Performance of the Neonatal Tetanus Surveillance System (NTSS) in Sana'a, Yemen: Evaluation Study
| Autor: | Khaled Abdullah Almoayed, Khaled Mohammed Al-Jamrah, Yousef Khader, Labiba Saeed Anam, Basheer Abdulgalil Al Nabehi |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Yemen
030231 tropical medicine Health Informatics 03 medical and health sciences 0302 clinical medicine Environmental health Health care Medicine Humans 030212 general & internal medicine Overall performance neonatal tetanus Original Paper Tetanus evaluation business.industry Public Health Environmental and Occupational Health Infant Newborn Disease control United States Neonatal tetanus CDC guidelines Data quality surveillance Centers for Disease Control and Prevention U.S Public aspects of medicine RA1-1270 business |
| Zdroj: | JMIR Public Health and Surveillance, Vol 7, Iss 5, p e27606 (2021) JMIR Public Health and Surveillance |
| ISSN: | 2369-2960 |
| Popis: | Background The Neonatal Tetanus Surveillance System (NTSS) in Yemen was established in 2009 to identify high-risk areas, determine trends, and evaluate elimination activities. Since its launch, the NTSS had never been evaluated. Objective This study aimed to assess the performance of NTSS and determine its strengths and weaknesses to recommend improvements. Methods The US Centers for Disease Control and Prevention (CDC) guidelines were used for evaluating the NTSS. Stakeholders at the central, district, and facility levels were interviewed to rate the attributes of the NTSS. The percentage scores for attributes were ranked as poor ( Results The overall usefulness score percentage was 38%, which indicates a poor performance. The performance of the NTSS was rated as average on flexibility (score percent: 68%) and acceptability (score percent: 64%) attributes and poor on stability (score percentage: 33%), simplicity (score percentage: 57%), and representativeness (score percentage: 39%) attributes. About 65% of investigation forms were completed within 48 hours of notification date. Data quality was poor, as 41% of the core variables were missing. Conclusions The overall performance of the NTSS was poor. Most of the system attributes require improvement, including stability, simplicity, quality of data, and completeness of investigation. To improve the performance of NTSS, the following are recommended: capacity building of staff (focal points), strengthening NTSS through technical support and government funding to ensure its sustainability, establishing electronic investigation forms for improving the system data quality, and expansion of NTSS coverage to include all private health care facilities. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|