Evaluation of HIV Surveillance System in Rivers State, Nigeria


  • Ibitein Ngowari Okeafor Nigeria Field Epidemiology and Laboratory Training Programme Eagles Watch Research Centre and Care
  • Chukwuma Ugochukwu Okeafor University of Port Harcourt Teaching Hospital




HIV, surveillance, evaluation, Rivers state


Background: Rivers State has been reported to have the highest HIV prevalence of all the thirty-six states in Nigeria. HIV surveillance system generates information for timely and appropriate public health action. Evaluation of the surveillance system is vitalin ensuring that the purpose of the surveillance system isbeing met. This study aimed to evaluate the HIV surveillance system in Rivers State from 2012-2014.

Methodology: This is a surveillance evaluation involving qualitative method and review of 2012-2014 HIV surveillance data. The evaluation process was carried outin line with the Centers for Disease Control and Prevention (CDC) guidelines on public health surveillance evaluation. Key informant interview (KII) sessions were held with stakeholders at all levels to assess the operation, functionality and key attributes of the surveillance system.

Results: The evaluation revealed that the HIV surveillance system is functional and operates a passive type of surveillance using the bottom to top approach in data transmission. The findings indicated that the system is simple, flexible and acceptable. However,itlacks data stability and representativenessis limited by non-inclusion of private health facilities. The surveillance datacollected for the period of2012 to 2014 revealedHIV prevalenceratesof 13.6% (2012), 7.3% (2013) and 9.4% (2014).

Conclusion: The HIV surveillance system in Rivers Stateis a useful tool for planning public health activities.The institution of measures to prevent strike actions among health workers in the State will enhance the stability of data. Private health facilities should be included in the HIV surveillance system to ensure better representativeness.


Joint United Nations Programme on HIV/AIDS (UNAIDS). Factsheets HIV/AIDS. 2014. p. 1. Available from www.unaids.org/sites/default/documents/WAD2014_FactSheet_en.pdf Accessed on July 19, 2016.

International Labour Organization (ILO). The ILO Programme on HIV/AIDS. HIV/AIDS Work Global Estimate Impact response. 2004; Geneva.

Joint United Nations Programme on HIV/AIDS (UNAIDS). Global Report: UNAIDS Report on the Global AIDS epidemic. 2013. p. 198. Available from: www.unaids.org/unaids/2013/gr2013/UNAIDS_Global_Report_2013 Accessed on July 19, 2016.

Federal Ministry of Health (Nigeria). STI/HIV Integrated Biological and Behavioural Surveillance Survey. 2012.

Federal Ministry of Health (Nigeria). National Policy on Integrated Disease Surveillance And Response (IDSR). 2005;1–28.

United States Centers for Disease and Control Prevention (CDC). Updated Guidelines on Surveillance Evaluation. 2001.

Federal Ministry of Health (Nigeria). National HIV/AIDS Reproductive Health Survey Plus II. Nigeria. 2012.

Federal Republic of Nigeria. National Bureau on Statistics State Information. Rivers State. 2013.

Federal Ministry of Health (Nigeria). National Guidelines on HIV Counselling and Testing. 2011.

Ezeudu CC, Nguku PM, Oladimeji A, Fawole O. Evaluation of HIV/AIDS Surveillance System (2010-2013) in Enugu State April 2014. Online J Public Health Inform. 2016;8(1).

Adokiya MN, Awoonor-Williams JK, Barau IY, Beiersmann C, Mueller O. Evaluation of the Integrated Disease Surveillance and Response System for Infectious Diseases Control in Northern Ghana. BMC Public Health 2015;15(1):75. doi/10.1186/s12889-015-1397-y

Aavitsland P, Nilsen Ø, Lystad A. Anonymous Reporting of HIV Infection: An Evaluation of the HIV/AIDS Surveillance System in Norway 1983–2000. Eur J Epidemiol 2001;17(5):479–89. doi/10.1023/A:1013795920687

Gortakowski H, Braunstein S, Shepard C. Evaluation of the New York City HIV/AIDS Surveillance System. Council of State and Territorial Epidemiologist (CSTE) 2010 Conference. Oregon, USA. 2010.Available from https://www1.nyc.gov/assets/doh/downloads/pdf/dires/2010_cste_poster_heidi.pdf Accesed on July 14, 2016.

World Health Organization (WHO). National Passive Surveillance. WHO National Programme and Systems. World Health Organization 2014.

National Agency for the Control of HIV/AIDS (NACA). Global AIDS Response: Nigeria Country Report 2012. Abuja, Nigeria. 2012.




How to Cite

Okeafor, I. N., & Okeafor, C. U. (2017). Evaluation of HIV Surveillance System in Rivers State, Nigeria. The Nigerian Health Journal, 17(1), 278. https://doi.org/10.60787/tnhj.v17i1.271

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