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Overview of Integrated Disease Surveillance and Response (IDSR) in Uganda Dr. Esther Namukose Muwanguzi MOH/VPH. Introduction. Disease surveillance refers to monitoring of diseases and factors affecting their distribution/trends in order that action may be taken. Achieved through

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Overview of Integrated Disease Surveillance and Response (IDSR) in UgandaDr. Esther NamukoseMuwanguziMOH/VPH

introduction
Introduction

Disease surveillance refers to monitoring of diseases and factors affecting their distribution/trends in order that action may be taken.

Achieved through

Ongoing systematic collection, collation, analysis and interpretation of data and the dissemination of the resulting information to various stakeholders

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Introduction 2

Main Objectives of surveillance

  • Monitoring morbidity and mortality trends of targeted diseases, and changes in epidemiology of the diseases.
  • Prediction and early detection of outbreaks
  • Monitoring impact of interventions e.g. immunization (routine or mass)
  • Guiding health workers and planners in planning focused interventions
introduction milestones for idsr implementation
Introduction: Milestones for IDSR Implementation
  • 2000: Assessment of the existing surveillance systems
  • 2000: A 5-year strategic plan of action developed and was the basis for resource mobilization
  • Annual plans with clear objectives developed from strategic plan
  • Developed and distributed implementation guidelines
  • IDSR implementation at national district, HSD and health facility level
  • 2005: M & E done in 20 districts
  • 2010: Review and update IDSR guidelines
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Goal
  • Long term goal:
      • To have a good system for epidemic prevention and response at all levels
      • a functional system for IDSR,
      • forecasting and early detection of epidemics, emergencies and other priority diseases
  • Medium term goal: To strengthen IDSR implementation for effective prevention and control of priority diseases
implementation objectives
Implementation objectives
  • Improve early detection, registration and reporting for prompt action
  • Improve the capacity to confirm priority diseases
  • Increase the value of data at all levels
  • Strengthen the use of data for decision making
  • Enhance Knowledge and skills of HWS in IDSR
  • Strengthen the rapid transmission of information for appropriate action
organisation of idsr in uganda
Organisation of IDSR in Uganda
  • Notifiable diseases are reported to the next level immediately (within 24-48 hours) and on weekly basis (cases and deaths)
  • Other diseases of public health importance are reported monthly to HMIS/Resource centre
  • Information on diseases sent to the districts is further transmitted to Resource centre/MOH where it is shared with all stakeholders (programs and partners) including districts in form of feedback
  • Case-based reports are sent to specific programs e.g Measles, AFP, NNT and AEFI reports are sent to UNEPI
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Summary of surveillance methods used

OPD/IPD

registers

Weekly

reports

MoH

Case-based

surveillance

Outbreak

investigation

Monthly

HMIS reports

Response

M& E

Report

Quarterly/

Annual reports

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Role of Surveillance Focal Persons as seen through the Steps for Surveillance

Detection

Reporting

Action and Response

Investigation

Confirmation

Analysis & Interpretation

revised list of idsr priority conditions in uganda may 2010
Revised List of IDSR priority conditions in Uganda, May 2010

Epidemiology and Surveillance Division – Ministry of Health