Skip to main content

Table 1 Performance of the IDSR core surveillance functions at health facility and district levels, Zanzibar

From: Assessment of the core and support functions of the integrated disease surveillance and response system in Zanzibar, Tanzania

Core activity Primary health care facilitiesa Hospitals   
  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)
  1. aPrimary health care units (PHCUs) and primary health care centres (PHCCs). PHCU first level health care facility providing basic primary health care services within specified daytime hours. PHCC second level primary health care facility providing services 24 h a day [12]. bPublicly owned. cPrivately owned. dNA Not applicable. eDHIS2 District Health Information Software 2