Main Article Content

Abstract

This systematic review focuses on the disease surveillance and response systems of Nigeria during the COVID-19 pandemic, the strategies adopted, challenges, and achievements, as well as lessons to be learned to enhance epidemic preparedness in the future. The research article was guided by the PRISMA principle, as it involved search of five databases. Eighteen articles were included in the study, including seventeen qualitative and one mixed-method design. The Joanna Briggs Institute (JBI, 2020) checklists were used to critically appraise the papers. Findings were thematically analyzed using the MAXQDA software. The results showed three overarching themes (1) adopted strategies on managing COVID-19, (2) lessons learned regarding future preparedness in case of a pandemic, and (3) the success of strategies implemented. The containment strategies that were adopted by Nigeria comprised lockdown, travel bans, wearing of masks, and health education of the population. These were accompanied with digital innovations, community engagements, and presidential task force support. Nonetheless, poor infrastructure, poor coordination low testing capacity, and socioeconomic differences affected the efficacy of interventions. There is need of the multi-sectoral coordination, technology integration, and socioeconomic resilience in future preparedness actions. The study also highlighted the importance of institutional co-existence, the constant training of health workers and investment in health infrastructure to make sure future outbreaks are detected and mitigated on time. However, continued difficulties, such as misinformation, failure to enforce, and premature relaxation of lockdowns, restricted total effect. The review recognizessome vital lessons to the response to COVID-19 in Nigeria that can be used to improve the empowerment of disease surveillance and response systems. The priorities are to enhance data systems, community trust, emergency preparedness and interagency coordination to increase resilience to future outbreaks of public health

Keywords

COVID-19 Nigeria Disease Surveillance Response Systems Pandemic Preparedness Public Health

Article Details

Author Biography

Daprim Samuel Ogaji, Department of Community Medicine, University of Port Harcourt Teaching Hospital, Port Harcourt

African Centre of Excellence in Public Health and Toxicology Research, University of Port Harcourt

How to Cite
Pepple, H. M., Ogaji, D. S., & Tobin-West, C. (2026). STRENGTHENING DISEASE SURVEILLANCE AND RESPONSE SYSTEMS IN THE FEDERAL REPUBLIC OF NIGERIA - LESSONS LEARNED FROM THE COVID-19 PANDEMIC: A SYSTEMATIC REVIEW. Journal of Public Health and Toxicological Research, 3(2), 203–217. https://doi.org/10.71637/jphtr.vol3no2.54

