Designing a Framework for Enhancing the Implementation of Syndromic Surveillance of Surgical Site Infections in Health Facilities: Learning from Tanzania

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DOI: 10.21522/TIJPH.2013.13.02.Art023

Authors : Joseph C. Hokororo, Arup Chakrabartty, Erick S. Kinyenje, Eliudi S. Eliakimu, Akili Mawazo, Bruno Sunguya

Abstract:

The ability to use data to improve infection prevention and control (IPC) measures is essential to the provision of high-quality healthcare. In low- and middle-income countries, there is no reliable data for healthcare associated infections due to either absent or inadequate surveillance framework. To address this challenge of no reliable data of healthcare-associated infections from its healthcare facilities, Tanzania has developed and is putting into use a syndromic surveillance framework. This study aims at providing an overview of essential procedures for setting up a syndromic surveillance framework for surgical site infections. The set-up was done to help Tanzanian healthcare facilities improve their IPC practices. This study originated from a thorough review of reports on the development of the framework for implementation of syndromic surveillance in Tanzania, covering IPC situation analyses, policy guideline development, training, mentorship, supervision, assessments, the creation of the IPC page in District Health Information System 2 (DHIS 2), and data quality evaluations. To improve IPC within local health facilities and across all authorities throughout the health system, this report illustrates the essential milestones associated with designing the framework for implementing syndromic surveillance to comprehend the burden of surgical site infections.

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