What are the drivers of recurrent cholera transmission in Nigeria? Evidence from a scoping review

Abstract Background The 2018 cholera outbreak in Nigeria affected over half of the states in the country, and was characterised by high attack and case fatality rates. The country continues to record cholera cases and related deaths to date. However, there is a dearth of evidence on context-specific...

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Main Authors: Kelly Osezele Elimian, Somto Mezue, Anwar Musah, Oyeronke Oyebanji, Ibrahima Soce Fall, Sebastian Yennan, Michel Yao, Patrick Okumu Abok, Nanpring Williams, Lynda Haj Omar, Thieno Balde, Kobina Ampah, Ifeanyi Okudo, Luka Ibrahim, Arisekola Jinadu, Wondimagegnehu Alemu, Clement Peter, Chikwe Ihekweazu
Format: Article
Language:English
Published: BMC 2020-04-01
Series:BMC Public Health
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12889-020-08521-y
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author Kelly Osezele Elimian
Somto Mezue
Anwar Musah
Oyeronke Oyebanji
Ibrahima Soce Fall
Sebastian Yennan
Michel Yao
Patrick Okumu Abok
Nanpring Williams
Lynda Haj Omar
Thieno Balde
Kobina Ampah
Ifeanyi Okudo
Luka Ibrahim
Arisekola Jinadu
Wondimagegnehu Alemu
Clement Peter
Chikwe Ihekweazu
author_facet Kelly Osezele Elimian
Somto Mezue
Anwar Musah
Oyeronke Oyebanji
Ibrahima Soce Fall
Sebastian Yennan
Michel Yao
Patrick Okumu Abok
Nanpring Williams
Lynda Haj Omar
Thieno Balde
Kobina Ampah
Ifeanyi Okudo
Luka Ibrahim
Arisekola Jinadu
Wondimagegnehu Alemu
Clement Peter
Chikwe Ihekweazu
author_sort Kelly Osezele Elimian
collection DOAJ
description Abstract Background The 2018 cholera outbreak in Nigeria affected over half of the states in the country, and was characterised by high attack and case fatality rates. The country continues to record cholera cases and related deaths to date. However, there is a dearth of evidence on context-specific drivers and their operational mechanisms in mediating recurrent cholera transmission in Nigeria. This study therefore aimed to fill this important research gap, with a view to informing the design and implementation of appropriate preventive and control measures. Methods Four bibliographic literature sources (CINAHL (Plus with full text), Web of Science, Google Scholar and PubMed), and one journal (African Journals Online) were searched to retrieve documents relating to cholera transmission in Nigeria. Titles and abstracts of the identified documents were screened according to a predefined study protocol. Data extraction and bibliometric analysis of all eligible documents were conducted, which was followed by thematic and systematic analyses. Results Forty-five documents met the inclusion criteria and were included in the final analysis. The majority of the documents were peer-reviewed journal articles (89%) and conducted predominantly in the context of cholera epidemics (64%). The narrative analysis indicates that social, biological, environmental and climatic, health systems, and a combination of two or more factors appear to drive cholera transmission in Nigeria. Regarding operational dynamics, a substantial number of the identified drivers appear to be functionally interdependent of each other. Conclusion The drivers of recurring cholera transmission in Nigeria are diverse but functionally interdependent; thus, underlining the importance of adopting a multi-sectoral approach for cholera prevention and control.
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spelling doaj.art-4705e638c3bb4fb7822209b38b8f93062022-12-22T01:03:07ZengBMCBMC Public Health1471-24582020-04-0120111310.1186/s12889-020-08521-yWhat are the drivers of recurrent cholera transmission in Nigeria? Evidence from a scoping reviewKelly Osezele Elimian0Somto Mezue1Anwar Musah2Oyeronke Oyebanji3Ibrahima Soce Fall4Sebastian Yennan5Michel Yao6Patrick Okumu Abok7Nanpring Williams8Lynda Haj Omar9Thieno Balde10Kobina Ampah11Ifeanyi Okudo12Luka Ibrahim13Arisekola Jinadu14Wondimagegnehu Alemu15Clement Peter16Chikwe Ihekweazu17Nigeria Centre for Disease ControlUniversity of BeninUniversity College LondonNigeria Centre for Disease ControlWorld Health Organization, Regional Office for AfricaNigeria Centre for Disease ControlWorld Health Organization, Regional Office for AfricaWorld Health Organization, Regional Office for AfricaNigeria Centre for Disease ControlWorld Health Organization, Regional Office for AfricaWorld Health Organization, Regional Office for AfricaWorld Health OrganizationWorld Health OrganizationWorld Health OrganizationNigeria Centre for Disease ControlWorld Health OrganizationWorld Health OrganizationNigeria Centre for Disease ControlAbstract Background The 2018 cholera outbreak in Nigeria affected over half of the states in the country, and was characterised by high attack and case fatality rates. The country continues to record cholera cases and related deaths to date. However, there is a dearth of evidence on context-specific drivers and their operational mechanisms in mediating recurrent cholera transmission in Nigeria. This study therefore aimed to fill this important research gap, with a view to informing the design and implementation of appropriate preventive and control measures. Methods Four bibliographic literature sources (CINAHL (Plus with full text), Web of Science, Google Scholar and PubMed), and one journal (African Journals Online) were searched to retrieve documents relating to cholera transmission in Nigeria. Titles and abstracts of the identified documents were screened according to a predefined study protocol. Data extraction and bibliometric analysis of all eligible documents were conducted, which was followed by thematic and systematic analyses. Results Forty-five documents met the inclusion criteria and were included in the final analysis. The majority of the documents were peer-reviewed journal articles (89%) and conducted predominantly in the context of cholera epidemics (64%). The narrative analysis indicates that social, biological, environmental and climatic, health systems, and a combination of two or more factors appear to drive cholera transmission in Nigeria. Regarding operational dynamics, a substantial number of the identified drivers appear to be functionally interdependent of each other. Conclusion The drivers of recurring cholera transmission in Nigeria are diverse but functionally interdependent; thus, underlining the importance of adopting a multi-sectoral approach for cholera prevention and control.http://link.springer.com/article/10.1186/s12889-020-08521-yCholeraScoping reviewDriversTransmissionMulti-sectoral
spellingShingle Kelly Osezele Elimian
Somto Mezue
Anwar Musah
Oyeronke Oyebanji
Ibrahima Soce Fall
Sebastian Yennan
Michel Yao
Patrick Okumu Abok
Nanpring Williams
Lynda Haj Omar
Thieno Balde
Kobina Ampah
Ifeanyi Okudo
Luka Ibrahim
Arisekola Jinadu
Wondimagegnehu Alemu
Clement Peter
Chikwe Ihekweazu
What are the drivers of recurrent cholera transmission in Nigeria? Evidence from a scoping review
BMC Public Health
Cholera
Scoping review
Drivers
Transmission
Multi-sectoral
title What are the drivers of recurrent cholera transmission in Nigeria? Evidence from a scoping review
title_full What are the drivers of recurrent cholera transmission in Nigeria? Evidence from a scoping review
title_fullStr What are the drivers of recurrent cholera transmission in Nigeria? Evidence from a scoping review
title_full_unstemmed What are the drivers of recurrent cholera transmission in Nigeria? Evidence from a scoping review
title_short What are the drivers of recurrent cholera transmission in Nigeria? Evidence from a scoping review
title_sort what are the drivers of recurrent cholera transmission in nigeria evidence from a scoping review
topic Cholera
Scoping review
Drivers
Transmission
Multi-sectoral
url http://link.springer.com/article/10.1186/s12889-020-08521-y
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