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Freya L Jephcott, James L N Wood, Andrew A Cunningham
The aim of this study was to better understand the effectiveness of Integrated Disease Surveillance and Response (IDSR) facility-based surveillance in detecting newly emerging infectious diseases (EIDs) in rural West African settings. A six-month ethnographic study was undertaken in 2012 in the Techiman Municipality of the Brong-Ahafo Region of Ghana, aimed at documenting the trajectories of febrile illness cases of unknown origin occurring within four rural communities. Particular attention was paid to where these trajectories involved the use of formal healthcare facilities and the diagnostic practices that occurred there...
July 19, 2017: Philosophical Transactions of the Royal Society of London. Series B, Biological Sciences
Semeeh Akinwale Omoleke, Olatunji Alabi, Yakubu Bashar Usman, Kunle Ijaya, Abubakar Abubakar Koko
BACKGROUND: Outbreak of cerebrospinal meningitis (CSM) remains a major public health concern in Nigeria, particularly in northern Nigeria. The paper evaluates the effect of mass vaccination against cerebrospinal meningitis outbreak in 2013 on the incidence rate in 2014 and 2015, and to document lessons learnt from field experiences of the meningitis epidemic surveillance in Kebbi State, North-west, Nigeria. METHODS: The authors analysed cerebrospinal meningitis surveillance data generated from the routine integrated disease surveillance and response (IDSR) programme executed by the Ministry of Health with support from the World Health Organisation (WHO)...
June 30, 2016: Global Journal of Health Science
Moise Chi Ngwa, Song Liang, Leonard Mbam Mbam, Arabi Mouhaman, Andrew Teboh, Kaousseri Brekmo, Onana Mevoula, John Glenn Morris
INTRODUCTION: In Cameroon, cholera has periodically resurfaced since it was first reported in 1971. In 2003, Cameroon adapted the Integrated Disease Surveillance and Response (IDSR) strategy to strengthen surveillance in the country. This study was an in-depth description and assessment of the structure, core and support functions, and attributes of the current cholera surveillance system in Cameroon. It also discussed its strengths and challenges with hope that lessons learned could improve the system in Cameroon and in other countries in Africa implementing the IDSR strategy...
2016: Pan African Medical Journal
Martin Nyaaba Adokiya, J Koku Awoonor-Williams, Claudia Beiersmann, Olaf Müller
OBJECTIVES: The integrated disease surveillance and response (IDSR) and district health information management system II (DHIMS2) strategies were implemented in 2002 and 2012 respectively to improve surveillance data reporting and quality. The objective of this study was to evaluate the reporting completeness and timeliness of the IDSR system at the sub-national level in northern Ghana. METHODS: This was an observational study in Upper East Region (UER). Weekly and monthly disease surveillance reports on completeness and timeliness were downloaded and analysed for 2012 and 2013 from the DHIMS2 in UER, the two Kassena-Nankana districts and their nine health facilities representing public, private and mission providers...
March 2016: Ghana Medical Journal
Charles Njuguna, Ian Njeru, Elizabeth Mgamb, Daniel Langat, Anselimo Makokha, Dismas Ongore, Evan Mathenge, Samuel Kariuki
BACKGROUND: Shigellosis is the major cause of bloody diarrhoea worldwide and is endemic in most developing countries. In Kenya, bloody diarrhoea is reported weekly as part of priority diseases under Integrated Disease Surveillance and Response System (IDSR) in the Ministry of Health. METHODS: We conducted a case control study with 805 participants (284 cases and 521 controls) between January and December 2012 in Kilifi and Nairobi Counties. Kilifi County is largely a rural population whereas Nairobi County is largely urban...
September 6, 2016: BMC Infectious Diseases
Alain Poy, Etienne Minkoulou, Keith Shaba, Ali Yahaya, Peter Gaturuku, Landoh Dadja, Joseph Okeibunor, Richard Mihigo, Pascal Mkanda
INTRODUCTION: The PEI Programme in the WHO African region invested in recruitment of qualified staff in data management, developing data management system and standards operating systems since the revamp of the Polio Eradication Initiative in 1997 to cater for data management support needs in the Region. This support went beyond polio and was expanded to routine immunization and integrated surveillance of priority diseases. But the impact of the polio data management support to other programmes such as routine immunization and disease surveillance has not yet been fully documented...
