Technical Guidelines for Integrated Disease Surveillance ... - PHRplus

Annex 36Indicators for Monitoring the Quality ofDistrict-level Surveillance ActivitiesTo evaluate the quality of surveillance functions listed in column 1, regularly monitor and observe theprogress of the indicators listed in column 2. When comparing several health facilities at the same level of thehealth system, use proportions or rates.For this surveillancefunction:Maintain readinessfor epidemicresponseIdentify suspectedcasesInvestigate andconfirm reportedoutbreaksReport dataAnalyse dataResponseProvide feedbackRegularly monitor the number of districts that:Have a plan for outbreak responseHave had access to emergency stocks of drugs and supplies at all times during the last12 monthsHave access to adequate funds for outbreak responseHave a team trained to conduct an outbreak investigationHave a surveillance coordinating focal person at the district levelReview case registers and logsInvestigated at least one reported outbreak during the last 12 monthsHave laboratory capacity within the district that can confirm suspected cases of prioritydiseasesConfirm priority diseases in a timely wayAre able to demonstrate safe handling, packaging, storing and transport of specimensto higher level laboratoryHave had an adequate and reliable supply of recommended forms at all times over thelast 6 monthsSubmitted all required reports to the next highest level on time during the last 6 monthsDescribe outbreak data by time, place and personPerform trend analysis by health facilityHave an epidemic threshold for each priority disease and appropriate denominatorsand a defined response actionCompare quarterly dataResponded within 48 hours of reaching the threshold for actionMeet with community about a health problem at least once every 6 monthsAchieved acceptable case fatality rates during the most recent outbreak (for example,no more than 10% for meningitis, no more than 1% for cholera)Have management committees that evaluated their preparedness and responseactivities during the last 12 monthsPrepare and disseminate a written report of surveillance information at least quarterlyduring the last yearReceived from a higher level during the last year a written report or bulletin containinginformation that the district reportedProvide feedback to the communityAnnex 36: Indicators for Monitoring the Quality of District-level Surveillance Activities221