Evaluation of diarrheal disease surveillance in the Minawao refugee camp, Cameroon, 2016.
Cameroon
Diarrheal disease
Minawao
Surveillance
Journal
International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases
ISSN: 1878-3511
Titre abrégé: Int J Infect Dis
Pays: Canada
ID NLM: 9610933
Informations de publication
Date de publication:
May 2019
May 2019
Historique:
received:
08
01
2019
revised:
20
02
2019
accepted:
21
02
2019
pubmed:
2
3
2019
medline:
10
7
2019
entrez:
2
3
2019
Statut:
ppublish
Résumé
Between 2013 and 2015, the Minawao refugee camp in Cameroon received about 51000 refugees fleeing Boko Haram. A rapid increase in population and inadequate sanitary installations increase the risk of diarrheal disease. This study was performed to assess the structure and attributes of the surveillance system in Minawao. Updated US Centers for Disease Control and Prevention guidelines were used to evaluate the public health surveillance system. Information sources included health registers, surveillance reports, and key informant interviews. Scorecards were used to assess the simplicity, flexibility, data quality, acceptability, sensitivity, timeliness, stability, and usefulness of the system. Surveillance in Minawao is both passive and active, integrating four diseases reported weekly/immediately. All key informants agreed that surveillance was part of their routine work. Of 138 surveillance reports reviewed, all were complete; 91 (66%) were timely. Overall, 143 (100%) cases of diarrheal disease identified in health registers were reported to the next level. Only two (20%) surveillance personnel could correctly state standardized case definitions (SCD); three (30%) were unable to identify cases of diarrheal disease based on SCD. In Minawao, diarrheal disease surveillance is acceptable, flexible, sensitive, and useful. To improve timeliness and the use of SCD, we recommend the use of mobile phones to report and display SCD in health facilities.
Sections du résumé
BACKGROUND
BACKGROUND
Between 2013 and 2015, the Minawao refugee camp in Cameroon received about 51000 refugees fleeing Boko Haram. A rapid increase in population and inadequate sanitary installations increase the risk of diarrheal disease. This study was performed to assess the structure and attributes of the surveillance system in Minawao.
METHODS
METHODS
Updated US Centers for Disease Control and Prevention guidelines were used to evaluate the public health surveillance system. Information sources included health registers, surveillance reports, and key informant interviews. Scorecards were used to assess the simplicity, flexibility, data quality, acceptability, sensitivity, timeliness, stability, and usefulness of the system.
RESULTS
RESULTS
Surveillance in Minawao is both passive and active, integrating four diseases reported weekly/immediately. All key informants agreed that surveillance was part of their routine work. Of 138 surveillance reports reviewed, all were complete; 91 (66%) were timely. Overall, 143 (100%) cases of diarrheal disease identified in health registers were reported to the next level. Only two (20%) surveillance personnel could correctly state standardized case definitions (SCD); three (30%) were unable to identify cases of diarrheal disease based on SCD.
CONCLUSIONS
CONCLUSIONS
In Minawao, diarrheal disease surveillance is acceptable, flexible, sensitive, and useful. To improve timeliness and the use of SCD, we recommend the use of mobile phones to report and display SCD in health facilities.
Identifiants
pubmed: 30822545
pii: S1201-9712(19)30096-7
doi: 10.1016/j.ijid.2019.02.032
pii:
doi:
Types de publication
Case Reports
Evaluation Study
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
9-14Informations de copyright
Copyright © 2019 The Author(s). Published by Elsevier Ltd.. All rights reserved.