EFFECT OF INTERVENTION ON KAP OF DISEASE NOTIFICATION AMONG DSN OFFICERS IN PRIVATE HEALTH FACILITIES IN EDO STATE

EFFECT OF INTERVENTION ON KAP OF DISEASE NOTIFICATION AMONG DSN OFFICERS IN PRIVATE HEALTH FACILITIES IN EDO STATE

Abstract

Introduction Disease notification data are useful for effective decision making on disease control. These data enable judgments to be made based on scientific evidence that is desirable in modern public health practice. The activities of disease control programmes can be brought into disrepute, for lack of reliable data.
However, the various uses to which disease notification data could be put would not be realized if there is a poor knowledge of disease notification. Beyond this, there are numerous emerging infectious diseases that could lead to outbreaks and need to be monitored through effective disease notification. The effective control of these infectious diseases has brought to the fore, the importance of improving the disease notification process.
Objectives. This work was conducted to assess the level of knowledge, attitude and practice of disease notification in private health facilities in Edo State; to identify the nature of, and factors associated with non-compliance with disease notification and a training intervention programme aimed at improving disease notification was carried out.
Methodology A pre- and post-intervention quasi-experimental study design was used. The same subjects acted as respondents in both phases of the study.
Results The level of compliance with disease notification increased from zero to 36.4%. Nine percent of respondents, post-intervention, felt reluctant to notify HIV/AIDS, the five epidemic-prone diseases under IDSR, tuberculosis and leprosy, because they felt their notification damaged healthcare provider-patient relationships, there was no laboratory confirmation of disease and no financial incentive to notification. The level of knowledge of disease notification increased but none of the diseases recorded 100% in the assessment for correct reports. HIV/AIDS had the least with 60.1% and lassa fever, the highest with 92.1%. Statistically significant positive changes in attitude occurred, for respondents who already had a good attitude to notification. More nurses (66.7%) who are DSN Officers practiced disease notification than doctors (33.8%). As the years of practice increased, compliance with disease notification decreased. The local councils were found to be ill prepared to perform disease notification functions.
Conclusion: The level of knowledge of disease notification improved, the rate of compliance increased and a significant change in attitude occurred.
Recommendation Further improvement in disease notification will require regular seminars to highlight its importance. There is also need for political will to be demonstrated through increased budgetary allocation for disease notification functions.

Title Page———i

Certification——–ii

Dedication———iii

Acknowledgement——-iv

Abstract ———vi

Table of Content——–vii

Chapter One

1.0 Introduction ——-1

1.1 Statement of Problem——4

1.2 Purpose of the Study——5

1.3 Significance of Study——8

1.4 Limitation——–9

1.5 Scope of Study——-11

Chapter Two

2.0 Review of Related Literature —-12

2.6 Summary of Literature Review—- 19

Chapter Three

3.0 Research Methodology and Procedure—22

3.1 Population ——–22

3.2 Sample and Sampling Technique—-22

3.3 Validation of the Instrument —-23

3.4 Reliability of the Instrument —–23

3.5 Data Analysis——-23

Chapter Four

4.0 Presentation and Discussion of Result—24

4.1 Analysis and interpretaion of Data—25

4.2 Discussion of Results——38

Chapter Five

5.0. Summary, Conclusion, and Recommendation  –40

5.1 Summary——–40

5.2 Conclusion——–41

5.3 Recommendation——42

References ———45

Appendix 1——–47

Appendix ———50

EFFECT OF INTERVENTION ON KAP OF DISEASE NOTIFICATION AMONG DSN OFFICERS IN PRIVATE HEALTH FACILITIES IN EDO STATE