Table 5 Effects of vertical programs on the IDSR program
Broad area affected | Instances |
|---|---|
Health information management | Poor data management |
Different reporting mechanisms and data collection tools | |
Data mostly on service delivery and not surveillance | |
Program processes and structure | Lack of linkages and synergies with other programs |
Surveillance is not stand-alone but is joined to Monitoring & Evaluation (M&E) | |
Data is mostly on service delivery and not surveillance | |
Celebration of WHO days for vertical program diseases and negligence for non-vertical program diseases | |
Donor funding and influence | Non-supported programs overburden the state government |
Donor advantage is more considered | |
Diversion of supporting partners | |
Donor driven funding | |
Donor-specific terms of reference | |
Funding | Skewed and poor funding |
Multiplicity of funds | |
Human resources | Non-integrated personnel |
Terms of references for vertical program not well understood by the program officers | |
Vertical program officers feel threatened by surveillance officers on whom they claim superiority due to funding allocated to them by partners |