Conference abstract

Evaluation of timeliness and completeness of reporting of the integrated disease surveillance and response system in District Health Information Management System II in Western Region, Ghana, 2017

Pan African Medical Journal - Conference Proceedings. 2017:3(104).29 Dec 2017.
doi: 10.11604/pamj-cp.2017.3.104.238

Contact the corresponding author
Keywords: Disease surveillance, timeliness, completeness, Western Region
Oral presentation

Evaluation of timeliness and completeness of reporting of the integrated disease surveillance and response system in District Health Information Management System II in Western Region, Ghana, 2017

Daniel Tetteh Agudey1,2,&, Emmanuel Kojo Tinkorang2, Kofi Asemanyi-Mensah2, Edwin Afari1, Fredrick Wurapa1, Samuel Oko Sackey1, Michael Adjabeng2, Donne Ameme2, Ebenezer Kofi Mensah2

1Ghana Field Epidemiology and Laboratory Training Program, Ghana, 2Ghana Health Service, Ghana

&Corresponding author
Daniel Tetteh Agudey, Ghana Field Epidemiology and Laboratory Training Program, Ghana Health Service, Ghana

Abstract

Introduction: the Integrated Disease Surveillance and Response (IDSR) and District Health Information Management System II (DHIMS2) approaches were introduced and implemented in 2002 and 2012 respectively in Ghana to improve surveillance data submission rate and data quality. Timeliness of reporting is the proportion of all expected IDSR summary reports that were actually submitted on the DHIMS2 on time (reports received before a specified deadline). Completeness of reporting is the proportion of all expected IDSR summary reports that were actually submitted on the DHIMS2. Timely and complete data submission are used by health managers to pre-empt major outbreak, detect changes in trends of diseases and permit assessment of implemented control programs. We evaluated the timeliness and completeness of reporting of the IDSR system in the Western Region of Ghana.

Methods: we conducted a cross-sectional study to evaluate IDSR system of reporting timeliness and completeness in the Western Region from 2012 to 2016. We assessed two urban districts: Tarkwa Nsuaem Municipality and Sekondi Takoradi Metropolis and two rural districts of BIA West and Juabeso, and their 145 health facilities representing public, private and mission providers were assessed. Weekly and monthly disease surveillance reports on timeliness and completeness were extracted from DHIMS2 database and analyzed using Epi Info. Univariate analyses were expressed as frequencies and proportions.

Results: the IDSR monthly reporting timeliness increased from 21% in 2012 to 91.9% in 2016 whilst completeness increased from 67.5% in 2012 to 99.1% in 2016. The IDSR weekly reporting timeliness increased from 4.6% in 2012 to 55% in 2016 whilst weekly report completeness increased from 39.7% in 2012 to 84.6% in 2016. Lower timeliness and completeness of reports from private health facilities was identified.

Conclusion: there has been an improvement in the reporting of disease surveillance through DHIMS2 at the regional level. Challenges with timeliness and completeness of reporting from private health facilities were identified. Training and sensitization was conducted for private health facilities on timeliness and completeness of reporting of IDSR to DHIMS 2 based on our recommendation. This contributed immensely to improved timeliness and completeness from private health facilities.