SidaGhanaV1, Main, Exploration, bibRecord, 000077

Evaluation of the enhanced meningitis surveillance system, Yendi municipality, northern Ghana, 2010–2015

Identifieur interne : 000077 ( Main/Exploration ); précédent : 000076; suivant : 000078

Evaluation of the enhanced meningitis surveillance system, Yendi municipality, northern Ghana, 2010–2015

Auteurs : Basil Benduri Kaburi [Ghana] ; Chrysantus Kubio [Ghana] ; Ernest Kenu [Ghana] ; Kofi Mensah Nyarko [Ghana] ; Jacob Yakubu Mahama [Ghana] ; Samuel Oko Sackey [Ghana] ; Edwin Andrew Afari [Ghana]

Source :

BMC Infectious Diseases [ 1471-2334 ] ; 2017.

RBID : PMC:5404286

Abstract

Background

Meningitis is the inflammation of the meninges of the brain and or spinal cord. Global mortality rates vary from 2% to 30%. Epidemic meningitis remains a public health concern along the meningitis belt of Africa. Despite the operation of an enhanced meningitis surveillance system in Ghana, institutional mortality rates are estimated to range from 36% to 50%. In 2014, Yendi recorded 83 confirmed cases; with focal epidemics in some sub-municipals. We evaluated the system over a five-year period to find out whether it was achieving its objectives of systematic collection and analyses of data for the prevention or early detection of meningitis epidemics.

Methods

We used cross-sectional design. Both qualitative and quantitative data from Yendi Municipality between January 2010 and December 2015 were collected and analyzed. The updated guidelines for evaluating surveillance systems from Centers for Disease Control and Prevention were used. Content analysis was performed on the responses of key informants. Surveillance data was analyzed using MS-Excel.

Results

Fifteen healthcare workers were interviewed. For the period under evaluation, the annual incidence of meningitis ranged from 1.6/100,000 in 2012 to 62.6/100,000 in 2014. The average case fatality rate for the period was 8.3%. The system was sensitive, representative, and acceptable. The predictive value positive was 100% from 2010 to 2014 and 63.3% in 2015. Data quality was good, but timeliness of reporting was poor.

Conclusions

The enhanced meningitis surveillance system in Yendi Municipality is achieving most of its objectives. However, financial constraints and poor personnel motivation pose threats to the sustainability of the system.

Electronic supplementary material

The online version of this article (doi:10.1186/s12879-017-2410-0) contains supplementary material, which is available to authorized users.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5404286

DOI: 10.1186/s12879-017-2410-0
PubMed: 28438133
PubMed Central: 5404286

Affiliations:

Le document en format XML

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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>Meningitis is the inflammation of the meninges of the brain and or spinal cord. Global mortality rates vary from 2% to 30%. Epidemic meningitis remains a public health concern along the meningitis belt of Africa. Despite the operation of an enhanced meningitis surveillance system in Ghana, institutional mortality rates are estimated to range from 36% to 50%. In 2014, Yendi recorded 83 confirmed cases; with focal epidemics in some sub-municipals. We evaluated the system over a five-year period to find out whether it was achieving its objectives of systematic collection and analyses of data for the prevention or early detection of meningitis epidemics.</p>
</sec>
<sec><title>Methods</title>
<p>We used cross-sectional design. Both qualitative and quantitative data from Yendi Municipality between January 2010 and December 2015 were collected and analyzed. The updated guidelines for evaluating surveillance systems from Centers for Disease Control and Prevention were used. Content analysis was performed on the responses of key informants. Surveillance data was analyzed using MS-Excel.</p>
</sec>
<sec><title>Results</title>
<p>Fifteen healthcare workers were interviewed. For the period under evaluation, the annual incidence of meningitis ranged from 1.6/100,000 in 2012 to 62.6/100,000 in 2014. The average case fatality rate for the period was 8.3%. The system was sensitive, representative, and acceptable. The predictive value positive was 100% from 2010 to 2014 and 63.3% in 2015. Data quality was good, but timeliness of reporting was poor.</p>
</sec>
<sec><title>Conclusions</title>
<p>The enhanced meningitis surveillance system in Yendi Municipality is achieving most of its objectives. However, financial constraints and poor personnel motivation pose threats to the sustainability of the system.</p>
</sec>
<sec><title>Electronic supplementary material</title>
<p>The online version of this article (doi:10.1186/s12879-017-2410-0) contains supplementary material, which is available to authorized users.</p>
</sec>
</div>
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<author><name sortKey="Lo, Y" uniqKey="Lo Y">Y Lo</name>
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<author><name sortKey="Edeghere, O" uniqKey="Edeghere O">O Edeghere</name>
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<author><name sortKey="Bracebridge, S" uniqKey="Bracebridge S">S Bracebridge</name>
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<biblStruct><analytic><author><name sortKey="Apanga, P" uniqKey="Apanga P">P Apanga</name>
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<author><name sortKey="Awoonor Williams, J" uniqKey="Awoonor Williams J">J Awoonor-Williams</name>
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<author><name sortKey="Wasfy, Mo" uniqKey="Wasfy M">MO Wasfy</name>
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<author><name sortKey="Azab, Ma" uniqKey="Azab M">MA Azab</name>
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<author><name sortKey="Youssef, Fg" uniqKey="Youssef F">FG Youssef</name>
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<author><name sortKey="Pimentel, Tw" uniqKey="Pimentel T">TW Pimentel</name>
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<author><name sortKey="Graham, H" uniqKey="Graham H">H Graham</name>
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<affiliations><list><country><li>Ghana</li>
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<region><li>Région du Grand Accra</li>
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<tree><country name="Ghana"><region name="Région du Grand Accra"><name sortKey="Kaburi, Basil Benduri" sort="Kaburi, Basil Benduri" uniqKey="Kaburi B" first="Basil Benduri" last="Kaburi">Basil Benduri Kaburi</name>
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Le SIDA au Ghana (serveur d'exploration)

Evaluation of the enhanced meningitis surveillance system, Yendi municipality, northern Ghana, 2010–2015

Evaluation of the enhanced meningitis surveillance system, Yendi municipality, northern Ghana, 2010–2015

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Abstract

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	Le SIDA au Ghana (serveur d'exploration)
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