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. 2025 Apr 14:11:e59783.
doi: 10.2196/59783.

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  1 , Andrew Kwiringira  1 , Vivian Ntono  1 , Lydia Nakiire  1 , Immaculate Ayebazibwe  2 , Caroline Kyozira  3 , Allan Niyonzima Muruta  3 , Juliet Namugga Kasule  4 , Dathan M Byonanebye  1 , Judith Nanyondo  1 , Richard Walwema  1 , Francis Kakooza  1 , Mohammed Lamorde  1
Affiliations

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 et al. JMIR Public Health Surveill. .

Abstract

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.

Keywords: digital surveillance systems; Uganda; digital health; disease surveillance; eHealth; eIDSR; electronic Integrated Disease Surveillance and Response; health worker; public health; training of trainers.

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Conflict of interest statement

Conflicts of Interest: None declared.

Figures

Figure 1.
Figure 1.. Road map of Uganda's surveillance system since 2000. eIDSR: electronic Integrated Disease Surveillance and Response; IDSR: Integrated Disease Surveillance and Response; WHO JEE: World Health Organization Joint External Evaluation.
Figure 2.
Figure 2.. The electronic Integrated Disease Surveillance and Response (eIDSR) implementation approach in Uganda, 2020-2022. ADHO: assistant district health officer; CAO: chief administrative officer; CME: continuing medical education; DHE: district health educator; DHO: district health officer; DLFP: district laboratory focal person; DSFP: district surveillance focal person; HCW: health care worker; PHEOC: Public Health Emergency Operations Center; VLE: virtual learning environment.
Figure 3.
Figure 3.. Coverage of the electronic Integrated Disease Surveillance and Response (eIDSR) phase 1 and phase 2 training in Uganda, 2020-2022.
See this image and copyright information in PMC

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