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Cash HL, De Jesus S, Durand AM, Tin STW, Shelton D, Robles R, Mendiola AR, Brikul S, Ipil M, Murphy M, Hunt LSS, Nielsen Lesa F, Sigrah CA, Waguk R, Abraham D, Kapiriel SF, Camacho J, Chutaro E. 'Hybrid Survey' approach to non-communicable disease surveillance in the US-Affiliated Pacific Islands. BMJ Glob Health 2021; 6:bmjgh-2021-006971. [PMID: 34706881 PMCID: PMC8552153 DOI: 10.1136/bmjgh-2021-006971] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2021] [Accepted: 10/08/2021] [Indexed: 11/12/2022] Open
Abstract
In 2010 the US-Affiliated Pacific Islands (USAPI) declared a regional state of health emergency due to the epidemic of non-communicable disease (NCD) and an NCD monitoring and surveillance framework was developed that includes adult NCD risk factor and disease prevalence indicators to be collected every 5 years using a population-based survey. On evaluation of existing data from adult population-based NCD surveys, it was found that there was a lack of valid, available and consistently collected data. Therefore, a new model was developed to combine various indicators and survey tools from different partner agencies into one survey. After the report was endorsed by local health leadership, a dissemination workshop was conducted. In 2015 (baseline for Hybrid Survey implementation), three out of nine jurisdictions (33.3%) had completed a population-based survey in the past 5 years. Four (44.4%) had no adult prevalence data at all, two (22.2%) had data sets from their surveys and four (44.4%) had at least two surveys ever collected that could be used for comparison. As of 2020, all nine jurisdictions have, or are in the process of completing an adult population-based survey. Eight (88.9%) have data sets from their surveys, and five (55.6%) have at least two surveys collected that can be used for comparison. This Hybrid Survey model has helped to improve adult NCD surveillance in the USAPI by more efficiently using limited resources. This model could be considered in other small island nations, or rural areas where adult NCD surveillance is challenging.
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Affiliation(s)
- Haley L Cash
- Pacific Island Health Officers Association, Honolulu, Hawaii, USA
| | - Stacy De Jesus
- National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, USA
| | - A Mark Durand
- Pacific Island Health Officers Association, Honolulu, Hawaii, USA
| | - Si Thu Win Tin
- Public Health Division, Secretariat of the Pacific Community Suva Regional Office, Suva, Fiji
| | - Dana Shelton
- National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, USA
| | - Rebecca Robles
- Division of Public Health, Commonwealth Healthcare Corporation, Saipan, Northern Mariana Islands
| | - Amber R Mendiola
- Public Health Division, Commonwealth Healthcare Corporation, Saipan, Northern Mariana Islands
| | - Suzette Brikul
- Non-Communicable Disease Unit, Republic of Palau Ministry of Health, Koror, Palau
| | - Maybelline Ipil
- Marshall Islands Epidemiology and Prevention Initiatives, Majuro, Marshall Islands
| | - Molly Murphy
- Marshall Islands Epidemiology and Prevention Initiatives, Majuro, Marshall Islands
| | - Leiema S S Hunt
- American Samoa Department of Health, Pago Pago, American Samoa
| | | | | | - Robina Waguk
- Kosrae State Department of Health, Tofol, Micronesia
| | - Delpihn Abraham
- Pohnpei State Department of Health and Social Services, Palikir, Micronesia
| | | | - Janet Camacho
- Pacific Island Health Officers Association, Honolulu, Hawaii, USA
| | - Emi Chutaro
- Pacific Island Health Officers Association, Honolulu, Hawaii, USA
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