Assessment of the Chad guinea worm surveillance information system: A pivotal foundation for eradication.

Journal: PLoS neglected tropical diseases

Volume: 15

Issue: 8

Year of Publication: 2021

Affiliated Institutions:  Surveillance and Data Management Branch, Division of STD Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America. Guinea Worm Eradication Program, The Carter Center, Atlanta, Georgia, United States of America. Population Health Workforce Branch, Division of Scientific Education and Professional Development, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America. Guinea Worm Eradication Program, Ministry of Public Health and National Solidarity, N'Djamena, Chad. Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America. Parasitic Diseases Branch, Division of Parasitic Diseases and Malaria, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.

Abstract summary 

In the absence of a vaccine or pharmacological treatment, prevention and control of Guinea worm disease is dependent on timely identification and containment of cases to interrupt transmission. The Chad Guinea Worm Eradication Program (CGWEP) surveillance system detects and monitors Guinea worm disease in both humans and animals. Although Guinea worm cases in humans has declined, the discovery of canine infections in dogs in Chad has posed a significant challenge to eradication efforts. A foundational information system that supports the surveillance activities with modern data management practices is needed to support continued program efficacy.We sought to assess the current CGWEP surveillance and information system to identify gaps and redundancies and propose system improvements. We reviewed documentation, consulted with subject matter experts and stakeholders, inventoried datasets to map data elements and information flow, and mapped data management processes. We used the Information Value Cycle (IVC) and Data-Information System-Context (DISC) frameworks to help understand the information generated and identify gaps.Findings from this study identified areas for improvement, including the need for consolidation of forms that capture the same demographic variables, which could be accomplished with an electronic data capture system. Further, the mental models (conceptual frameworks) IVC and DISC highlighted the need for more detailed, standardized workflows specifically related to information management.Based on these findings, we proposed a four-phased roadmap for centralizing data systems and transitioning to an electronic data capture system. These included: development of a data governance plan, transition to electronic data entry and centralized data storage, transition to a relational database, and cloud-based integration. The method and outcome of this assessment could be used by other neglected tropical disease programs looking to transition to modern electronic data capture systems.

Authors & Co-authors:  Karki Saugat S Weiss Adam A Dcruz Jina J Hunt Dorothy D Haigood Brandon B Ouakou Philip Tchindebet PT Chop Elisabeth E Zirimwabagabo Hubert H Rubenstein Beth L BL Yerian Sarah S Roy Sharon L SL Kamb Mary L ML Guagliardo Sarah Anne J SAJ

Study Outcome 

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Statistics
Citations :  Hopkins DR, Ruiz-Tiben E, Weiss AJ, Roy SL, Zingeser J, Guagliardo SAJ. Progress Toward Global Eradication of Dracunculiasis—January 2017-June 2018. MMWR Morb Mortal Wkly Rep. 2018Nov16;67(45): 1265–1270. doi: 10.15585/mmwr.mm6745a3
Authors :  13
Identifiers
Doi : e0009675
SSN : 1935-2735
Study Population
Male,Female
Mesh Terms
Animals
Other Terms
Study Design
Study Approach
Country of Study
Guinea
Publication Country
United States