October 10, 2016: Vaccine
William Mwengee, Joseph Okeibunor, Alain Poy, Keith Shaba, Leon Mbulu Kinuani, Etienne Minkoulou, Ali Yahaya, Peter Gaturuku, Dadja Essoya Landoh, Peter Nsubuga, Mbaye Salla, Richard Mihigo, Pascal Mkanda
INTRODUCTION: Since the launch of the Global Polio Eradication Initiative (GPEI) in 1988, there has been a tremendous progress in the reduction of cases of poliomyelitis. The world is on the verge of achieving global polio eradication and in May 2013, the 66th World Health Assembly endorsed the Polio Eradication and Endgame Strategic Plan (PEESP) 2013-2018. The plan provides a timeline for the completion of the GPEI by eliminating all paralytic polio due to both wild and vaccine-related polioviruses...
October 10, 2016: Vaccine
Athman Juma Mwatondo, Zipporah Ng'ang'a, Caroline Maina, Lyndah Makayotto, Moses Mwangi, Ian Njeru, Wences Arvelo
INTRODUCTION: Kenya adopted the Integrated Disease Surveillance and Response (IDSR) strategy in 1998 to strengthen disease surveillance and epidemic response. However, the goal of weekly surveillance reporting among health facilities has not been achieved. We conducted a cross-sectional study to determine the prevalence of adequate reporting and factors associated with IDSR reporting among health facilities in one Kenyan County. METHODS: Health facilities (public and private) were enrolled using stratified random sampling from 348 facilities prioritized for routine surveillance reporting...
2016: Pan African Medical Journal
Reena H Doshi, Calixte Shidi, Audry Mulumba, Philip Eckhoff, Catherine Nguyen, Nicole A Hoff, Sue Gerber, Emile Okitolonda, Benoit Kebela Ilunga, Anne W Rimoin
BACKGROUND: Measles continues to be a leading cause of vaccine-preventable disease mortality among children under five despite a safe and efficacious vaccine being readily available. While global vaccination coverage has improved tremendously, measles outbreaks persist throughout sub-Saharan Africa. Since 2010, the Democratic Republic of Congo (DRC) has seen a resurgence of measles outbreaks affecting all 11 provinces. These outbreaks are mainly attributed to gaps in routine immunization (RI) coverage compounded with missed supplementary immunization activities (SIAs)...
November 27, 2015: Vaccine
Martin N Adokiya, John K Awoonor-Williams, Claudia Beiersmann, Olaf Müller
BACKGROUND: The integrated disease surveillance and response (IDSR) strategy was adopted in Ghana over a decade ago, yet gaps still remain in its proper functioning. The objective of this study was to assess the core and support functions of the IDSR system at the periphery level of the health system in northern Ghana. METHODS: A qualitative study has been conducted among 18 key informants in two districts of Upper East Region. The respondents were from 9 health facilities considered representative of the health system (public, private and mission)...
2015: BMC Health Services Research
Kofi Issah, Kennedy Nartey, Richard Amoah, Emmanuel George Bachan, Jacob Aleeba, Enuamah Yeetey, Timothy Letsa
BACKGROUND: This study assessed the quality, core and support functions of the integrated disease surveillance and response (IDSR) system relating to 18 suspected cases of Ebola virus disease (EVD) in the Brong Ahafo Region, Ghana. METHODS: Data was collected on selected indicators of the surveillance system relating to 18 suspected cases of EVD, from epidemiological week 19 to 45 of 2014. We conducted in-depth interviews with seven medical directors and two district directors of health services, and also reviewed documentation on the implementation of the core, support and quality functions of the IDSR system...
2015: Infectious Diseases of Poverty
Martin Nyaaba Adokiya, John Koku Awoonor-Williams, Inuwa Yau Barau, Claudia Beiersmann, Olaf Mueller
BACKGROUND: Well-functioning surveillance systems are crucial for effective disease control programs. The Integrated Disease Surveillance and Response (IDSR) strategy was developed and adopted in 1998 for Africa as a comprehensive public health approach and subsequently, Ghana adopted the IDSR technical guidelines in 2002. Since 2012, the IDSR data is reported through the new District Health Information Management System II (DHIMS2) network. The objective was to evaluate the Integrated Disease Surveillance and Response (IDSR) system in northern Ghana...
2015: BMC Public Health
Kathryn E Lafond, Ibrahim Dalhatu, Vivek Shinde, Ekanem E Ekanem, Saidu Ahmed, Patrick Peebles, Mwenda Kudumu, Milele Bynum, Kabiru Salami, Joseph Okeibunor, Pamela Schwingl, Anthony Mounts, Abdulsalami Nasidi, Diane Gross
BACKGROUND: Since 2001, Nigeria has collected information on epidemic-prone and other diseases of public health importance through the Integrated Disease Surveillance and Response system (IDSR). Currently 23 diseases are designated as "notifiable" through IDSR, including human infection with avian influenza (AI). Following an outbreak of highly pathogenic avian influenza A(H5N1) in Nigerian poultry populations in 2006 and one laboratory confirmed human infection in 2007, a study was carried out to describe knowledge, perceptions, and practices related to infectious disease reporting through the IDSR system, physicians' preferred sources of heath information, and knowledge of AI infection in humans among public sector physicians in Nigeria...
