为马拉维的电子综合疾病监测和应对建立一个健康监测平台:行动设计研究研究
Tsung-Shu Joseph Wu1,2,3,4, Matthew Vundu Mvula3, Edward Kada Koma Chado5
1Department of Informatics, Faculty of Mathematics and Natural Sciences, University of Oslo, Oslo, Norway.
JMIR public health and surveillance
|January 26, 2026
概括
马拉维通过使用数字工具建立了一个统一的健康监测平台 (OHSP),大大提高了综合疾病监测和应对 (IDSR) 报告质量. 这种适应性系统加强了国家对COVID-19大流行等健康威胁的抵御力.
科学领域:
- 公共卫生 公共卫生
- 数字流行病学数字流行病学
- 一个健康监测
背景情况:
- 新出现的健康威胁需要强大的健康监测系统.
- 马拉维在2015年启动了电子综合疾病监测和应对 (eIDSR) 系统,旨在使用DHIS2建立一个统一的健康监测平台 (OHSP) 骨干.
- 适应性数字解决方案对One Health至关重要,但其成功实施的证据有限.
研究的目的:
- 为了记录马拉维的OHSP的建立.
- 分析这种适应性数字健康解决方案在COVID-19大流行期间和之后对eIDSR的影响.
主要方法:
- 使用跨学科方法的行动设计研究方法.
- 使用代过程构建了OHSP,重点关注其对IDSR报告质量的影响.
主要成果:
- 该OHSP是通过代周期开发的,从2019年开始,重新使用现有的数字健康基础设施和DHIS2解决方案.
- 随着COVID-19大流行,OHSP在全国范围内扩大规模,提高了应对能力.
- 国家每周IDSR报告的完整性和及时性大幅提高,到2024年分别达到97.8%和74.5%,从2015年的微不足道水平.
结论:
- 在政府领导和协调的推动下,OHSP机构显著加强了每周的IDSR报告.
- 长期可持续性需要能力建设,社区层面的数字创新,适应性基础设施和再利用战略.
- 马拉维政府主导的数字健康方法为其他国家提供了榜样,强调应对未来卫生紧急情况的弹性和适应能力.
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