ArticleHealth security2020
Implementing Nationwide Facility-based Electronic Disease Surveillance in Sierra Leone: Lessons Learned.
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Article in Health security, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
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17citing papers in PubMed, 2 pooled it
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Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 30 citations in OpenAlex.
- 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
- Availability of published evidence on coverage, cost components, and funding support for digitalisation of infectious disease surveillance in Africa, 2003-2022: a systematic review.BMC public health · 2024Pooled it
- Implementing mHealth Interventions in a Resource-Constrained Setting: Case Study From Uganda.JMIR mHealth and uHealth · 2020Trial
- Beyond Training: Systems Framework for Sustainable Health Informatics Investment in Africa.JMIR public health and surveillance · 2026Article
- Health-system barriers and missed opportunities in cardiovascular care in Sierra Leone: a scoping review.Communications medicine · 2026Article
- Acute febrile illness in remote and rural communities: Perspectives of health providers and managers in Chattogram, Bangladesh.SSM - health systems · 2025Article
- Fast-tracking international health regulations in Sierra Leone through implementation of the third edition of Integrated Disease Surveillance and Response (IDSR) guidelines during COVID-19 pandemic, 2019-2021: a mixed methods study.BMC health services research · 2025Article
- Development and implementation of a digital clinical decision support system to increase the quality of primary healthcare delivery in a refugee setting in Chad.BMC primary care · 2025Article
- Scaling up of electronic case-based disease surveillance reporting for COVID-19 and other notifiable diseases through capacity building and antigen RDT provision: a case study of Sierra Leone.Frontiers in public health · 2025Article
- Project design and technology trade-offs for implementing a large-scale sexual and reproductive health mHealth intervention: Lessons from Sierra Leone.Frontiers in digital health · 2023Article
- Extending and Strengthening Routine DHIS2 Surveillance Systems for COVID-19 Responses in Sierra Leone, Sri Lanka, and Uganda.Emerging infectious diseases · 2022Review
- 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
- After action review of the response to an outbreak of Lassa fever in Sierra Leone, 2019: Best practices and lessons learnt.PLoS neglected tropical diseases · 2022Article
- Electronic reporting of integrated disease surveillance and response: lessons learned from northeast, Nigeria, 2019.BMC public health · 2021Article
- Implementation of DHIS2 for Disease Surveillance in Guinea: 2015-2020.Frontiers in public health · 2021Article
- Lessons Learned in Global Health Security Implementation.Health security · 2020Article
- From the grassroots up: Redefining Public Health Surveillance in Nigeria through Community Action Networks.Nigerian medical journal : journal of the Nigeria Medical AssociationReview
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Authors and funding
11 authors at 1 institution in 3 countries.
Daniel W MartinDaniel W. Martin, MSPH, is an Epidemiologist, and Michelle L. Sloan, MA, is a Health Scientist; both in the Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, GA. Brigette L. Gleason, MD, is Surveillance and Program Lead; Ansumana Kamara is a Public Health Specialist; and Tushar Singh, MD, PhD, is Country Director; all in the CDC Sierra Leone Country Office, Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Freetown, Sierra Leone. Les de Wit, MIntDev, is Information Systems Manager, Global Health Informatics, and Nelson Clemens, MBA, is eIDSR Project Coordinator, Disease Surveillance Systems; both with eHealth Africa, Freetown, Sierra Leone. Mohamed Alex Vandi, MD, is Director of Health Security and Emergencies, Ministry of Health and Sanitation, Freetown, Sierra Leone. David K. Kargbo is with the Ministry of Health and Sanitation, Freetown, Sierra Leone. Charles Njuguna, PhD, is Health Security and Emergency Cluster Lead, and Stephen Sesay is Data Manager/GIS Analyst; both with the World Health Organization, Freetown, Sierra Leone. The views expressed are the authors' own and do not necessarily represent the views of the Centers for Disease Control and Prevention, the US government, or the World Health Organization.