References

  1. Africa CDC. (2023). COVID-19 Dashboard. Available at: https://au.int/sites/default/files/documents/38265-doc-covid-19_scientific_and_public_health_policy_update_march_10_2020.pdf
  2. (Accessed 13th Oct., 2023)
  3. Andam, K. S., Edeh, H., Oboh, V., Pauw, K., & Thurlow, J. (2020). Estimating the economic costs of COVID-19 in Nigeria (Vol. 63). Intl Food Policy Res Inst.
  4. Aveyard, H. (2019) Doing a Literature Review in Health and Social Care: A Practical Guide. 4th end. London: Open University Press.
  5. Bakkalbasi, N., Kathleen, B., Janis, G., & Lei, W. (2006). Three options for citation tracking: Google Scholar, Scopus and Web of Science. Biomedical Digital Libraries, 3(7), 1-8
  6. Carrington, D. (2020). COVID waste: 'Nanomaterials and plastics are particularly tricky to tackle'. The Guardian. Available at: https://www.theguardian.com/environment/2021/nov/08/about-26000-tonnes-of-plastic-covid-waste-pollutes-worlds-oceans-study
  7. (Accessed: 12th January, 2022)
  8. Chen, H., Shi, L., Zhang, Y., Wang, X., Jiao, J., Yang, M., & Sun, G. (2021). Response to the COVID-19 Pandemic: Comparison of strategies in six countries. Frontier Public Health 9, 1-11. doi:10.3389/fpubh.2021.708496
  9. Chinnah, P.C., & Amabibi, F. (2020). The implications and impact of Covid -19 preventive measures in Nigeria: A case of Port-Harcourt City and Obio/Akpor local Governments in Rivers State (March 2020 – August 2020). Covid-19 and Afrocentric Perspectives: Health and Economic Implications. 115-132.
  10. Chinyere, O., Benjamin, U., Chioma, O., & Obinna, O. (2022). An assessment of Nigeria’s health systems response to COVID-19. Ghana Medical Journal, 56(3), 74-84
  11. Dekkers, R., Carey, L., & Langhorne, P. (2022). Setting inclusion and exclusion criteria. In making literature reviews work: A multidisciplinary guide to systematic approaches. Springer, Cham. 201-233.
  12. Enesi, O. E., & Ibrahim, U. A. (2021). Effect of COVID-19 pandemic on the performance of small and medium business enterprises in Abuja-FCT, Nigeria. Open Journal of Business and Management, 9, 2261-2276.
  13. Etteh, C.C., Adogac, M.P., & Ogbaga, C.C. (2020). COVID-19 response in Nigeria: Health system preparedness and lessons for future epidemics in Africa. Ethics, Medicine and Public Health, 15 1-5. https://doi.org/10.1016/j.jemep.2020.100580
  14. .
  15. Gideon, U.N., Blessing, A.O., Anthonia, N.U. (2022). Evaluating the use of public relations strategies in managing COVID-19 pandemic-related crises by Anambra State Government. International Journal of General Studies, 2(1), 106-124.
  16. Hiebel, N., Rabe, M., Maus, K., Peusquens, F., Radbruch, L., & Geiser, F. (2021). Resilience in adult health science revisited—A narrative review synthesis of process-oriented approaches. Frontier Psychology, 12, 1-17.
  17. Holmes, E. A., O'Connor, R. C., Perry, V. H., Tracey, I., Wessely, S., Arseneault, L. & Bullmore, E. (2020). Multidisciplinary research priorities for the COVID-19 pandemic: a call for action for mental health science. The Lancet Psychiatry, 7(6), 547-560.
  18. Iroegbu, S.E.E., Ogunode, N.J., & Jegede, D. (2021). The Impact of Covid-19 pandemic on local churches in Nigeria. Central Asian Journal of Literature, Philosophy and Culture. 2(3), 36-43.
  19. Iroeze, P., & Iroeze, P.C. (2021). Strategies academic libraries in Nigeria can adopt to curb the spread of Covid-19 and remain relevant in post Covid-19 pandemic. Library Philosophy and Practice (e-journal). 6690. https://digitalcommons.unl.edu/libphilprac/6690
  20. Jacobs, E.D., & Okeke, M.I. (2022). A critical evaluation of Nigeria’s response to the first wave of COVID-19. Bulletin of the National Research Centre 46(44), 1-9. https://doi.org/10.1186/s42269-022-00729-9
  21. Joanna Briggs Institute (JBI) (2020) Critical Appraisal Tools Available at: https://jbi.global/critical-appraisal-tools
  22. (Accessed: 23th April 2024).
  23. Kolaski, K., Lynne, R.L., & John, P.A.I (2023). Guidance to best tools and practices for systematic reviews. British Journal of Pharmacology, 12(96), 1-29. https://doi.org/10.1186/s13643-023-02255-9
  24. .
  25. Le Quéré, C., Jackson, R. B., Jones, M. W., Smith, A. J., Abernethy, S., Andrew, R. M. & Canadell, J. G. (2020). Temporary reduction in daily global CO2 emissions during the COVID-19 pandemic lockdowns. Nature Climate Change, 10(7), 647-653.
