Planning an integrated disease surveillance and response system: a matrix of skills and activities.
Planning an integrated disease surveillance and response system: a matrix of skills and activities.
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DOI：
10.1186/1741-7015-5-24
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发表时间：
2007-08-15
期刊：
影响因子：
9.3
通讯作者：
Thacker SB
中科院分区：
文献类型：
--
作者：
Perry HN;McDonnell SM;Alemu W;Nsubuga P;Chungong S;Otten MW Jr;Lusamba-dikassa PS;Thacker SB
全球流感大流行的威胁和世界卫生组织（世卫组织）《国际卫生条例（2005年）》的通过突出了协调良好、功能齐全的疾病监测系统的价值。由此产生的对及时信息的需求对公共卫生领导者提出了挑战，要求他们设计、开发和实施高效、灵活和全面的系统，将人员、资源和信息系统整合起来，进行传染病监测和应对。为了了解疾病综合监测和反应系统需要哪些资源，我们分析了世卫组织非洲区域疾病综合监测和反应战略所针对的19种重点传染病的监测需求。我们进行了系统的任务分析，以确定和标准化19种重点传染病的监测目标、监测病例定义、行动阈值和建议。我们根据监测和应对职能对调查结果进行了分组，并将其与社区、卫生设施、地区、国家和国际各级联系起来。我们分析的结果是一个综合系统所必需的一般技能和活动的矩阵。我们记录了规划者如何使用矩阵来帮助发现当前系统中的差距，确定行动计划的优先级，明确监测进展的指标，并为应用流行病学和在职培训计划制定教学目标。非洲区域综合疾病监测和反应矩阵明确了公共卫生监测职能与各级国家卫生系统参与之间的联系。矩阵框架可适应新方案和新策略的要求。该框架明确了加强或扩大现有监测系统所需的基本任务和活动，这些系统将能够适应当前和新出现的公共卫生威胁。
The threat of a global influenza pandemic and the adoption of the World Health Organization (WHO) International Health Regulations (2005) highlight the value of well-coordinated, functional disease surveillance systems. The resulting demand for timely information challenges public health leaders to design, develop and implement efficient, flexible and comprehensive systems that integrate staff, resources, and information systems to conduct infectious disease surveillance and response. To understand what resources an integrated disease surveillance and response system would require, we analyzed surveillance requirements for 19 priority infectious diseases targeted for an integrated disease surveillance and response strategy in the WHO African region. We conducted a systematic task analysis to identify and standardize surveillance objectives, surveillance case definitions, action thresholds, and recommendations for 19 priority infectious diseases. We grouped the findings according to surveillance and response functions and related them to community, health facility, district, national and international levels. The outcome of our analysis is a matrix of generic skills and activities essential for an integrated system. We documented how planners used the matrix to assist in finding gaps in current systems, prioritizing plans of action, clarifying indicators for monitoring progress, and developing instructional goals for applied epidemiology and in-service training programs. The matrix for Integrated Disease Surveillance and Response (IDSR) in the African region made clear the linkage between public health surveillance functions and participation across all levels of national health systems. The matrix framework is adaptable to requirements for new programs and strategies. This framework makes explicit the essential tasks and activities that are required for strengthening or expanding existing surveillance systems that will be able to adapt to current and emerging public health threats.
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影响因子：
4.5
作者：
Nsubuga, P;McDonnell, S;Otten, M
通讯作者：
Otten, M
影响因子：
5.4
作者：
SANDIFORD, P;ANNETT, H;CIBULSKIS, R
通讯作者：
CIBULSKIS, R
影响因子：
168.9
作者：
Woods, CW;Armstrong, G;Rosenstein, NE
通讯作者：
Rosenstein, NE
影响因子：
12.7
作者：
Loevinsohn, B;Aylward, B;Melgaard, B
通讯作者：
Melgaard, B