Michelle L SloanDaniel W. Martin, MSPH, is an Epidemiologist, and Michelle L. Sloan, MA, is a Health Scientist; both in the Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, GA. Brigette L. Gleason, MD, is Surveillance and Program Lead; Ansumana Kamara is a Public Health Specialist; and Tushar Singh, MD, PhD, is Country Director; all in the CDC Sierra Leone Country Office, Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Freetown, Sierra Leone. Les de Wit, MIntDev, is Information Systems Manager, Global Health Informatics, and Nelson Clemens, MBA, is eIDSR Project Coordinator, Disease Surveillance Systems; both with eHealth Africa, Freetown, Sierra Leone. Mohamed Alex Vandi, MD, is Director of Health Security and Emergencies, Ministry of Health and Sanitation, Freetown, Sierra Leone. David K. Kargbo is with the Ministry of Health and Sanitation, Freetown, Sierra Leone. Charles Njuguna, PhD, is Health Security and Emergency Cluster Lead, and Stephen Sesay is Data Manager/GIS Analyst; both with the World Health Organization, Freetown, Sierra Leone. The views expressed are the authors' own and do not necessarily represent the views of the Centers for Disease Control and Prevention, the US government, or the World Health Organization.
Brigette L GleasonDaniel W. Martin, MSPH, is an Epidemiologist, and Michelle L. Sloan, MA, is a Health Scientist; both in the Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, GA. Brigette L. Gleason, MD, is Surveillance and Program Lead; Ansumana Kamara is a Public Health Specialist; and Tushar Singh, MD, PhD, is Country Director; all in the CDC Sierra Leone Country Office, Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Freetown, Sierra Leone. Les de Wit, MIntDev, is Information Systems Manager, Global Health Informatics, and Nelson Clemens, MBA, is eIDSR Project Coordinator, Disease Surveillance Systems; both with eHealth Africa, Freetown, Sierra Leone. Mohamed Alex Vandi, MD, is Director of Health Security and Emergencies, Ministry of Health and Sanitation, Freetown, Sierra Leone. David K. Kargbo is with the Ministry of Health and Sanitation, Freetown, Sierra Leone. Charles Njuguna, PhD, is Health Security and Emergency Cluster Lead, and Stephen Sesay is Data Manager/GIS Analyst; both with the World Health Organization, Freetown, Sierra Leone. The views expressed are the authors' own and do not necessarily represent the views of the Centers for Disease Control and Prevention, the US government, or the World Health Organization.
Les de WitDaniel W. Martin, MSPH, is an Epidemiologist, and Michelle L. Sloan, MA, is a Health Scientist; both in the Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, GA. Brigette L. Gleason, MD, is Surveillance and Program Lead; Ansumana Kamara is a Public Health Specialist; and Tushar Singh, MD, PhD, is Country Director; all in the CDC Sierra Leone Country Office, Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Freetown, Sierra Leone. Les de Wit, MIntDev, is Information Systems Manager, Global Health Informatics, and Nelson Clemens, MBA, is eIDSR Project Coordinator, Disease Surveillance Systems; both with eHealth Africa, Freetown, Sierra Leone. Mohamed Alex Vandi, MD, is Director of Health Security and Emergencies, Ministry of Health and Sanitation, Freetown, Sierra Leone. David K. Kargbo is with the Ministry of Health and Sanitation, Freetown, Sierra Leone. Charles Njuguna, PhD, is Health Security and Emergency Cluster Lead, and Stephen Sesay is Data Manager/GIS Analyst; both with the World Health Organization, Freetown, Sierra Leone. The views expressed are the authors' own and do not necessarily represent the views of the Centers for Disease Control and Prevention, the US government, or the World Health Organization.
Mohamed Alex VandiDaniel W. Martin, MSPH, is an Epidemiologist, and Michelle L. Sloan, MA, is a Health Scientist; both in the Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, GA. Brigette L. Gleason, MD, is Surveillance and Program Lead; Ansumana Kamara is a Public Health Specialist; and Tushar Singh, MD, PhD, is Country Director; all in the CDC Sierra Leone Country Office, Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Freetown, Sierra Leone. Les de Wit, MIntDev, is Information Systems Manager, Global Health Informatics, and Nelson Clemens, MBA, is eIDSR Project Coordinator, Disease Surveillance Systems; both with eHealth Africa, Freetown, Sierra Leone. Mohamed Alex Vandi, MD, is Director of Health Security and Emergencies, Ministry of Health and Sanitation, Freetown, Sierra Leone. David K. Kargbo is with the Ministry of Health and Sanitation, Freetown, Sierra Leone. Charles Njuguna, PhD, is Health Security and Emergency Cluster Lead, and Stephen Sesay is Data Manager/GIS Analyst; both with the World Health Organization, Freetown, Sierra Leone. The views expressed are the authors' own and do not necessarily represent the views of the Centers for Disease Control and Prevention, the US government, or the World Health Organization.
