scholarly journals Potential Development of Digital Environmental Surveillance System in Dengue Control: A Qualitative Study

2021 ◽  
Vol 9 (E) ◽  
pp. 1443-1453
Author(s):  
Sang Purnama ◽  
Dewi Susanna ◽  
Umar Fachmi Achmadi ◽  
Tri Krianto ◽  
Tris Eryando
Keyword(s):  
Qualitative Study ◽  
Surveillance System ◽  
Reporting System ◽  
Environmental Surveillance ◽  
Entomological Surveillance ◽  
Environmental Technology ◽  
Digital Surveillance ◽  
Potential Development ◽  
Environmental Monitoring System ◽  
Dengue Control

Background: The development of digital environmental technology can be conducted to implement reports, surveillance, and manage dengue control. Therefore, this study aims to determine the barriers to the use of paper-based and the potential development of digital environmental technology in dengue control.   Methods In-depth qualitative interviews were conducted using 14 key informants and four focus group discussions (FGD) from May-August 2021 in Denpasar City, Bali. The interviews were consistent with the flow of the epidemiological and entomological surveillance system, the obstacles to the dengue control program, the potential for the application of digital technology, and the challenges in the application of digital surveillance technology. Furthermore, open-ended questions and content analysis by qualitative study procedures were adopted. The results were transcribed verbatim and triangulation of sources was conducted for data validation.   Results The reporting system that used paper-based was not optimally implemented due to repetition of reporting, speed of information, data bias, performance measurement as well as case surveillance and reporting system constraints. An integrated digital environmental surveillance system (SILIRA) was also developed for dengue control. In the current Covid-19 pandemic, the need for digital applications is high due to the policy of not accepting guests and keeping a distance. Epidemiological surveillance for case data collection, entomological surveillance for larva density, case reporting, and educational videos are the required data in the application.   Conclusion The development of an integrated application for an environmental monitoring system can be created for the continuous reporting of case information and larval density for dengue hemorrhagic fever control. Keywords: digital, surveillance, environment, dengue  

scholarly journals Evaluation of Measles Surveillance Systems in Ginnir District, Bale Zone, Southeast Ethiopia: A Concurrent Embedded Mixed Quantitative/Qualitative Study 

2020 ◽  
Author(s):  
Falaho Sani ◽  
Mohammed Hasen ◽  
Mohammed Seid ◽  
Nuriya Umer
Keyword(s):  
Public Health ◽  
Qualitative Study ◽  
Surveillance System ◽  
Public Health Surveillance ◽  
Health Surveillance ◽  
Health Facilities ◽  
Surveillance Data ◽  
Surveillance Systems ◽  
Southeast Ethiopia ◽  
Bale Zone

Abstract Background: Public health surveillance systems should be evaluated periodically to ensure that the problems of public health importance are being monitored efficiently and effectively. Despite the widespread measles outbreak in Ginnir district of Bale zone in 2019, evaluation of measles surveillance system has not been conducted. Therefore, we evaluated the performance of measles surveillance system and its key attributes in Ginnir district, Southeast Ethiopia.Methods: We conducted a concurrent embedded mixed quantitative/qualitative study in August 2019 among 15 health facilities/study units in Ginnir district. Health facilities are selected using lottery method. The qualitative study involved purposively selected 15 key informants. Data were collected using semi-structured questionnaire adapted from Centers for Disease Control and Prevention guidelines for evaluating public health surveillance systems through face-to-face interview and record review. The quantitative findings were analyzed using Microsoft Excel 2016 and summarized by frequency and proportion. The qualitative findings were narrated and summarized based on thematic areas to supplement the quantitative findings.Results: The structure of surveillance data flow was from the community to the respective upper level. Emergency preparedness and response plan was available only at the district level. Completeness of weekly report was 95%, while timeliness was 87%. No regular analysis and interpretations of surveillance data, and the supportive supervision and feedback system was weak. The participation and willingness of surveillance stakeholders in implementation of the system was good. The surveillance system was found to be useful, easy to implement, representative and can accommodate and adapt to changing conditions. Report documentation and quality of data was poor at lower level health facilities. Stability of the system has been challenged by shortage of budget and logistics, staff turnover and lack of update trainings.Conclusions: The surveillance system was acceptable, useful, simple, flexible and representative. Data quality, timeliness and stability of the system were attributes that require improvement. The overall performance of measles surveillance system in the district was poor. Hence, regular analysis of data, preparation and dissemination of epidemiological bulletin, capacity building and regular supervision and feedback are recommended to enhance performance of the system.

