This abstract has been accepted at the 2024 DHIS2 Annual Conference
Customization of the DHIS2 Tracker App to support implementation of integrated disease surveillance and response (e-IDSR) in the post-EWARN era.
Introduction Somalia is currently piloted & implemented the use of DHIS2-Tracker to support the early warning component of its integrated disease surveillance and response. We analyzed data collected 1st month of the piloted phase and determined the performance of the early warning component of the IDSR being piloted to capture individual cases of epidemic-prone diseases. At the end of the piloted phase, a comprehensive evaluation was conducted to inform country-wide roll-out plan, the use of the DHIS2-Tracker app. The success of pilot phase promoted a full scale up e-IDSR-tracker implementation in the Country for the last 7 months. Methods The e-IDSR DHIS2-tracker capture form was modified to collect data on key variables of interest from all detected alert of priority conditions. Upon alert detection, the health worker completes and immediately submits the completed form through an android enabled DHIS2 tracker capture app. Next, the respective district public health officer receives an electronic alert notification, verifies the alert, and initiates investigation of true alerts. The associated data is automatically collated, analyzed and results displayed on the DHIS2 dashboard. These processes are being piloted in 52 health facilities in 17 districts in Banadir region April-September 2023. During the study the calculated the proportions of; reported alerts that were verified within 24-hrs, alerts verified as true, and true alerts investigated within 48-hrs. Where possible, calculated proportions were stratified by disease condition. Ethical approval was not required. Results In April 2023, 15th, instances of DHIS2-tracker capture challenges were reported, 100% of which were resolved within 24 hours of being reported. 280 alerts were reported from 65% (34/52) of the facilities. Alerts were from 25% (5/25) of the conditions for immediate reporting. 70% (196/280) of the reported alerts were verified. 30% (59/196) of the verified were true alert. These were for measles (30/59), acute watery diarrhea (25/59) and AFP (4/59). Investigations were initiated within 7 days for 80%, 100% and 100% of suspected measles, acute watery diarrhea, and AFP cases respectively. About the completion of phase one & rollout current coverage is 81% entire Country; it was calculated based on access of each districts implemented at least one facility. Discussion All early warning surveillance performance indicators were above 80% In 2023, the e-IDSR-Tracker application enabled optimum performance of the early warning component of the IDSR surveillance system.
Primary Author: IBRAHIM Nur
Keywords:
e-IDSR Tracker application, DHIS2, customization, post-EWARN, early warning system, pilot, Banadir Regional Administration & other regions, in Somalia
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