Driving towards malaria elimination in Botswana by 2018: progress on case-based surveillance, 2013–2014
Methods: This was a retrospective descriptive study based on routine data focusing on Ngami, Chobe and Okavango, three high-risk districts in Botswana. Aggregated data variables were extracted from the IDSR and compared with data from the CBS.
Results: The IDSR reported 456 malaria cases in 2013 and 1346 in 2014, of which respectively only 305 and 884 were reported by the CBS. The CBS reported 34% fewer cases than the IDSR system, indicating substantial differences between the two systems. The key malaria indicators with the greatest variability among the districts included in the study were case identification number and date of diagnosis.
Conclusion: The IDSR and CBS systems are essential for malaria elimination, as shown by the significant gaps in reporting between the two systems. These findings highlight the need for further investigation into these discrepancies. Strengthening the CBS system will help to reach the objective of malaria elimination in Botswana.
Document Type: Research Article
Affiliations: 1: National Malaria Programme, Ministry of Health, Gaborone, Botswana 2: Operational Centre Brussels, Médecins Sans Frontières (MSF), Luxembourg City, Luxembourg 3: Inter-Country Support Team, World Health Organization (WHO), Harare, Zimbabwe 4: WHO Country Office for Botswana, Gaborone, Botswana 5: Botswana University of Agriculture and Natural Resources, Gaborone, Botswana 6: International Union Against Tuberculosis and Lung Disease, Paris, France 7: International Union Against Tuberculosis and Lung Disease, Paris, France, Operational Centre Brussels, MSF, Luxembourg City, Luxembourg 8: Academic Model Providing Access to Healthcare (AMPATH), Eldoret, Kenya
Publication date: April 25, 2018
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