Skip to main content
padlock icon - secure page this page is secure

Open Access Three parallel information systems for malaria elimination in Swaziland, 2010–2015: are the numbers the same?

Download Article:
(PDF 112.7 kb)
Background: To be able to eliminate malaria, accurate, timely reporting and tracking of all confirmed malaria cases is crucial. Swaziland, a country in the process of eliminating malaria, has three parallel health information systems.

Design: This was a cross-sectional study using country-wide programme data from 2010 to 2015.

Methods: The Malaria Surveillance Database System (MSDS) is a comprehensive malaria database, the Immediate Disease Notification System (IDNS) is meant to provide early warning and trigger case investigations to prevent onward malaria transmission and potential epidemics, and the Health Management Information Systems (HMIS) reports on all morbidity at health facility level. Discrepancies were stratified by health facility level and type.

Results: Consistent over-reporting of 9–85% was noticed in the HMIS, principally at the primary health care level (clinic and/or health centre). In the IDNS, the discrepancy went from under-reporting (12%) to over-reporting (32%); this was also seen at the primary care level. At the hospital level, there was under-reporting in both the HMIS and IDNS.

Conclusions: There are considerable discrepancies in the numbers of confirmed malaria cases in the HMIS and IDNS in Swaziland. This may misrepresent the malaria burden and delay case investigation, predisposing the population to potential epidemics. There is an urgent need to improve data integrity in order to guide and evaluate efforts toward elimination.
No References
No Citations
No Supplementary Data
No Article Media
No Metrics

Keywords: Health Management Information Systems; SORT IT; malaria elimination; malaria reporting; malaria surveillance

Document Type: Research Article

Affiliations: 1: National Malaria Control Programme, Ministry of Health, Manzini, Swaziland 2: Academic Model Providing Access to Healthcare (AMPATH), Eldoret, Kenya 3: Ministry of Health, Mbabane, Swaziland 4: Epidemic, Preparedness and Response Unit, Ministry of Health, Ezulwini, Swaziland 5: Strategic Information Department, Ministry of Health, Mbabane, Swaziland 6: Global AIDS Interfaith Alliance, San Rafael, California, USA 7: Operational Centre Brussels, Médecins Sans Frontières, Luxembourg City, Luxembourg

Publication date: April 25, 2018

More about this publication?
  • Public Health Action (PHA), The Union's quarterly open access on-line journal, provides a platform for its mission 'Health solutions for the poor'. PHA addresses the need for show-casing operational research that addresses issues in health systems and services. It publishes high-quality scientific research that provides new knowledge to improve access, equity, quality and efficiency of health systems and services.

  • Editorial Board
  • Information for Authors
  • International Journal of Tuberculosis and Lung Disease
  • Public Health Action
  • Ingenta Connect is not responsible for the content or availability of external websites
  • Access Key
  • Free content
  • Partial Free content
  • New content
  • Open access content
  • Partial Open access content
  • Subscribed content
  • Partial Subscribed content
  • Free trial content
Cookie Policy
Cookie Policy
Ingenta Connect website makes use of cookies so as to keep track of data that you have filled in. I am Happy with this Find out more