Ghana Field Epidemiology and Laboratory Training Program (GFELTP), University of Ghana.
National Malaria Control Programme, Ghana Health Service, Accra.
Ghana Med J. 2020 Jun;54(2 Suppl):3-10. doi: 10.4314/gmj.v54i2s.2.
Evaluate the Tuberculosis (TB) surveillance system in the Ga West Municipality to determine if it is achieving its objectives, and to assess its attributes and usefulness.
Descriptive analysis of primary and secondary data.
Stakeholder interviews and record reviews on the objectives and operation of the surveillance system at all levels of the system.
We evaluated the system's operation from 2011-2015 using the Centers for Disease Control and Prevention (CDC) updated guidelines for evaluating public health surveillance systems and the World Health Organisation (WHO) TB surveillance checklist for assessing the performance of national surveillance systems.
The TB surveillance system in the municipality was functional and operated at all levels for timely detection of cases, accurate diagnosis, and case management. The system improved management of TB/HIV co-infections. The average time taken to confirm a suspected TB case was one day. The registration of a confirmed case and subsequent treatment happen immediately after confirmation. The municipality detected 109 of 727 TB cases in 2015 (case detection rate=15%). The positive predictive value (PPV) was 6.4%. There was one diagnostic centre in the municipality. Private facilities involvement in TB surveillance activities was low (1/15).
The Tuberculosis surveillance system in the Ga West Municipality is well structured but partially meeting its objectives. The system is timely, stable and acceptable by most stakeholders and useful at all levels. It has no major data quality issues. Private health facilities in the municipality should be well incorporated into TB surveillance.
This work was supported by Ghana Field Epidemiology and Laboratory Training Program (GFELTP), University of Ghana through the support of the West Africa Health Organization (Ref.: Prog/A17IEpidemSurveillN° 57212014/mcrt) to B-YA.
评估加西区的结核病（TB）监测系统，以确定其是否达到目标，并评估其属性和有用性。
对初级和二级数据进行描述性分析。
对各级监测系统的目标和运作情况进行利益攸关方访谈和记录审查。
我们使用疾病控制和预防中心（CDC）更新的公共卫生监测系统评估指南以及世界卫生组织（WHO）结核病监测检查表，评估了 2011-2015 年期间系统的运行情况，以评估国家监测系统的绩效。
该城市的结核病监测系统在各级都能正常运行，及时发现病例、准确诊断和病例管理。该系统改善了结核病/艾滋病毒合并感染的管理。确认疑似结核病病例的平均时间为一天。在确认后立即登记和随后治疗确诊病例。该城市在 2015 年发现了 727 例结核病病例中的 109 例（检出率=15%）。阳性预测值（PPV）为 6.4%。该市有一个诊断中心。私营医疗机构参与结核病监测活动的比例较低（1/15）。
加西区的结核病监测系统结构良好，但部分实现了目标。该系统及时、稳定，得到大多数利益攸关方的认可，在各级都有用。它没有重大的数据质量问题。该城市的私营卫生机构应充分纳入结核病监测。
这项工作得到了加纳现场流行病学和实验室培训项目（GFELTP）的支持，加纳大学通过支持西非卫生组织（参考：Prog/A17IEpidemSurveillN° 57212014/mcrt）为 B-YA 提供了支持。