scholarly journals Surveillance system evaluation of non-communicable diseases through integrated community-based intervention called ‘Posbindu PTM’ in Wonosobo district, Central Java province, Indonesia

2018 ◽  
pp. 15
Author(s):  
Rieski Prihastuti ◽  
Trisno Agung Wibowo ◽  
Misinem Misinem
Keyword(s):  
Surveillance System ◽  
Reporting System ◽  
Communicable Disease ◽  
Communicable Diseases ◽  
System Evaluation ◽  
Main Function ◽  
Community Based ◽  
Non Communicable Diseases ◽  
Surveillance System Evaluation ◽  
Non Communicable Disease

Purpose: Non-communicable diseases are leading cause of the global death, especially from cardiovascular disease, cancers, chronic obstructive pulmonary disease, and diabetes. Prevention and primary detection of non-communicable disease in Indonesia were done through integrated community-based intervention called ‘Posbindu PTM’. Implementation of ‘Posbindu PTM’ needed to be evaluated to determine each component in the non-communicable disease surveillance systems. Methods: This study was descriptive. Respondent were programmer in district health office and programmer in 24 primary health care in Wonosobo. Surveillance system evaluation that used was programs evaluation based on WHO (structure, main function, support function and quality of surveillance system). Results: The weakness of ‘Posbindu PTM’ in Wonosobo were lack of knowledge in the regulation, networking, collaborating, risk factor detecting and reporting; not availability of technical guidebook; low training participant; low monitoring and evaluation activity; also complex reporting system. There was 84% ‘Posbindu PTM’ that had not reported on time and 87,50 % programmer had not done the analysis, interpretation, and dissemination. This was related to the completeness of the report caused too many data that needed to be collected and affect the timeliness of the report. Conclusion: Strengthening ‘Posbindu PTM’ should be done in the reporting system aspect, especially in the timeliness and analysis of the report. Monthly reminder and refreshing in reporting system were done to improve the reporting system aspect.

scholarly journals Geographic Information System enabled dengue surveillance system in south zone, Bangalore city: A pilot study

2021 ◽  
Vol 33 (1) ◽  
pp. 153-160
Author(s):  
Naveen Ramesh ◽  
Venkatesh Thimmaiah ◽  
Shivkumar Mallaiah ◽  
Anasuya Kandaswamy
Keyword(s):  
Information System ◽  
Geographic Information System ◽  
Health Care Providers ◽  
Surveillance System ◽  
Geographic Information ◽  
Care Providers ◽  
Entomological Surveillance ◽  
Bangalore City ◽  
South Zone ◽  
Entomological Data

Introduction: The Public Health Information and Epidemiological Cell (PHIEC) of Bruhat Bengaluru Mahanagara Palike (BBMP) utilizes the Geographic Information System (GIS) enabled integrated surveillance for collection, integration, analysis and reporting of geo-referenced epidemiological diseases in Bangalore city. Dengue fever is an emerging disease and there are minimum studies conducted in India about the GIS enabled dengue surveillance system. Objective: To assess the relationship between dengue cases and vector indices as depicted in the GIS map. Methodology: Data regarding dengue confirmed cases was obtained from PHIEC and entomological surveillance data from Urban Primary Health Centres (UPHC) for May to July 2017 in south zone of Bangalore city and active data collection was done for August and September 2017. Results: There was significant association between the number of dengue cases and the Breteau index in the month of September. However, there was no association between vector indices and the number of cases during the month of October. In some wards, contrary findings were noted between dengue vector indices and number of cases reported. Conclusion: There was a relationship between reported dengue cases and vector indices and there is a need for incorporation of entomological data into GIS system along with epidemiological and intervention data. Involvement of more private and government health care providers may help answer the gap between entomological data and number of dengue cases.

scholarly journals Assessing the sensitivity of the polio environmental surveillance system

