Twenty years of integrated disease surveillance and response in Sub-Saharan Africa: challenges and opportunities for effective management of infectious disease epidemics

Abstract Introduction This systematic review aimed to analyse the performance of the Integrated Disease Surveillance and Response (IDSR) strategy in Sub-Saharan Africa (SSA) and how its implementation has embraced advancement in information technology, big data analytics techniques and wealth of dat...

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Autores principales:	Irene R. Mremi, Janeth George, Susan F. Rumisha, Calvin Sindato, Sharadhuli I. Kimera, Leonard E. G. Mboera
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Disease surveillance Data source Performance Big data One Health Sub-Saharan Africa Environmental sciences GE1-350 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/bf2960f40af347dda7b41ff52322e900
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spelling	oai:doaj.org-article:bf2960f40af347dda7b41ff52322e9002021-11-14T12:05:37ZTwenty years of integrated disease surveillance and response in Sub-Saharan Africa: challenges and opportunities for effective management of infectious disease epidemics10.1186/s42522-021-00052-92524-4655https://doaj.org/article/bf2960f40af347dda7b41ff52322e9002021-11-01T00:00:00Zhttps://doi.org/10.1186/s42522-021-00052-9https://doaj.org/toc/2524-4655Abstract Introduction This systematic review aimed to analyse the performance of the Integrated Disease Surveillance and Response (IDSR) strategy in Sub-Saharan Africa (SSA) and how its implementation has embraced advancement in information technology, big data analytics techniques and wealth of data sources. Methods HINARI, PubMed, and advanced Google Scholar databases were searched for eligible articles. The review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocols. Results A total of 1,809 articles were identified and screened at two stages. Forty-five studies met the inclusion criteria, of which 35 were country-specific, seven covered the SSA region, and three covered 3–4 countries. Twenty-six studies assessed the IDSR core functions, 43 the support functions, while 24 addressed both functions. Most of the studies involved Tanzania (9), Ghana (6) and Uganda (5). The routine Health Management Information System (HMIS), which collects data from health care facilities, has remained the primary source of IDSR data. However, the system is characterised by inadequate data completeness, timeliness, quality, analysis and utilisation, and lack of integration of data from other sources. Under-use of advanced and big data analytical technologies in performing disease surveillance and relating multiple indicators minimises the optimisation of clinical and practice evidence-based decision-making. Conclusions This review indicates that most countries in SSA rely mainly on traditional indicator-based disease surveillance utilising data from healthcare facilities with limited use of data from other sources. It is high time that SSA countries consider and adopt multi-sectoral, multi-disease and multi-indicator platforms that integrate other sources of health information to provide support to effective detection and prompt response to public health threats.Irene R. MremiJaneth GeorgeSusan F. RumishaCalvin SindatoSharadhuli I. KimeraLeonard E. G. MboeraBMCarticleDisease surveillanceData sourcePerformanceBig dataOne HealthSub-Saharan AfricaEnvironmental sciencesGE1-350Public aspects of medicineRA1-1270ENOne Health Outlook, Vol 3, Iss 1, Pp 1-15 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Disease surveillance Data source Performance Big data One Health Sub-Saharan Africa Environmental sciences GE1-350 Public aspects of medicine RA1-1270
spellingShingle	Disease surveillance Data source Performance Big data One Health Sub-Saharan Africa Environmental sciences GE1-350 Public aspects of medicine RA1-1270 Irene R. Mremi Janeth George Susan F. Rumisha Calvin Sindato Sharadhuli I. Kimera Leonard E. G. Mboera Twenty years of integrated disease surveillance and response in Sub-Saharan Africa: challenges and opportunities for effective management of infectious disease epidemics
description	Abstract Introduction This systematic review aimed to analyse the performance of the Integrated Disease Surveillance and Response (IDSR) strategy in Sub-Saharan Africa (SSA) and how its implementation has embraced advancement in information technology, big data analytics techniques and wealth of data sources. Methods HINARI, PubMed, and advanced Google Scholar databases were searched for eligible articles. The review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocols. Results A total of 1,809 articles were identified and screened at two stages. Forty-five studies met the inclusion criteria, of which 35 were country-specific, seven covered the SSA region, and three covered 3–4 countries. Twenty-six studies assessed the IDSR core functions, 43 the support functions, while 24 addressed both functions. Most of the studies involved Tanzania (9), Ghana (6) and Uganda (5). The routine Health Management Information System (HMIS), which collects data from health care facilities, has remained the primary source of IDSR data. However, the system is characterised by inadequate data completeness, timeliness, quality, analysis and utilisation, and lack of integration of data from other sources. Under-use of advanced and big data analytical technologies in performing disease surveillance and relating multiple indicators minimises the optimisation of clinical and practice evidence-based decision-making. Conclusions This review indicates that most countries in SSA rely mainly on traditional indicator-based disease surveillance utilising data from healthcare facilities with limited use of data from other sources. It is high time that SSA countries consider and adopt multi-sectoral, multi-disease and multi-indicator platforms that integrate other sources of health information to provide support to effective detection and prompt response to public health threats.
format	article
author	Irene R. Mremi Janeth George Susan F. Rumisha Calvin Sindato Sharadhuli I. Kimera Leonard E. G. Mboera
author_facet	Irene R. Mremi Janeth George Susan F. Rumisha Calvin Sindato Sharadhuli I. Kimera Leonard E. G. Mboera
author_sort	Irene R. Mremi
title	Twenty years of integrated disease surveillance and response in Sub-Saharan Africa: challenges and opportunities for effective management of infectious disease epidemics
title_short	Twenty years of integrated disease surveillance and response in Sub-Saharan Africa: challenges and opportunities for effective management of infectious disease epidemics
title_full	Twenty years of integrated disease surveillance and response in Sub-Saharan Africa: challenges and opportunities for effective management of infectious disease epidemics
title_fullStr	Twenty years of integrated disease surveillance and response in Sub-Saharan Africa: challenges and opportunities for effective management of infectious disease epidemics
title_full_unstemmed	Twenty years of integrated disease surveillance and response in Sub-Saharan Africa: challenges and opportunities for effective management of infectious disease epidemics
title_sort	twenty years of integrated disease surveillance and response in sub-saharan africa: challenges and opportunities for effective management of infectious disease epidemics
publisher	BMC
publishDate	2021
url	https://doaj.org/article/bf2960f40af347dda7b41ff52322e900
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Twenty years of integrated disease surveillance and response in Sub-Saharan Africa: challenges and opportunities for effective management of infectious disease epidemics

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