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Background: Disease surveillance plays a critical role in the early detection and mitigation of
public health threats like emerging patterns and trends of diseases, and develops targeted
interventions. The health workforces across all health system levels are instrumental in
effectively implementing an integrated disease surveillance response system. However, there is
limited study on the level of integrated disease surveillance response practice among health
professionals in Ethiopia. Thus, this study was aimed to assess the level of integrated disease
surveillance response practice among health professionals. Objective: To assess the level of
integrated disease surveillance response practice and associated factors among health
professionals atpublic hospitals in West Harerghe Zone, Oromia, Eastern Ethiopia from
December 20, 2021, to January 10, 2022
Methodology: A facility-based cross-sectional study was conducted among 303 randomly
selected health professionals working at public hospitals in West Harerghe Zone. Data were
collected using pretested tool adapted from world health organization protocol for the assessment
of national communicable disease surveillance systems used in different study. Tool had
sociodemographic, organization support, knowledge, attitude, technical competency and
complexity, perceived data quality factors and integrated disease surveillance response practice
assessing questionaries. Data were entered into Epi-data version 3.1 and exported to STATA
version 16.0 for cleaning and analysis. Binary logistic regression was conducted to identify
factors associated with the integrated disease surveillance response practice. Odds ratio along
with 95% confidence interval were used to present the finding and the level of statistical
significance was declared at p-value < 0.05.
Results: In the current study, practice of integrated disease surveillance response was good in
50.17 %( 95%CI: 45.17-55.17) of health professionals. Being married (AOR=1.76; 95% CI:
1.01, 3.06), perceived organizational support (AOR= 2.14, 95%CI: 1.16, 3.94), having good
knowledge of IDSR (AOR=2.77, 95%CI: 1.61, 4.78), having a positive attitude towards IDSR
(AOR=3.30, 95%CI:1.82,5.98)were positively andsignificantly associated with good practice of
IDSR.Working at emergency (AOR=0.37, 95%CI: 0.14, 0.98) was negatively associated with
good practice of integrated disease surveillance response among health professionals.
Conclusion: The current study showed the practice of integrated disease surveillance response
was good in half of the study particpants. Marital status, working department, perceived
organizational support, knowledge and attitude on health professioals IDSR, were important
factor associated with the practice. Thus, Organizational and provider targeted intervention
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should be considered to improve the knowledge and attitude of health professionals to improve
itegrated disease surveillance practice. |
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