A 5-year assessment of malaria documentation and reporting practices in government healthcare facilities in Lagos, Nigeria

Adeyinka Adeniran, Kikelomo O. Wright, Babatunde A. Odugbemi, Olajide Idris


Background: Robust and effective information management systems are critical for successful malaria control and elimination. This study was a follow up study to assess the practices of Lagos State public healthcare facilities with regards to malaria documentations and reporting to the local government authorities (LGAs) in Lagos Nigeria in 2009 and then in 2013.

Methods: We conducted a descriptive cross-sectional repeated survey of all 218 functional government-owned health facilities in Lagos State between in years 2009 and 2013 using a structured questionnaire. Approval was obtained from the research ethics committee of the Lagos State Ministry of Health.

Results: There was a decrease in the proportion of primary & secondary healthcare facilities that document all cases of malaria seen in the facilities from 97.9% and 95.5% respectively in 2009 to 91.5% and 85.7% in 2013. About 53% of the primary healthcare facilities rendered malaria data to the Local Government Area (LGA) using the IDSR system in 2009 which marginally increase to 62.4% in 2013. Whereas in 2009, 63.6% of secondary healthcare facilities rendered malaria data to the LGA whilst 50% did in 2013. The only Tertiary health facility in the state did not render malaria data to the LGA in 2009 but did in 2013.

Conclusions: There was a gradual reduction in malaria documentation by the government healthcare facilities. Therefore, there is need to intensify training among health workers in the government health facilities in the state with continuous monitoring and evaluation of performance to determine the impact.



Malaria, Disease notification, Health facilities, Lagos

Full Text:



World Health Organization. World Malaria Report 2015. World Health. 2015: 243.

Greenwood BM, Bojang K, Whitty CJM, Targett GAT. Malaria. Lancet. 2014;365(9469):1487–98.

Salihu OM, Sanni NA. Malaria Burden And The Effectiveness Of Malaria Control Measures In Nigeria: A Case Study of Asa Local Government Area of Kwara State. J Econ Sustain Dev. 2013;4(3):295–308.

Njera JA, Gonzlez-Silva M, Alonso PL. Some lessons for the future from the global malaria eradication programme (1955-1969). PLoS Med. 2011;8(1):1.

Alonso PL, Brown G, Arevalo-Herrera M, Binka F, Chitnis C, Collins F, et al. A research Agenda to underpin Malaria Eradication. PLoS Med. 2011;8(1):8.

Feachem RGA, Phillips AA, Targett GA, Snow RW. Europe PMC Funders Group Call to action : priorities for malaria elimination. 2012;376(9752):1517–21.

Tanner M, De Savigny D. Malaria eradication back on the table. Bull World Health Organ. 2008;86(2):82.

Tusting LS. Larval Source Management: A Supplementary Measure for Malaria Control. Outlooks Pest Manag. 2014;25(1):41–3.

Kasolo F, Yoti Z, Bakyaita N, Gaturuku P, Katz R, Fischer JE, et al. IDSR as a platform for implementing IHR in African countries. Biosecur Bioterror. 2013;11(3):163–9.

Adokiya MN, Awoonor-Williams JK, Beiersmann C, Müller O. The integrated disease surveillance and response system in northern Ghana: challenges to the core and support functions. BMC Health Serv Res. BMC Health Services Research; 2015;15(1):288.

World Health Organization. World malaria report 2013. World Health. 2013;WHO/HTM/GM:238. Available at: publications/world_malaria_report_2013/en/n Accessed on 2 January 2019.

Bakarman MA, Al-raddadi RM. Assessment of reporting and recording system of communicable diseases in Jeddah Region. 2000;966(4):751–4.

IDSR. National Policy On Integrated Disease Surveillance And Response (IDSR). Fed Minist Heal. 2005: 1–28.

World Health Organization. Protocol for the Assessment of National Communicable Disease Surveillance and Response Systems. Who/Cds/Csr/Isr/20012. 2001;2(3).

Nnebue CC, Onwasigwe CN, Adogu PUOU, Onyeonoro UU. Awareness and knowledge of disease surveillance and notification by health-care workers and availability of facility records in Anambra state, Nigeria. Niger Med J. Medknow Publications; 2012;53:220–5.

Mwatondo AJ, Ng’ang’a Z, Maina C, Makayotto L, Mwangi M, Njeru I, et al. Factors associated with adequate weekly reporting for disease surveillance data among health facilities in Nairobi County, Kenya, 2013. Pan Afr Med J. 2016;23:1–8.

Jima D, Wondabeku M, Alemu A, Teferra A, Awel N, Deressa W, et al. Analysis of malaria surveillance data in Ethiopia : what can be learned from the Integrated Disease Surveillance and Response System? 2012: 1–14.