Yemen Field Epidemiology Training Program, Ministry of Public Health and Population, Sana'a, Yemen.
Neonatal Tetanus Surveillance Program, Ministry of Public Health and Population, Sana'a, Yemen.
JMIR Public Health Surveill. 2021 May 4;7(5):e27606. doi: 10.2196/27606.
The Neonatal Tetanus Surveillance System (NTSS) in Yemen was established in 2009 to identify high-risk areas, determine trends, and evaluate elimination activities. Since its launch, the NTSS had never been evaluated.
This study aimed to assess the performance of NTSS and determine its strengths and weaknesses to recommend improvements.
The US Centers for Disease Control and Prevention (CDC) guidelines were used for evaluating the NTSS. Stakeholders at the central, district, and facility levels were interviewed to rate the attributes of the NTSS. The percentage scores for attributes were ranked as poor (<60%), average (≥60% to <80%) and good (≥80%).
The overall usefulness score percentage was 38%, which indicates a poor performance. The performance of the NTSS was rated as average on flexibility (score percent: 68%) and acceptability (score percent: 64%) attributes and poor on stability (score percentage: 33%), simplicity (score percentage: 57%), and representativeness (score percentage: 39%) attributes. About 65% of investigation forms were completed within 48 hours of notification date. Data quality was poor, as 41% of the core variables were missing.
The overall performance of the NTSS was poor. Most of the system attributes require improvement, including stability, simplicity, quality of data, and completeness of investigation. To improve the performance of NTSS, the following are recommended: capacity building of staff (focal points), strengthening NTSS through technical support and government funding to ensure its sustainability, establishing electronic investigation forms for improving the system data quality, and expansion of NTSS coverage to include all private health care facilities.
也门的新生儿破伤风监测系统（NTSS）于 2009 年成立，旨在确定高风险地区、确定趋势和评估消除活动。自成立以来，NTSS 从未进行过评估。
本研究旨在评估 NTSS 的性能，并确定其优缺点，以提出改进建议。
使用美国疾病控制与预防中心（CDC）的指南评估 NTSS。在中央、地区和机构各级的利益攸关方接受访谈，对 NTSS 的属性进行评分。属性的百分比得分排名为差（<60%）、中（≥60%至<80%）和优（≥80%）。
总体有用性评分百分比为 38%，表明性能较差。NTSS 的性能在灵活性（评分百分比：68%）和可接受性（评分百分比：64%）属性方面被评为中等，在稳定性（评分百分比：33%）、简单性（评分百分比：57%）和代表性（评分百分比：39%）属性方面表现较差。大约 65%的调查表格在接到通知日期后的 48 小时内填写完毕。数据质量较差，核心变量中有 41%缺失。
NTSS 的整体性能较差。大多数系统属性都需要改进，包括稳定性、简单性、数据质量和调查的完整性。为了提高 NTSS 的性能，建议：（焦点）工作人员能力建设、通过技术支持和政府资金加强 NTSS，以确保其可持续性、建立电子调查表格以提高系统数据质量，以及扩大 NTSS 覆盖范围，将所有私营医疗保健设施纳入其中。
