Mobile Phone-based Syndromic Surveillance System, Papua New Guinea

被引:24
作者
Rosewell, Alexander [1 ,2 ]
Ropa, Berry [3 ]
Randall, Heather [1 ]
Dagina, Rosheila [3 ]
Hurim, Samuel [3 ]
Bieb, Sibauk [3 ]
Datta, Siddhartha [1 ]
Ramamurthy, Sundar [4 ]
Mola, Glen [5 ]
Zwi, Anthony B. [2 ]
Ray, Pradeep [2 ]
MacIntyre, C. Raina [2 ]
机构
[1] World Hlth Org, Port Moresby, Papua N Guinea
[2] Univ New S Wales, Sydney, NSW, Australia
[3] Natl Dept Hlth, Port Moresby, Papua N Guinea
[4] Datanets, Port Moresby, Papua N Guinea
[5] Univ Papua New Guinea, Port Moresby, Papua N Guinea
关键词
D O I
10.3201/eid1911.121843
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
The health care system in Papua New Guinea is fragile, and surveillance systems infrequently meet international standards. To strengthen outbreak identification, health authorities piloted a mobile phone-based syndromic surveillance system and used established frameworks to evaluate whether the system was meeting objectives. Stakeholder experience was investigated by using standardized questionnaires and focus groups. Nine sites reported data that included 7 outbreaks and 92 cases of acute watery diarrhea. The new system was more timely (2.4 vs. 84 days), complete (70% vs. 40%), and sensitive (95% vs. 26%) than existing systems. The system was simple, stable, useful, and acceptable; however, feedback and subnational involvement were weak. A simple syndromic surveillance system implemented in a fragile state enabled more timely, complete, and sensitive data reporting for disease risk assessment. Feedback and provincial involvement require improvement. Use of mobile phone technology might improve the timeliness and efficiency of public health surveillance.
引用
收藏
页码:1811 / 1818
页数:8
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