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Comprehensive & Cost Effective Laboratory Monitoring of HIV/AIDS: an African Role Model

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Implementing Integrated Disease Surveillance and Response: Four African countries' experience, 1998-2005.

P Nsubuga¹, W G Brown, S L Groseclose

¹Coordinating Office for Global Health, Centres for Disease Control and Prevention, Atlanta, GA, USA. PCN0@cdc.gov

Global Public Health

|November 17, 2009

Summary

The Integrated Disease Surveillance and Response (IDSR) strategy improved infectious disease detection and reporting in four WHO/AFRO countries. Challenges remain in laboratory capacity, supervision, and sub-national implementation.

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Area of Science:

Public Health
Epidemiology
Disease Surveillance

Background:

The World Health Organisation's Africa Regional Office (WHO/AFRO) developed the Integrated Disease Surveillance and Response (IDSR) strategy in 1998.
The strategy aimed to enhance the capacity of member states for detecting, reporting, and responding to priority infectious diseases.

Purpose of the Study:

To evaluate the outcomes of the IDSR strategy implementation in four WHO/AFRO countries.
To identify major successes and challenges associated with the IDSR strategy.

Main Methods:

The study evaluated the implementation of the IDSR strategy in four selected countries.
Data analysis focused on surveillance integration, guideline implementation, data quality, and response utilization.

Main Results:

Key successes included integrating surveillance functions, standardizing guidelines, improving data timeliness and completeness, and increasing national data use for response.
Significant challenges were identified in strengthening laboratory networks, providing consistent feedback and supervision, routine monitoring, and extending the strategy to sub-national levels.

Conclusions:

The IDSR strategy has demonstrated success in enhancing national disease surveillance and response capabilities.
Further efforts are needed to address laboratory network deficiencies, improve supervision, and ensure comprehensive sub-national implementation for sustained impact.