加纳东部地区选定地区综合疾病监测和应对系统的影响因素。

Factors influencing integrated disease surveillance and response system in selected districts in the Eastern Region of Ghana.

机构信息

Ghana Health Service, Eastern Regional Health Directorate, Koforidua, Eastern Region, Ghana.

Department of Epidemiology and Disease Control, School of Public Health, University of Ghana, Accra, Legon, Ghana.

出版信息

PLoS One. 2024 Aug 13;19(8):e0295473. doi: 10.1371/journal.pone.0295473. eCollection 2024.

DOI:10.1371/journal.pone.0295473

PMID:39137197

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11321551/

Abstract

BACKGROUND

Ghana adopted the Integrated Disease Surveillance and Response (IDSR) system, which is an integration of the various programs in the surveillance system and can contain disease outbreaks and pandemics. Implementation of the IDSR is influenced by several factors which can affect its functionality and ability to contain disease outbreaks. This study assessed the factors influencing the IDSR system in selected districts in the Eastern Region of Ghana.

METHOD

A cross-sectional study was conducted between February-March, 2022 in Fanteakwa North, Abuakwa South and New Juaben South districts in the Eastern Region of Ghana among health care workers who are involved in IDRS activities. Both primary and secondary data were collected and analyzed using descriptive statistics and regression analysis at 0.05 significant level with 95% confidence interval.

RESULTS

Three hundred and forty-seven (347) health care workers participated in the study with 56.2% (195/347) indicating that rumor registers were available at the health facilities. Most of the respondents (64.8%, 225/347) had means of transport for disease surveillance activities while majority (61.9%, 215/347) had case-based forms for case investigation. About half (51.9%, 180/347) of the participants revealed that they did not receive any feedback from the next higher level in the past year. Availability of transport for IDSR activities was almost 3.4 times more likely to contribute positively to IDSR system compared to facilities without transport (AOR = 3.36; 95% CI = 1.44-7.83; p = 0.005). Respondents who have the capacity to apply case definition are 2 times more likely to contribute to an effective IDSR system compared to health workers who cannot apply case definition (AOR = 1.94; 95% CI = 1.17-3.21; p = 0.013). Respondents who did not receive feedback from the next higher level were 52% less likely to have an effective IDSR system compared to respondents who received feedback from the next higher level (AOR = 0.48; 95% CI = 0.23-1.00; p = 0.05).

CONCLUSION

Effective operation of IDSR is affected by the application of case definition and means of transport at health facilities. In addition, the capacity of health care workers to provide feedback can influence the smooth operation of the IDSR in the studied area in Ghana.

摘要

背景

加纳采用了综合疾病监测和应对（IDSR）系统，该系统整合了监测系统中的各种项目，可以控制疾病暴发和大流行。IDSR 的实施受到多种因素的影响，这些因素可能会影响其功能和控制疾病暴发的能力。本研究评估了在加纳东部地区选定地区影响 IDSR 系统的因素。

方法

2022 年 2 月至 3 月期间，在加纳东部的 Fanteakwa North、Abuakwa South 和 New Juaben South 区，对参与 IDRS 活动的卫生保健工作者进行了一项横断面研究。使用描述性统计和回归分析，在 0.05 显著水平和 95%置信区间内，对初级和二级数据进行了收集和分析。

结果

共有 347 名卫生保健工作者参与了这项研究，其中 56.2%（195/347）表示卫生机构有谣言登记簿。大多数受访者（64.8%，225/347）有疾病监测活动的交通工具，而大多数受访者（61.9%，215/347）有用于病例调查的基于病例的表格。大约一半（51.9%，180/347）的参与者表示，他们在过去一年中没有收到来自更高一级的任何反馈。与没有交通工具的设施相比，IDSR 活动有交通工具的可能性几乎高出 3.4 倍，对 IDSR 系统有积极贡献（AOR = 3.36；95%CI = 1.44-7.83；p = 0.005）。与不能应用病例定义的卫生工作者相比，能够应用病例定义的受访者更有可能对有效的 IDSR 系统做出贡献（AOR = 1.94；95%CI = 1.17-3.21；p = 0.013）。与收到上级反馈的受访者相比，没有收到上级反馈的受访者建立有效的 IDSR 系统的可能性低 52%（AOR = 0.48；95%CI = 0.23-1.00；p = 0.05）。