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Chen L, Wang Z, Zheng X, Lu F, Xiong H, Liao J, Peng C, Chen K, Zhang W, Xu Y, Duan L. Performance evaluation on vaccination rates monitoring report system of Shenzhen, China. Hum Vaccin Immunother 2024; 20:2302220. [PMID: 38214458 DOI: 10.1080/21645515.2024.2302220] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2023] [Accepted: 01/03/2024] [Indexed: 01/13/2024] Open
Abstract
To evaluate the performance of "Vaccination Rates Monitoring Report System" implemented by Shenzhen CDC, we conducted an analysis of the data quality and identify key areas for system improvement. Following evaluation guidelines provided by WHO and United States CDC, we established six evaluation attributes: representativeness, simplicity, acceptability, data reliability, stability and timeliness. In eastern, central and western regions of Shenzhen, we selected one district from each region, of which the local CDC and ten CHSCs under jurisdiction were chosen for evaluation. On-site inspections, questionnaires survey and interviews were utilized for data collection, while the Likert scale method was used for attributes rating evaluation. A total of 70 participants were surveyed, consisting of 60 CHSCs and 10 CDCs staff. The gender ratio was 1:2.5 (males to females), with the majority falling within the 25-34 age range (46%). Most participants held full-time positions (80%) and had more than 5 years of work experience (62%). The system achieved 100% coverage of all CHSCs and CDCs (100%). The cumulative percentage scores for the overall favorable options of simplicity, acceptability, data reliability, stability, and timeliness were 79%, 85%, 73%, 50%, and 71% respectively. The system operates normally with strong representativeness. Acceptability was rated as "good." Simplicity, data reliability, and system timeliness were rated as "average," while system stability was rated as "poor." Based on these survey results, developers should urgently investigate reasons for poor stability, particularly addressing concerns from CHSCs users. Additionally, the issues and shortcomings identified in other attributes should also be gradually improved.
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Affiliation(s)
- Linxiang Chen
- Department of Immunization Planning, Luohu District Center for Disease Control and Prevention, Shenzhen, China
- Shenzhen Field Epidemiology Training Program (SZFETP), Shenzhen, China
| | - Ziqi Wang
- Shenzhen Field Epidemiology Training Program (SZFETP), Shenzhen, China
- Department of Immunization Planning, Baoan District Center for Disease Control and Prevention, Shenzhen, China
| | - Xiaojun Zheng
- Shenzhen Field Epidemiology Training Program (SZFETP), Shenzhen, China
- Department of Health Monitoring and Management, Futian District Center for Disease Control and Prevention, Shenzhen, China
| | - Fangfang Lu
- Shenzhen Field Epidemiology Training Program (SZFETP), Shenzhen, China
- Department of Disease Control, Baoan Public Health Service Centre, Shenzhen, China
| | - Huawei Xiong
- Division of Disease Control, Shenzhen Center for Disease Control and Prevention, Shenzhen, China
| | - Jing Liao
- Shenzhen Field Epidemiology Training Program (SZFETP), Shenzhen, China
- Department of Occupational Health, Longgang District Center for Disease Control and Prevention, Shenzhen, China
| | - Chunmiao Peng
- Shenzhen Field Epidemiology Training Program (SZFETP), Shenzhen, China
- Department of Medical Institution Supervision and Management, Baolong Public Health Service Center, Shenzhen, China
| | - Kangming Chen
- Department of Medical Institution Supervision and Management, Baolong Public Health Service Center, Shenzhen, China
| | - Wenli Zhang
- Department of Medical Institution Supervision and Management, Baolong Public Health Service Center, Shenzhen, China
| | - Yucheng Xu
- Department of Disease Control, Futian District Center for Disease Control and Prevention, Shenzhen, China
| | - Lina Duan
- Department of Administration office, Futian District Center for Disease Control and Prevention, Shenzhen, China
