Community-based surveillance: a pilot study from rural Cambodia
Community-based surveillance: a pilot study from rural Cambodia
复制标题
DOI：
10.1111/j.1365-3156.2005.01445.x
复制
发表时间：
2005-07-01
影响因子：
3.3
通讯作者：
Cairncross, S
中科院分区：
文献类型：
--
作者：
Oum, S;Chandramohan, D;Cairncross, S
目的本研究旨在评估2000 - 2002年在柬埔寨7个农村社区开发和实施的基于社区的监测系统（CBSS）的性能，以提供有关主要健康问题和生活事件的及时和有代表性的信息，方法将普通民众培训为村卫生志愿者（VHV），并将其与当地居民进行比较。向当地卫生工作人员报告社区发生的疑似疫情、重要传染病和人口动态事件，由当地卫生工作人员分析数据并在每月会议上向志愿者反馈。结果实施两年多来，该系统能够及早发现疫情，定期监测传染病趋势，并提供持续更新的怀孕信息，农村地区的出生和死亡。此外，该系统引发了有效的反应，从卫生工作人员和VHV的疾病控制和预防，并在outbreaks.Conclusion一个CBSS可以成功地填补了目前的卫生设施为基础的疾病监测系统的空白，在快速检测的爆发，在有效监测传染病，并在柬埔寨农村的人口动态事件的通知。在柬埔寨和其他发展中国家的其他农村地区推广或调整使用这一方法可能是有益的，而且具有成本效益。
OBJECTIVE This study seeks to assess the performance of a community-based surveillance system (CBSS), developed and implemented in seven rural communes in Cambodia from 2000 to 2002 to provide timely and representative information on major health problems and life events, and so permit rapid and effective control of outbreaks and communicable diseases in general.METHODS Lay people were trained as Village Health Volunteers (VHVs) to report suspected outbreaks, important infectious diseases, and vital events occurring in their communities to local health staff who analysed the data and gave feedback to the volunteers during their monthly meetings.RESULTS Over 2 years of its implementation, the system was able to detect outbreaks early, regularly monitor communicable disease trends, and to provide continuously updated information on pregnancies, births and deaths in the rural areas. In addition, the system triggered effective responses from both health staff and VHVs for disease control and prevention and in outbreaks.CONCLUSION A CBSS can successfully fill the gaps of the current health facility-based disease surveillance system in the rapid detection of outbreaks, in the effective monitoring of communicable diseases, and in the notification of vital events in rural Cambodia. Its replication or adaptation for use in other rural areas in Cambodia and in other developing countries is likely to be beneficial and cost-effective.