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Introduction

Overview of Integrated Disease Surveillance and Response (IDSR) in Uganda Dr. Esther Namukose Muwanguzi MOH/VPH. Introduction. Disease surveillance refers to monitoring of diseases and factors affecting their distribution/trends in order that action may be taken. Achieved through

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Introduction

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  1. Overview of Integrated Disease Surveillance and Response (IDSR) in UgandaDr. Esther NamukoseMuwanguziMOH/VPH

  2. Introduction Disease surveillance refers to monitoring of diseases and factors affecting their distribution/trends in order that action may be taken. Achieved through Ongoing systematic collection, collation, analysis and interpretation of data and the dissemination of the resulting information to various stakeholders

  3. Introduction 2 Main Objectives of surveillance • Monitoring morbidity and mortality trends of targeted diseases, and changes in epidemiology of the diseases. • Prediction and early detection of outbreaks • Monitoring impact of interventions e.g. immunization (routine or mass) • Guiding health workers and planners in planning focused interventions

  4. Introduction: Milestones for IDSR Implementation • 2000: Assessment of the existing surveillance systems • 2000: A 5-year strategic plan of action developed and was the basis for resource mobilization • Annual plans with clear objectives developed from strategic plan • Developed and distributed implementation guidelines • IDSR implementation at national district, HSD and health facility level • 2005: M & E done in 20 districts • 2010: Review and update IDSR guidelines

  5. Goal • Long term goal: • To have a good system for epidemic prevention and response at all levels • a functional system for IDSR, • forecasting and early detection of epidemics, emergencies and other priority diseases • Medium term goal: To strengthen IDSR implementation for effective prevention and control of priority diseases

  6. Implementation objectives • Improve early detection, registration and reporting for prompt action • Improve the capacity to confirm priority diseases • Increase the value of data at all levels • Strengthen the use of data for decision making • Enhance Knowledge and skills of HWS in IDSR • Strengthen the rapid transmission of information for appropriate action

  7. Organisation of IDSR in Uganda • Notifiable diseases are reported to the next level immediately (within 24-48 hours) and on weekly basis (cases and deaths) • Other diseases of public health importance are reported monthly to HMIS/Resource centre • Information on diseases sent to the districts is further transmitted to Resource centre/MOH where it is shared with all stakeholders (programs and partners) including districts in form of feedback • Case-based reports are sent to specific programs e.g Measles, AFP, NNT and AEFI reports are sent to UNEPI

  8. Summary of surveillance methods used OPD/IPD registers Weekly reports MoH Case-based surveillance Outbreak investigation Monthly HMIS reports Response M& E Report Quarterly/ Annual reports

  9. Role of Surveillance Focal Persons as seen through the Steps for Surveillance Detection Reporting Action and Response Investigation Confirmation Analysis & Interpretation

  10. Community sensitization and giving of feedback

  11. Revised List of IDSR priority conditions in Uganda, May 2010 Epidemiology and Surveillance Division – Ministry of Health

  12. THANK YOU FOR YOUR ATTENTION

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