TY - JOUR
T1 - The implementation of integrated disease surveillance and response in liberia after ebola virus disease outbreak 2015-2017
AU - Nagbe, Thomas
AU - Naiene, Jeremias Domingos
AU - Rude, Julius Monday
AU - Mahmoud, Nuha
AU - Kromah, Mohammed
AU - Sesay, Jeremy
AU - Chukwudi, Okeibunor Joseph
AU - Stephen, Mary
AU - Talisuna, Ambrose
AU - Yahaya, Ali Ahmed
AU - Rajatonirina, Soatiana
AU - Fallah, Musoka
AU - Nyenswah, Tolbert
AU - Dahn, Bernice
AU - Gasasira, Alex
AU - Fall, Ibrahima Socé
N1 - Funding Information:
We thank George Sie Williams and Kwuakuan Yealue for the support provided on data analysis, including the laboratory data. We want to express our gratitude also to the Center for Diseases Prevention and Control for the support provided to the surveillance activities in Liberia and to all the County health officers, county surveillance officers, district surveillance officers and zonal surveillance officer for coordinating the surveillance activities at the national level and for the supportive supervision data provided to our study.
Publisher Copyright:
© Thomas Nagbe et al.
PY - 2019
Y1 - 2019
N2 - Introduction: although Liberia adapted the integrated diseases surveillance and response (IDSR) in 2004 as a platform for implementation of International Health Regulation (IHR (2005)), IDSR was not actively implemented until 2015. Some innovations and best practices were observed during the implementation of IDSR in Liberia after Ebola virus disease outbreak. This paper describes the different approaches used for implementation of IDSR in Liberia from 2015 to 2017. Methods: we conducted a cross-sectional study using the findings from IDSR supervisions conducted from September to November 2017 and perused the outbreaks linelists submitted by the counties to the national level from January to December 2017 and key documents available at the national level. Results: in 2017, the country piloted the use of mobile phones application to store and send data from the health facilities to the national level. In addition, an electronic platform for acute flaccid paralysis (AFP) surveillance called Auto-Visual AFP Detection and Reporting (AVADAR) was piloted in Montserrado County during the first semester of 2017. The timeliness and completeness of reports submitted from the counties to national level were above the target of 80% stable despite the challenges like insufficient resources, including skilled staff. Conclusion: IDSR is being actively implemented in Liberia since 2015. Although the country is facing the same challenges as other countries during the early stages of implementation of IDSR, the several innovations were implemented in a short time. The surveillance system reveled to be resilient, despite the challenges.
AB - Introduction: although Liberia adapted the integrated diseases surveillance and response (IDSR) in 2004 as a platform for implementation of International Health Regulation (IHR (2005)), IDSR was not actively implemented until 2015. Some innovations and best practices were observed during the implementation of IDSR in Liberia after Ebola virus disease outbreak. This paper describes the different approaches used for implementation of IDSR in Liberia from 2015 to 2017. Methods: we conducted a cross-sectional study using the findings from IDSR supervisions conducted from September to November 2017 and perused the outbreaks linelists submitted by the counties to the national level from January to December 2017 and key documents available at the national level. Results: in 2017, the country piloted the use of mobile phones application to store and send data from the health facilities to the national level. In addition, an electronic platform for acute flaccid paralysis (AFP) surveillance called Auto-Visual AFP Detection and Reporting (AVADAR) was piloted in Montserrado County during the first semester of 2017. The timeliness and completeness of reports submitted from the counties to national level were above the target of 80% stable despite the challenges like insufficient resources, including skilled staff. Conclusion: IDSR is being actively implemented in Liberia since 2015. Although the country is facing the same challenges as other countries during the early stages of implementation of IDSR, the several innovations were implemented in a short time. The surveillance system reveled to be resilient, despite the challenges.
KW - Integrated diseases surveillance and response (IDSR)
KW - International health regulation (IHR)
KW - Liberia
KW - Surveillance system
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U2 - 10.11604/PAMJ.SUPP.2019.33.2.16820
DO - 10.11604/PAMJ.SUPP.2019.33.2.16820
M3 - Article
C2 - 31404272
AN - SCOPUS:85071280553
SN - 1937-8688
VL - 33
JO - Pan African Medical Journal
JF - Pan African Medical Journal
M1 - 3
ER -