Improving disease surveillance data analysis, interpretation, and use at the district level in Tanzania
An effective disease surveillance system is critical for early detection and response to disease epidemics. This study aimed to assess the capacity to manage and utilize disease surveillance data and implement an intervention to improve data analysis and use at the district level in Tanzania. Mappin...
Main Authors: | , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Taylor & Francis Group
2022-12-01
|
Series: | Global Health Action |
Subjects: | |
Online Access: | http://dx.doi.org/10.1080/16549716.2022.2090100 |
_version_ | 1797755681500037120 |
---|---|
author | Irene R. Mremi Calvin Sindato Coleman Kishamawe Susan F. Rumisha Sharadhuli I. Kimera Leonard E.G. Mboera |
author_facet | Irene R. Mremi Calvin Sindato Coleman Kishamawe Susan F. Rumisha Sharadhuli I. Kimera Leonard E.G. Mboera |
author_sort | Irene R. Mremi |
collection | DOAJ |
description | An effective disease surveillance system is critical for early detection and response to disease epidemics. This study aimed to assess the capacity to manage and utilize disease surveillance data and implement an intervention to improve data analysis and use at the district level in Tanzania. Mapping, in-depth interview and desk review were employed for data collection in Ilala and Kinondoni districts in Tanzania. Interviews were conducted with members of the council health management teams (CHMT) to assess attitudes, motivation and practices related to surveillance data analysis and use. Based on identified gaps, an intervention package was developed on basic data analysis, interpretation and use. The effectiveness of the intervention package was assessed using pre-and post-intervention tests. Individual interviews involved 21 CHMT members (females = 10; males = 11) with an overall median age of 44.5 years (IQR = 37, 53). Over half of the participants regarded their data analytical capacities and skills as excellent. Analytical capacity was higher in Kinondoni (61%) than Ilala (52%). Agreement on the availability of the opportunities to enhance capacity and skills was reported by 68% and 91% of the participants from Ilala and Kinondoni, respectively. Reported challenges in disease surveillance included data incompleteness and difficulties in storage and accessibility. Training related to enhancement of data management was reported to be infrequently done. In terms of data interpretation and use, despite reporting of incidence of viral haemorrhagic fevers for five years, no actions were taken to either investigate or mitigate, indicating poor use of surveillance data in monitoring disease occurrence. The overall percentage increase on surveillance knowledge between pre-and post-training was 37.6% for Ilala and 20.4% for Kinondoni indicating a positive impact on of the training. Most of CHMT members had limited skills and practices on data analysis, interpretation and use. The training in data analysis and interpretation significantly improved skills of the participants. |
first_indexed | 2024-03-12T17:49:37Z |
format | Article |
id | doaj.art-8c1b9817a0384e31b87f1a364c27eeee |
institution | Directory Open Access Journal |
issn | 1654-9880 |
language | English |
last_indexed | 2024-03-12T17:49:37Z |
publishDate | 2022-12-01 |
publisher | Taylor & Francis Group |
record_format | Article |
series | Global Health Action |
spelling | doaj.art-8c1b9817a0384e31b87f1a364c27eeee2023-08-03T09:07:51ZengTaylor & Francis GroupGlobal Health Action1654-98802022-12-0115110.1080/16549716.2022.20901002090100Improving disease surveillance data analysis, interpretation, and use at the district level in TanzaniaIrene R. Mremi0Calvin Sindato1Coleman Kishamawe2Susan F. Rumisha3Sharadhuli I. Kimera4Leonard E.G. Mboera5SACIDS Foundation for One Health Sokoine University of AgricultureSACIDS Foundation for One Health Sokoine University of AgricultureNational Institute for Medical ResearchNational Institute for Medical Research, HeadquartersSokoine University of AgricultureSACIDS Foundation for One Health Sokoine University of AgricultureAn effective disease surveillance system is critical for early detection and response to disease epidemics. This study aimed to assess the capacity to manage and utilize disease surveillance data and implement an intervention to improve data analysis and use at the district level in Tanzania. Mapping, in-depth interview and desk review were employed for data collection in Ilala and Kinondoni districts in Tanzania. Interviews were conducted with members of the council health management teams (CHMT) to assess attitudes, motivation and practices related to surveillance data analysis and use. Based on identified gaps, an intervention package was developed on basic data analysis, interpretation and use. The effectiveness of the intervention package was assessed using pre-and post-intervention tests. Individual interviews involved 21 CHMT members (females = 10; males = 11) with an overall median age of 44.5 years (IQR = 37, 53). Over half of the participants regarded their data analytical capacities and skills as excellent. Analytical capacity was higher in Kinondoni (61%) than Ilala (52%). Agreement on the availability of the opportunities to enhance capacity and skills was reported by 68% and 91% of the participants from Ilala and Kinondoni, respectively. Reported challenges in disease surveillance included data incompleteness and difficulties in storage and accessibility. Training related to enhancement of data management was reported to be infrequently done. In terms of data interpretation and use, despite reporting of incidence of viral haemorrhagic fevers for five years, no actions were taken to either investigate or mitigate, indicating poor use of surveillance data in monitoring disease occurrence. The overall percentage increase on surveillance knowledge between pre-and post-training was 37.6% for Ilala and 20.4% for Kinondoni indicating a positive impact on of the training. Most of CHMT members had limited skills and practices on data analysis, interpretation and use. The training in data analysis and interpretation significantly improved skills of the participants.http://dx.doi.org/10.1080/16549716.2022.2090100disease surveillancedata analysis and useearly warningdistricttanzania |
spellingShingle | Irene R. Mremi Calvin Sindato Coleman Kishamawe Susan F. Rumisha Sharadhuli I. Kimera Leonard E.G. Mboera Improving disease surveillance data analysis, interpretation, and use at the district level in Tanzania Global Health Action disease surveillance data analysis and use early warning district tanzania |
title | Improving disease surveillance data analysis, interpretation, and use at the district level in Tanzania |
title_full | Improving disease surveillance data analysis, interpretation, and use at the district level in Tanzania |
title_fullStr | Improving disease surveillance data analysis, interpretation, and use at the district level in Tanzania |
title_full_unstemmed | Improving disease surveillance data analysis, interpretation, and use at the district level in Tanzania |
title_short | Improving disease surveillance data analysis, interpretation, and use at the district level in Tanzania |
title_sort | improving disease surveillance data analysis interpretation and use at the district level in tanzania |
topic | disease surveillance data analysis and use early warning district tanzania |
url | http://dx.doi.org/10.1080/16549716.2022.2090100 |
work_keys_str_mv | AT irenermremi improvingdiseasesurveillancedataanalysisinterpretationanduseatthedistrictlevelintanzania AT calvinsindato improvingdiseasesurveillancedataanalysisinterpretationanduseatthedistrictlevelintanzania AT colemankishamawe improvingdiseasesurveillancedataanalysisinterpretationanduseatthedistrictlevelintanzania AT susanfrumisha improvingdiseasesurveillancedataanalysisinterpretationanduseatthedistrictlevelintanzania AT sharadhuliikimera improvingdiseasesurveillancedataanalysisinterpretationanduseatthedistrictlevelintanzania AT leonardegmboera improvingdiseasesurveillancedataanalysisinterpretationanduseatthedistrictlevelintanzania |