From diagnosis to case investigation for malaria elimination in Swaziland: is reporting and response timely?
Methods: A cross-sectional study using routine country-wide data.
Results: Of 1991 malaria cases notified between July 2011 and June 2015, 76% were reported in the IDNS, of which 68% were investigated—a shortfall of 24% in reporting and 32% in case investigations. Of the 76% of cases reported through the IDNS, 62% were reported within 24 h and 20% were investigated within 48 h. These shortcomings were most pronounced in hospitals and private facilities. Investigated cases (n = 1346) were classified as follows: 60% imported, 35% local and 5% undetermined.
Conclusion: The utilisation of the IDNS for case reporting to trigger investigation is crucial for active surveillance. There is a need to address the reporting and investigation gaps identified to ensure that malaria cases receive appropriate interventions.
Document Type: Research Article
Affiliations: 1: National Malaria Control Programme, Ministry of Health (MoH), Mbabane, Swaziland 2: Global AIDS Interfaith Alliance, San Rafael, California, USA 3: Clinton Health Access Initiative, Mbabane, Swaziland 4: Academic Model Providing Access to Healthcare (AMPATH), Eldoret, Kenya 5: National Tuberculosis Control Programme, MoH, Mbabane, Swaziland 6: World Health Organization Country Office for Swaziland, Mbabane, Swaziland 7: Médecins Sans Frontières, Luxembourg, Luxembourg
Publication date: April 25, 2018
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