Table 1 Performance of the IDSR core surveillance functions at health facility and district levels, Zanzibar
Core activity | Primary health care facilitiesa | Hospitals | Â | Â | |
|---|---|---|---|---|---|
|  | Publicb (n = 29) | Privatec (n = 11) | Publicb (n = 4) + Privatec (n = 1) | Facility Total (n = 45) | District Total (n = 10) |
n (%) | n (%) | n (%) | n (%) | n (%) | |
Case Detection and Registration | |||||
 Availability of standard case definitions for each priority diseases | 21 (72) | 2 (18) | 0 (0) | 23 (51) | NAd |
 Correctly diagnosed at least one priority disease | 24 (83) | 9 (82) | 2 (40) | 35 (78) | NA |
 Availability of outpatient clinical register | 29 (100) | 10 (91) | 5 (100) | 44 (98) | NA |
Case Confirmation | |||||
 Capacity to handle specimens until shipment | 23 (79) | 7 (64) | 4 (80) | 34 (76) | NA |
 Capacity to transport specimens to higher level laboratory | 10 (35) | 3 (27) | 3 (60) | 16 (36) | 10 (100) |
 Availability of guidelines for specimen collection, handling, and transportation | 11 (38) | 8 (73) | 3 (60) | 22 (49) | 5 (50) |
Data Reporting | |||||
 Availability of adequate supply of surveillance forms in the past 6 months | 26 (90) | 9 (82) | 5 (100) | 40 (89) | 8 (80) |
 Availability of a formalized system for reporting to the next level | |||||
  For weekly report | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 0 (0) |
  For monthly report | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 10 (100) via DHIS2e |
Data Analysis | |||||
 Analyse and present data by person | 6 (21) | 0 (0) | 0 (0) | 6 (13) | 3 (30) |
 Analyse and present data by place | 4 (14) | 0 (0) | 0 (0) | 4 (9) | 1 (10) |
 Analyse and present data by time | 4 (14) | 0 (0) | 0 (0) | 4 (9) | 2 (20) |
 Perform trend analysis | 3 (10) | 0 (0) | 0 (0) | 3 (7) | 2 (20) |
Epidemic Preparedness and Response | |||||
 Availability of epidemic preparedness and response plan | NA | NA | NA | – | 6 (60) |
 Availability of budget line for epidemic response | NA | NA | NA | – | 10 (100) |
 Have rapid response team for epidemics | NA | NA | NA | – | 10 (100) |
 Availability of action threshold for the country’s priority diseases | 21 (72) | 5 (45) | 1 (20) | 27 (60) | 10 (100) |
 Availability of standard case management manual for epidemic prone diseases | 20 (69) | 6 (55) | 1 (20) | 27 (60) | NA |
 Availability of emergency stocks of drugs/supplies in past 1 year | NA | NA | NA | – | 8 (80) |
 Experienced shortage of drugs/supplies during the most recent outbreak | NA | NA | NA | – | 5 (50) |
Feedback | |||||
 Received written feedback report/bulletin from higher level | 7 (24) | 1 (9) | 0 (0) | 8 (18) | 5 (50) |
 Produced written feedback reports in the last year | NA | NA | NA | – | 1 (10) |