Evaluation of the notifiable diseases surveillance system in sanyati district, Zimbabwe, 2010-2011

Maponga, Brian Abel; Chirundu, Daniel; Shambira, Gerald; Gombe, Notion Tafara; Tshimanga, Mufuta; Bangure, Donewell

doi:10.11604/pamj.2014.19.278.5202

Cited by 26 publications

(79 citation statements)

References 3 publications

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“…In a similar study done by Maponga et al (2011) in Sanyati district low knowledge was attributed to lack of training [5]. Maponga et al (2011) stated that low knowledge can result in health workers having a low index of suspicion of cases or failing to report notifiable diseases [5]. In Beitbridge district, Juru et al (2015) also found out that not knowing the right form to use can have a resultant negative bearing on ability to notify diseases of public health importance [6].…”

Section: Discussionmentioning

confidence: 63%

“…It is essential that health workers are knowledgeable on the surveillance system so that they are able to identify, correctly diagnose and timeously notify notifiable diseases as this assists in prompt disease investigations and control, thereby minimising outbreaks. In a similar study done by Maponga et al (2011) in Sanyati district low knowledge was attributed to lack of training [5]. Maponga et al (2011) stated that low knowledge can result in health workers having a low index of suspicion of cases or failing to report notifiable diseases [5].…”

Section: Discussionmentioning

confidence: 93%

“…The district used data at local level to implement actions for disease control. In a suspected outbreak of ty- 2011) where acceptability was 100% but the performance remained low [5]. Low performance could be due to lack of reporting guidelines.…”

Section: Discussionmentioning

confidence: 99%

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Evaluation of Notifiable Disease Surveillance System in Centenary District, Zimbabwe, 2016

Mairosi¹,

Tshuma²,

Juru³

et al. 2017

OJEpi

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Background: Notifiable disease surveillance system (NDSS) data guides immediate action for events of public health importance. In July 2016, 12 patients suspected of typhoid were reported to Centenary District Medical Officer by phone. Following reporting, notification forms (T1) were not submitted to district, hence province did not receive district consolidated report (T2) for the notifications. This implies underreporting of notifiable diseases. Study was conducted to evaluate NDSS in Centenary district. Methods: Using updated Centres for Disease Control and Prevention (CDC) guidelines, descriptive cross sectional study was conducted among health workers sampled from all health facilities in Centenary district. Interviewer administered questionnaire and checklists were used to collect data, assess data quality and resource availability. Epi Info TM 7 generated frequencies and proportions. Results: We

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Section: Discussionmentioning

confidence: 63%

Section: Discussionmentioning

confidence: 93%

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Evaluation of Notifiable Disease Surveillance System in Centenary District, Zimbabwe, 2016

Mairosi¹,

Tshuma²,

Juru³

et al. 2017

OJEpi

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“…Several studies in the African context including Zimbabwe have linked lack of knowledge to not having being trained or inducted in the surveillance system [6]- [10]. It is therefore possible that the poor knowledge revealed in this study could be due lack of training.…”

Section: Discussionmentioning

confidence: 90%

“…Similar to our finding Maponga et al (2011) found that knowledge was low amongst health workers in Sanyati District. According to Maponga et al (2011) lack of knowledge can result in health workers having a low index of suspicion of cases of Notifiable diseases or failing to report Notifiable diseases, resulting in delayed investigations and control of outbreaks [6]. Bawa S.B, et al (2003), in an evaluation of the Notifiable Disease Surveillance System in Nigeria, also found that knowledge was low amongst health workers with only 38% having heard about the NDSS [7].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the Notifiable Diseases Surveillance System in Beitbridge District, Zimbabwe 2015