David K KargboDaniel W. Martin, MSPH, is an Epidemiologist, and Michelle L. Sloan, MA, is a Health Scientist; both in the Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, GA. Brigette L. Gleason, MD, is Surveillance and Program Lead; Ansumana Kamara is a Public Health Specialist; and Tushar Singh, MD, PhD, is Country Director; all in the CDC Sierra Leone Country Office, Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Freetown, Sierra Leone. Les de Wit, MIntDev, is Information Systems Manager, Global Health Informatics, and Nelson Clemens, MBA, is eIDSR Project Coordinator, Disease Surveillance Systems; both with eHealth Africa, Freetown, Sierra Leone. Mohamed Alex Vandi, MD, is Director of Health Security and Emergencies, Ministry of Health and Sanitation, Freetown, Sierra Leone. David K. Kargbo is with the Ministry of Health and Sanitation, Freetown, Sierra Leone. Charles Njuguna, PhD, is Health Security and Emergency Cluster Lead, and Stephen Sesay is Data Manager/GIS Analyst; both with the World Health Organization, Freetown, Sierra Leone. The views expressed are the authors' own and do not necessarily represent the views of the Centers for Disease Control and Prevention, the US government, or the World Health Organization.
Nelson ClemensDaniel W. Martin, MSPH, is an Epidemiologist, and Michelle L. Sloan, MA, is a Health Scientist; both in the Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, GA. Brigette L. Gleason, MD, is Surveillance and Program Lead; Ansumana Kamara is a Public Health Specialist; and Tushar Singh, MD, PhD, is Country Director; all in the CDC Sierra Leone Country Office, Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Freetown, Sierra Leone. Les de Wit, MIntDev, is Information Systems Manager, Global Health Informatics, and Nelson Clemens, MBA, is eIDSR Project Coordinator, Disease Surveillance Systems; both with eHealth Africa, Freetown, Sierra Leone. Mohamed Alex Vandi, MD, is Director of Health Security and Emergencies, Ministry of Health and Sanitation, Freetown, Sierra Leone. David K. Kargbo is with the Ministry of Health and Sanitation, Freetown, Sierra Leone. Charles Njuguna, PhD, is Health Security and Emergency Cluster Lead, and Stephen Sesay is Data Manager/GIS Analyst; both with the World Health Organization, Freetown, Sierra Leone. The views expressed are the authors' own and do not necessarily represent the views of the Centers for Disease Control and Prevention, the US government, or the World Health Organization.
Ansumana KamaraDaniel W. Martin, MSPH, is an Epidemiologist, and Michelle L. Sloan, MA, is a Health Scientist; both in the Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, GA. Brigette L. Gleason, MD, is Surveillance and Program Lead; Ansumana Kamara is a Public Health Specialist; and Tushar Singh, MD, PhD, is Country Director; all in the CDC Sierra Leone Country Office, Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Freetown, Sierra Leone. Les de Wit, MIntDev, is Information Systems Manager, Global Health Informatics, and Nelson Clemens, MBA, is eIDSR Project Coordinator, Disease Surveillance Systems; both with eHealth Africa, Freetown, Sierra Leone. Mohamed Alex Vandi, MD, is Director of Health Security and Emergencies, Ministry of Health and Sanitation, Freetown, Sierra Leone. David K. Kargbo is with the Ministry of Health and Sanitation, Freetown, Sierra Leone. Charles Njuguna, PhD, is Health Security and Emergency Cluster Lead, and Stephen Sesay is Data Manager/GIS Analyst; both with the World Health Organization, Freetown, Sierra Leone. The views expressed are the authors' own and do not necessarily represent the views of the Centers for Disease Control and Prevention, the US government, or the World Health Organization.
Charles NjugunaDaniel W. Martin, MSPH, is an Epidemiologist, and Michelle L. Sloan, MA, is a Health Scientist; both in the Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, GA. Brigette L. Gleason, MD, is Surveillance and Program Lead; Ansumana Kamara is a Public Health Specialist; and Tushar Singh, MD, PhD, is Country Director; all in the CDC Sierra Leone Country Office, Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Freetown, Sierra Leone. Les de Wit, MIntDev, is Information Systems Manager, Global Health Informatics, and Nelson Clemens, MBA, is eIDSR Project Coordinator, Disease Surveillance Systems; both with eHealth Africa, Freetown, Sierra Leone. Mohamed Alex Vandi, MD, is Director of Health Security and Emergencies, Ministry of Health and Sanitation, Freetown, Sierra Leone. David K. Kargbo is with the Ministry of Health and Sanitation, Freetown, Sierra Leone. Charles Njuguna, PhD, is Health Security and Emergency Cluster Lead, and Stephen Sesay is Data Manager/GIS Analyst; both with the World Health Organization, Freetown, Sierra Leone. The views expressed are the authors' own and do not necessarily represent the views of the Centers for Disease Control and Prevention, the US government, or the World Health Organization.
