What is the clinical evidence from this study?

Study design: Cross-Sectional. Population: Infectious disease surveillance (n=32). Intervention: Polio eradication initiative resources (AFP surveillance). Primary outcome: Proportion of countries using AFP resources for surveillance and response to other infectious diseases.

December 27, 2002BMC Public HealthOpen Access

Polio eradication initiative in Africa: influence on other infectious disease surveillance development

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Key result

Among 32 surveyed African countries, 78% utilized acute flaccid paralysis surveillance resources for the surveillance and response to other infectious diseases.

Population

38 African countries that regularly report on polio activities to WHO

Design

Cross-sectional

Authors

PNPeter NsubugaPublic Health Solutions SMSharon M. McDonnellCambridge University Hospitals NHS Foundation Trust BPBradley A. PerkinsFresenius Kabi (Czechia)

Discussion

Member takes

Implication

May inform efficient surveillance resource use in Africa; extends polio program utility evidence but remains hypothesis-generating.

Study Design

Type

Cross-Sectional (n=32)

Multicenter

Yes

Structured PICO

Population

32 African countries that regularly report on polio activities to WHO were surveyed to assess the integration of acute flaccid paralysis surveillance resources with other infectious disease surveillance.

Exposure

Polio eradication initiative resources (Acute Flaccid Paralysis [AFP] surveillance)

Outcome

Use of AFP resources for the surveillance and response to other infectious diseases

Resources provided for polio eradication in Africa are partially integrated into and improve surveillance for other priority infectious diseases.

Limitations

Unable to obtain responses from all targeted countries, potentially introducing non-response bias
Respondents reported on themselves and may have lacked objectivity
Potential bias due to respondents' future employment depending on supporting other control programs
Survey tool lacked questions on the acceptability of AFP surveillance and feasibility of IDSR
Did not evaluate the cost of IDSR or the cost to maintain infrastructure after polio eradication
Performance of AFP surveillance was determined solely by non-polio AFP rates
Unable to obtain responses from all targeted countries, potentially introducing bias
Respondents were reporting on themselves and could have lacked objectivity
Survey tool lacked questions on the acceptability of AFP surveillance and the feasibility/cost of IDSR
Performance of AFP surveillance programs was determined solely by non-polio AFP rates

Cite This Study

Nsubuga et al. (2002) conducted a cross-sectional in Infectious disease surveillance (n=32). Polio eradication initiative resources (AFP surveillance) was evaluated on Proportion of countries using AFP resources for surveillance and response to other infectious diseases. Among 32 surveyed African countries, 78% utilized acute flaccid paralysis surveillance resources for the surveillance and response to other infectious diseases.

synapsesocial.com/papers/6a86cd71d08104c969cb9151 https://doi.org/10.1186/1471-2458-2-27

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Polio eradication initiative in Africa: influence on other infectious disease surveillance development

Discussion

Member takes

Implication

Study Design

Structured PICO

Limitations

Cite This Study

Polio eradication initiative in Africa: influence on other infectious disease surveillance development

Discussion

Member takes

Implication

Study Design

Structured PICO

Limitations

Cite This Study

Also Consider

Also Consider