dc.contributor.author | Brian Ntale Kayiya, Shivan Asimire, Monica Amuha, Ann Okoth, David Onyango, Charles Olupot, Eric Munyambabazi, Patrick Omiel, Fulgentius Baryarama | |
dc.description.abstract | West Nile is vulnerable to repeated disease outbreaks due to instability and refugees
from South Sudan and Congo. Uganda is implementing integrated disease surveillance (IDSR) and
piloting electronic IDSR (eIDSR-CBS) with Global Health Security Agenda, Infectious disease institute
(IDI) and HISP-Uganda between January 2018 to February 2019 in West Nile. This study determined
utilization and challenges of implementing eIDSR-CBS, whose aim was improving real-time disease
reporting and building capacity of surveillance staff in eIDSR-CBS real-time disease reporting.
Methodology: DSFP were trained to train others in eIDSR-CBS, trained other staff, distributed
eIDSR-CBS materials and conducted support supervision. In a cross-section evaluation, project
documents review and in-depth interviews provided data for utilisation, project relevancy, effectiveness
of implementation, collaborations, sustainability, challenges and lessons learned.
Findings: eIDSR-CBS used SMS, Web and Android platforms, DSFP supported 1,071 staff in 256 eIDSR trainings, supported 82% of 363 facilities, distributed 362 IDSR and 1072 eIDSR-CBS materials
and 1953 SMS messages. Of 39 facilities, 79% conduct IDSR, 54% e-IDSR, 92% had IDSR and 98%
eIDSR-CBS materials. The project built eIDSR-CBS capacity of staff, enhanced collaboration and
communication among s stakeholders, was sustainable with improved skills, utilised existing MoH
structures and engaging stakeholders.
Conclusion: Implementing eIDSR-CBS isfeasible in existing MoH structures, with cascade-trainings
multiplier effect exponentially disseminating eIDSR-CBS knowledge, trainers and staff and effectively
creating ownership, responsibility and sustainability. eIDSR-CBS cascading needs scale-up for early
disease outbreak detection. | en_US |