Gadiaga Tidiane, Faly Ba Mouhamadou, Sagna Siré, Cissé Bayal, Sène Doudou, Sarr Samba Cor, Gueye Babacar, Thiam Sylla, Ciré Elhadji Ba Konko, Ndiaye Jean Louis Abdou
Planning, Research and Statistics Department, Ministry of Health and Social Action, Fann-Dakar, Senegal.
Health and Development Institute, Cheikh Anta Diop University, Fann-Dakar, Senegal.
Pan Afr Med J. 2024 Jun 4;48:41. doi: 10.11604/pamj.2024.48.41.41888. eCollection 2024.
as part of the fight against malaria, epidemiological surveillance (ES) is one of the key pillars of the global technical strategy 2016-2030 to combat this disease. However, in the south-east of Senegal, where malaria poses a major public health problem, epidemiological surveillance has until recently been very neglected. To help reduce malaria-related morbidity and mortality in Senegal, an evaluation of the routine malaria ES system was conducted in the Tambacounda Health District in 2021.
we conducted a cross-sectional, descriptive survey of 27 health structures in Tambacounda district from 20 February to 1 March 2022.
overall, the routine ES system in the district was acceptable according to its users, with satisfactory tool filling time in 96.3% of the structures in our study, a cumulative completeness of reports at 92% despite a 77% promptness. The data collected at the services delivery points (SDP) level allowed a representativeness of the ES system in 100% of health facilities. The ES system was also rated as simple by 74.1% of SDP managers even though only 55.6% of them were trained. However, the stability of the system was low because 55.6% of SDP had staff to ensure the continuity of ES service despite the availability of management tools (100%) and the telephone network (96.3%). The same was true for the usefulness of the ES because only 25.9% of SDP managers analyzed their produced data. The reported ES and malaria morbidity data were not adequate. On the other hand, the ES system was reactive with a speed of transmission of information at 96.3% and a possibility of rapid diagnosis and management of cases at 100%.
the routine malaria ES system at the level of health facilities in Tambacounda District was acceptable, simple, flexible, representative, and responsive. However, an increase in qualified staff at the health posts, capacity strengthening of the ES staff and regular supervision of SDP are needed essentials to make the district's malaria surveillance system more efficient.
作为抗击疟疾工作的一部分，流行病学监测（ES）是2016 - 2030年全球抗击该疾病技术战略的关键支柱之一。然而，在疟疾构成重大公共卫生问题的塞内加尔东南部，直到最近流行病学监测一直被严重忽视。为帮助降低塞内加尔与疟疾相关的发病率和死亡率，2021年在坦巴昆达卫生区对常规疟疾ES系统进行了评估。
2022年2月20日至3月1日，我们对坦巴昆达区的27个卫生机构进行了横断面描述性调查。
总体而言，该地区的常规ES系统在其用户看来是可以接受的，在我们研究的96.3%的机构中工具填写时间令人满意，报告累计完整性为92%，尽管及时性为77%。在服务提供点（SDP）层面收集的数据使ES系统在100%的卫生设施中具有代表性。74.1%的SDP管理人员也认为ES系统简单，尽管只有55.6%的管理人员接受过培训。然而，该系统的稳定性较低，因为尽管有管理工具（100%）和电话网络（96.3%），但55.6%的SDP仍需工作人员来确保ES服务的连续性。ES的实用性方面也是如此，因为只有25.9%的SDP管理人员分析他们生成的数据。报告的ES和疟疾发病率数据并不充分。另一方面，ES系统具有反应性，信息传输速度为96.3%，100%能够对病例进行快速诊断和管理。
坦巴昆达区卫生设施层面的常规疟疾ES系统是可以接受的、简单的、灵活的、有代表性的且反应迅速的。然而，增加卫生站合格工作人员、加强ES工作人员能力以及对SDP进行定期监督是使该地区疟疾监测系统更高效的必要条件。