Tsitsi¹,

Ncube²,

Gombe³

et al. 2015

OJEpi

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Back ground: Notifiable Disease Surveillance system serves as an early warning system for public health emergencies. Since January 2013 to August 2014, Beitbridge never submitted T2 forms to the province. Four suspected cases of rabies were reported through the generic report. The electronic District Health Information System 2, T2 forms had not been updated. This discrepancy may imply under reporting of Notifiable Diseases. The study was conducted to evaluate the NDSS in Beitbridge district. Methods: Descriptive cross-sectional study was conducted. Health workers in sampled health facilities were interviewed using questionnaires. Checklists were used to assess resource availability. Epi Info™ was used to calculate frequencies and proportions. Results: From 11 facilities, 53 respondents were interviewed of which the 59% were females. For Knowledge, 57% recalled at least 9 Notifiable diseases, 11% knew the T1 form required to notify. Respondents willing to participate in the NDSS were 87%. Responsibility to notify was placed other health workers other than themselves by 55% of the respondents. All facilities did not have completed T1 forms. T1 forms were available in 1/11 health facilities. Three outbreaks were reported using the Weekly Disease Surveillance System (WDSS). NDSS information was used for planning and mobilizing resources for indoor residual spraying. It costs an average $12.15 to notify a single case, against $1.50 if it was electronic. Conclusion: NDSS is acceptable, simple, flexible, unstable, not sensitive and useful. Reasons for under reporting were lack of forms, lack of induction and poor knowledge on the NDSS. The cost of operating the NDSS could be reduced if the system is electronic. T1 forms and guidelines for completing the forms should be distributed to all health facilities. On the job training of health workers through tutorials, supervision is recommended.

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Adverse Event Trends Within a Large-Scale, Routine, Voluntary Medical Male Circumcision Program in Zimbabwe, 2014–2019

Omote

Marongwe²,

Murenje³

et al. 2021

JAIDS Journal of Acquired Immune Deficiency Syndromes

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Background:Between 2008 and 2020, over 22.6 million male circumcisions (MCs) were performed among men ≥10 years in 15 priority countries of East and Southern Africa. Few studies from routine MC programs operating at scale describe trends of adverse events (AEs) or AE rates over time.Setting:Routine program data from a large MC program in Zimbabwe.Methods:χ2 compared characteristics of patients with AEs. Univariable and multivariable logistic models examined factors associated with AE severity. Cochran–Armitage trend tests compared AE rate trends by year (2014–2019), age, and MC method (2017–2019).Results:From 2014 to 2019, 469,000 men were circumcised; of the total men circumcised, 38%, 27%, and 35% were conducted among individuals aged 10–14; 15–19; and ≥20 years, respectively. Most MCs (95%) used surgical (dorsal slit or forceps-guided) methods; 5% were device based (PrePex). AEs were reported among 632 (0.13%) MCs; 0.05% were severe. From 2015 to 2019, overall AE rates declined from 34/10,000 to 5/10,000 (P-value <0.001). Severe AE rates also decreased over this period from 12/10,000 to 2/10,000 (P-value <0.001). AE rates among younger clients, aged 10–14 (18/10,000) were higher than among older age men (9/10,000) aged ≥20 years (P < 0.001); however, there was no significant association between age and AE severity.Conclusion:AE rates each year and over time were lower than the World Health Organization acceptable maximum (2% AEs). ZAZIC quality assurance activities ensured guideline adherence, mentored clinicians to MC competency, promoted quality client education and counseling, and improved AE reporting over time. Decreases in AE rates are likely attributed to safety gains and increasing provider experience.

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Evaluation of the notifiable diseases surveillance system in sanyati district, Zimbabwe, 2010-2011

Cited by 26 publications

References 3 publications

Evaluation of Notifiable Disease Surveillance System in Centenary District, Zimbabwe, 2016

Evaluation of Notifiable Disease Surveillance System in Centenary District, Zimbabwe, 2016

Evaluation of the Notifiable Diseases Surveillance System in Beitbridge District, Zimbabwe 2015

Adverse Event Trends Within a Large-Scale, Routine, Voluntary Medical Male Circumcision Program in Zimbabwe, 2014–2019

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