparison

Adejumo, Olusola Adedeji; Daniel, Olusoji; Kuyinu, Yetunde; Wright, Kikelomo Ololade; Jaiyesimi, Ebunoluwa; Odusanya, Olumuyiwa O.

doi:10.9734/bjast/2016/21206

Cited by 5 publications

(1 citation statement)

References 8 publications

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“…The high staff turnover experienced in the private sector maybe due to poor job satisfaction and/or job insecurity. In addition, the regular redeployment and poor distribution of trained staff within the public health sector is a cause of concern in the sustainability of public health programmes in developing countries like Nigeria [14]- [16].…”

Section: Discussionmentioning

confidence: 99%

Are Tuberculosis Patients Managed According to the National Guidelines in Lagos State Nigeria?

Adejumo¹,

Daniel²,

Gidado³

et al. 2016

IJCM

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Section: Discussionmentioning

confidence: 99%

Are Tuberculosis Patients Managed According to the National Guidelines in Lagos State Nigeria?

Adejumo¹,

Daniel²,

Gidado³

et al. 2016

IJCM

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Determinants of health system delay at public and private directly observed treatment, short course facilities in Lagos State, Nigeria: A cross-sectional study

Adejumo

Daniel

Otesanya³

et al. 2016

International Journal of Mycobacteriology

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The Role of Trust as a Driver of Private-Provider Participation in Disease Surveillance: Cross-Sectional Survey From Nigeria

Mitchell,

Adejumo,

Abdur-Razzaq

et al. 2024

JMIR Public Health Surveill

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Background Recognition of the importance of valid, real-time knowledge of infectious disease risk has renewed scrutiny into private providers’ intentions, motives, and obstacles to comply with an Integrated Disease Surveillance Response (IDSR) framework. Appreciation of how private providers’ attitudes shape their tuberculosis (TB) notification behaviors can yield lessons for the surveillance of emerging pathogens, antibiotic stewardship, and other crucial public health functions. Reciprocal trust among actors and institutions is an understudied part of the “software” of surveillance. Objective We aimed to assess the self-reported knowledge, motivation, barriers, and TB case notification behavior of private health care providers to public health authorities in Lagos, Nigeria. We measured the concordance between self-reported notification, TB cases found in facility records, and actual notifications received. Methods A representative, stratified sample of 278 private health care workers was surveyed on TB notification attitudes, behavior, and perceptions of public health authorities using validated scales. Record reviews were conducted to identify the TB treatment provided and facility case counts were abstracted from the records. Self-reports were triangulated against actual notification behavior for 2016. The complex health system framework was used to identify potential predictors of notification behavior. Results Noncompliance with the legal obligations to notify infectious diseases was not attributable to a lack of knowledge. Private providers who were uncomfortable notifying TB cases via the IDSR system scored lower on the perceived benevolence subscale of trust. Health care workers who affirmed “always” notifying via IDSR monthly reported higher median trust in the state’s public disease control capacity. Although self-reported notification behavior was predicted by age, gender, and positive interaction with public health bodies, the self-report numbers did not tally with actual TB notifications. Conclusions Providers perceived both risks and benefits to recording and reporting TB cases. To improve private providers’ public health behaviors, policy makers need to transcend instrumental and transactional approaches to surveillance to include building trust in public health, simplifying the task, and enhancing the link to improved health. Renewed attention to the “software” of health systems (eg, norms, values, and relationships) is vital to address pandemic threats. Surveys with private providers may overestimate their actual participation in public health surveillance.

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Awareness and Knowledge of Health Care Workers at Dots Facilities on the Management of Tuberculosis in Lagos, Nigeria: A Public - Private Comparison

Cited by 5 publications

References 8 publications

Are Tuberculosis Patients Managed According to the National Guidelines in Lagos State Nigeria?

Are Tuberculosis Patients Managed According to the National Guidelines in Lagos State Nigeria?

Determinants of health system delay at public and private directly observed treatment, short course facilities in Lagos State, Nigeria: A cross-sectional study

The Role of Trust as a Driver of Private-Provider Participation in Disease Surveillance: Cross-Sectional Survey From Nigeria

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