Highlights
- In week 15, the number of new confirmed decreased from 23 in epi week 14 2023 to 9 cases. These were reported from Ondo, Edo, and Bauchi States (Table 3)
- Cumulatively from week to week 15, 2023, 152 deaths have been reported with a case fatality rate (CFR) of 17.3% which is lower than the CFR for the same period in 2022 (19.0%)
- In total for 2023, 26 States have recorded at least one confirmed case across 101 Local Government Areas (Figures 2 and 3)
- Seventy-two (72%) of all confirmed Lassa fever cases were reported from these three states (Ondo, Edo, and Bauchi) while 28% were reported from 23 states with confirmed Lassa fever cases. Of the 72% confirmed cases, Ondo reported 32%, Edo 29%, and Bauchi 11%
- The predominant age group affected is 21-30 years (Range: 1 to 93 years, Median Age: 32 years). The male-to-female ratio for confirmed cases is 1:0.9 (Figure 4)
- The number of suspected cases increased compared to that reported for the same period in 2022.
- No new Healthcare worker was affected in the reporting week 15
- National Lassa fever multi-partner, multi-sectoral Emergency Operations Centre (EOC) activated to coordinate the response activities at all levels
Situation Update
Health Resources and Services Availability Monitoring System (HeRAMS) Assessment Incorporated with Health Workforce Workload Indictor of Staffing Needs (WISN) Analysis and Human Resource Costing Assessment
Background
The activities of the insurgency in the North-east has led to destruction of many health facilities resulting in the disruption of the normal function of the health care services in this part of Nigeria, particularly in Yobe and Borno states. The disruption of the health care services increases the likelihood of morbidities and mortalities. Therefore, it is imperative that the current capacity of the health system to respond to minimum priority needs of affected population and the identification of priorities to optimize the health sector response needs to be documented. Thus, another round of the Health Resources and Services Availability Monitoring System (HeRAMS) assessment is planned to systematically collect data on health resources and services in the health facilities in BAY States. The World Health Organization (WHO) is supporting the BAY states to conduct HeRAMS assessment. The assessment was combined with Health workforce availability, Workload Indictor of Staffing Needs (WISN) analysis and the general Human Resource Costing (HRC).
The WISN analysis and HRC for health has remained unclear especially in the BAY States where functionality of health facilities and retention of Health Care Workers (HCWs) has been a huge challenge. Therefore, it was pertinent to capitalize on the Health Resources and Services Availability Monitoring System (HeRAMS) assessment to incorporate WISN & HRC for health to better inform planning, strengthening of the Health System (HSS) and to galvanize support for the Humanitarian Development and Peace Nexus (HDPN) especially in the BAY States. The current capacity of the health system to respond to minimum priority needs of affected population and the identification of priorities to optimize the health sector response needed to be documented. Thus, the incorporation of WISN & HRC into the HeRAMS assessment.
Progress Update
Field data collection, second level data validation, and data entry/processing have been completed. The data cleaning, analysis, and report writing is ongoing. Preliminary findings and draft report are expected to be available by mid-May 2023.