A situational analysis of TB surveillance and information systems in SEAR countries

To improve TB surveillance systems in South-East Asia Region countries' TB control programs, it is vital to understand the existing scenario, assess the gaps and needs through a systematic situation analysis. Here we report an analysis of the existing TB surveillance systems, the challenges faced and the way forward in these countries.

A narrative questionnaire collected information regarding the different information systems currently in operation. A focused group discussion to understand each country's system and short communications to clarify aspects or seek missing information was conducted subsequently.

We studied 21 separate information systems used in National TB programs of seven countries of the South-East Asia Region (Bangladesh, Bhutan, India, Indonesia, Maldives, Nepal, and Sri Lanka). Each country had more than one information system in place. Indonesia and India have more advanced systems, have implemented a life cycle approach and were able to link all major service-related information to one citizen together. It is also inclusive of all forms of TB and across all sectors. Common implementation challenges observed included, increased workload, operational delays, reduced data quality, the need for continuous training and bold decision and policy reform.

The information systems in SEAR countries are evolving from traditional data entry and reporting systems, towards information systems that enable service delivery, with data capture as a by-product. There is a wealth of experience and a significant scope of collaboration among SEAR countries to define new standards and generate common information.