دورية أكاديمية
أعرض في EDS

Evaluation of public health surveillance systems in refugee settlements in Uganda, 2016-2019: lessons learned.

التفاصيل البيبلوغرافية
العنوان: Evaluation of public health surveillance systems in refugee settlements in Uganda, 2016-2019: lessons learned.
المؤلفون: Ario AR; Ministry of Health of Uganda, Kampala, Uganda. riolexus@gmail.com.; Uganda Public Health Fellowship Program, Ministry of Health, Kampala, Uganda. riolexus@gmail.com.; Uganda National Institute of Public Health, Kampala, Uganda. riolexus@gmail.com., Barigye EA; Uganda Public Health Fellowship Program, Ministry of Health, Kampala, Uganda., Nkonwa IH; Uganda Public Health Fellowship Program, Ministry of Health, Kampala, Uganda., Ogwal J; Ministry of Health of Uganda, Kampala, Uganda.; Uganda Public Health Fellowship Program, Ministry of Health, Kampala, Uganda., Opio DN; Uganda Public Health Fellowship Program, Ministry of Health, Kampala, Uganda., Bulage L; Uganda Public Health Fellowship Program, Ministry of Health, Kampala, Uganda.; Uganda National Institute of Public Health, Kampala, Uganda.; African Field Epidemiology Network, Kampala, Uganda., Kadobera D; Ministry of Health of Uganda, Kampala, Uganda.; Uganda Public Health Fellowship Program, Ministry of Health, Kampala, Uganda.; Uganda National Institute of Public Health, Kampala, Uganda., Okello PE; Uganda Public Health Fellowship Program, Ministry of Health, Kampala, Uganda.; Uganda National Institute of Public Health, Kampala, Uganda., Kwagonza LW; Ministry of Health of Uganda, Kampala, Uganda.; Uganda Public Health Fellowship Program, Ministry of Health, Kampala, Uganda., Kizito S; Uganda Public Health Fellowship Program, Ministry of Health, Kampala, Uganda., Kwesiga B; Ministry of Health of Uganda, Kampala, Uganda.; Uganda Public Health Fellowship Program, Ministry of Health, Kampala, Uganda.; Uganda National Institute of Public Health, Kampala, Uganda., Kasozi J; United Nations High Commissioner for Refugees, Kampala, Uganda.
المصدر: Conflict and health [Confl Health] 2022 Apr 08; Vol. 16 (1), pp. 15. Date of Electronic Publication: 2022 Apr 08.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 101286573 Publication Model: Electronic Cited Medium: Print ISSN: 1752-1505 (Print) Linking ISSN: 17521505 NLM ISO Abbreviation: Confl Health Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, c2007-
مستخلص: Background: Civil wars in the Great Lakes region resulted in massive displacement of people to neighboring countries including Uganda. With associated disease epidemics related to this conflict, a disease surveillance system was established aiming for timely detection of diseases and rapid response to outbreaks. We describe the evaluation of and lessons learned from the public health surveillance system set up in refugee settlements in Uganda.
Methods: We conducted a cross-sectional survey using the US Centers for Disease Control and Prevention Updated Guidelines for Evaluating Public Health Surveillance Systems and the Uganda National Technical Guidelines for Integrated Disease Surveillance and Response in four refugee settlements in Uganda-Bidibidi, Adjumani, Kiryandongo and Rhino Camp. Using semi-structured questionnaires, key informant and focus group discussion guides, we interviewed 53 health facility leaders, 12 key personnel and 224 village health team members from 53 health facilities and 112 villages and assessed key surveillance functions and attributes.
Results: All health facilities assessed had key surveillance staff; 60% were trained on Integrated Disease Surveillance and Response and most village health teams were trained on disease surveillance. Case detection was at 55%; facilities lacked standard case definitions and were using parallel Implementing Partner driven reporting systems. Recording was at 79% and reporting was at 81%. Data analysis and interpretation was at 49%. Confirmation of outbreaks and events was at 76%. Preparedness was at 72%. Response was at 34%. Feedback was at 82%. Evaluate and improve the system was at 67%. There was low capacity for detection, response and data analysis and interpretation of cases (< 60%).
Conclusion: The surveillance system in the refugee settlements was functional with many performing attributes but with many remaining gaps. There was low capacity for detection, response and data analysis and interpretation in all the refugee settlements. There is need for improvement to align surveillance systems in refugee settlements with the mainstream surveillance system in the country. Implementing Partners should be urged to offer support for surveillance and training of surveillance staff on Integrated Disease Surveillance and Response to maintain effective surveillance functions. Functionalization of district teams ensures achievement of surveillance functions and attributes. Regular supervision of and support to health facility surveillance personnel is essential. Harmonization of reporting improves surveillance functions and attributes and appropriation of funds by government to districts to support refugee settlements is complementary to maintain effective surveillance of priority diseases in the northern and central part of Uganda.
(© 2022. The Author(s).)
References: BMC Public Health. 2015 Feb 04;15:75. (PMID: 25648630)
MMWR Suppl. 2012 Jul 27;61(3):25-9. (PMID: 22832994)
MMWR Suppl. 1988 May 6;37(5):1-18. (PMID: 3131659)
MMWR Recomm Rep. 2001 Jul 27;50(RR-13):1-35; quiz CE1-7. (PMID: 18634202)
J Pak Med Assoc. 2016 Jun;66(6):682-7. (PMID: 27339569)
Arch Dis Child. 1999 Jan;80(1):21-7. (PMID: 10325754)
فهرسة مساهمة: Keywords: Learned; Public health surveillance; Refugee; Uganda
تواريخ الأحداث: Date Created: 20220409 Latest Revision: 20220411
رمز التحديث: 20221213
مُعرف محوري في PubMed: PMC8990451
DOI: 10.1186/s13031-022-00449-x
PMID: 35395945
قاعدة البيانات: MEDLINE
الوصف
تدمد:1752-1505
DOI:10.1186/s13031-022-00449-x