Department of Epidemiology and Community Medicine, University of Ottawa, Ottawa, Ontario, Canada.
Int J Tuberc Lung Dis. 2011 Jul;15(7):912-8. doi: 10.5588/ijtld.10.0296.
Cape Town, South Africa.
To evaluate the current system of tuberculosis surveillance in the Cape Metro region.
This evaluation was based on the 'Updated Guidelines for Evaluating Public Health Surveillance Systems' of the Centers for Disease Control and Prevention, modified to render the framework applicable to the context of tuberculosis (TB) surveillance. The evaluation incorporated qualitative exploration of perceptions and experiences of system users.
System users were very accepting of the system and were committed to seeing it achieve its purpose within public health. Some individuals expressed concerns about the rigidity of the Electronic TB Register software and its analysis capabilities. Dissemination of TB data and evidence-based action within the Cape Metro region are strong attributes of Cape Town's TB surveillance system. At the time of the evaluation, integration of TB and human immunodeficiency virus (HIV) data was weak, as was multidrug-resistant TB (MDR-TB) surveillance; the South African Tuberculosis Control Programme is developing initiatives to improve these areas.
Cape Metro's TB surveillance is strong, although it would be strengthened by increasing availability of data reflecting TB-HIV co-infection and MDR-TB. Systems operations could be improved by increasing software flexibility, and increased integration of electronic data across health regions would enhance the capacity and assessment of control efforts.
南非开普敦。
评估开普敦都会区的结核病监测系统现状。
本评估基于疾病预防控制中心的“公共卫生监测系统评估更新指南”，经过修改使框架适用于结核病（TB）监测的背景。评估纳入了对系统用户感知和经验的定性探索。
系统用户非常接受该系统，并致力于使其在公共卫生领域实现其目标。一些人对电子结核病登记册软件的僵化及其分析能力表示担忧。开普敦结核病监测系统的强大优势在于在开普敦都会区传播结核病数据和采取基于证据的行动。在评估时，结核病和人类免疫缺陷病毒（HIV）数据的整合以及耐多药结核病（MDR-TB）监测较为薄弱；南非结核病控制规划正在制定举措来改善这些领域。
开普敦都会区的结核病监测系统很强，但通过增加反映结核病-艾滋病毒合并感染和耐多药结核病的数据，其监测能力将得到加强。通过增加软件灵活性，可以改善系统运行，而增加电子数据在卫生区域之间的整合将增强控制工作的能力和评估。
