IMPROVING HEALTH SURVEILLANCE THROUGH NETWORKING, REGIOINAL COORDINATION AND STRE

中美洲和多米尼加共和国卫生部长理事会由 作为正式成员的中美洲和多米尼加共和国国家卫生部长及其 执行秘书。理事会的职能是领导区域卫生部门， 确定中美洲卫生组织需要解决的区域卫生问题并确定其优先次序 议程和健康计划。在卫生方面，该区域面临的主要问题是：各级之间缺乏协调 护理；应对能力不足，无法满足人口的需要，特别是初级保健方面的需求 水平；缺乏信息的汇编、审查和分析；缺乏质量信息；缺乏质量 国家参考实验室；缺乏对技术和生物安全的监管和标准化 良好管理的程序；缺乏流行病学监测、实验室和医院的一体化 系统。所有这些都构成了一个挑战，因此COMISCA要求在区域范围内获得的信息应该是 进行全面分析，以便能够尽可能准确地描述情况；以及 有效引导公共卫生政策和措施。 正在努力逐步克服这些挑战，中美洲议程 保健和2010-2015年保健计划已经出台，这些计划寻求针对可供解决的支助 不同的关键领域和应对传染病领域的主要区域挑战 慢性非传染性疾病控制、信息系统和人力资源开发等。 在这一区域努力中，COMISCA通过其执行秘书处确定了技术和 财政支持解决区域层面存在的问题涉及：缺乏综合性 疾病控制办法、缺乏协调和联网、缺乏培训和遵守健康 《国际卫生条例》所列条例、应对紧急情况的能力不足以及 疾病暴发、实验室反应迟缓等。因此，COMISCA认为将这一点放在重要位置 将项目提交给疾病控制中心(CDC)。

The Council of Ministers of Health of Central America and the Dominican Republic (COMISCA) consists of the Ministers of Health of the Countries of Central America and the Dominican Republic as full members, and its Executive Secretary. The function of this Council is to provide leadership for the Regional Health Sector, identifying and prioritizing regional health issues that need to be addressed by the Central American Health Agenda and Health Plan. In Health, the main problems facing the region are: lack of coordination between levels of care; the insufficient response capacity to meet the needs of the population, especially in the primary care level; the lack of compilation, review and analysis of information; lack of quality information; lack of quality in the national reference laboratories; lack of regulation and standardization of technical and biosafety procedures for good management; and lack of integration of epidemiological surveillance, laboratory and hospital systems. All this constitutes a challenge, so COMISCA seeks that the information obtained regionally should be analyzed comprehensively so as to be able to characterize the situation as accurately as possible, and effectively serve to guide public health policies and measures. Efforts are being carried out at to gradually overcome these challenges, and the Central American Agenda on Health and the Health Plan 2010-2015 are already available, which seek to target the support available to address the different critical areas and tackle the major regional challenges in the areas of communicable disease and chronic non-communicable disease control, information systems and human resource development, among others. In this regional effort, COMISCA has identified through its Executive Secretariat the need for technical and financial support to solve the existing problems at the regional level in relation to: the lack of comprehensive approach to disease control, lack of coordination and networking, lack of training a and compliance with health regulations listed in the International Health Regulations, inadequate capacity to respond to emergencies and disease outbreaks, inadeqiaate laboratory response, etc. Therefore, COMISCA considered it important put this project forward to the Center for Disease Control (CDC).