Evidence map›Paper›PMID 30760259›Full record

ArticleBMC health services research2019

Healthcare workers' experiences regarding scaling up of training on integrated disease surveillance and response (IDSR) in Uganda, 2016: cross sectional qualitative study.

Lydia Nakiire, Ben Masiira, Christine Kihembo, Edson Katushabe, Nasan Natseri, Immaculate Nabukenya, Innocent Komakech, Issa Makumbi, Okot Charles, Francis Adatu and 7 more

Open access · goldAbstract read
In one paragraph

Article in BMC health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
4.3field-weighted citation impact, top 5% of its field
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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 44 citations in OpenAlex.

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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

17 authors at 4 institutions in 3 countries.

Lydia NakiirePublic Health Emergency Operation Centre, Ministry of Health, P.O BOX 7072, Kampala, Uganda. lydianakiire807@gmail.com.ORCID http://orcid.org/0000-0002-5633-8014
Ben MasiiraEpidemiology and Surveillance Division, Ministry of Health Kampala, Kampala, Uganda.
Christine KihemboEpidemiology and Surveillance Division, Ministry of Health Kampala, Kampala, Uganda.
Edson KatushabeWorld Health Organization, Country Office, Kampala, Uganda.
Nasan NatseriWorld Health Organization, Country Office, Kampala, Uganda.
Immaculate NabukenyaEpidemiology and Surveillance Division, Ministry of Health Kampala, Kampala, Uganda.
Innocent KomakechWorld Health Organization, Country Office, Kampala, Uganda.
Issa MakumbiPublic Health Emergency Operation Centre, Ministry of Health, P.O BOX 7072, Kampala, Uganda.
Okot CharlesWorld Health Organization, Country Office, Kampala, Uganda.
Francis AdatuMinistry of Health, Kampala, Uganda.
Miriam NanyunjaWorld Health Organization, Country Office, Kampala, Uganda.
Peter NsubugaGlobal Public Health Solutions Inc, Atlanta, Georgia, USA.
Solomon Fisseha WoldetsadikWorld Health Organization Africa Regional Office, Brazzaville, Congo.
Patrick TusiimeNational Disease Control, Ministry of Health, Kampala, Uganda.
Ali Ahmed YahayaWorld Health Organization Africa Regional Office, Brazzaville, Congo.
Ibrahima Socé FallWorld Health Organization Africa Regional Office, Brazzaville, Congo.
Alemu WondimagegnehuWorld Health Organization Africa Regional Office, Brazzaville, Congo.
Ministry of Health · UGWorld Health Organization - Uganda · UGWorld Health Organization Regional Office for Africa · CGPublic Health Solutions · US

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundThe Integrated Disease Surveillance and Response (IDSR) strategy was adopted as the framework for implementation of International Health Regulation (2005) in the African region of World Health Organisation (WHO AFRO). While earlier studies documented gains in performance of core IDSR functions, Uganda still faces challenges due to infectious diseases. IDSR revitalisation programme aimed to improve prevention, early detection, and prompt response to disease outbreaks. However, little is known about health worker's perception of the revitalised IDSR training.

methodsWe conducted focus group discussions of health workers who were trained between 2015 and 2016. Discussions on benefits, challenges and possible solutions for improvement of IDSR training were recorded, transcribed, translated and coded using grounded theory.

resultsIn total, 22/26 FGDs were conducted. Participants cited improved completeness and timeliness of reporting, case detection and data analysis and better response to disease outbreaks as key achievements after the training. Programme challenges included an inadequate number of trained staff, funding, irregular supervision, high turnover of trained health workers, and lack of key logistics. Suggestions to improve IDSR included pre-service and community training, mentorship, regular supervision and improving funding at the district level.

conclusionHealth workers perceived that scaling up revitalized IDSR training in Uganda improved public health surveillance. However, they acknowledge encountering challenges that hinder their performance after the training. Ministry of Health should have a mentorship plan, integrate IDSR training in pre-service curricula and advocate for funding IDSR activities to address some of the gaps highlighted in this study.

Indexed as

AdultAttitude of Health PersonnelCommunicable Disease ControlCommunicable DiseasesCross-Sectional StudiesDisease OutbreaksFemaleHealth PersonnelHumansInservice TrainingMaleProfessional PracticePublic Health SurveillanceUgandaWorld Health OrganizationExperienceHealthcare workersSurveillanceTrainingUganda

Identifiers

PMID30760259
PMCPMC6374884
OpenAlexW2924446963

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.