Technical Guidelines for Integrated Disease Surveillance ... - PHRplus

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7.1.2 Monitor timeliness and completeness of monthly reporting 707.1.3 Identify and seek solutions to problems in reporting 717.1.4 Reporting to higher levels 717.1.5 Identify targets and indicators 717.1.6 Select data to serve as indicators 737.2 Conduct supervision 737.2.1 Improve job descriptions to include surveillance tasks relevant to each 73category of health staff7.2.2 Prepare a supervision plan 737.2.3 Conduct supervisory visits 737.2.4 Use a supervisory checklist 747.2.5 Write a report of the supervisory visit 757.3 Use all supervisory visits to improve surveillance activities in the district 757.4 Annually evaluate quality of surveillance and response 757.4.1 Determine indicators and programme targets 757.4.2 Compile and organise monitoring and other results 767.4.3 Analyse results 767.4.4 Identify problems and their causes 767.4.5 Prioritise plans for improvements to surveillance and response in the 77following year’s plan7.4.6 Provide feedback to health facilities about the evaluation 77Section 8: Community-based Surveillance 798.1 Rationale for a CBS system 808.2 Design of a CBS system 808.2.1 Specific objectives 808.2.2 The role of information 818.2.2.1 Data collection and reporting 818.2.2.2 Data analysis, response and feedback 828.2.3 The role of the CBS worker 828.2.3.1 Worker duties 828.2.3.2 Worker selection 838.2.3.3 Worker training 838.2.3.4 Worker supervision 848.2.3.5 Worker motivation and incentive 848.2.3.6 Worker education 84Section 9: Summary Guidelines for Specific Priority Diseases and Conditions 85Annex 1: Using Assessment Results to Improve Surveillance and Response at the District 117LevelAnnex 2: Case Definitions for Identification and Reporting of Priority Diseases and 121ConditionsviTable of Contents
Annex 3: Case Definitions for Use in Community Surveillance 125Annex 4: List of District Reporting Sites 127Annex 5: Laboratory Tests for Confirming Priority Diseases and Conditions 129Annex 6: List of Laboratories for Confirming Priority Diseases and Conditions 139Annex 7: Maintaining Clinical Registers for Recording Priority Diseases and Conditions 141Annex 8: Case-based Surveillance Report Form 143Annex 9: Line List for Reporting Case-based Information When Several Cases Occur 149During a Short periodAnnex 10: Weekly Notifiable Disease Report Form 153Annex 11: Monthly Communicable Disease Surveillance Report Form 155Annex 12: Leprosy Quarterly Report Form 157Annex 13: Tuberculosis Quarterly Report Form 159Annex 14: Case-based Surveillance Report Form for Buruli Ulcer (BU 01) 161Annex 15: Monthly Registration of Buruli Ulcer Cases (BU 02) 165Annex 16: Quarterly Report on New and Recurrent Cases of Buruli Ulcer (BU 03) 169Annex 17: Managing Public Health Surveillance Data 171Annex 18: Sample Grid for Time Analysis 173Annex 19: Sample Tables for Person Analysis 175Annex 20: Log of Suspected Outbreaks and Rumours 177Annex 21: Case Investigation Form - Neonatal Tetanus 181Annex 22: Case Investigation Form - Acute Flaccid Paralysis 183Annex 23: Case Investigation Form - Guinea Worm Disease 185Annex 24: Checklist of Laboratory Supplies for Use in an Outbreak Investigation 189Annex 25: Treat Cases During an Outbreak 191Annex 26: Preparing Disinfectant Solutions by Using Chlorine Products 197Annex 27: Conducting a Register Review 199Annex 28: Sample Messages for Community Education 201Annex 29: Planning an Emergency Immunization Activity 205Annex 30: Estimating Vaccine Supplies for Immunization Activities 207Annex 31: Recommended Immunization Practices 209Annex 32: District Outbreak Report Format 211Annex 33: Self-evaluation of Timeliness and Quality of Outbreak Detection, Investigation 213and ResponseAnnex 34: Record of Reports Received 215Annex 35: Checklist for Supervising Surveillance and Response Activities at the Health 217FacilityAnnex 36: Indicators for Monitoring the Quality of District-level Surveillance Activities 221Table of Contentsvii
Page 3: Technical Guidelines forIntegrated
Page 6 and 7: 3.3.1 Review the updated charts, ta
Page 10 and 11: List of TablesTable 1: Surveillance
Page 13: AcronymsAFROAFPAIDSCBSCBSWCDCDHMTE-
Page 18 and 19: An ill person presents to medical a
Page 20 and 21: How are surveillance functions desc
Page 22 and 23: 4.0 Investigate** 5.0 Respond 6.0 P
Page 24 and 25: National4.0 Investigate** 5.0 Respo
Page 26 and 27: In general, the health of Ghanaians
Page 28 and 29: How does Ghana’s MOH/GHS support
Page 30 and 31: 1.0 Identify Cases of Priority Dise
Page 32 and 33: 1.2 Improve district procedures for
Page 35 and 36: Section 2Report Priority Diseases a
Page 37 and 38: Name of diseaseRoutine summary repo
Page 39 and 40: Identify and train CBS volunteers o
Page 41: Clinicians, ward nurses or other re
Page 44 and 45: 3.0 Analyse DataAnalysing trends of
Page 46 and 47: 3. Label all the rows and columns,
Page 48 and 49: Figure 4: Meningitis cases from Bol
Page 50 and 51: The first step in analysing data by
Page 52 and 53: 3.2.3.3 Calculate case fatality rat
Page 54 and 55: Table 6: Alert and epidemic/action
Page 56 and 57: 3.4 Use the analysis results to imp
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4.0 Investigate Reported Outbreaks
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4.4 Prepare to conduct an investiga
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Review laboratory results with the
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Draw a histogram representing the c
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If the shape of the curve suddenly
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5.0 Prepare and Respond to Outbreak
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Periodically review and update othe
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3. Select appropriate communication
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Improve safe disposal of human wast
