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    Jan 16, 2021
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    From diagnosis to case investigation for malaria elimination in Swaziland: is reporting and response timely?

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    Dlamini et al - 2018 - From ...
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    Authors
    Dlamini, N
    Zulu, Z
    Kunene, S
    Geoffroy, E
    Ntshalintshali, N
    Owiti, P
    Sikhondze, W
    Makadzange, K
    Zachariah, R
    Issue Date
    2018-04-25
    Submitted date
    2018-05-11
    
    Metadata
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    Journal
    Public Health Action
    Abstract
    Background: Swaziland is one of the southern African countries that aim to eliminate malaria by 2020. In 2010, the country introduced an Immediate Disease Notification System (IDNS) for immediate reporting of notifiable diseases, including malaria. Health facilities are to report malaria cases within 24 h through a toll-free telephone number (977), triggering an alert for case investigation at the patient's household within 48 h. We assessed the completeness of reporting in the IDNS, the subsequent case investigation, and whether it was done within the stipulated timelines. Methods: A cross-sectional study using routine country-wide data. Results: Of 1991 malaria cases notified between July 2011 and June 2015, 76% were reported in the IDNS, of which 68% were investigated-a shortfall of 24% in reporting and 32% in case investigations. Of the 76% of cases reported through the IDNS, 62% were reported within 24 h and 20% were investigated within 48 h. These shortcomings were most pronounced in hospitals and private facilities. Investigated cases (n = 1346) were classified as follows: 60% imported, 35% local and 5% undetermined. Conclusion: The utilisation of the IDNS for case reporting to trigger investigation is crucial for active surveillance. There is a need to address the reporting and investigation gaps identified to ensure that malaria cases receive appropriate interventions.
    Publisher
    International Union Against Tuberculosis and Lung Disease
    URI
    http://hdl.handle.net/10144/619153
    DOI
    10.5588/pha.17.0043
    PubMed ID
    29713587
    Language
    en
    ISSN
    2220-8372
    ae974a485f413a2113503eed53cd6c53
    10.5588/pha.17.0043
    Scopus Count
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    Operational Research Courses

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