Assessment of the Chad guinea worm surveillance information system: A pivotal foundation for eradication.

<h4>Background</h4>In the absence of a vaccine or pharmacological treatment, prevention and control of Guinea worm disease is dependent on timely identification and containment of cases to interrupt transmission. The Chad Guinea Worm Eradication Program (CGWEP) surveillance system detect...

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Main Authors: Saugat Karki, Adam Weiss, Jina Dcruz, Dorothy Hunt, Brandon Haigood, Philip Tchindebet Ouakou, Elisabeth Chop, Hubert Zirimwabagabo, Beth L Rubenstein, Sarah Yerian, Sharon L Roy, Mary L Kamb, Sarah Anne J Guagliardo
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2021-08-01
Series:PLoS Neglected Tropical Diseases
Online Access:https://doi.org/10.1371/journal.pntd.0009675
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author Saugat Karki
Adam Weiss
Jina Dcruz
Dorothy Hunt
Brandon Haigood
Philip Tchindebet Ouakou
Elisabeth Chop
Hubert Zirimwabagabo
Beth L Rubenstein
Sarah Yerian
Sharon L Roy
Mary L Kamb
Sarah Anne J Guagliardo
author_facet Saugat Karki
Adam Weiss
Jina Dcruz
Dorothy Hunt
Brandon Haigood
Philip Tchindebet Ouakou
Elisabeth Chop
Hubert Zirimwabagabo
Beth L Rubenstein
Sarah Yerian
Sharon L Roy
Mary L Kamb
Sarah Anne J Guagliardo
author_sort Saugat Karki
collection DOAJ
description <h4>Background</h4>In the absence of a vaccine or pharmacological treatment, prevention and control of Guinea worm disease is dependent on timely identification and containment of cases to interrupt transmission. The Chad Guinea Worm Eradication Program (CGWEP) surveillance system detects and monitors Guinea worm disease in both humans and animals. Although Guinea worm cases in humans has declined, the discovery of canine infections in dogs in Chad has posed a significant challenge to eradication efforts. A foundational information system that supports the surveillance activities with modern data management practices is needed to support continued program efficacy.<h4>Methods</h4>We sought to assess the current CGWEP surveillance and information system to identify gaps and redundancies and propose system improvements. We reviewed documentation, consulted with subject matter experts and stakeholders, inventoried datasets to map data elements and information flow, and mapped data management processes. We used the Information Value Cycle (IVC) and Data-Information System-Context (DISC) frameworks to help understand the information generated and identify gaps.<h4>Results</h4>Findings from this study identified areas for improvement, including the need for consolidation of forms that capture the same demographic variables, which could be accomplished with an electronic data capture system. Further, the mental models (conceptual frameworks) IVC and DISC highlighted the need for more detailed, standardized workflows specifically related to information management.<h4>Conclusions</h4>Based on these findings, we proposed a four-phased roadmap for centralizing data systems and transitioning to an electronic data capture system. These included: development of a data governance plan, transition to electronic data entry and centralized data storage, transition to a relational database, and cloud-based integration. The method and outcome of this assessment could be used by other neglected tropical disease programs looking to transition to modern electronic data capture systems.
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spelling doaj.art-d3b8260a9d9d40c696855e2337559ddd2022-12-21T23:10:42ZengPublic Library of Science (PLoS)PLoS Neglected Tropical Diseases1935-27271935-27352021-08-01158e000967510.1371/journal.pntd.0009675Assessment of the Chad guinea worm surveillance information system: A pivotal foundation for eradication.Saugat KarkiAdam WeissJina DcruzDorothy HuntBrandon HaigoodPhilip Tchindebet OuakouElisabeth ChopHubert ZirimwabagaboBeth L RubensteinSarah YerianSharon L RoyMary L KambSarah Anne J Guagliardo<h4>Background</h4>In the absence of a vaccine or pharmacological treatment, prevention and control of Guinea worm disease is dependent on timely identification and containment of cases to interrupt transmission. The Chad Guinea Worm Eradication Program (CGWEP) surveillance system detects and monitors Guinea worm disease in both humans and animals. Although Guinea worm cases in humans has declined, the discovery of canine infections in dogs in Chad has posed a significant challenge to eradication efforts. A foundational information system that supports the surveillance activities with modern data management practices is needed to support continued program efficacy.<h4>Methods</h4>We sought to assess the current CGWEP surveillance and information system to identify gaps and redundancies and propose system improvements. We reviewed documentation, consulted with subject matter experts and stakeholders, inventoried datasets to map data elements and information flow, and mapped data management processes. We used the Information Value Cycle (IVC) and Data-Information System-Context (DISC) frameworks to help understand the information generated and identify gaps.<h4>Results</h4>Findings from this study identified areas for improvement, including the need for consolidation of forms that capture the same demographic variables, which could be accomplished with an electronic data capture system. Further, the mental models (conceptual frameworks) IVC and DISC highlighted the need for more detailed, standardized workflows specifically related to information management.<h4>Conclusions</h4>Based on these findings, we proposed a four-phased roadmap for centralizing data systems and transitioning to an electronic data capture system. These included: development of a data governance plan, transition to electronic data entry and centralized data storage, transition to a relational database, and cloud-based integration. The method and outcome of this assessment could be used by other neglected tropical disease programs looking to transition to modern electronic data capture systems.https://doi.org/10.1371/journal.pntd.0009675
spellingShingle Saugat Karki
Adam Weiss
Jina Dcruz
Dorothy Hunt
Brandon Haigood
Philip Tchindebet Ouakou
Elisabeth Chop
Hubert Zirimwabagabo
Beth L Rubenstein
Sarah Yerian
Sharon L Roy
Mary L Kamb
Sarah Anne J Guagliardo
Assessment of the Chad guinea worm surveillance information system: A pivotal foundation for eradication.
PLoS Neglected Tropical Diseases
title Assessment of the Chad guinea worm surveillance information system: A pivotal foundation for eradication.
title_full Assessment of the Chad guinea worm surveillance information system: A pivotal foundation for eradication.
title_fullStr Assessment of the Chad guinea worm surveillance information system: A pivotal foundation for eradication.
title_full_unstemmed Assessment of the Chad guinea worm surveillance information system: A pivotal foundation for eradication.
title_short Assessment of the Chad guinea worm surveillance information system: A pivotal foundation for eradication.
title_sort assessment of the chad guinea worm surveillance information system a pivotal foundation for eradication
url https://doi.org/10.1371/journal.pntd.0009675
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