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Assessment of Integrated Disease Surveillance and Response Implementation in Special Health Facilities of Dawuro Zone

Received: 18 June 2016     Accepted: 28 June 2016     Published: 15 July 2016
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Abstract

Background: Widespread epidemics of malaria, yellow fever, meningitis and Tuberculosis across the Sub-Saharan African in the 1990s were largely attributed to poor surveillance systems which were neither able to detect communicable diseases on time nor build up an effective response. Effective communicable disease control relies on effective response systems which are dependent upon effective disease surveillance. Integrated Disease Surveillance and Response strategy (IDSR) was adopted by the AFRO members of the World Health Organization (WHO) to improve surveillance activities. Objective: This study was conducted to assess IDSR implementation in selected Health Facilities of Dawuro zone. Settings and Design: Dawuro zone is located in Southwestern Ethiopia. It shares borders with the Gamo-Gofa zone in south, Wolayta zone in the east, Konta Special district in the west, Oromia region in North, Hadya and Kambata Tembaro Zones in North east. Based on the 2006 census, it has a population of 590,090. A cross-sectional facility based descriptive study was conducted. Materials and Methods: An interviewer administered questionnaire of an adapted from the WHO Protocol for the Assessment of National Communicable Disease Surveillance and Response systems was used. Data analysis was carried out using SPSS version 21. Results: All of the health facilities (38%) have any case definition for the priority diseases. About 43% of the health facilities had electricity. Only seven percent has standby generators, which were functional. All health centers had calculators and stationery available for data management while 36% had computers and but 28% have printers available. No form of data analysis was available in 93% of the health centers, analysis of data were however available in all 14 Health centers studied. A reporting system was available in 92% of health centers. There was no feedback from the region to the district health offices and Health centers, nor was there feedback from the national to the zone level. Conclusion and recommendation: The implementation of IDSR in Dawuro zone is moderate. Resources are insufficient and although some structures are present on ground like the presence of reporting mechanism, feedback is low from the higher to lower levels. Standard case definitions are not used in all health facilities for all priority diseases. Standard case definitions should be made available and used in all health facilities.

Published in Journal of Anesthesiology (Volume 4, Issue 3)
DOI 10.11648/j.ja.20160403.11
Page(s) 11-15
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2016. Published by Science Publishing Group

Keywords

Assessment, District Health Offices, Integrated Disease Surveillance and Response, Implementation, Health Center

References
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[2] e. Woyessa, "Investigation of measles outbreakHerena and Dawe-Serer Districts of Bale Zone, Oromia Region, Ethiopia,," BMC Retrovirology, vol. 9, p. 39, 2012
[3] J. L. Luba PASCOE, Jens KAASBØLL, Ismael KOLELENI, "Collecting Integrated Disease Surveillancemand Response Data through Mobile Phones," in IST-Africa 2012 Conference Proceedings, Dar Es Salaam University, 2012.
[4] e. A. A. Abubakar, "Assessment of integrated disease surveillance and response strategy implementation in selected Local Government Areas of Kaduna state," Annals of Nigerian Medicine vol. 7, Jan-Jun 2013
[5] S. Y. Revati K Phalkey, Pradip Awate, Michael Marx, "Challenges with the implementation of an Integrated Disease Surveillance and Response (IDSR) system: systematic review of the lessons learned," Health Policy and Planning Advance Access, pp. 1-13, December 20, 2013.
[6] FMOH, "Integrated Disease Surveillance and Response," 2013.
[7] MOH, "Integrated Diseases Surveillance and Response implementation in Ethiopia," 2003.
[8] WHO/UNICEF, "estimates of national immunization coverage. Geneva, World Health Organization", 2009
[9] E. Zemelak, "Ethiopian Field Epidemiology Training Program (EFETP) Compiled Body of Works in Field Epidemiology," Master of Public Health in Field Epidemiology, School of Public Health, Addis Ababa University Addis Ababa University May, 2014.
[10] "National Policy On Integrated Disease Surveillance And Response (IDSR) Federal Ministry of Health Abuja, Nigeria.", NFMOH, Ed., ed, September, 2005.
[11] WorHO, "Central Statistical Agency," in UNICEF, ed, 2007.
[12] M. L. Mghamba JM, Krekamo W, Senkoro KP, Rumisha SF, Shayo E,, "Challenges of implementing an IDSR strategy using the current health management information system in Tanzania," Tanzan Health Res Bull vol. 6, pp. 57-63, 2004.
[13] G. o. M. a. t. W. H. Organization, "Assessment of epidemiological disease surveillance system in Mozambique," ed: Government of Mozambique and the World Health Organization., 13th November-4th December 2006, pp. 1-41.
[14] CDC, "Assessment of infectious disease surveillance-Uganda" 2000.
[15] Phalkey, et al. "Assessment of the core and support functions of the Integrated Disease Surveillance system in Maharashtra, India," BMC Public Health, vol. 13, 2013.
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  • APA Style

    Bayu Begashaw, Thomas Tesfaye. (2016). Assessment of Integrated Disease Surveillance and Response Implementation in Special Health Facilities of Dawuro Zone. International Journal of Anesthesia and Clinical Medicine, 4(3), 11-15. https://doi.org/10.11648/j.ja.20160403.11

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    ACS Style

    Bayu Begashaw; Thomas Tesfaye. Assessment of Integrated Disease Surveillance and Response Implementation in Special Health Facilities of Dawuro Zone. Int. J. Anesth. Clin. Med. 2016, 4(3), 11-15. doi: 10.11648/j.ja.20160403.11

