Resource availability and capacity to implement multi-stranded cholera interventions in the north-east region of Nigeria

Limited healthcare facility (HCF) resources and capacity to implement multi-stranded cholera interventions ('water, sanitation, and hygiene (WASH)’, ‘surveillance’, ‘case management’, and ‘community engagement’) can hinder the actualisation of the global strategic roadmap goals for cholera control, especially in settings made fragile by armed conflicts, such as the north-east region of Nigeria. Therefore, we aimed to assess HCF resource availability and capacity to implement these cholera interventions in Adamawa and Bauchi States in Nigeria, as well as assess their coordination in both states and Abuja, where national coordination of cholera is based.
We conducted a cross-sectional survey using a face-to-face structured questionnaire to collect data on multi-stranded cholera interventions and their respective indicators in HCFs. We generated scores to describe the resource availability of each cholera intervention and categorised them as: 0-50 (low), 51-70 (moderate), 71-90 (high), and over 90 (excellent). Further, we defined an HCF with a high capacity to implement a cholera intervention as one with a score equal to or above the average intervention score.