Alternate Title: Évaluation de l'impact du système de surveillance intégrée des maladies et de riposte sur la gestion de la surveillance au sein des établissements de santé au Pakistan. (French)

المؤلفون: Ul Haq, Zia, Fazid, Sheraz, Hussain, Basharat, Khan, Muhammad Fawad, Betanni, Asif, Behrawar, Bilal, Afridi, Shaheen

المصدر: Eastern Mediterranean Health Journal; Feb2024, Vol. 30 Issue 2, p109-115, 7p

Abstract (English): Background: Disease surveillance is very crucial especially in high vulnerability settings like Pakistan. However, surveillance and outbreak response management are still evolving in the country and research studies are needed to assess the existing system. Aim: To assess the impact of integrated disease surveillance and response system (IDSRS) implemented by the provincial government to strengthen infectious disease surveillance and reporting in 6 districts of Pakistan in 2016. Methods: A baseline cross-sectional assessment of health facilities and the healthcare workforce was conducted in 2016 to identify needs and gaps in public sector health facilities and the health system of 6 selected districts of Khyber Pakhtunkhwa Province, Pakistan. This was followed by a 2018 endline survey of the same facilities using the same variables. Results: Overall, there was improvement in district management and facility level performance (χ²(1, 314) = 21.19, P < 0.001, V = 0.26). District level management improved significantly in areas with relatively lower Gross Domestic Product (GDP)? χ²(1, 154) = 30.41, P <0.001, V = 0.44). Facilitation domain variables improved in the lower GDP districts (χ²(1, 74) = 5.76, P = 0.016, V = 0.28) and showed counterintuitive deterioration (χ²(1, 74) = 4.80, P = 0.028, V = 0.25) in relatively higher GDP areas. Conclusion: IDSRS is effective in improving surveillance and response systems, however, its effectiveness appears to depend on locale-specific economies and can be enhanced by modifying the implementation approach. Better empowerment of the local workforce can contribute to such improvement. [ABSTRACT FROM AUTHOR]

Abstract (French): Contexte : La surveillance des maladies constitue un enjeu crucial, en particulier dans les régions à forte vulnérabilité comme le Pakistan. Toutefois, la surveillance et la gestion de la riposte aux flambées épidémiques sont encore en évolution dans le pays et des études de recherche sont nécessaires pour évaluer le système existant. Objectif : Déterminer l'impact du système de surveillance intégrée des maladies et de riposte mis en place par le gouvernement provincial pour renforcer la surveillance et la notification des maladies infectieuses dans six districts du Pakistan au cours de l'année 2016. Méthodes : Une évaluation transversale initiale des établissements et des personnels de santé a été réalisée en 2016 pour identifier les besoins et les lacunes des établissements sanitaires du secteur public et du système de santé de six districts sélectionnés de la province de Khyber Pakhtunkhwa (Pakistan). Cette évaluation a été suivie d'une enquête finale en 2018 auprès des mêmes établissements en utilisant les mêmes variables. Résultats : Dans l'ensemble, une amélioration a été constatée en ce qui concerne la gestion des districts et la performance des établissements (χ²(1,314) = 21,19, p < 0,001, v = 0,26). La gestion au niveau des districts s'est nettement améliorée dans les zones où le produit intérieur brut (PIB) est relativement plus faible (χ²(1,154) = 30,41, p < 0,001, v = 0,44). Les variables du domaine de facilitation ont affiché une amélioration dans les districts où le PIB est plus faible (χ²(1,74) = 5,76, p = 0,016, v = 0,28), mais elles se sont paradoxalement dégradées (χ²(1,74) = 4,80, p = 0,028, v = 0,25) dans les zones où le PIB est relativement plus élevé. Conclusion : Le système de surveillance intégrée des maladies et de riposte est efficace pour renforcer les systèmes de ce genre. Toutefois, son efficacité semble dépendre des économies spécifiques locales et peut être améliorée en modifiant la méthode de mise en oeuvre. Une meilleure autonomisation du personnel local peut y contribuer. [ABSTRACT FROM AUTHOR]