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    AMA Style

    Bayu Begashaw, Thomas Tesfaye. Assessment of Integrated Disease Surveillance and Response Implementation in Special Health Facilities of Dawuro Zone. Int J Anesth Clin Med. 2016;4(3):11-15. doi: 10.11648/j.ja.20160403.11

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  • @article{10.11648/j.ja.20160403.11,
      author = {Bayu Begashaw and Thomas Tesfaye},
      title = {Assessment of Integrated Disease Surveillance and Response Implementation in Special Health Facilities of Dawuro Zone},
      journal = {International Journal of Anesthesia and Clinical Medicine},
      volume = {4},
      number = {3},
      pages = {11-15},
      doi = {10.11648/j.ja.20160403.11},
      url = {https://doi.org/10.11648/j.ja.20160403.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ja.20160403.11},
      abstract = {Background: Widespread epidemics of malaria, yellow fever, meningitis and Tuberculosis across the Sub-Saharan African in the 1990s were largely attributed to poor surveillance systems which were neither able to detect communicable diseases on time nor build up an effective response. Effective communicable disease control relies on effective response systems which are dependent upon effective disease surveillance. Integrated Disease Surveillance and Response strategy (IDSR) was adopted by the AFRO members of the World Health Organization (WHO) to improve surveillance activities. Objective: This study was conducted to assess IDSR implementation in selected Health Facilities of Dawuro zone. Settings and Design: Dawuro zone is located in Southwestern Ethiopia. It shares borders with the Gamo-Gofa zone in south, Wolayta zone in the east, Konta Special district in the west, Oromia region in North, Hadya and Kambata Tembaro Zones in North east. Based on the 2006 census, it has a population of 590,090. A cross-sectional facility based descriptive study was conducted. Materials and Methods: An interviewer administered questionnaire of an adapted from the WHO Protocol for the Assessment of National Communicable Disease Surveillance and Response systems was used. Data analysis was carried out using SPSS version 21. Results: All of the health facilities (38%) have any case definition for the priority diseases. About 43% of the health facilities had electricity. Only seven percent has standby generators, which were functional. All health centers had calculators and stationery available for data management while 36% had computers and but 28% have printers available. No form of data analysis was available in 93% of the health centers, analysis of data were however available in all 14 Health centers studied. A reporting system was available in 92% of health centers. There was no feedback from the region to the district health offices and Health centers, nor was there feedback from the national to the zone level. Conclusion and recommendation: The implementation of IDSR in Dawuro zone is moderate. Resources are insufficient and although some structures are present on ground like the presence of reporting mechanism, feedback is low from the higher to lower levels. Standard case definitions are not used in all health facilities for all priority diseases. Standard case definitions should be made available and used in all health facilities.},
     year = {2016}
    }
    

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  • TY  - JOUR
    T1  - Assessment of Integrated Disease Surveillance and Response Implementation in Special Health Facilities of Dawuro Zone
    AU  - Bayu Begashaw
    AU  - Thomas Tesfaye
    Y1  - 2016/07/15
    PY  - 2016
    N1  - https://doi.org/10.11648/j.ja.20160403.11
    DO  - 10.11648/j.ja.20160403.11
    T2  - International Journal of Anesthesia and Clinical Medicine
    JF  - International Journal of Anesthesia and Clinical Medicine
    JO  - International Journal of Anesthesia and Clinical Medicine
    SP  - 11
    EP  - 15
    PB  - Science Publishing Group
    SN  - 2997-2698
    UR  - https://doi.org/10.11648/j.ja.20160403.11
    AB  - Background: Widespread epidemics of malaria, yellow fever, meningitis and Tuberculosis across the Sub-Saharan African in the 1990s were largely attributed to poor surveillance systems which were neither able to detect communicable diseases on time nor build up an effective response. Effective communicable disease control relies on effective response systems which are dependent upon effective disease surveillance. Integrated Disease Surveillance and Response strategy (IDSR) was adopted by the AFRO members of the World Health Organization (WHO) to improve surveillance activities. Objective: This study was conducted to assess IDSR implementation in selected Health Facilities of Dawuro zone. Settings and Design: Dawuro zone is located in Southwestern Ethiopia. It shares borders with the Gamo-Gofa zone in south, Wolayta zone in the east, Konta Special district in the west, Oromia region in North, Hadya and Kambata Tembaro Zones in North east. Based on the 2006 census, it has a population of 590,090. A cross-sectional facility based descriptive study was conducted. Materials and Methods: An interviewer administered questionnaire of an adapted from the WHO Protocol for the Assessment of National Communicable Disease Surveillance and Response systems was used. Data analysis was carried out using SPSS version 21. Results: All of the health facilities (38%) have any case definition for the priority diseases. About 43% of the health facilities had electricity. Only seven percent has standby generators, which were functional. All health centers had calculators and stationery available for data management while 36% had computers and but 28% have printers available. No form of data analysis was available in 93% of the health centers, analysis of data were however available in all 14 Health centers studied. A reporting system was available in 92% of health centers. There was no feedback from the region to the district health offices and Health centers, nor was there feedback from the national to the zone level. Conclusion and recommendation: The implementation of IDSR in Dawuro zone is moderate. Resources are insufficient and although some structures are present on ground like the presence of reporting mechanism, feedback is low from the higher to lower levels. Standard case definitions are not used in all health facilities for all priority diseases. Standard case definitions should be made available and used in all health facilities.
    VL  - 4
    IS  - 3
    ER  - 

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Author Information
  • Public Health Department, College of Health Sciences, Mizan-Tepi University, Mizan-Aman, Ethiopia

  • Dawuro Zone Health Desk, Tercha, Ethiopia

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