PLoS ONE ◽  
2018 ◽  
Vol 13 (12) ◽  
pp. e0208336 ◽  
Author(s):  
Steve J. Kroiss ◽  
Maiwand Ahmadzai ◽  
Jamal Ahmed ◽  
Muhammad Masroor Alam ◽  
Guillaume Chabot-Couture ◽  
...  
Keyword(s):  
Surveillance System ◽  
Environmental Surveillance

scholarly journals Sensitivity of the Swedish statutory surveillance system for communicable diseases 1998–2002, assessed by the capture–recapture method

2005 ◽  
Vol 133 (3) ◽  
pp. 401-407 ◽  
Author(s):  
A. JANSSON ◽  
M. ARNEBORN ◽  
K. EKDAHL
Keyword(s):  
Surveillance System ◽  
Reporting System ◽  
Communicable Diseases ◽  
Meningococcal Infection ◽  
New Disease ◽  
Notifiable Disease ◽  
Electronic Reporting ◽  
Capture Recapture ◽  
All Diseases

To assess the sensitivity of the Swedish surveillance system, four notifiable communicable diseases in Sweden were examined during 1998–2002 with the two-sources capture–recapture method, based on parallel clinical and laboratory notifications. The sensitivity (proportion of diagnosed diseases actually being notified) was highest for salmonellosis (99·9%), followed by meningococcal infection (98·7%), and tularaemia (98·5%). For penicillin-resistant pneumococci, introduced as a notifiable disease in 1996, the overall sensitivity was 93·4% – increasing from 86·5% in 1998 to 98·5% in 2002. The system benefited from parallel reporting, with a sensitivity of clinical and laboratory notifications alone (all diseases combined) of 91·6% and 95·9% respectively. The sensitivity of both clinical and laboratory notifications was markedly higher in counties using the national electronic reporting system, SmiNet. Thus, sensitivity was higher for diseases with a long tradition of reporting, and there is a run-in period after a new disease becomes notifiable.

scholarly journals Causes of medical errors and its under-reporting amongst pediatric nurses in Iran: a qualitative study

2018 ◽  
Vol 31 (7) ◽  
pp. 541-546
Author(s):  
Razieh Sadat Mousavi-roknabadi ◽  
Marzieh Momennasab ◽  
Mehrdad Askarian ◽  
Abbas Haghshenas ◽  
Brahmaputra Marjadi
Keyword(s):  
Qualitative Study ◽  
Teaching Hospital ◽  
Medical Errors ◽  
Reporting System ◽  
Pediatric Nurses ◽  
Personal Factors ◽  
Structured Interviews ◽  
Pediatric Department ◽  
Data Saturation ◽  
Context Specific

Abstract Objectives To explore the causes of medical errors (ME) and under-reporting amongst pediatric nurses at an Iranian teaching hospital. Design A qualitative study, based on individual, in-depth, semi-structured interviews and content analysis approach. Settings The study was conducted at the Pediatric Department of the largest tertiary general and teaching hospital in Shiraz, southern Iran. Participants The study population was all pediatrics nurses who work at Pediatric Department and they had been trained on ME, as well as methods to report them through the hospital’s ME reporting system. Purposive sampling was used by selecting key informants until data saturation was achieved and no more new information was obtained. Finally, 18 pediatric nurses were interviewed. Main outcome measure(s) Pediatrics nurses’ views on the causes of ME and under-reporting. Results We found five main factors causing ME and under-reporting: personal factors, workplace factors, managerial factors, work culture and error reporting system. These factors were further classified into proximal and distal factors. Proximal factors had direct relationship with ME and distal factors were contextual factors. Conclusion Causes of ME and under-reporting amongst pediatric nurses are complex and intertwined. Both proximal and distal factors need to be simultaneously addressed using context-specific approaches. Further research on other groups of healthcare workers and using a quantitative approach will be beneficial to elucidate the most appropriate interventions.

scholarly journals Profile and follow-up of patients with tuberculosis in a priority city in Brazil