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المؤلفون: Rehman, Khalid^Aff1, Bettani, Muhammad Asif Khan^Aff2, Veletzky, Luzia^{Aff3, Aff4}, Afridi, Shaheen^Aff2, Ramharter, Michael^Aff4

المصدر: Infectious Diseases of Poverty. 7(1)

المؤلفون: Rehman, Khalid, Bettani, Muhammad, Veletzky, Luzia, Afridi, Shaheen, Ramharter, Michael

الوصف: Multilingual abstracts in the five official working languages of the United Nations. (PDF 718 kb)

URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::245bbff53161857fc6443406e9a002a5

المؤلفون: Haq ZU; Khyber Medical University, University of Glasgow., Fazid S; IPH&SS, Khyber Medical University., Hussain B; IPH&SS, Khyber Medical University., Khan MF; Health Cluster Coordinator, WHO, Yemen., Betanni A; Advisor for UK Health Security Agency on IHR Project, Pakistan., Behrawar B; IDSRS, Department of Health, Khyber Pakhtunkhwa., Afridi S; Health System Reforms Unit, Department of Health, Khyber Pakhtunkhwa.

المصدر: Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit [East Mediterr Health J] 2024 Feb 25; Vol. 30 (2), pp. 109-115. Date of Electronic Publication: 2024 Feb 25.

نوع المنشور: Journal Article

بيانات الدورية: Publisher: Eastern Mediterranean Regional Office of the World Health Organization Country of Publication: Egypt NLM ID: 9608387 Publication Model: Electronic Cited Medium: Internet ISSN: 1687-1634 (Electronic) Linking ISSN: 10203397 NLM ISO Abbreviation: East Mediterr Health J Subsets: MEDLINE

مواضيع طبية MeSH: Disease Outbreaks*/prevention & control , Health Facilities*, Humans ; Pakistan/epidemiology ; Cross-Sectional Studies ; Delivery of Health Care

مستخلص: Background: Disease surveillance is very crucial especially in high vulnerability settings like Pakistan. However, surveillance and outbreak response management are still evolving in the country and research studies are needed to assess the existing system.
Aim: To assess the impact of integrated disease surveillance and response system (IDSRS) implemented by the provincial government to strengthen infectious disease surveillance and reporting in 6 districts of Pakistan in 2016.
Methods: A baseline cross-sectional assessment of health facilities and the healthcare workforce was conducted in 2016 to identify needs and gaps in public sector health facilities and the health system of 6 selected districts of Khyber Pakhtunkhwa Province, Pakistan. This was followed by a 2018 endline survey of the same facilities using the same variables.
Results: Overall, there was improvement in district management and facility level performance (χ ² (1, 314) = 21.19, P < 0.001, V = 0.26). District level management improved significantly in areas with relatively lower Gross Domestic Product (GDP)? χ ² (1, 154) = 30.41, P <0.001, V = 0.44). Facilitation domain variables improved in the lower GDP districts (χ ² (1, 74) = 5.76, P = 0.016, V = 0.28) and showed counterintuitive deterioration (χ ² (1, 74) = 4.80, P = 0.028, V = 0.25) in relatively higher GDP areas.
Conclusion: IDSRS is effective in improving surveillance and response systems, however, its effectiveness appears to depend on locale-specific economies and can be enhanced by modifying the implementation approach. Better empowerment of the local workforce can contribute to such improvement.
(Copyright: © Authors 2024; Licensee: World Health Organization. EMHJ is an open access journal. All papers published in EMHJ are available under the Creative Commons Attribution Non-Commercial ShareAlike 3.0 IGO licence (CC BY-NC-SA 3.0 IGO; https://creativecommons.org/licenses/by-nc-sa/3.0/igo).)