Table 1.
Performance of the IDSR core surveillance functions at health facility and district levels, Zanzibar
| Core activity | Primary health care facilitiesa | Hospitals | |||
|---|---|---|---|---|---|
| Publicb (n = 29) | Privatec (n = 11) |
Publicb (n = 4) + Privatec (n = 1) | Facility Total (n = 45) |
District Total (n = 10) |
|
| n (%) | n (%) | n (%) | n (%) | n (%) | |
| Case Detection and Registration | |||||
| Availability of standard case definitions for each priority diseases | 21 (72) | 2 (18) | 0 (0) | 23 (51) | NAd |
| Correctly diagnosed at least one priority disease | 24 (83) | 9 (82) | 2 (40) | 35 (78) | NA |
| Availability of outpatient clinical register | 29 (100) | 10 (91) | 5 (100) | 44 (98) | NA |
| Case Confirmation | |||||
| Capacity to handle specimens until shipment | 23 (79) | 7 (64) | 4 (80) | 34 (76) | NA |
| Capacity to transport specimens to higher level laboratory | 10 (35) | 3 (27) | 3 (60) | 16 (36) | 10 (100) |
| Availability of guidelines for specimen collection, handling, and transportation | 11 (38) | 8 (73) | 3 (60) | 22 (49) | 5 (50) |
| Data Reporting | |||||
| Availability of adequate supply of surveillance forms in the past 6 months | 26 (90) | 9 (82) | 5 (100) | 40 (89) | 8 (80) |
| Availability of a formalized system for reporting to the next level | |||||
| For weekly report | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 0 (0) |
| For monthly report | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 10 (100) via DHIS2e |
| Data Analysis | |||||
| Analyse and present data by person | 6 (21) | 0 (0) | 0 (0) | 6 (13) | 3 (30) |
| Analyse and present data by place | 4 (14) | 0 (0) | 0 (0) | 4 (9) | 1 (10) |
| Analyse and present data by time | 4 (14) | 0 (0) | 0 (0) | 4 (9) | 2 (20) |
| Perform trend analysis | 3 (10) | 0 (0) | 0 (0) | 3 (7) | 2 (20) |
| Epidemic Preparedness and Response | |||||
| Availability of epidemic preparedness and response plan | NA | NA | NA | – | 6 (60) |
| Availability of budget line for epidemic response | NA | NA | NA | – | 10 (100) |
| Have rapid response team for epidemics | NA | NA | NA | – | 10 (100) |
| Availability of action threshold for the country’s priority diseases | 21 (72) | 5 (45) | 1 (20) | 27 (60) | 10 (100) |
| Availability of standard case management manual for epidemic prone diseases | 20 (69) | 6 (55) | 1 (20) | 27 (60) | NA |
| Availability of emergency stocks of drugs/supplies in past 1 year | NA | NA | NA | – | 8 (80) |
| Experienced shortage of drugs/supplies during the most recent outbreak | NA | NA | NA | – | 5 (50) |
| Feedback | |||||
| Received written feedback report/bulletin from higher level | 7 (24) | 1 (9) | 0 (0) | 8 (18) | 5 (50) |
| Produced written feedback reports in the last year | NA | NA | NA | – | 1 (10) |
aPrimary health care units (PHCUs) and primary health care centres (PHCCs). PHCU first level health care facility providing basic primary health care services within specified daytime hours. PHCC second level primary health care facility providing services 24 h a day [12]. bPublicly owned. cPrivately owned. dNA Not applicable. eDHIS2 District Health Information Software 2