Demelash Gashe Abiyie, Ayale Ferede Yeshiwas, Zenebe Weldemichael Dawit, Yesuf Endries Aman
Ethiopian Field Epidemiology Training Program, Department of Epidemiology, School of Public Health, St. Paul's Hospital Millennium Medical College, Addis Ababa, 1000, Ethiopia, 251945142918.
Department of Reproductive Health, Teda Health Science College, Gondar, Ethiopia.
Online J Public Health Inform. 2025 Jun 3;17:e72909. doi: 10.2196/72909.
In response to the increasing incidence and prevalence of hypertension, Ethiopia has been piloting hypertension control at the primary health care level in selected sentinel sites. However, no evaluation has been conducted and its success and failures have not been ascertained.
This study aimed to evaluate on whether sentinel hypertension surveillance system in Mojo City were operating efficiently and effectively.
A concurrently embedded mixed design (quantitative or qualitative) study was conducted in 2 sentinel health centers in Mojo city, Oromia region of Ethiopia. The usefulness and 9 system attributes were assessed via key informant interviews, observations, and record reviews. The qualitative data were analyzed manually via thematic analysis, whereas quantitative data were analyzed via SPSS Software version 25.0 (IBM Corp).
The study invited 14 key informants, and all were willing to participate in the interview. The completeness and timeliness of reports were 98% and 100%, respectively. The sensitivity, positive predictive value, and representativeness were 45.3%, 92.6%, and 22%, respectively. Nearly three-fourths (10/14, 71%) of key informants perceived the system as flexible, while half thought it as unstable due to factors such as inadequate training and lack of supportive supervision and feedback system. Health facilities did not conduct routine data analysis and interpretation, nor did they use for action.
The surveillance system in Mojo city was simple, flexible, acceptable, and predictive but less sensitive, unrepresentative, and unstable. There is a need for implementing routine data analysis and use for action, adequate training, and feedback system for optimizing the system's performance and to ensure its sustainability.
为应对高血压发病率和患病率的不断上升，埃塞俄比亚一直在选定的哨点地区开展基层医疗层面的高血压控制试点工作。然而，尚未进行评估，其成败也未得到确定。
本研究旨在评估莫乔市的哨点高血压监测系统是否高效且有效地运行。
在埃塞俄比亚奥罗米亚州莫乔市的2个哨点健康中心开展了一项同步嵌入式混合设计（定量或定性）研究。通过关键 informant 访谈、观察和记录审查来评估该系统的实用性和9个系统属性。定性数据通过主题分析进行人工分析，而定量数据则通过SPSS软件版本25.0（IBM公司）进行分析。
该研究邀请了14名关键 informant，他们均愿意参与访谈。报告的完整性和及时性分别为98%和100%。敏感性、阳性预测值和代表性分别为45.3%、92.6%和22%。近四分之三（10/14，71%）的关键 informant 认为该系统灵活，而一半的人认为由于培训不足、缺乏支持性监督和反馈系统等因素，该系统不稳定。卫生设施未进行常规数据分析和解读，也未将其用于行动。
莫乔市的监测系统简单、灵活、可接受且具有预测性，但敏感性较低、代表性不足且不稳定。需要实施常规数据分析并将其用于行动，提供充分的培训和反馈系统，以优化系统性能并确保其可持续性。