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Table 7: Daily water needs per pers
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Recommendations for improving epide
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6.0 Provide FeedbackData are report
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The newsletter can be produced simp
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7.0 Evaluate and Improve Surveillan
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Table 8 lists possible indicators t
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Priority diseases are recorded in t
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Indicators for measuring quality of
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Section 8Community-based Surveillan
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members to take action in the event
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Participate in information dissemin
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Section 9Summary Guidelines for Spe
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Analyse and interpretdataReferenceT
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Buruli UlcerBackground Buruli ulce
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Cholera may cause severe dehydratio
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Respond to epidemicthresholdIf a su
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In Ghana, the disease was endemic i
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ReferenceA guide to eliminating lep
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Promote environmental sanitation: c
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Surveillance goal Use a rapid late
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OnchocerciasisBackground Filarial
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Poliomyelitis (Acute flaccid paraly
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Public health action Conduct activ
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The global HIV pandemic has been a
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Respond toepidemicAnalyse and inter
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Public health action Case finding
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Annex 1Using Assessment Results to
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Tally, compile and report summary t
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Diseases of special public health f
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Pneumonia in childrenless than 5 ye
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Other diseases of public health imp
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Annex 5Laboratory Tests for Confirm
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Suspected disease orconditionCholer
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Suspected disease orconditionDiagno
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Annex 6List of Laboratories for Con
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Annex 8Case-based Surveillance Repo
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If laboratory specimen collectedFor
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16. When the investigation of the c
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(For reporting from health facility
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13. For vaccine-preventable disease
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Annex 11Total Number of Patients Se
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Annex 12Year ___________ Quarter __
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Analysis, interpretations, comments
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C. Location of Lesion(s)19. Upper l
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Annex 15Monthly Registration of Bur
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Classification a Location of Lesion
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Annex 17Managing Public Health Surv
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Annex 19Sample Tables for Person An
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Annex 20Log of Suspected Outbreaks
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Instructions for filling suspected
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INITIAL CLINICAL HISTORYPlease use
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SPECIMEN COLLECTIONDate Sent toDate
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186Technical Guidelines for Integra
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188Technical Guidelines for Integra
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Annex 25Treat Cases During an Outbr
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Also give home-based fluids as foll
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3. Give vitamin A to children with
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Annex 26Preparing Disinfectant Solu
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If the health facility does not kee
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Message:DO YOU PREPARE FOOD SAFELY?
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Reducing exposure to mosquitoesPERS
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Annex 30Estimating Vaccine Supplies
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Annex 31Recommended Immunization Pr
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Lab analysis and results:With text,
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District Epidemic Management Commit
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Annex 35Checklist for Supervising S
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Activity Supervisory Question Answe
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Annex 36Indicators for Monitoring t
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