Transcript

Health Related Information

Field visit to Anti-Malaria Campaign

Community StreamGroup 7

2008/AL Batch1

Objective of the field visit

Identify health related information collected at the institution you

visited and how this data is made use of and limitation of such data.

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Field visit to Anti-Malaria Campaign

The Anti-Malaria campaign is associated with the preventive aspect of dealing with Malaria

This aspect affects a majority of the population

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Epidemiology of MalariaGlobal Epidemiology–

◦Approximately 40% of the global population◦Occurs in over 101 countries◦And estimated 1.5 – 2.7 million deaths per year

Epidemiology in Sri Lanka –◦Parasites

Plasmodium vivax (75%, 2008 – 93%) Plasmodium falciparum (25%, 2008 – 7%)

◦Vector mosquitoes Anopheles culicifacies Anopheles subpictus Anopheles annularis

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To interrupt indigenous transmission of Plasmodium vivax malaria by 2014

To interrupt indigenous transmission of Plasmodium falciparum malaria by 2012

To maintain ‘0’ mortalityTo prevent re-introduction

Objectives of Anti-malarial Campaign

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Organization structureDirector, Anti-

malaria Campaign

Deputy director

Vector control unit

Case management & Parasite control

Surveillance monitoring &

evaluation unit

Consultant community physician

Surveillance & M & E unit

PHI

MO

Rapid response unit

PHI

MO 7

Information systemDataSourcesPersonnel involvedTools usedFlow of information-pathwayProcessingDissemination/feedbackUse

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Sources of data

Routine reportingIndoor morbidity and mortality reportingNotifiable disease reporting systemActive surveillanceEpidemiological investigation of an

outbreakSample surveys

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Personnel involved in data collection

Regional medical officersMedical Officer of HealthPublic Health InspectorsEntomology assistants– vector controlHospital staff

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Tools

Hospital ReferralsRapid diagnostic tests(RDT)Mobile clinics

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Pathway – Flow of information

Anti-malaria

Campaign

Mobile Clinics

Information from the hospital

Regional medical officers

(peripheral)

Entomological &

Parasitological Research

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Data Processing

Systemic collection

Analysis of data

Interpretation of data

Dissemination of epidemiological information

For the planning,

implementation & control of

disease

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Uses of processed data

Identification of causesEvaluate preventionTo suggest hypothesisTo detect epidemics

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Limitations of the information systemUnder-reporting

◦Proportion reported is much less than actual incidence

Timeliness of data◦Delayed reporting does not facilitate use of data◦Lack of interest & unawareness◦ Intervening in the right time

Accuracy of dataSystem overburden

◦with several forms containing same dataAbsence of criteria

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Strengths of current system Coverage

◦ Widespread, decentralized system◦ Covers a vast population

Timeliness – Minimizing delay◦ Spontaneous reporting◦ Rapid intervening through regional medical officers◦ Prompt diagnosis & reporting

Completeness Follow-ups

◦ Ensure completion of treatment Usefulness

◦ Useful for trend analysis◦ Basis for implementation of control measures

Financial assistance◦ Funded by Global Fund for TB & Malaria

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Resource Personnel

Dr. Gauri GalappaththiDr. Dewanee Ranaweera of AMC headquarters

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References ……

Internet www.CDC.govFaculty library

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