Introduction: West Nile is
vulnerable to repeated disease outbreaks due to instability and refugees from South
Sudan and Congo. Uganda is implementing integrated disease surveillance (IDSR) and
piloting electronic IDSR (eIDSR-CBS) with Global Health Security Agenda, Infectious
disease institute (IDI) and HISP-Uganda between January 2018 to February 2019 in
West Nile. This study determined utilization and challenges of implementing eIDSR-CBS,
whose aim was improving real-time disease reporting and building capacity of surveillance
staff in eIDSR-CBS real-time disease reporting.
Methodology: DSFP were trained
to train others in eIDSR-CBS, trained other staff, distributed eIDSR-CBS materials
and conducted support supervision. In a cross-section evaluation, project documents
review and in-depth interviews provided data for utilisation, project relevancy,
effectiveness of implementation, collaborations, sustainability, challenges and
Findings: eIDSR-CBS used
SMS, Web and Android platforms, DSFP supported 1,071 staff in 256 e-IDSR trainings,
supported 82% of 363 facilities, distributed 362 IDSR and 1072 eIDSR-CBS materials
and 1953 SMS messages. Of 39 facilities, 79% conduct IDSR, 54% e-IDSR, 92% had IDSR
and 98% eIDSR-CBS materials. The project built eIDSR-CBS capacity of staff, enhanced
collaboration and communication among s stakeholders, was sustainable with improved
skills, utilised existing MoH structures and engaging stakeholders.
eIDSR-CBS is feasible in existing MoH structures, with cascade-trainings multiplier
effect exponentially disseminating eIDSR-CBS knowledge, trainers and staff and effectively
creating ownership, responsibility and sustainability. eIDSR-CBS cascading needs
scale-up for early disease outbreak detection.
(6767) alerting, case-based disease surveillance, integrated disease surveillance,
eIDSR-CBS, IDSR, West Nile Region Uganda.
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