ASSESSMENT OF THE INTEGRATED DISEASE SURVEILLANCE AND RESPONSE IMPLEMENTATION IN SELECTED HEALTH FACILITIES OF SOUTHERN PROVINCE OF ZAMBIA.
Journal Title: International Journal of Advanced Research (IJAR) - Year 2019, Vol 7, Issue 4
Abstract
Background: Disease Surveillance has been the cornerstone of public health decision making and practice world over. Monitoring of the progress of IDSR Strategy has been an important component to ensure its sustainability in Zambia. The aim of this paper was to reflect upon the experiences in the province in order to learn lessons and improve systems. Methods: A descriptive cross-sectional study design was used to assess the structures, core and support surveillance functions using a modified checklist from the WHO questionnaire. The purpose of the study was designed to gain more information through observations, descriptions and review of document aspects of the IDSR situation. All 13 districts, national and provincial offices, 77 facilities and 13 laboratories were assessed. Literature review studies were from PubMed and database of WHO and CDC from 31BC-2017 was under taken assessing communicable diseases surveillance systems. Results: The Public Health Act Cap 295 of the Laws of Zambia has inadequacies for effective implementation of modern required environment of IDSR. The findings revealed that despite significant progress made in overcoming the challenges identified, gaps still exist. The mixed challenges with core and support functions were observed. The issues identified included non-financing of IDSR activities, inadequate training and high turnover of peripheral staff, nonexistent of feedback from higher levels, inadequate supervision, weak laboratory capacities to diagnose dysentery, lack of Job Aids for laboratory staff. Transport and communication means were unavailable in rural facilities. The best out comes in the core functions and systems attribute were reported to levels when support surveillance functions performed well. The human resource was found to be an output determinant to IDSR apart from the technological and technical issues. Conclusion: Implementation of IDSR was associated with improved surveillance and response efforts. The challenges identified were largely ?systemic? in nature. However, nonexistent budgetary support from the monthly grants allocation erodes gains. Reviewed efforts from government and stakeholders are necessary to sustain and expand progress. Strengthening support surveillance functions alongside the six building blocks of the health care system at implementation levels remains cardinal.
Authors and Affiliations
Emmanuel Hakwia Kooma.
Keywords
Related Articles
- EP ID EP566237
- DOI 10.21474/IJAR01/8914
- Views 93
- Downloads 0
EVALUATION DE LEFFET PROTECTEUR DU LAIT DE CHEVRE FERMENTE PAR LE KEFIR ET ENRICHI A LA CAROUBE CONTRE LULCERE GASTRIQUE INDUIT PAR LETHANOL CHEZ LE RAT.
La caroube ou fruit de caroubier est traditionnellement utilis?e contre les plaies et l?ulc?re gastro-duod?nal. Le k?fir du lait est consomm? pour ces actions b?n?fiques sur la flore intestinale et le transit gastro-inte...
WHEN THE TREATMENT OF A PATHOLOGY AGGRAVATES ANOTHER.TERBINAFINE AND PSORIASIS: TWO CASES REPORT.
Terbinafine is an allylamine having an in vitro fungicidal effect on dermatophytes and fungistatic on Candida albicans. It is an agent widely used in dermatology but also in general medicine and other specialties. It is,...
ATTITUDE OF PARENTS TOWARDS INCLUSION OF THEIR CHILDREN WITH INTELLECTUAL DISABILITY IN PRIMARY SCHOOL UNDER NAVI MUMBAI.
The study is based on descriptive research design by using Survey method. The sample for the present study consists of 60 parents of intellectual disability whose children are studying in an inclusive school under Navi M...
ADVANTAGES OF PRACTICING PEER ASSISTED LEARNING AMONG UNDERGRADUATE DENTAL COLLEGES OF BANGLADESH.
Objective：Peer assisted learning (PAL) is a common feature of medical education. PAL in the clinical setting, a complex learning environment, requires fresh evaluation. Socio-cultural theory is proposed as a means to un...
MANAGEMENT OF COMPLEX LOWER LIMB DEFORMITIES USING THE TAYLOR SPATIAL FRAME.
Objective: The aim of this study is to evaluate the results of using the TSF in treatment of complex lower limb deformities around the knee joint. Subjects and Methods: This study is prospective study was conducted invol...