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Djuicy DD, Bilounga CN, Esso L, Mouiche MMM, Yonga MGW, Essima GD, Nguidjol IME, Anya PJA, Dibongue EBN, Etoundi AGM, Eyangoh SI, Kazanji M, Njouom R. Evaluation of the mpox surveillance system in Cameroon from 2018 to 2022: a laboratory cross-sectional study. BMC Infect Dis 2024; 24:949. [PMID: 39256651 PMCID: PMC11385501 DOI: 10.1186/s12879-024-09802-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2024] [Accepted: 08/22/2024] [Indexed: 09/12/2024] Open
Abstract
BACKGROUND Formal assessment of a surveillance system's features and its ability to achieve objectives is crucial for disease control and prevention. Since the implementation of the mpox surveillance system in Cameroon, no evaluation has been conducted. METHODS In a cross-sectional study, we assessed the performance of the mpox surveillance system in accordance with the Centers for Disease Control and Prevention (CDC) and World Health Organization (WHO) guidelines. We collected mpox surveillance data from 2018 to 2022 and conducted a survey with key stakeholders of the surveillance program. The survey results were summarized. The rates of complete reporting and mpox detection, as well as the time lag between the different stages of surveillance were analyzed using R version 4.1. RESULTS The mpox detection rate was 21.6% (29/134) over the five years under review. Surveillance indicators revealed that a combination of sample types, including vesicles, crust, and blood, was associated with higher case confirmation. Overall, the mpox surveillance system was effective. Weaknesses in terms of simplicity were identified. Most components of the assessed system failed to meet the timeliness and data quality goals, except for the laboratory component, which was commendable. The lack of a computerized shared database and the system's non-sustainability were a course of concern. CONCLUSIONS Despite all identified bottlenecks in the mpox surveillance system in Cameroon, it was found to meet it stipulated goals. Recommendations are made for training on surveillance system features, particularly at the facility/field level. Therefore, there is a crucial need to globally improve the mpox surveillance system in Cameroon for better disease control.
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Affiliation(s)
- Delia Delia Djuicy
- Virology Service, Centre Pasteur of Cameroon, 451 Rue 2005, P. O. Box 1274, Yaoundé, Cameroon
| | - Chanceline Ndongo Bilounga
- Department for the Control of Disease, Epidemics and Pandemics (DLMEP), Ministry of Public Health, Yaoundé, Cameroon
- Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Douala, Cameroon
| | - Linda Esso
- Department for the Control of Disease, Epidemics and Pandemics (DLMEP), Ministry of Public Health, Yaoundé, Cameroon
- Faculty of Medicine and Biomedical Sciences, University of Yaoundé, Yaoundé, Cameroon
| | - Moctar Mohamed Moulioum Mouiche
- USAID's Infectious Disease Detection and Surveillance (IDDS) Program, ICF, Yaoundé, Cameroon
- School of Veterinary Medicine and Science, University of Ngaoundéré, Ngaoundéré, Cameroon
| | | | - Gael Dieudonné Essima
- Virology Service, Centre Pasteur of Cameroon, 451 Rue 2005, P. O. Box 1274, Yaoundé, Cameroon
| | - Inès Manda Emah Nguidjol
- Department for the Control of Disease, Epidemics and Pandemics (DLMEP), Ministry of Public Health, Yaoundé, Cameroon
| | - Pricilla Josephine Ambany Anya
- Department for the Control of Disease, Epidemics and Pandemics (DLMEP), Ministry of Public Health, Yaoundé, Cameroon
- USAID's Infectious Disease Detection and Surveillance (IDDS) Program, ICF, Yaoundé, Cameroon
| | - Elisabeth Betsi Noma Dibongue
- National Program for the Fighting Against Emerging and Re-emerging Zoonosis (PNLZER), Prime Ministry Office, Yaoundé, Cameroon
| | - Alain Georges Mballa Etoundi
- Department for the Control of Disease, Epidemics and Pandemics (DLMEP), Ministry of Public Health, Yaoundé, Cameroon
- Faculty of Medicine and Biomedical Sciences, University of Yaoundé, Yaoundé, Cameroon
| | - Sara Irène Eyangoh
- Virology Service, Centre Pasteur of Cameroon, 451 Rue 2005, P. O. Box 1274, Yaoundé, Cameroon
| | - Mirdad Kazanji
- Virology Service, Centre Pasteur of Cameroon, 451 Rue 2005, P. O. Box 1274, Yaoundé, Cameroon
| | - Richard Njouom
- Virology Service, Centre Pasteur of Cameroon, 451 Rue 2005, P. O. Box 1274, Yaoundé, Cameroon.
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