Technical Guidelines for Integrated Disease Surveillance ... - PHRplus

Table 8 lists possible indicators to measure quality of surveillance and response at the district level. Theseindicators may relate to national goals and indicators, or they may be specific to the district. Select the indicatorsthat are most relevant to the district’s plan for improving surveillance this year, and that will provide informationthat the district can use.Table 8: District-level indicators for monitoring quality of surveillance and responseat the health facilityFunction ofsurveillanceIdentify and recordsuspected casesConfirm suspectedcasesReview and analysedataIndicator: Regularly monitor the number of health facilities that:Use case definitionsUse a clinical registerCorrectly record information in the registerHave access to a functioning laboratory that can reliably process specimens (sputum,stool, blood, serum, cerebral spinal fluid, for example) for confirmation of prioritydiseasesSafely collect and properly package specimens for transport to higher-levellaboratoryKeep up-to-date trend (line graphs) for each selected priority diseasesHave detected a new epidemicHave an alert and epidemic threshold for epidemic-prone diseaseReport data Report case-based information for immediately reportable diseases Have an adequate and reliable supply of reporting forms (at least 3 months stock) Accurately record case register data on summary report forms Submitted reports on time to the district during last 3 mothsSubmitted required number of reports during last 3 monthsRespond to outbreakthresholds andanalysis resultsUsed local information to conduct a community disease prevention and control activityduring the last 12 monthsImplemented prevention and control measures based on local data for at least oneepidemic-prone diseaseProvide feedback Received a bulletin or report from district or higher level about data health facilityreported to these levels during the yearMet with community members to discuss investigation results during last 6 monthsMaintain readiness forepidemic responseUse standard case management protocols for priority diseasesUse a minimum level of standard precautions with all febrile patients regardless ofinfection statusMaintain an emergency stock of urgent drugs and treatment supplies for responding toepidemic-prone diseases seen previously in the areaSupervision Used a supervision checklist for surveillance during supervisory visit at least once in thelast 6 monthsTraining Conducted training for health staff on one or more of the following topics in the last 12months: using case definitions, handling specimens safely, collecting and reportingdata, analysing and interpreting trends, using thresholds for action, supervisory skillsResources Have reliable transportation (methods), with fuel source as needed (bicycles, motorcycle,vehicle fuel) Have access to reliable communication facilities (telephone, facsimile, radiophone,E-mail, others) Have adequate supplies for carrying out outbreak investigationsHave adequate funds for implementing response actions72Technical Guidelines for Integrated Disease Surveillance and Response in Ghana