Sentinel Sites Surveillance System in Somalia

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Sentinel Sites Surveillance System in Somalia
Northeast zone 08 SS
Northwest zone 18 SS (13)
Central zone 15 SS
Southern zone 09 SS

• Dr. Waqar A. Butt
• RBM Coordinator
• WHO Somalia

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Sentinel Sites Surveillance System

• Objective
• What you need from SSSS.
• Data information on malaria cases, suspected
  and confirmed, malaria deaths suspected /
  confirmed from the Sentinel sites.

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Sentinel Sites Surveillance System

• Definition
• Sentinel Site a site which generate the data
  information for malaria cases in the catchments
  area of the health facility.
• Surveillance A systemic method of monitoring the
  occurrence of diseases in individuals in order
  to control its spread in the community

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Sentinel Sites Surveillance System

• Surveillance is primarily concerned with
  Incidence and health Events.
• Selection of Health events depends upon
  priorities of country and international
  reporting.
• Disease surveillance depend upon the country
  public health importance and potential for their
  prevention and control.
• Poor health care coverage have problems in
  recording and reporting diagnosis and
  differentiating new cases from old.
• Disease surveillance provides information on
  their importance rather any estimates of
  prevalence or incidence.
• Surveillance most comprehensive when based on
  population information rather than facilities

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Sentinel Sites Surveillance System

• Obtaining information. Formal or Informal way of
  collecting, managing and interpreting data.
• Routine health service record (All records)
• Household registration. CHW maintained the record
  of all household in their catchments area.
  (different population group)
• Special surveys. For population characteristics,
  like, mortality, fertility, prevalence of
  disease. KAP surveys
• Communication.
• Evaluating the Information. This requires
• Regular discussion about information,
  relevant training, careful supervision and good
  communication.

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Ministry of Health Sentinel Sites Surveillance
System

MCH District
MCH District
MCH District
Regional
Regional Medical Officer send data to National
and national focal point disseminate to WHO
National
WHO
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WHO Sentinel Sites Surveillance System

• Surveillance Supervisors in 4 Zones sent
  information to WHO office Hargeisa for
  Compilation of Data on communicable diseases
  including malaria.

SZ
NWZ
NEZ
CZ
EMRO
WHO Hargeisa
WR Office Nairobi
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Sentinel Sites Surveillance System
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Sentinel Sites Surveillance System

• Data Collection (WHO)
• Zonal focal point collect data for CDC
  surveillance from SS in 4 zones including malaria
• Data receive by email / phone and compilation is
  done in Hargeisa office
• Validation of data done by CDC Officer and
  Malaria coordinator

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Sentinel Sites Surveillance System

• Malaria Surveillance system
• Zonal focal points of RBM collect detail data
  information on -
• Malaria cases
• Entomology data
• Rainfall data
• Data receive in Hargeisa for compilation and
  feedback to the focal points

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Sentinel Sites Surveillance System
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Sentinel Sites Surveillance System
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Sentinel Sites Surveillance System
Monthly Rainfall Chart 2004
Legand 0 - No Rain 1 - Low
Rain 2 - Moderate Rain 3
-Heavy Rain
Legand 0 - No Rain 1 - Low
Rain 2 - Moderate Rain 3
-Heavy Rain
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Sentinel Sites Surveillance System
Monthly Rainfall Chart 2004
Legand 0 - No Rain 1 - Low
Rain 2 - Moderate Rain 3
-Heavy Rain
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Sentinel Sites Surveillance System
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Sentinel Sites Surveillance System
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Sentinel Sites Surveillance System
ANTIMALRIA DRUG EFFICACY STUDIES IN 4 SENTINEL
SITES AUG 2004 TO NOV 2004 PRELIMINARY
OUTCOME OF THE STUDIES OF AQ (Mono-therapy) IN
THREE SENTINEL SITES 1.Janale 2. Jamame 3
Jowhar PRELIMINARY OUTCOME OF THE STUDY OF ASSP
(Combination Therapy) IN JAMAME S.S
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Sentinel Sites Surveillance System

• Constrains
• Lack of Health facility communication system
• Security alert in some areas.
• Delayed reporting from the SS
• Budget ? -
• Lack of resources
• Security phase increased the budget requirements
• Lack of training to health professional at
  peripheral level

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Sentinel Sites Surveillance System

• Recommendation
• Training of health professional in developing
  effective surveillance system
• Increase the number of SS surveillance (Southern
  zone)
• obtain funds for maintaining the sentinel
  sites.
• Develop better communication system from
  peripheral to central

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