Owusu Alex Ansah, Poku Priscilla Anima, Ayim Andrews, Arhin Jeffrey Kojo, Armah Richard Nii, Yawson Alfred Edwin
Department of Public Health, Pantang Hospital, Accra, Ghana.
Municipal Health Directorate, La Nkwantanang Madina Municipality, Accra, Ghana.
Pan Afr Med J. 2024 Aug 12;48:170. doi: 10.11604/pamj.2024.48.170.40303. eCollection 2024.
public health surveillance is the ongoing systematic identification, collection, collation, analysis, and interpretation of disease occurrence and public health event data, to take timely and robust action, such as disseminating the resulting information to the relevant people, for effective and appropriate action. Tuberculosis (TB) is an infectious disease caused by the micro-organism Mycobacterium tuberculosis. The main objective of this study was to describe the operation and performance of the TB surveillance system in a municipality in Ghana during the COVID-19 pandemic.
this was a cross-sectional study, which employed qualitative and quantitative data collection methods. The process was guided by the Updated Centres for Disease Control and Prevention (CDC) Surveillance System Evaluation Guidelines. The study was conducted in the La Nkwantanang Madina Municipality (LaNMMA).
the system was found to be useful for planning, monitoring, and evaluation of TB control activities as well as the development of priorities for TB control programmes. The system was found to be simple and flexible with good data quality. However, stability, sensitivity (44.2%), predictive value positive (8.7%) and acceptability were all found to be poor. Even though the downstream flow of information was found to be excellent, the upstream flow of information was found to be poor.
it was concluded that the system was performing poorly. The system was not achieving most of the objectives for which it was set up. The Ghana Health Service should take measures to strengthen and improve the LaNMMA TB surveillance system in the post-pandemic era.
公共卫生监测是对疾病发生情况和公共卫生事件数据进行持续、系统的识别、收集、整理、分析和解读，以便及时采取有力行动，例如将所得信息传播给相关人员，以采取有效和适当的行动。结核病（TB）是由结核分枝杆菌微生物引起的一种传染病。本研究的主要目的是描述加纳一个市政当局在新冠疫情期间结核病监测系统的运作和表现。
这是一项横断面研究，采用了定性和定量数据收集方法。该过程以更新后的美国疾病控制与预防中心（CDC）监测系统评估指南为指导。研究在拉恩夸坦南·马迪纳市政当局（LaNMMA）开展。
该系统被发现对结核病控制活动的规划、监测和评估以及结核病控制项目的优先事项制定很有用。该系统被发现简单且灵活，数据质量良好。然而，稳定性、敏感性（44.2%）、阳性预测值（8.7%）和可接受性均被发现较差。尽管发现信息的下游流动情况良好，但信息的上游流动情况较差。
得出的结论是该系统表现不佳。该系统未实现其设立的大部分目标。加纳卫生服务局应采取措施在疫情后时代加强和改进拉恩夸坦南·马迪纳市政当局的结核病监测系统。
