ArticleGlobal health action2017
Evaluating the electronic tuberculosis register surveillance system in Eden District, Western Cape, South Africa, 2015.
Article in Global health action, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 23 citations in OpenAlex.
- The role of neighborhood factors in the cumulative number of episodes of recurrent tuberculosis in Cape Town.Journal of clinical tuberculosis and other mycobacterial diseases · 2026Article
- Evaluation of the National Tuberculosis Program and Tuberculosis Surveillance System, Jordan 2021.SAGE open medicine · 2024Article
- Structural barriers to implementing recommended tuberculosis preventive treatment in primary care clinics in rural South Africa.Global public health · 2022Article
- Assessment of facility-based tuberculosis data quality in an integrated HIV/TB database in three South African districts.PLOS global public health · 2022Article
- Evaluation of the National Tuberculosis Surveillance System in Sana'a, Yemen, 2018: Observational Study.JMIR public health and surveillance · 2021Observational
- Assessing the Quality of Reporting to China's National TB Surveillance Systems.International journal of environmental research and public health · 2021Article
- Assessing the feasibility of introducing an electronic health information system into Tuberculosis clinics and laboratories in Myanmar.Global health & medicine · 2020Article
- Use of Digital Technology to Enhance Tuberculosis Control: Scoping Review.Journal of medical Internet research · 2020Article
- Transition to an in-facility electronic Tuberculosis register: Lessons from a South African pilot project.Southern African journal of HIV medicine · 2020Article
- Regional changes in tuberculosis disease burden among adolescents in South Africa (2005-2015).PloS one · 2020Article
- Data quality of drug-resistant tuberculosis and antiretroviral therapy electronic registers in South Africa.BMC public health · 2019Article
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Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTuberculosis (TB) surveillance data are crucial to the effectiveness of National TB Control Programs. In South Africa, few surveillance system evaluations have been undertaken to provide a rigorous assessment of the platform from which the national and district health systems draws data to inform programs and policies.
objectiveEvaluate the attributes of Eden District's TB surveillance system, Western Cape Province, South Africa.
methodsData quality, sensitivity and positive predictive value were assessed using secondary data from 40,033 TB cases entered in Eden District's ETR.Net from 2007 to 2013, and 79 purposively selected TB Blue Cards (TBCs), a medical patient file and source document for data entered into ETR.Net. Simplicity, flexibility, acceptability, stability and usefulness of the ETR.Net were assessed qualitatively through interviews with TB nurses, information health officers, sub-district and district coordinators involved in the TB surveillance.
resultsTB surveillance system stakeholders report that Eden District's ETR.Net system was simple, acceptable, flexible and stable, and achieves its objective of informing TB control program, policies and activities. Data were less complete in the ETR.Net (66-100%) than in the TBCs (76-100%), and concordant for most variables except pre-treatment smear results, antiretroviral therapy (ART) and treatment outcome. The sensitivity of recorded variables in ETR.Net was 98% for gender, 97% for patient category, 93% for ART, 92% for treatment outcome and 90% for pre-treatment smear grading.
conclusionsOur results reveal that the system provides useful information to guide TB control program activities in Eden District. However, urgent attention is needed to address gaps in clinical recording on the TBC and data capturing into the ETR.Net system. We recommend continuous training and support of TB personnel involved with TB care, management and surveillance on TB data recording into the TBCs and ETR.Net as well as the implementation of a well-structured quality control and assurance system.
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