Pomerai Kufakwanguzvarova W, Mudyiradima Robert F, Tshimanga Mfuta, Muchekeza Mary
Department of Community Medicine, University of Zimbabwe, P O Box A178, Avondale, Harare, Zimbabwe.
BMC Res Notes. 2014 Apr 18;7:252. doi: 10.1186/1756-0500-7-252.
AFP is a rare syndrome and serves as a proxy for poliomyelitis. The main objective of AFP surveillance is to detect circulating wild polio virus and provide data for developing effective prevention and control strategies as well planning and decision making. Bikita district failed to detect a case for the past two years.
A total of 31 health workers from 14 health centres were interviewed. Health worker knowledge on AFP was low in Bikita. The system was acceptable, flexible, and representative but not stable and not sensitive since it missed1 AFP case. The system was not useful to the district since data collected was not locally used in anyway. The cost of running the system was high. The district had no adequate resources to run the system. Reasons for not reporting cases was that the mothers were not bringing children with AFP and ignorance of health workers on syndromes captured under AFP.
Health worker's knowledge on AFP was low and all interviewed workers needed training surveillance. The system was found to be flexible but unacceptable. Reasons for failure to detect AFP cases could be, no cases reporting to the centres, lack of knowledge on health workers hence failure to recognise symptoms, high staff turnover.
急性弛缓性麻痹（AFP）是一种罕见综合征，可作为脊髓灰质炎的替代指标。AFP监测的主要目标是检测循环中的野生脊髓灰质炎病毒，并为制定有效的预防和控制策略以及规划和决策提供数据。比基塔区在过去两年中未检测到病例。
对来自14个卫生中心的31名卫生工作者进行了访谈。比基塔区卫生工作者对AFP的了解程度较低。该系统是可接受的、灵活的且具有代表性，但不稳定且不敏感，因为它漏报了1例AFP病例。该系统对比基塔区无用，因为收集的数据未在当地以任何方式使用。运行该系统的成本很高。该地区没有足够的资源来运行该系统。未报告病例的原因是母亲未带患有AFP的儿童前来，以及卫生工作者对AFP所涵盖的综合征无知。
卫生工作者对AFP的了解程度较低，所有接受访谈的工作人员都需要进行监测培训。该系统被发现是灵活的但不可接受。未能检测到AFP病例的原因可能是没有病例向中心报告、卫生工作者缺乏知识因而未能识别症状、人员流动率高。
