ArticleBMC public health2019
Evaluation of integrated disease surveillance and response (IDSR) core and support functions after the revitalisation of IDSR in Uganda from 2012 to 2016.
Article in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 6 of them syntheses that pooled it.
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Who cites it
35 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- Barriers and facilitators to the implementation of integrated disease surveillance and response (IDSR) in Africa: a systematic review using the consolidated framework for implementation research (CFIR).Frontiers in public health · 2026Pooled it
- Evaluation of cholera surveillance systems in Africa: a systematic review.Frontiers in epidemiology · 2024Pooled it
- The Landscape of Participatory Surveillance Systems Across the One Health Spectrum: Systematic Review.JMIR public health and surveillance · 2022Pooled it
- Development and validation of a framework to improve neglected tropical diseases surveillance and response at sub-national levels in Kenya.PLoS neglected tropical diseases · 2021Pooled it
- Pooled it
- Systematic review of Integrated Disease Surveillance and Response (IDSR) implementation in the African region.PloS one · 2021Pooled it
- What can LMICs learn from transition of Bihar's disease surveillance reporting from paper to portal?Dialogues in health · 2026Article
- Performance of Routine Disease Surveillance in Sub-Saharan Africa (2010-2024): A Systematic Review and Meta-Analysis of Core Reporting and Detection Indicators.Health science reports · 2026Review
- Effect of Supervision or Short Messages (SMS) on the Detection Rate of Diseases Under Surveillance in the Littoral Region of Cameroon: A Randomized Controlled Health Facility-Based Trial.Research and reports in tropical medicine · 2026Article
- Assessment of the National Disease Surveillance System in The Gambia, January 2025: best practices and lessons learned.The Pan African medical journal · 2025Article
- Ebola disease outbreak caused by the Sudan virus in Uganda, 2022: a descriptive epidemiological study.The Lancet. Global health · 2024Article
- Article
- Feasibility of introducing integrated disease surveillance and response into curricula of public health training institutions in Sierra Leone: the process and lessons learnt.Frontiers in public health · 2024Article
- Influences of community engagement and health system strengthening for cholera control in cholera reporting countries.BMJ global health · 2023Article
- Documenting the development, adoption and pre-ebola implementation of Liberia's integrated disease surveillance and response (IDSR) strategy.BMC public health · 2023Review
- Timeliness and completeness of weekly surveillance data reporting on epidemic prone diseases in Uganda, 2020-2021.BMC public health · 2023Article
- Improving disease surveillance data analysis, interpretation, and use at the district level in Tanzania.Global health action · 2022Article
- Innovative approach to monitor performance of integrated disease surveillance and response after the Ebola outbreak in Sierra Leone: lessons from the field.BMC health services research · 2022Article
- Recurrent Ebola outbreaks in the eastern Democratic Republic of the Congo: A wake-up call to scale up the integrated disease surveillance and response strategy.One health (Amsterdam, Netherlands) · 2022Article
- COVID-19 frontline primary health care professionals' perspectives on health system preparedness and response to the pandemic in the Mahalapye Health District, Botswana.African journal of primary health care & family medicine · 2022Article
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16 authors.
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Abstract
backgroundUganda is a low income country that continues to experience disease outbreaks caused by emerging and re-emerging diseases such as cholera, meningococcal meningitis, typhoid and viral haemorrhagic fevers. The Integrated Disease Surveillance and Response (IDSR) strategy was adopted by WHO-AFRO in 1998 as a comprehensive strategy to improve disease surveillance and response in WHO Member States in Africa and was adopted in Uganda in 2000. To address persistent inconsistencies and inadequacies in the core and support functions of IDSR, Uganda initiated an IDSR revitalisation programme in 2012. The objective of this evaluation was to assess IDSR core and support functions after implementation of the revitalised IDSR programme.
methodsThe evaluation was a cross-sectional survey that employed mixed quantitative and qualitative methods. We assessed IDSR performance indicators, knowledge acquisition, knowledge retention and level of confidence in performing IDSR tasks among health workers who underwent IDSR training. Qualitative data was collected to guide the interpretation of quantitative findings and to establish a range of views related to IDSR implementation.
resultsBetween 2012 and 2016, there was an improvement in completeness of monthly reporting (69 to 100%) and weekly reporting (56 to 78%) and an improvement in timeliness of monthly reporting (59 to 93%) and weekly reporting (40 to 68%) at the national level. The annualised non-polio AFP rate increased from 2.8 in 2012 to 3.7 cases per 100,000 population < 15 years in 2016. The case fatality rate for cholera decreased from 3.2% in 2012 to 2.1% in 2016. All districts received IDSR feedback from the national level. Key IDSR programme challenges included inadequate numbers of trained staff, inadequate funding, irregular supervision and high turnover of trained staff. Recommendations to improve IDSR performance included: improving funding, incorporating IDSR training into pre-service curricula for health workers and strengthening support supervision.
conclusionThe revitalised IDSR programme in Uganda was associated with improvements in performance. However in 2016, the programme still faced significant challenges and some performance indicators were still below the target. It is important that the documented gains are consolidated and challenges are continuously identified and addressed as they emerge.
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