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Integrated Disease Surveillance and Response (IDSR) in Malawi: Implementation gaps and challenges for timely alert
OBJECTIVE: The recent 2014 Ebola Virus Disease (EVD) outbreaks rang the bell to call upon global efforts to assist resource-constrained countries to strengthen public health surveillance system for early response. Malawi adopted the Integrated Disease Surveillance and Response (IDSR) strategy to dev...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6264833/ https://www.ncbi.nlm.nih.gov/pubmed/30496177 http://dx.doi.org/10.1371/journal.pone.0200858 |
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author | Joseph Wu, Tsung-Shu Kagoli, Matthew Kaasbøll, Jens Johan Bjune, Gunnar Aksel |
author_facet | Joseph Wu, Tsung-Shu Kagoli, Matthew Kaasbøll, Jens Johan Bjune, Gunnar Aksel |
author_sort | Joseph Wu, Tsung-Shu |
collection | PubMed |
description | OBJECTIVE: The recent 2014 Ebola Virus Disease (EVD) outbreaks rang the bell to call upon global efforts to assist resource-constrained countries to strengthen public health surveillance system for early response. Malawi adopted the Integrated Disease Surveillance and Response (IDSR) strategy to develop its national surveillance system since 2002 and revised its guideline to fulfill the International Health Regulation (IHR) requirements in 2014. This study aimed to understand the state of IDSR implementation and differences between guideline and practice for future disease surveillance system strengthening. METHODS: This was a mixed-method research study. Quantitative data were to analyze completeness and timeliness of surveillance system performance from national District Health Information System 2 (DHIS2) during October 2014 to September 2016. Qualitative data were collected through interviews with 29 frontline health service providers from the selected district and 7 key informants of the IDSR system implementation and administration at district and national levels. FINDINGS: The current IDSR system showed relatively good completeness (73.1%) but poor timeliness (40.2%) of total expected monthly reports nationwide and zero weekly reports during the study period. Major implementation gaps were lack of weekly report and trainings. The challenges of IDSR implementation revealed through qualitative data included case identification, compiling reports for timely submission and inadequate resources. CONCLUSIONS: The differences between IDSR technical guideline and actual practice were huge. The developing information technology infrastructure in Malawi and emerging mobile health (mHealth) technology can be opportunities for the country to overcome these challenges and improve surveillance system to have better timeliness for the outbreaks and unusual events detection. |
format | Online Article Text |
id | pubmed-6264833 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-62648332018-12-19 Integrated Disease Surveillance and Response (IDSR) in Malawi: Implementation gaps and challenges for timely alert Joseph Wu, Tsung-Shu Kagoli, Matthew Kaasbøll, Jens Johan Bjune, Gunnar Aksel PLoS One Research Article OBJECTIVE: The recent 2014 Ebola Virus Disease (EVD) outbreaks rang the bell to call upon global efforts to assist resource-constrained countries to strengthen public health surveillance system for early response. Malawi adopted the Integrated Disease Surveillance and Response (IDSR) strategy to develop its national surveillance system since 2002 and revised its guideline to fulfill the International Health Regulation (IHR) requirements in 2014. This study aimed to understand the state of IDSR implementation and differences between guideline and practice for future disease surveillance system strengthening. METHODS: This was a mixed-method research study. Quantitative data were to analyze completeness and timeliness of surveillance system performance from national District Health Information System 2 (DHIS2) during October 2014 to September 2016. Qualitative data were collected through interviews with 29 frontline health service providers from the selected district and 7 key informants of the IDSR system implementation and administration at district and national levels. FINDINGS: The current IDSR system showed relatively good completeness (73.1%) but poor timeliness (40.2%) of total expected monthly reports nationwide and zero weekly reports during the study period. Major implementation gaps were lack of weekly report and trainings. The challenges of IDSR implementation revealed through qualitative data included case identification, compiling reports for timely submission and inadequate resources. CONCLUSIONS: The differences between IDSR technical guideline and actual practice were huge. The developing information technology infrastructure in Malawi and emerging mobile health (mHealth) technology can be opportunities for the country to overcome these challenges and improve surveillance system to have better timeliness for the outbreaks and unusual events detection. Public Library of Science 2018-11-29 /pmc/articles/PMC6264833/ /pubmed/30496177 http://dx.doi.org/10.1371/journal.pone.0200858 Text en © 2018 Joseph Wu et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Joseph Wu, Tsung-Shu Kagoli, Matthew Kaasbøll, Jens Johan Bjune, Gunnar Aksel Integrated Disease Surveillance and Response (IDSR) in Malawi: Implementation gaps and challenges for timely alert |
title | Integrated Disease Surveillance and Response (IDSR) in Malawi: Implementation gaps and challenges for timely alert |
title_full | Integrated Disease Surveillance and Response (IDSR) in Malawi: Implementation gaps and challenges for timely alert |
title_fullStr | Integrated Disease Surveillance and Response (IDSR) in Malawi: Implementation gaps and challenges for timely alert |
title_full_unstemmed | Integrated Disease Surveillance and Response (IDSR) in Malawi: Implementation gaps and challenges for timely alert |
title_short | Integrated Disease Surveillance and Response (IDSR) in Malawi: Implementation gaps and challenges for timely alert |
title_sort | integrated disease surveillance and response (idsr) in malawi: implementation gaps and challenges for timely alert |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6264833/ https://www.ncbi.nlm.nih.gov/pubmed/30496177 http://dx.doi.org/10.1371/journal.pone.0200858 |
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