Table 3

Comparison of JEE and outbreak review in Nigeria

JEE domain/indicatorJEE scoreMajor JEE comment/
recommendation
Outbreak response observedDegree of correspondance
IHR Coordination P.2.12SOPs existCoordination weak especially in first monthH L H
Zoonotic Diseases P.4.31Better coordination for response neededSpread of vectors went unrecognisedH H H
Biosafety P.6.11Funding and planning weaknessesUse of Personal Protective Equipment and training inadequate; 17 health workers infectedH H H
National Lab System D.1.13Capable laboratories but need for standardisationInternational supply of reagents and training was essential. EOC actions key to make this happenH M H
Surveillance D.2.33Weak capacity in many statesNeeded RRT staff from national level to take over from statesM H H
Reporting D.3.22Officers in each stateVariable response from states. Needed RRT teams from central level to make this happenH L H
Workforce D.4.13Strong Field Epi Training Programme (FETP)FETP trainees essential to responseH H H
Preparedness R.1.21Logistics system weak; risk mapping neededLack of preparedness or awareness of rising risk of outbreakH HH
Emergency Operations Activation R.2.12SOPs not fully developed; state level EOCs missingEOC key for this response; developing while doingH M H
Emergency Operations Function R.2.33Experience coordinating responses; procedures not standardisedEOC key for this response; developing while doingM H H
Emergency Operations Case Management R.2.42Some case management guidelines availableNot useful until adapted mid-epidemicH M M
Medical Countermeasures R.4.11Need for stockpile and logisticsEffective supply system created on the flyH L M
Risk Communication R.5.43Coordination from Federal to States weakNo Info (anecdotally, seemed to be weak)M N/A N/A
Points of entry PoE.21Contingency plans neededProactive response initiated on the flyN/A L M
  • EOC, Emergency Operations Centre; IPC, Infection Prevention and Control; JEE, joint external evaluation; RRT, Rapid Response Teams; SOP, Standard Operating Procedures.