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

Oral presentation

District health information management system as a tool for enhancing integrated disease surveillance and response in Ghana, 2017

Cite this: Pan African Medical Journal - Conference Proceedings. Oct 2017; 3(3): 92. doi:10.11604/pamj.cp.2017.3.92.219

Submitted: 10 Oct 17   Accepted: 10 Oct 17   Published: 27 Oct 17

Key words: IDSR, DHIMS2, completeness, timeliness

© John Ojo 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/2017/3/92/abstract

Corresponding author: John Ojo, Ghana Field Epidemiology and Laboratory Training Program, Accra, Ghana (jnojo@yahoo.com)

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

District health information management system as a tool for enhancing integrated disease surveillance and response in Ghana, 2017

John Ojo1,&, Ernest Asiedu1, Edwin Afari1, Ernest Kenu1, Samuel Sackey1, Donne Ameme1, Priscillia Nortey1

 

1Ghana Field Epidemiology and Laboratory Training Program, Accra, Ghana

 

 

&Corresponding author
John Ojo, Ghana Field Epidemiology and Laboratory Training Program, Accra, Ghana

 

 

Abstract

Introduction: globally, the use of electronic database is increasingly becoming important for public health surveillance. Ghana adopted the web-based District Health Information Management System (DHIMS2) platform as its nation-wide health information system software for collection, collation, analysis, and dissemination of public health surveillance data. Since 2012, Integrated Disease Surveillance and Response (IDSR) data has been reported through DHIMS2. We evaluated the performance of the DHIMS2 system using completeness and timeliness of reporting. The DHIMS2 system attributes too were assessed.

 

Methods: we assessed trends in completeness and timeliness before and after the introduction of DHIMS2. We retrieved 2012 - 2016 monthly IDSR reporting rates in the DHIMS2 system for all 216 districts in Ghana. We generated percent completeness and timeliness for all reporting districts as well as the ten regions of the country using the DHIMS2 pivot table module. Timely reports were reports received in the DHIMS2 system at the national level on or before the stipulated deadline while completeness was defined as the number of reports received at the national level as a proportion of the number of reports expected from reporting units. For the period before the introduction of DHIMS2, IDSR reporting rates were computed from data retrieved from available archived paper-based monthly summary sheets. The systemís simplicity, flexibility, acceptability, and stability were assessed using CDC guidelines for evaluating public health surveillance systems.

 

Results: a total of 12,960 monthly IDSR reports were received from 216 districts of the 10 regions of the country for the period. Compared to the 18% highest annual timeliness before adoption of DHIMS2, timeliness of reporting improved to 84% in 2016. Completeness of reporting improved from maximum of 60% for the period before DHIMS2 to 91% in 2016. Of the ten regions, six (60.0%) had completeness above 90% for each year after adoption of DHIMS2 platform. DHIMS2 was found to be simple, flexible, stable, and well accepted by stakeholders.

 

Conclusion: though not optimal, use of DHIMS2 has improved IDSR report completeness and timeliness. We recommended a special study to assess the system's data quality, sensitivity, predictive value positive and representativeness to enhance surveillance indicators under the IDSR strategy.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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)