Stephen SesayDaniel W. Martin, MSPH, is an Epidemiologist, and Michelle L. Sloan, MA, is a Health Scientist; both in the Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, GA. Brigette L. Gleason, MD, is Surveillance and Program Lead; Ansumana Kamara is a Public Health Specialist; and Tushar Singh, MD, PhD, is Country Director; all in the CDC Sierra Leone Country Office, Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Freetown, Sierra Leone. Les de Wit, MIntDev, is Information Systems Manager, Global Health Informatics, and Nelson Clemens, MBA, is eIDSR Project Coordinator, Disease Surveillance Systems; both with eHealth Africa, Freetown, Sierra Leone. Mohamed Alex Vandi, MD, is Director of Health Security and Emergencies, Ministry of Health and Sanitation, Freetown, Sierra Leone. David K. Kargbo is with the Ministry of Health and Sanitation, Freetown, Sierra Leone. Charles Njuguna, PhD, is Health Security and Emergency Cluster Lead, and Stephen Sesay is Data Manager/GIS Analyst; both with the World Health Organization, Freetown, Sierra Leone. The views expressed are the authors' own and do not necessarily represent the views of the Centers for Disease Control and Prevention, the US government, or the World Health Organization.
Tushar SinghDaniel W. Martin, MSPH, is an Epidemiologist, and Michelle L. Sloan, MA, is a Health Scientist; both in the Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, GA. Brigette L. Gleason, MD, is Surveillance and Program Lead; Ansumana Kamara is a Public Health Specialist; and Tushar Singh, MD, PhD, is Country Director; all in the CDC Sierra Leone Country Office, Division of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Freetown, Sierra Leone. Les de Wit, MIntDev, is Information Systems Manager, Global Health Informatics, and Nelson Clemens, MBA, is eIDSR Project Coordinator, Disease Surveillance Systems; both with eHealth Africa, Freetown, Sierra Leone. Mohamed Alex Vandi, MD, is Director of Health Security and Emergencies, Ministry of Health and Sanitation, Freetown, Sierra Leone. David K. Kargbo is with the Ministry of Health and Sanitation, Freetown, Sierra Leone. Charles Njuguna, PhD, is Health Security and Emergency Cluster Lead, and Stephen Sesay is Data Manager/GIS Analyst; both with the World Health Organization, Freetown, Sierra Leone. The views expressed are the authors' own and do not necessarily represent the views of the Centers for Disease Control and Prevention, the US government, or the World Health Organization.
World Health Organization - Pakistan · PK
Funding
Intramural CDC HHS CC999999World Health Organization 001
Abstract
The Global Health Security Agenda aims to improve countries' ability to prevent, detect, and respond to infectious disease threats by building or strengthening core capacities required by the International Health Regulations (2005). One of those capacities is the development of surveillance systems to rapidly detect and respond to occurrences of diseases with epidemic potential. Since 2015, the US Centers for Disease Control and Prevention (CDC) has worked with partners in Sierra Leone to assist the Ministry of Health and Sanitation in developing an Integrated Disease Surveillance and Response (IDSR) system. Beginning in 2016, CDC, in collaboration with the World Health Organization and eHealth Africa, has supported the ministry in the development of Android device mobile data entry at the health facility for electronic IDSR (eIDSR), also known as health facility-based eIDSR. Health facility-based eIDSR was introduced via a pilot program in 1 district, and national rollout began in 2018. With more than 1,100 health facilities now reporting, the Sierra Leone eIDSR system is substantially larger than most mobile-device health (mHealth) projects found in the literature. Several technical innovations contributed to the success of health facility-based eIDSR in Sierra Leone. Among them were data compression and dual-mode (internet and text) message transmission to mitigate connectivity issues, user interface design tailored to local needs, and a continuous-feedback process to iteratively detect user or system issues and remediate challenges identified. The resultant system achieved high user acceptance and demonstrated the feasibility of an mHealth-based surveillance system implemented on a national scale.
Indexed as
Centers for Disease Control and Prevention, U.S.Communicable DiseasesComputers, HandheldData CollectionHealth FacilitiesHumansInternetPopulation SurveillanceSierra LeoneTelemedicineUnited StatesCommunicable disease controlDisease notificationGlobal health security implementationInternational Health RegulationsPopulation surveillance
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