Mozambique Field Epidemiology Training Program, National Institute of Health, Maputo, Mozambique.
Faculty of Medicine, Eduardo Mondlane University, Maputo, Mozambique.
Pan Afr Med J. 2022 Jul 27;42:236. doi: 10.11604/pamj.2022.42.236.28534. eCollection 2022.
the prevalence of human immunodeficiency virus (HIV) in Mozambique has increased from 11.5% in 2009 to 13.2% in 2015. The Mozambique Ministry of Health (MOH) developed a 5-year strategy (2013-2017) for male voluntary medical circumcision (VMMC) to increase in the provinces where there is the greatest number of HIV. We aimed to evaluate the health information system for monitoring and evaluating VMMC in Mozambique from 2013-2019.
we reviewed the records of the National Health Information System for Monitoring and Evaluation (SIS-MA) database for VMMC of the MOH. The evaluation was based on the updated guidelines for the evaluation of public health surveillance systems of the Centers for Disease Control and Prevention.
the coverage rate for VMMC in Mozambique in the period under study was (89%) (1,784,335/2,000,000). The system was expected to circumcise for the year 2019 (162,052) and 390,590 was reached, exceeding the target 241.0% (390,590/162,052). Of the total number of men circumcised, 0.7% (12,391/1,784,335) were HIV-positive (previously tested) and 0.4% (6,382/1,784,335) had a record of adverse events in the period under review (2013-2019). Zambézia Province had the highest VMMC coverage (in numbers) at 16.0% (396,876/2,476,395) while Maputo City had the least 19.7% (107,104/543,096). The system was able to operate both online and offline and continue functioning with introducing new changes (e.g. the new male circumcision complication reporting).
the system was representative, flexible, simple, with good data quality and low acceptability. We recommended continuous and routine entry of quality data into the system, guide organizations for improved functioning.
在 2009 年至 2015 年间，莫桑比克的人类免疫缺陷病毒（HIV）流行率从 11.5%上升到 13.2%。莫桑比克卫生部（MOH）制定了一项 5 年的男性自愿医疗包皮环切（VMMC）战略（2013-2017 年），以增加 HIV 感染人数最多的省份的 VMMC 数量。我们旨在评估 2013-2019 年间莫桑比克 VMMC 的卫生信息系统的监测和评估情况。
我们审查了卫生部国家卫生信息监测评估系统（SIS-MA）数据库中关于 VMMC 的记录。评估基于疾病预防控制中心公共卫生监测系统评估更新指南。
在所研究期间，莫桑比克 VMMC 的覆盖率为（89%）（1,784,335/2,000,000）。该系统预计将在 2019 年完成（162,052 人），而实际完成了 390,590 人，超出目标 241.0%（390,590/162,052）。在接受包皮环切术的男性总数中，0.7%（12,391/1,784,335）为 HIV 阳性（先前检测），0.4%（6,382/1,784,335）在研究期间（2013-2019 年）有不良事件记录。赞比西亚省 VMMC 覆盖率最高（人数）为 16.0%（396,876/2,476,395），而马普托市最低为 19.7%（107,104/543,096）。该系统既可以在线运行，也可以离线运行，并能够继续运行，同时引入新的变化（例如新的男性包皮环切并发症报告）。
该系统具有代表性、灵活性、简单性，数据质量良好，接受度高。我们建议系统持续和常规输入高质量数据，指导组织提高系统运行水平。
