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. 2021 Dec 6:40:206.
doi: 10.11604/pamj.2021.40.206.30715. eCollection 2021.

An evaluation of COVID-19 surveillance system in New Juaben South Municipality of Ghana: a cross-sectional study

Hectoria Awekeya  1   2 , Stephen Dajaan Dubik  3 , Kingsley Amegah  4 , Anthony Ashinyo  5 , Francis Wuobar  6 , Ekow Kaitoo  7 , Winfred Ofosu  8 , Mary Eyram Ashinyo  1   9
Affiliations

An evaluation of COVID-19 surveillance system in New Juaben South Municipality of Ghana: a cross-sectional study

Hectoria Awekeya et al. Pan Afr Med J. .

Abstract

Introduction: among others, the objectives of Ghana's COVID-19 surveillance system are to rapidly detect, test, isolate and manage cases, to monitor trends in COVID-19 deaths and to guide the implementation and adjustment of targeted control measures. We therefore aimed to examine the operations of the COVID-19 surveillance system in New Juaben South Municipality, describe its attributes and explore whether its objectives were being met.

Methods: we utilized a mixed method descriptive study design to evaluate the COVID-19 surveillance system in the New Juaben South Municipality of the Eastern Region of Ghana. Desk review and key informant interviews were carried out from 1st February to 31st March 2021 to measure nine surveillance system attributes as an approximation of its performance using the CDC's 2013 updated surveillance system guidelines.

Results: while the COVID-19 surveillance system in New Juaben South (NJS) was highly representative of its population, it was rated 'moderate' for its stability, flexibility, sensitivity and acceptability. The system was however characterized by a low performance on data quality, simplicity, timeliness and predictive value positive. The sensitivity and predictive value positive (PVP) of the system were 55.6% and 31.3% respectfully.

Conclusion: while the surveillance system is only partially meeting its objectives, it is useful in the COVID-19 response in New Juaben South Municipality. System performance could improve with stigma reduction especially among health care workers, timely testing and simplification of surveillance forms and software.

Keywords: COVID-19; Ghana; outbreak; pandemic; surveillance system evaluation.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Figure 1
Figure 1
flow of COVID-19 surveillance information in New Juaben South
See this image and copyright information in PMC

References

    1. Nsubuga P, White ME, Thacker SB, Anderson MA, Blount SB, Broome CV, et al. Disease control priorities in developing countries. 2nd edition 2006. Public health surveillance: a tool for targeting and monitoring interventions. - PubMed
    1. World Health Organization Coronavirus disease (COVID-19), situation report-116 Data as received by WHO from national authorities by 10 00 CEST, 29 June 2020. Accessed 3 July 2021.
    1. Ghana health service Ghana COVID-19 update. Accessed July 3 2021.
    1. Center for disease control and prevention Updated guidelines for evaluating public health surveillance systems: recommendations from the guidelines working group. MMWR. 2001;50(No. RR-13):1–35. - PubMed
    1. World Health Organization A framework for surveillance The WHO STEPwise approach to surveillance of noncommunicable diseases (STEPS) 2003.