  26. Madubuike, U.A., Ishmael, J.F., Obichukwu, C.N., Chinwe-Juliana, I.J., & James, W.O. (2020). A perspective on Nigeria’s preparedness, response and challenges to mitigating the spread of COVID-19. Challenges, 11(22), 1-15. https://doi.org/10.3390/challe11020022
  27. .
  28. Marjaei, S., Ahmadianyazdi, F., & Chandrashekara, M. (2019). MAXQDA and its application to LIS research. Library Philosophy and Practice (e-journal). 2325. https://digitalcommons.unl.edu/libphilprac/2325
  29. Mhaskar, R., Emmanuel, P., Mishra, S., Patel, S., Naik, E., & Kumar, A. (2009) Critical appraisal skills are essential to informed decision-making. Indian Journal of Sexually Transmitted Disese AIDS. 30(2), 112-9. doi:10.4103/0253-7184.62770.
  30. Nigeria Centre for Disease Control. (2023). COVID-19 Nigeria: Case Updates. https://ncdc.gov.ng/diseases/sitreps/?cat=14&name=An%20update%20of%20COVID-19%20outbreak%20in%20Nigeria
  31. (Accessed: 11th November, 2024)
  32. Ogunyemi, K.O., Alao, D.O., Alao, M.E & Abiodun, O. (2021). Mitigation strategies in early phase of COVID-19 pandemic and recovery potential in Nigeria and United States. Africa Journal of Medical Sciience, 50, 227-235.
  33. Okaisabor, J.O. (2021). Public policies against COVID-19 pandemic in Nigeria: challenges, effects, and perceptions. Journal of Public Administration and Social Welfare Research, 6(1), 16-29.
  34. Okoro, B.C., & MaryCallistus, V.O. (2022). Measures to mitigate the impact of COVID -19 in Nigeria: an innovative advancement approach. International Academy Journal of Management Annals, 6(2), 38-55, https://doi.org:272142562623
  35. .
  36. Oni, O. B. (2020). Mitigating strategies and its Cchallenges of COVID-19 pandemic in Ogun State, Nigeria. Texila International Journal of Public Health, 7, 1-11 DOI:10.21522/TIJPH.2013.09.01.Art007
  37. Rädiker, S., & Gizzi, M.C. (2024). The practice of qualitative data analysis. Research examples using MAXQDA, 2, 13-15. Berlin: MAXQDA Press. https://doi.org/10.36192/978-3-948768188_0
  38. .
  39. Rebecca, I.B. (2015). A nurse’s guide to the hierarchy of research designs and evidence. Australian Journal of Advanced Nursing, 33(3), 38-43.
  40. Rocco, C., Sameer, B., & Amit, A. (2021). Critical appraisal of quantitative research. Springer Nature Singapore Pte Ltd. 2018 P. Liamputtong (ed.), Handbook of Research Methods in Health Social Sciences, https://doi.org/10.1007/978-981-10-2779-6_120-2
  41. .
  42. Salіsu, О.U., Оbі, S.E., Ibrahim, M.N., & Anselm, V.D. (2024) An assessment of COVID-19 and its impact on Nigeria’s socio-economic development. Cogent Social Sciences, 10(1), 2306700, https://doi.org/10.1080/23311886.2024.2306700
  43. .
  44. Shittu, E., Adewumi, F., Ene, N., Keluo-Udeke, S.C., & Wonodi, C. (2022). Examining psychosocial factors and community mitigation practices to limit the spread of COVID-19: Evidence from Nigeria. Healthcare, 10, 585. https://doi.org/10.3390/healthcare10030585
  45. .
  46. Ugochukwu, S.A., Benjamin, O.A., John, T.O., Ikenga, P.U., Rebecca, G.N., & Albert, O. (2023). Examining the views and opinions of itinerary traders on adherence to COVID 19 lockdown in Enugu State, Nigeria. Fudan Journal of the Humanities and Social Sciences, 16, 411–434 https://doi.org/10.1007/s40647-023-00376-y
  47. Ugwu, A.N., & Ugwueze, M.O. (2020). Strategies for building resilient communities in Nigeria in the era of Covid-19 pandemic. International Journal of Development Research, 10(12), 42905-42911.
  48. WHO (2021). COVID 19 Strategic Preparedness and Response Plan: Monitoring and Evaluation Framework. https://apps.who.int/iris/bitstream/handle/10665/341576/WHO-WHE-2021.07-eng.pdf?sequence=
  49. (August 23 2023)
  50. Williams, T.Y., & Justina, O.O. (2021). Review of awareness and mitigation of various waves and variants of COVID-19 disease pandemic in Nigeria. International Journal of Human Kinetics, Health and Education 6(2), 1-5.
  51. World Health Organization. (2020). COVID-19 and the Need for Action on Mental Health. (Accessed: August 20th, 2025)
  52. World Health Organization. (2021). Maintaining essential health services: operational guidance for the COVID-19 context. https://www.who.int/publications/i/item/WHO-2019-nCoV-essential_health_services-2020.2
  53. (5th July, 2025)
  54. World Health Organization. (2023). WHO Coronavirus (COVID-19) Dashboard. https://data.who.int/dashboards/covid19/cases
  55. (10th Sept., 2025)