Maponga Brian Abel, Chirundu Daniel, Shambira Gerald, Gombe Notion Tafara, Tshimanga Mufuta, Bangure Donewell
Department of Community Medicine, University of Zimbabwe, Zimbabwe.
Department of Health, Kadoma City Council, Zimbabwe.
Pan Afr Med J. 2014 Nov 14;19:278. doi: 10.11604/pamj.2014.19.278.5202. eCollection 2014.
The Notifiable disease surveillance system (NDSS) was established in Zimbabwe through the Public Health Act. Between January and August 2011, 14 dog bites were treated at Kadoma Hospital. Eighty-six doses of anti-rabies vaccine were dispensed. One suspected rabies case was reported, without epidemiological investigations. The discrepancy may imply under reporting of Notifiable Diseases. The study was conducted to evaluate the NDSS in Sanyati district.
A descriptive cross sectional study was conducted. Healthcare workers in selected health facilities in urban, rural, and private and public sector were interviewed using questionnaires. Checklists were used to assess resource availability and guide records review of notification forms. Epi Info(TM) was used to generate frequencies, proportions and Chi Square tests at 5% level.
We recruited 69 participants, from 16 facilities. Twenty six percent recalled at least 9 Notifiable diseases, 72% correctly mentioned the T1 form for notification, 39% correctly mentioned the forms completed in triplicate and 20% knew it was a legal requirement to notify. Ninety six percent of respondents indicated willingness to participate, whilst 41% had ever received feedback. Three out of 16 health facilities had T1 forms.
NDSS is useful, acceptable, simple, and sensitive. NDSS is threatened by lack of T1 forms, poor feedback and knowledge of health workers on NDSS. T1 forms and guidelines for completing the forms were distributed to all health facilities, public and private sector. On the job training of health workers through tutorials, supervision and feedback was conducted.
津巴布韦依据《公共卫生法》建立了法定传染病监测系统（NDSS）。2011年1月至8月期间，卡多马医院共治疗了14例犬咬伤病例，发放了86剂狂犬病疫苗。报告了1例疑似狂犬病病例，但未进行流行病学调查。这种差异可能意味着法定传染病报告不足。本研究旨在评估萨尼亚蒂区的NDSS。
开展了一项描述性横断面研究。使用问卷对城市、农村以及公私部门选定卫生机构的医护人员进行了访谈。使用清单评估资源可用性并指导对通知表格的记录审查。使用Epi Info™生成频率、比例并进行5%水平的卡方检验。
我们从16个机构招募了69名参与者。26%的人能回忆起至少9种法定传染病，72%的人正确提及了T1通知表格，39%的人正确提及表格需一式三份填写，20%的人知道报告是一项法律要求。96%的受访者表示愿意参与，而41%的人曾收到过反馈。16个卫生机构中有3个有T1表格。
NDSS有用、可接受、简单且敏感。NDSS受到T1表格短缺、反馈不佳以及医护人员对NDSS了解不足的威胁。已向所有公私卫生机构分发了T1表格及表格填写指南。通过辅导、监督和反馈对医护人员进行了在职培训。
