Evidence map›Paper›PMID 40228314›Full record

ArticleJMIR public health and surveillance2025

Scaling Up and Enhancing the Functionality of the Electronic Integrated Diseases Surveillance and Response System in Uganda, 2020-2022: Description of the Journey, Challenges, and Lessons Learned.

Rodney Mugasha, Andrew Kwiringira, Vivian Ntono, Lydia Nakiire, Immaculate Ayebazibwe, Caroline Kyozira, Allan Niyonzima Muruta, Juliet Namugga Kasule, Dathan M Byonanebye, Judith Nanyondo and 3 more

Abstract read
In one paragraph

Article in JMIR public health and surveillance, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
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

13 authors.

Rodney MugashaInfectious Diseases Institute, College of Health Sciences, Makerere University, McKinnel Knowledge Center, 2 Hall Lane, Kampala, 10207, Uganda, 256 0776985284.ORCID 0000-0002-3628-0003
Andrew KwiringiraInfectious Diseases Institute, College of Health Sciences, Makerere University, McKinnel Knowledge Center, 2 Hall Lane, Kampala, 10207, Uganda, 256 0776985284.ORCID 0000-0002-1458-9755
Vivian NtonoInfectious Diseases Institute, College of Health Sciences, Makerere University, McKinnel Knowledge Center, 2 Hall Lane, Kampala, 10207, Uganda, 256 0776985284.ORCID 0000-0001-5881-7388
Lydia NakiireInfectious Diseases Institute, College of Health Sciences, Makerere University, McKinnel Knowledge Center, 2 Hall Lane, Kampala, 10207, Uganda, 256 0776985284.ORCID 0000-0002-5633-8014
Immaculate AyebazibweHealth Information Systems Program Uganda, Kampala, Uganda.ORCID 0000-0002-5066-6260
Caroline KyoziraIntegrated Epidemiology, Surveillance, and Public Health Emergencies Department, Ministry of Health Uganda, Kampala, Uganda.ORCID 0000-0003-4066-0436
Allan Niyonzima MurutaIntegrated Epidemiology, Surveillance, and Public Health Emergencies Department, Ministry of Health Uganda, Kampala, Uganda.ORCID 0009-0003-2968-8881
Juliet Namugga KasuleDivision of Global Health Protection, Center for Global Health, Centers for Disease Control and Prevention, Kampala, Uganda.ORCID 0000-0001-7192-0750
Dathan M ByonanebyeInfectious Diseases Institute, College of Health Sciences, Makerere University, McKinnel Knowledge Center, 2 Hall Lane, Kampala, 10207, Uganda, 256 0776985284.ORCID 0000-0001-9862-4724
Judith NanyondoInfectious Diseases Institute, College of Health Sciences, Makerere University, McKinnel Knowledge Center, 2 Hall Lane, Kampala, 10207, Uganda, 256 0776985284.ORCID 0000-0001-9811-1128
Richard WalwemaInfectious Diseases Institute, College of Health Sciences, Makerere University, McKinnel Knowledge Center, 2 Hall Lane, Kampala, 10207, Uganda, 256 0776985284.ORCID 0000-0003-0870-9009
Francis KakoozaInfectious Diseases Institute, College of Health Sciences, Makerere University, McKinnel Knowledge Center, 2 Hall Lane, Kampala, 10207, Uganda, 256 0776985284.ORCID 0000-0003-4047-6620
Mohammed LamordeInfectious Diseases Institute, College of Health Sciences, Makerere University, McKinnel Knowledge Center, 2 Hall Lane, Kampala, 10207, Uganda, 256 0776985284.ORCID 0000-0003-2218-6822

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Unlabelled: In 2017, Uganda implemented an electronic Integrated Disease Surveillance and Response System (eIDSR) to improve data completeness and reporting timelines. However, the eIDSR system had limited functionality and was implemented on a small scale. The Ministry of Health, with support from the Infectious Disease Institute, Makerere University, and Health Information Systems Program Uganda, upgraded the system functionality and scaled up its implementation. This study describes the process and impact of upgrading eIDSR functionality and expanding its implementation across additional districts. The Ministry of Health, through its Integrated Epidemiology, Surveillance & Public Health Emergency Department, coordinated the implementation of the eIDSR. User requirements were identified through consultations with national surveillance stakeholders. The feedback informed the design and development of the upgraded eIDSR functionalities. The eIDSR rollout followed a consultative workshop to create awareness of the system among stakeholders. A curriculum was developed, and a national training of trainers was conducted. These trainers cascaded the training to the district health teams, who later cascaded the training to health workers. The training adopted an on-site training approach, where a group of national or district trainers would train new users at their desks. The eIDSR system was upgraded to the District Health Information Software 2 (DHIS2) 2.35 platform featuring faster reading and writing tracker data, handling over 100 concurrent users and enhanced case-based surveillance features on Android and web platforms. From October 2020 to September 2022, the eIDSR was rolled out in 68% (100/146) of districts. Additionally, the system permitted prompt reporting of signals of epidemic-prone diseases. Improving the functionality and the expanded geographical scope of the eIDSR system enhanced disease surveillance. Stakeholder commitment and leveraging existing structures will be needed to scale up eIDSR.

Indexed as

Population SurveillancePublic Health SurveillanceHumansUgandadigital healthdigital surveillance systemsdisease surveillanceeHealtheIDSRelectronic Integrated Disease Surveillance and Responsehealth workerpublic healthtraining of trainersUganda

Identifiers

PMID40228314
PMCPMC12011313

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.