Public health surveillance systems are essential for monitoring diseases and managing health crises efficiently. In Senegal, such systems have been established but their effectiveness in terms of adoption by healthcare providers remains unclear. A randomized field trial was conducted with 200 healthcare providers from various settings across Senegal. Participants were randomly assigned to either an intervention group (adopting the surveillance system) or a control group (no change). Data on adoption rates, barriers, and facilitators were collected using a structured questionnaire. Among the participants, 75% reported adopting the public health surveillance system within six months of its introduction. The most common reasons for non-adoption included perceived lack of benefits and insufficient training resources. The randomized field trial demonstrated that adoption rates can be effectively measured using a structured methodology. These findings provide critical insights into enhancing the implementation of such systems in public health settings. Healthcare managers should prioritise addressing identified barriers to adoption, particularly through targeted training programmes and resource allocation. Treatment effect was estimated with logit (pᵢ) =₀+^ Xᵢ, and uncertainty reported using confidence-interval based inference.
Oumar Ngom (Sun,) studied this question.