Resource availability and capacity to implement multi-stranded cholera interventions in the north-east region of Nigeria

Limited healthcare facility (HCF) resources and capacity to implement multi-stranded cholera interventions ('water, sanitation, and hygiene (WASH)’, ‘surveillance’, ‘case management’, and ‘community engagement’) can hinder the actualisation of the global strategic roadmap goals for cholera control, especially in settings made fragile by armed conflicts, such as the north-east region of Nigeria. Therefore, we aimed to assess HCF resource availability and capacity to implement these cholera interventions in Adamawa and Bauchi States in Nigeria, as well as assess their coordination in both states and Abuja, where national coordination of cholera is based.
We conducted a cross-sectional survey using a face-to-face structured questionnaire to collect data on multi-stranded cholera interventions and their respective indicators in HCFs. We generated scores to describe the resource availability of each cholera intervention and categorised them as: 0-50 (low), 51-70 (moderate), 71-90 (high), and over 90 (excellent). Further, we defined an HCF with a high capacity to implement a cholera intervention as one with a score equal to or above the average intervention score.

医疗卫生机构（Healthcare Facility, HCF）在落实多维度霍乱干预措施——涵盖水、环境卫生与个人卫生（Water, Sanitation and Hygiene, WASH）、监测、病例管理以及社区参与——时面临的资源与能力局限，可能阻碍全球霍乱防控战略路线图目标的实现，尤其在尼日利亚东北部等受武装冲突影响的脆弱地区。为此，本研究旨在评估尼日利亚阿达马瓦州与包奇州的医疗卫生机构落实上述霍乱干预措施的资源可及性与能力水平，并评估两州以及霍乱防控全国协调中心所在地阿布贾的相关协调情况。

本研究采用面对面结构化问卷开展横断面调查，收集医疗卫生机构内多维度霍乱干预措施及其对应指标的相关数据。我们通过生成评分以描述各项霍乱干预措施的资源可及性，并将其划分为四个等级：0~50分为低水平，51~70分为中等水平，71~90分为高水平，90分以上为优秀。此外，本研究将具备高水平霍乱干预落实能力的医疗卫生机构定义为：其该项干预措施的评分大于或等于所有干预措施的平均评分。