Level and Predicators of quality of Integrated Disease Surveillance and Response for Infectious Disease in Tigray, Northern Ethiopia: Cross-Sectional Study
Background: The health impacts of recent global infectious disease outbreaks have demonstrated the importance of strengthening public health systems. The aim of the study was to assess the level of quality of integrated disease surveillance and response for infectious disease in public health facilities of Tigray, Northern Ethiopia. Methods: the study was facility based cross-sectional. It was conducted from June- July 2018 in 46 health facilities. It has involved mixed method approach both
... d approach both quantitative and qualitative data collection methods. Donabedian input-process-output quality assessment model was used to evaluate the service. The magnitude of the association was considered at p-value of ≤0.05 in multivariable logistic regression analysis using adjusted odds ratio (AOR) at 95% confidence interval (CI). Concurrently, facility surveillance officers were subjected to an in-depth interview autonomously to explore factors for good and bad service quality. Quantitative data were analyzed using SPSS version 21. Use of manual thematic approach was used for qualitative data analysis. Result: The level of the overall quality of IDSR service provision has rendered as good in 6 out of 46(13%) studied health facilities. Two third of studied health facilities were rated as good for input service quality but 34.7% for process service quality. The output service quality was two times better than the overall service quality. Being enrollment of HIT to rapid response team (AOR=7, 95% CI: 1.092- 37.857) and accessing technical guideline to the health facility (AOR=3, 95% CI: 0.399-22.567) were predictor factors for facilitating overall service quality.