Stanislaus Abishek, Jesudoss Prabhakaran, Muthappan Sendhilkumar, Manickam Ponnaiah
Directorate of Public Health and Preventive Medicine, Chennai, Tamil Nadu, India.
Division of Health Systems Research, ICMR- National Institute of Epidemiology, Chennai, Tamil Nadu, India.
J Family Med Prim Care. 2025 Jul;14(7):2759-2767. doi: 10.4103/jfmpc.jfmpc_1577_24. Epub 2025 Jul 21.
Lack of knowledge among private reporting units and inadequate information provided during notification led to poor reporting in India's surveillance system. We aimed to determine the effectiveness of two types of electronic systems (mobile and e-mail) for improving reporting to the Daily Disease Surveillance System (DDSS) from private health sector facilities in Poonamallee Health District, Tamil Nadu, India.
We did an exploratory randomized, open trial with an equal allocation among all the private reporting units of DDSS. The data handlers from the reporting units were assigned to mobile or e-mail-based reporting after training. We measured and presented the consistency, completeness, timeliness, sensitivity, simplicity, acceptability, and usefulness as proportion.
We randomized 43 of 52 reporting units into mobile ( = 22) or e-mail ( = 21)-based reporting. The consistency of reporting was higher in mobile (77% vs 62, = 0.33). The completeness of reports was nearly equal (96% in mobile vs 94% in e-mail; < 0.05). However, it was different in timeliness (92% vs 88%; < 0.05). Time trends in reporting by weeks were not significant ( = 0.43). Sensitivity was higher in mobile (96% vs 93%). The mobile-based reporting group felt that the method was much easier (82% vs 62%), willing to use repeatedly (96% vs 81%), and found useful (64% vs 57%).
Both e-mail and mobile interventions have equally improved the consistency of reporting. The mobile-based reporting method was found to be more consistent and complete and maintain timeliness compared to the e-mail-based reporting method.
印度监测系统中，私营报告单位知识欠缺以及通报时提供的信息不足，导致报告质量不佳。我们旨在确定两种电子系统（移动和电子邮件）对提高印度泰米尔纳德邦普纳马利健康区私营卫生部门设施向每日疾病监测系统（DDSS）报告的有效性。
我们进行了一项探索性随机开放试验，在DDSS的所有私营报告单位中平均分配。报告单位的数据处理人员在接受培训后被分配到基于移动或电子邮件的报告方式。我们以比例形式衡量并呈现了一致性、完整性、及时性、敏感性、简易性、可接受性和有用性。
我们将52个报告单位中的43个随机分为基于移动（=22）或电子邮件（=21）的报告方式。移动报告的一致性更高（77%对62%，=0.33）。报告的完整性几乎相等（移动报告为96%，电子邮件报告为94%；<0.05）。然而，及时性有所不同（92%对88%；<0.05）。按周报告的时间趋势不显著（=0.43）。移动报告的敏感性更高（96%对93%）。基于移动报告的组认为该方法更容易（82%对62%），愿意重复使用（96%对81%），且认为有用（64%对57%）。
电子邮件和移动干预均同样提高了报告的一致性。与基于电子邮件的报告方法相比，基于移动的报告方法被发现更具一致性、完整性且能保持及时性。
