College of Health and Medical Technology, 467127Sulaimani Polytechnic University, Sulaimani, Kurdistan Region of Iraq.
College of Health and Medical Technology, 467127Sulaimani Polytechnic University, Sulaiman, Kurdistan Region of Iraq.
Inquiry. 2021 Jan-Dec;58:469580211056045. doi: 10.1177/00469580211056045.
The quality of the surveillance system can be defined by attributes such as completeness, timeliness, usefulness, simplicity, flexibility, acceptability, and reliability. This study aims to assess these quality features of the communicable disease surveillance system (CDSS) in the Kurdistan Region of Iraq.
This study was conducted using a retrospective review of records and documents, and the interviews with the surveillance staff (n = 82) of the Kurdistan governorates during 2018, 2019, and 2020. The World Health Organization (WHO) guideline 2006 indicators were used for evaluation and monitoring the quality of the communicable disease surveillance system. The data analyzed and showed as frequencies and percentages using Statistical Package for the Social Sciences (SPSS) version 26 software.
The reporting timeliness declined from 98% in 2019 to 69% in 2020. At the same time, there was an improvement in completeness of reporting from 83% in 2018 to 99% in 2020. The total scores of other surveillance quality attributes, simplicity, usefulness, flexibility, acceptability, and reliability, were 75%, 72%, 67%, 72%, and 69%, respectively.
Current findings demonstrate that the CDSS is still facing significant challenges in timeliness simplicity, usefulness, flexibility, acceptability, and reliability. Further studies to assess the system's quality, particularly the system's timeliness of outbreak response, sensitivity, and specificity, are recommended.
监测系统的质量可以通过完整性、及时性、有用性、简单性、灵活性、可接受性和可靠性等属性来定义。本研究旨在评估伊拉克库尔德地区传染病监测系统（CDSS）的这些质量特征。
本研究采用回顾性记录和文件审查，并对 2018 年、2019 年和 2020 年库尔德地区各省份的监测人员（n=82）进行访谈。采用世界卫生组织（WHO）2006 年指标对传染病监测系统的质量进行评估和监测。使用社会科学统计软件包（SPSS）版本 26 对数据进行分析，并以百分比的形式显示频率。
报告的及时性从 2019 年的 98%下降到 2020 年的 69%。与此同时，报告的完整性从 2018 年的 83%提高到 2020 年的 99%。其他监测质量属性的总得分分别为：简单性 75%、有用性 72%、灵活性 67%、可接受性 72%和可靠性 69%。
目前的研究结果表明，CDSS 在及时性、简单性、有用性、灵活性、可接受性和可靠性方面仍面临重大挑战。建议进一步研究评估该系统的质量，特别是系统对疫情的及时性反应、敏感性和特异性。
