Technical Guidelines for Integrated Disease Surveillance ... - PHRplus

4.0 Investigate** 5.0 Respond 6.0 Provide Feedback7.0 Evaluate and Improvethe SystemCommunitySupport caseinvestigation activitiessuch as informing thecommunity of theproblem case findingand collecting specimensAssist health authorities inselecting response activitiesParticipate in responseactivitiesMobilise communityresources appropriate forresponse activityCarry out community healtheducationGive feedback tocommunity membersabout reported casesand prevention activities Decide if public healthaction took place as plannedEvaluate the communityresponse to the public healthactionHealth FacilityTake part ininvestigation ofreported outbreaksCollect, package, orstore and transportspecimens for laboratorytestingUse investigationand laboratory resultsto confirm the outbreakProcess and recordlaboratory resultsProvide the resultsto district healthmanagement committee,clinical staff andpatientTreat cases and contactsaccording to standard casemanagement guidelinesUse appropriate infectioncontrol measuresCarry out public healthresponse with the district levelMobilise communityinvolvement in the responseAdvocate for resourcesGive feedback tocommunity membersabout outcome ofreported cases andprevention activitiesMonitor timeliness andcompleteness for reportingroutine and case-basedinformation to the district levelEvaluate routine detectionand reporting of prioritydiseases and conditionsEvaluate preparedness forand timeliness of responseactivitiesEvaluate appropriatenessof case managementTake action to improvereporting practicesTake action to improvereadiness for timely responseto outbreaksMaintain contact withcommunity to maintainpreparedness and preventionactivitiesMonitor the intervalbetween receipt of specimensand sending of resultsMonitor quality of laboratoryresultsDistrictArrange and leadinvestigation ofreported cases oroutbreaksAssist health localityin safe collection,packaging, storage andtransport of laboratoryspecimens for confirmatorytestingReceive andinterpret laboratoryresultsDecide if thereported outbreak isconfirmedReport the confirmedoutbreak to theregional levelDistribute additionalspecimen collectionkits for specialsurveillance activitiesSelect and implementappropriate public healthresponse (for example,depending on the plan tostrengthen case management,conduct immunization activity,improve control and preventionactivities)Alert nearby areas anddistricts about the confirmedoutbreakAlert nearby areasand districts aboutoutbreaksGive health facilitiesregular, periodicfeedback about routinecontrol and preventionactivitiesMonitor and evaluateprogram targets and indicatorsfor measuring quality ofthe surveillance systemMonitor and evaluatetimeliness and completenessof reporting from healthfacilities in the districtMonitor and evaluatetimeliness of response tooutbreaksMonitor routine preventionactivities and modify them asneeded8Technical Guidelines for Integrated Disease Surveillance and Response in Ghana