Evidence map›Paper›PMID 28841872›Full record

SynthesisBMC health services research2017

From habits of attrition to modes of inclusion: enhancing the role of private practitioners in routine disease surveillance.

Revati K Phalkey, Carsten Butsch, Kristine Belesova, Marieke Kroll, Frauke Kraas

Abstract readSystematic Review
In one paragraph

Synthesis in BMC health services research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Revati K PhalkeyDivision of Epidemiology & Public Health, University of Nottingham, C111, Clinical Sciences Building 2, City Hospital, Hucknall Road, NG5 1PB Nottingham, Nottingham, UK. revati.phalkey@nottingham.ac.uk.ORCID http://orcid.org/0000-0001-5106-7879
Carsten ButschInstitute of Geography, University of Cologne, Albertus-Magnus-Platz, D-50923, Cologne, Germany.
Kristine BelesovaLondon School of Hygiene and Tropical Medicine (LSHTM), 15-17 Tavistock Place, WC1H 9SH, London, UK.
Marieke KrollInstitute of Geography, University of Cologne, Albertus-Magnus-Platz, D-50923, Cologne, Germany.
Frauke KraasInstitute of Geography, University of Cologne, Albertus-Magnus-Platz, D-50923, Cologne, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrivate practitioners are the preferred first point of care in a majority of low and middle-income countries and in this position, best placed for the surveillance of diseases. However their contribution to routine surveillance data is marginal. This systematic review aims to explore evidence with regards to the role, contribution, and involvement of private practitioners in routine disease data notification. We examined the factors that determine the inclusion of, and the participation thereof of private practitioners in disease surveillance activities.

methodsLiterature search was conducted using the PubMed, Web of Knowledge, WHOLIS, and WHO-IRIS databases to identify peer-reviewed and gray full-text documents in English with no limits for year of publication or study design. Forty manuscripts were reviewed.

resultsThe current participation of private practitioners in disease surveillance efforts is appalling. The main barriers to their participation are inadequate knowledge leading to unsatisfactory attitudes and misperceptions that influence their practices. Complicated reporting mechanisms with unclear guidelines, along with unsatisfactory attitudes on behalf of the government and surveillance program managers also contribute to the underreporting of cases. Infrastructural barriers especially the availability of computers and skilled human resources are critical to improving private sector participation in routine disease surveillance.

conclusionThe issues identified are similar to those for underreporting within the Integrated infectious Disease Surveillance and Response systems (IDSR) which collects data mainly from public healthcare facilities. We recommend that surveillance program officers should provide periodic training, supportive supervision and offer regular feedback to the practitioners from both public as well as private sectors in order to improve case notification. Governments need to take leadership and foster collaborative partnerships between the public and private sectors and most importantly exercise regulatory authority where needed.

Indexed as

Public Health SurveillanceDeveloping CountriesDisease NotificationHumansPractice Patterns, Physicians'Private SectorBarriers and facilitatorsDisease surveillancePrivate-practitioners participation

Identifiers

PMID28841872
PMCPMC5574140

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.