November 13, 2014: BMC Health Services Research
A A Fatiregun, A O Sangowawa, A A Abubakar
BACKGROUND: Poor knowledge among Disease Surveillance and Notification Officers (DSNOs) as a result of high staff turnover has been identified as a major reason for sub-optimal surveillance performance in Osun State. Training aimed at strengthening the measles surveillance sub-system of the Integrated Disease Surveillance and Response (IDSR) was thus conducted for DSNOs in the state in May, 2006. OBJECTIVES: The immediate impact of the training on participants' knowledge and their role in the measles surveillance process was assessed as well as demographic factors associated with participants' knowledge...
December 2009: Annals of Ibadan Postgraduate Medicine
Revati K Phalkey, Shelby Yamamoto, Pradip Awate, Michael Marx
INTRODUCTION: Despite a realistic strategy and availability of resources, multiple challenges still overwhelm countries grappling with the challenges of communicable disease surveillance. The Integrated Disease Surveillance and Response (IDSR) strategy is by far the most pragmatic strategy in resource-poor settings. The objective of this study was to systematically review and document the lessons learned and the challenges identified with the implementation of the IDSR in low- and middle-income countries and to identify the main barriers that contribute to its sub-optimal functioning...
February 2015: Health Policy and Planning
Nicholas Saguan, James Recabaren
Intraoperative evaluation of primary parathyroid specimens historically has been difficult. Frozen section diagnosis is not reliable and time-consuming. A visible rim of compressed normal parathyroid tissue is seen histologically surrounding a parathyroid adenoma and absent in parathyroid hyperplasia. Adjuncts such as radionuclide scanning and intraoperative parathyroid hormone levels help but are indirect methods of evaluation. Intraoperative digital specimen radiography (IDSR) of specimens is a novel technique that was compared with frozen section analysis...
October 2013: American Surgeon
Francis Kasolo, Zabulon Yoti, Nathan Bakyaita, Peter Gaturuku, Rebecca Katz, Julie E Fischer, Helen N Perry
Of the 46 countries in the World Health Organization (WHO) African region (AFRO), 43 are implementing Integrated Disease Surveillance and Response (IDSR) guidelines to improve their abilities to detect, confirm, and respond to high-priority communicable and noncommunicable diseases. IDSR provides a framework for strengthening the surveillance, response, and laboratory core capacities required by the revised International Health Regulations [IHR (2005)]. In turn, IHR obligations can serve as a driving force to sustain national commitments to IDSR strategies...
September 2013: Biosecurity and Bioterrorism: Biodefense Strategy, Practice, and Science
C C Nnebue, C N Onwasigwe, C C Ibeh, P O U Adogu
BACKGROUND: Disease surveillance and notification (DSN) has been shown to be weak in Nigeria, thus, its inability to promptly detect and control epidemics. OBJECTIVE: To examine the completeness and timeliness of data collection and information transmission process for DSN in the Anambra state. MATERIALS AND METHODS: The study was of cross-sectional design and employed the multistage sampling method to select 270 health workers who are involved in DSN in Anambra state...
October 2013: Nigerian Journal of Clinical Practice
Senait Kebede, Ishata N Conteh, Christoph A Steffen, Katelijn Vandemaele, Isata Wurie, Wondimagegnehu Alemu, Fredson Kuti-George, Foday Dafae, Amara Jambai, Ali Ahmed Yahaya, Francis Chisaka Kasolo
BACKGROUND: Acute respiratory infections remain a leading cause of morbidity and mortality in Sierra Leone; however, similar to other African countries, little is known regarding the contribution of influenza. Routine influenza surveillance is thus a key element to improve understanding of the burden of acute respiratory infections in Africa. In 2011, the World Health Organization (WHO) funded the Strengthening Influenza Sentinel Surveillance in Africa (SISA) project with the goal of developing and strengthening influenza surveillance in eight countries in sub-Saharan Africa, including Sierra Leone...
2013: Health Research Policy and Systems
Chinomnso C Nnebue, Chika N Onwasigwe, Prosper O U Adogu, Ugochukwu U Onyeonoro
BACKGROUND: Disease surveillance and notification (DSN) is part of the Health Management Information System (HMIS) which comprises databases, personnel, and materials that are organized to collect data which are utilized for informed decision making. The knowledge about DSN is very important for the reporting of notifiable diseases. OBJECTIVE: The aim of this study is to examine the awareness and knowledge of health-care workers about DSN, and availability of facility records in Anambra State, Nigeria...
October 2012: Nigerian Medical Journal: Journal of the Nigeria Medical Association
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