在非洲建立早期预警事件管理系统 疾病预防控制中心 疾病预防控制中心
Kyeng Mercy1, Stephanie J Salyer1,2, Comfort Mankga3
1Africa Centres for Disease Control and Prevention, Division of Surveillance and Disease Intelligence, Addis Ababa, Ethiopia.
PLOS digital health
|July 8, 2024
概括
非洲开发了一种使用DHIS2的事件管理系统 (EMS),以加强疾病监测. 这个数字工具改善了整个非洲大陆的早期预警系统和应对工作.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 医疗信息学 医疗信息学
背景情况:
- 非洲面临着重大疾病出现和重新出现的风险.
- 有效的预警系统,包括基于事件的监控 (EBS),对于及时响应至关重要.
- 现有的数据系统用于管理疾病事件往往是不充分的.
研究的目的:
- 描述非洲的事件管理系统 (EMS) 的开发和实施.
- 评估EMS在改善疾病监测和应对方面的实用性.
- 展示数字技术在公共卫生基础设施中的整合.
主要方法:
- 非洲疾病控制和预防中心在DHIS2平台上开发了一个EMS.
- 该EMS是通过一个协作,代的原型设计过程创建的,修改DHIS2应用程序.
- 试点涉及信号和事件的数据输入,从2020年6月开始.
主要成果:
- 到2022年12月,已经捕获了416个事件,并生成了140多份每周报告.
- 大多数检测到的事件影响人类 (69%),风险水平中等至高.
- 经常报告高致病性禽流感 (H5N1) 和风暴/洪水等环境事件.
- 数据的完整性和及时性得到了改善,四个国家将在2022年采用EMS,另外两个国家将在2023年采用EMS.
结论:
- 在非洲,EMS有效地支持基于事件的监测,并改善疾病监测.
- 整合像DHIS2这样的数字工具可以提高卫生系统的早期预警能力.
- 该系统在大陆和国家层面均表现出成功的适应性和实用性.
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