2015 ◽  
Vol 49 (0) ◽  
Author(s):  
Jisleny da Cruz Pereira ◽  
Marcio Roberto Silva ◽  
Ronaldo Rodrigues da Costa ◽  
Mark Drew Crosland Guimarães ◽  
Isabel Cristina Gonçalves Leite
Keyword(s):  
Surveillance System ◽  
Reporting System ◽  
Southeastern Brazil ◽  
Chi Square ◽  
Significance Level ◽  
Treatment Default ◽  
Chi Square Test ◽  
Return Visits ◽  
The Impact

OBJECTIVE To analyze the cases of tuberculosis and the impact of direct follow-up on the assessment of treatment outcomes.METHODS This open prospective cohort study evaluated 504 cases of tuberculosis reported in the Sistema de Informação de Agravos de Notificação (SINAN – Notifiable Diseases Information System) in Juiz de Fora, MG, Southeastern Brazil, between 2008 and 2009. The incidence of treatment outcomes was compared between a group of patients diagnosed with tuberculosis and directly followed up by monthly consultations during return visits (287) and a patient group for which the information was indirectly collected (217) through the city’s surveillance system. The Chi-square test was used to compare the percentages, with a significance level of 0.05. The relative risk (RR) was used to evaluate the differences in the incidence rate of each type of treatment outcome between the two groups.RESULTS Of the outcomes directly and indirectly evaluated, 18.5% and 3.2% corresponded to treatment default and 3.8% and 0.5% corresponded to treatment failure, respectively. The incidence of treatment default and failure was higher in the group with direct follow-up (p < 0.05) (RR = 5.72, 95%CI 2.65;12.34, and RR = 8.31, 95%CI 1.08;63.92, respectively).CONCLUSIONS A higher incidence of treatment default and failure was observed in the directly followed up group, and most of these cases were neglected by the disease reporting system. Therefore, effective measures are needed to improve the control of tuberculosis and data quality.

scholarly journals Evaluating Integrated Surveillance for Antimicrobial Use and Resistance in England: A Qualitative Study

2021 ◽  
Vol 8 ◽  
Author(s):  
Houda Bennani ◽  
Laura Cornelsen ◽  
Katharina D. C. Stärk ◽  
Barbara Häsler
Keyword(s):  
Data Collection ◽  
Qualitative Study ◽  
Surveillance System ◽  
Companion Animals ◽  
Mitigation Measures ◽  
Antimicrobial Use ◽  
Surveillance Systems ◽  
Structured Interviews ◽  
A Value ◽  
The Uk

Integrated surveillance systems for antimicrobial use (AMU) and antimicrobial resistance (AMR) require regular evaluation to ensure the effectiveness and efficiency of the system. An important step in the evaluation is to choose an appropriate tool for the purpose of the evaluation. The “Integrated Surveillance System Evaluation” (ISSE) framework is a conceptual framework that was developed to evaluate One Health (OH) integration in surveillance system for AMU/AMR. This study aimed to evaluate the performance and value of integrated surveillance system for AMU/AMR in England by applying the ISSE framework, which was used to develop data collection protocols and define the study design. A qualitative study using semi-structured interviews was conducted to collect the data and analyse it thematically. Eighteen stakeholders from human, animal, food and environment sectors that are involved in AMU/AMR surveillance were interviewed. Four main themes emerged from the analysis: (1) Cross-sectoral integration in the surveillance system for AMU/AMR; (2) Production of OH outputs and outcomes; (3) Drivers and barriers to cross-sectoral collaboration; and 4) Need for more cross-sectoral collaboration. The findings showed that there were links between integrated surveillance information, decision making and interventions. However, there were only few OH examples, such as the UK AMR contingency plan, where the potential of cross-sectoral collaboration was fully exploited. A lot of the benefits described were related to the generation of information and increase in knowledge and understanding without links to how the information generated was used. While these intangible benefits have a value on their own, being able to link surveillance information and mitigation measures would help to enhance the value of integrated surveillance. In terms of improvement, the main areas identified were the development of more harmonised methods for data collection and analysis, provision of resources dedicated to cross-sectoral collaboration, improved coordination, and collection of surveillance data from the environment and from companion animals. By identifying links between OH surveillance information produced and various outputs and outcomes; this study helped to understand the wider benefits of integrated surveillance for AMU/AMR in England and provided insights on how the system could be improved and efficiency increased.

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