Disease surveillance at district level : a model for developing countries.
For over a decade we have maintained within a district of 5 million people, a system of prompt reporting of cases of childhood vaccine-preventable diseases, encephalitis, meningitis, hepatitis, and rables ; together with a sentinel laboratory surveillance of cholera, typhoid fever, malaria, HIV infection and antimicrobial-resistance patterns of selected pathogens.
The system combined govemment and private sectors, with every hospital enrolled and particlpating, Reports were scanned dally on a computer for any clustering of cases. interventions included Investigations, Immunisation, antimicrobial treatment, health education, and physical rehabilitation of children with paralysis.
All vaccine-preventable diseases have declined markedly, whilst malaria and HIV infections have increased steadily.
Annual expense was less than one US cent per head.
The reasons for the success and sustainability of this model Include simplicity or reporting procedure, low budget, private-sector particlpation, personal rapport with people In the network, regular feedback of information through a monthly bulletin, and the visible interventions consequent upon reporting.
This district-level disease surveillance model Is replicable In developing countries for evaluating polio eradication efforts, monitoring immunisation programmes, detecting outbreaks of old or new diseases, and for evaluating control measures.
Mots-clés Pascal : Surveillance, Maladie, Homme, Vaccination, Infection, Enfant, Long terme, Inde, Asie, Eradication, Poliomyélite antérieure, Virose, Technique, Programme sanitaire, Système santé, Système nerveux pathologie, Système nerveux central pathologie, Moelle épinière pathologie
Mots-clés Pascal anglais : Surveillance, Disease, Human, Vaccination, Infection, Child, Long term, India, Asia, Eradication, Acute anterior poliomyelitis, Viral disease, Technique, Sanitary program, Health system, Nervous system diseases, Central nervous system disease, Spinal cord disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0352802
Code Inist : 002B30A03A. Création : 27/11/1998.