Proceedings of 1st Ghana Field Epidemiology and Laboratory Training Programme Scientific conference (Accra, 2017)

Oral presentation

Evaluation of the tuberculosis surveillance system in the Ashaiman Municipality of the Greater Accra Region

Cite this: Pan African Medical Journal - Conference Proceedings. Oct 2017; 3(3): 59. doi:10.11604/pamj.cp.2017.3.59.188

Submitted: 09 Oct 17   Accepted: 09 Oct 17   Published: 24 Oct 17

Key words: Evaluation, tuberculosis, surveillance, Ashaiman

© Rita Patricia Frimpong-Mansoh et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Available online at: http://www.proceedings.panafrican-med-journal.com/conferences/2017/3/59/abstract

Corresponding author: Rita Patricia Frimpong-Mansoh, Ghana College of Physicians and Surgeons, Ghana Health Service, Accra, Ghana (patrita10@yahoo.com)

This abstract is published as part of the proceedings of 1st Ghana Field Epidemiology and Laboratory Training Programme Scientific conference (GHANA, )

Evaluation of the tuberculosis surveillance system in the Ashaiman Municipality of the Greater Accra Region

Rita Patricia Frimpong-Mansoh1,&, Benedict Nii Calys- Tagoe1, Efua Therson- Coffie1, Kwadwo Odei Antwi- Agyei1

 

1Ghana College of Physicians and Surgeons, Ghana Health Service, Accra, Ghana

 

 

&Corresponding author
Rita Patricia Frimpong-Mansoh, Ghana College of Physicians and Surgeons, Ghana Health Service, Accra, Ghana

 

 

Abstract

Introduction: tuberculosis is an infection of the lungs and other organs caused by Mycobacterium tuberculosis. It was the leading cause of death from an infectious illness globally with an estimated 10.4 million new cases and 1.4 million deaths in 2015. In Ghana, the incidence is estimated as 165 per 100,000 population and mortality rate of 7.5 per every 1,000 infected people. The tuberculosis surveillance system is part of the general frame work of the Integrated Disease Surveillance and Response (IDSR). It was evaluated to describe the operation and performance of the system using the system attributes and to provide recommendations to improve the operation and efficiency of the system.

 

Methods: the tuberculosis surveillance system of the Ashaiman Municipality was evaluated using the Centre for Disease Control and Prevention Updated Guidelines for Evaluating Public Health Surveillance Systems 2006. Records review from 2014 to 2016 was done to assess the objectives of the system and Surveillance data source of 2016 used to assess attributes. Interviews were conducted at the various levels using a semi-structured questionnaire and data analysis done with Epi info and Microsoft Excel to run frequencies and percentages.

 

Results: the tuberculosis surveillance system is well structured with standardized data collection tools. The system was found to be useful but only partially met its objectives. It was also found to be simple, flexible, and fairly stable and had average timeliness. It had low acceptability and not geographically representative (4 out of 6 treatment centres are located in one Sub district). It also had a low sensitivity (case notification for all forms of TB in Ghana currently stands at 54/100,000 and that for Ashaiman in the year 2016 was 45/100,000 but tuberculosis prevalence survey in 2013 revealed incidence of 165 cases per 100,000 people in Ghana) and a low predictive value positive of 6.6%.

 

Conclusion: the tuberculosis surveillance system was found to be useful at all levels but partially met its objectives. There is the need to improve the sensitivity, predictive value positive timeliness and acceptability.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1st Ghana Field Epidemiology and Laboratory Training Programme Scientific conference (Accra)

Country: GHANA

Dates: 18 Sep 17 - 21 Sep 17

Venue: Swiss Spirit and Suites Alisa Hotels

Organizers: Ghana Field Epidemiology and Laboratory Training Programme

Secretariat: gfeltp@gmail.com

Contact person: Dr. Ernest Kenu (ernest_kenu@yahoo.com)