Sahal N, Reintjes R, Eltayeb E M, Aro A R
Unit for Health Promotion Research, Institute of Public Health, University of Southern Denmark (SDU), Esbjerg, Denmark.
Afr Health Sci. 2011 Aug;11 Suppl 1(Suppl 1):S93-9. doi: 10.4314/ahs.v11i3.70077.
Effective control of communicable diseases requires an effective disease surveillance system (CDSS) which provides information for action on priority communicable diseases. It is the basis for public health decision-making worldwide. Implementation of any public health recommendations for improving a disease surveillance system depends on the acceptability of such recommendations by the relevant stakeholders and the feasibility of implementing the recommendations in practice.
The aim of this study was to assess the acceptability and the feasibility of recommended improvements in CDSS among relevant stakeholders in Khartoum state.
A Delphi consensus process was used in the form of three analytical written rounds and individual face-to-face discussions among relevant stakeholders in Khartoum state to study the feasibility of the recommended improvements in CDSS in Khartoum state.
The stakeholders in Khartoum state agreed with most of our statements to improve the CDSS core activities, supportive functions and quality in Khartoum State, and that the existing CDSS in Khartoum state needs to be strengthened with more effective coordination at different levels. Regarding the feasibility of implementing our recommendations, the results of our Delphi survey suggest neither expanding CDSS system, nor including vertical programmes; formulation of updated objectives; improving data management and feedback; strengthening epidemic management, as well as the quality of the system in terms of timeliness, completeness and acceptability.
This study added strength to our recommendations, based on two previous studies assessing the CDSS in Khartoum state. The Ministry of Health in Khartoum state can implement our consensus recommendations to improve the CDSS system in the future in order to achieve its targeted goals.
有效控制传染病需要一个有效的疾病监测系统（CDSS），该系统可为优先传染病的防控行动提供信息。它是全球公共卫生决策的基础。实施任何旨在改进疾病监测系统的公共卫生建议，都取决于相关利益攸关方对这些建议的接受程度以及在实际中实施这些建议的可行性。
本研究旨在评估喀土穆州相关利益攸关方对CDSS建议改进措施的接受程度和可行性。
采用德尔菲共识法，以三轮书面分析及喀土穆州相关利益攸关方的个人面对面讨论的形式，研究喀土穆州CDSS建议改进措施的可行性。
喀土穆州的利益攸关方同意我们提出的关于改进喀土穆州CDSS核心活动、支持功能和质量的大部分陈述，并且认为喀土穆州现有的CDSS需要通过不同层面更有效的协调来加强。关于实施我们建议的可行性，德尔菲调查结果表明，既不需要扩大CDSS系统，也不需要纳入垂直项目；制定更新的目标；改善数据管理和反馈；加强疫情管理，以及在及时性、完整性和可接受性方面提高系统质量。
基于之前两项评估喀土穆州CDSS的研究，本研究进一步支持了我们的建议。喀土穆州卫生部未来可以实施我们的共识建议，以改进CDSS系统，从而实现其目标。
