Ministry of Public Health, Doha, Qatar.
School of Medicine, Cairo University, Cairo, Egypt.
BMC Public Health. 2024 Feb 27;24(1):625. doi: 10.1186/s12889-024-18016-9.
In 2022, the Surveillance Department of the Ministry of Public Health in Qatar adopted an integrated project called the Notification Enhancement Project (NEP) to enhance the infectious disease notification system. Efficient surveillance and notification promote early alerts and allow immediate interference in reducing morbidity and mortality from outbreaks. The project was designed to improve the knowledge, attitudes, practices, and notification processes of healthcare workers in Qatar by increasing their reporting rates.
The strategy for comprehensively enhancing notifications was based on the observation and evaluation of the current notification system, the implementation of interventions, and post-evaluation follow-up. To implement the project, we relied on three aspects: effective methods used in previous relevant studies through a literature review, feedback received from healthcare workers, and suggestions from public health surveillance experts from the Ministry of Public Health, Qatar. A preassessment was conducted through an online survey by the Ministry of Public Health. The effectiveness of the different interventions was assessed by analyzing the data of notified patients reported through the Disease Surveillance and Reporting Electronic System. Pre- and postintervention assessments were performed by comparing the percentage of patients notified by healthcare providers with that of patients confirmed by healthcare providers in the laboratory to compare the notification rates over three time periods between January and December 2022.
There was significant improvement in the infectious disease notification process. A comparison before and after the implementation of the interventions revealed an increase in the communicable disease notification rate among healthcare workers. Pre- and postintervention data were compared. Infectious disease notification activities by healthcare workers increased from 2.5% between January and May 2022 to 41.4% between November and December 2022.
This study highlights the efficiency of different interventions in correcting the underreporting of infectious diseases. Our findings suggest that implementing the Notification Enhancement Project significantly improves notification rates. We recommend continuing interventions through constant education and training, maintaining solid communication with HCWs through regular reminder emails and feedback, periodic assessment of the electronic notification system, and engagement of healthcare workers and other stakeholders to sustain and expand progress achieved through continuous evaluation.
2022 年,卡塔尔公共卫生部监测司采用了一个名为“通报增强项目”(NEP)的综合项目,以增强传染病通报系统。有效的监测和通报可促进早期预警,并能立即采取干预措施,降低暴发的发病率和死亡率。该项目旨在通过提高报告率来提高卡塔尔卫生保健工作者的知识、态度、实践和通报流程。
全面增强通报的策略基于对当前通报系统的观察和评估、干预措施的实施以及后续的事后评估。为了实施该项目,我们依靠了三个方面:通过文献回顾,使用之前相关研究中的有效方法、从卫生保健工作者那里收到的反馈以及来自卡塔尔公共卫生部公共卫生监测专家的建议。卫生部通过在线调查进行了预评估。通过分析通过疾病监测和报告电子系统报告的通报患者的数据,评估了不同干预措施的有效性。通过比较 2022 年 1 月至 12 月三个时间段内卫生保健提供者通报的患者比例与实验室确认的患者比例,比较了干预前后的通报率。
传染病通报流程得到显著改善。干预措施实施前后的比较显示,卫生保健工作者通报传染病的比例有所增加。对干预前后的数据进行了比较。卫生保健工作者的传染病通报活动从 2022 年 1 月至 5 月的 2.5%增加到 2022 年 11 月至 12 月的 41.4%。
本研究强调了不同干预措施在纠正传染病漏报方面的效率。我们的发现表明,实施通报增强项目可显著提高通报率。我们建议通过持续的教育和培训继续实施干预措施,通过定期的提醒电子邮件和反馈与 HCWs 保持稳固的沟通,定期评估电子通报系统,并让卫生保健工作者和其他利益攸关方参与进来,通过持续评估来维持和扩大取得的进展。