Current Status of Integrated Disease Surveillance and Response (IDSR) in Countries
In June of 2010, a self-assessment questionnaire was administered to the 46 Member States in the African Region to determine progress with implementing the IDSR strategy. The findings indicated that 43 out of the 45 responding countries were at different levels of IDSR implementation. All the countries had designated national surveillance structure and had identified IDSR priority diseases or conditions. In relation to emergency preparedness and response, only 24 of the 45 countries reported having an operations command and control center to coordinate and monitor outbreaks and other public health emergencies. Of the 4,386 districts present in the 45 countries, 3,801 (86%) were implementing IDSR strategy to some extent in the 12 months preceding the assessment. Several countries have already begun including surveillance for non-communicable diseases.
This assessment highlighted critical gaps in district level implementation of IDSR namely:
- Absence of IDSR dedicated data staff at district level in 30% of the countries surveyed
- Lack of epidemic management committees in over 80% of districts
- Absence of rapid response teams in over 50% of districts
- Lack of logistic and communication capacities in a significant numbers of districts in the 45 countries
Lack of consistency in the use of IDSR core indicators in monitoring and evaluating performance at all levels