Public health surveillance systems are critical for monitoring disease prevalence and guiding intervention strategies in Uganda. However, their effectiveness can be influenced by various factors at different levels. We employed a multilevel logistic regression model to analyse data from multiple sources, including national surveys and hospital records. The model accounts for both individual patient-level characteristics (e. g. , age, sex) and regional-level effects (e. g. , climate, healthcare infrastructure). The analysis revealed significant geographical variations in disease prevalence rates with a 15% higher incidence in rural areas compared to urban regions. Our multilevel regression approach provides insights into the complex interplay of factors affecting clinical outcomes within public health surveillance systems, offering a robust method for system evaluation and intervention planning. Public health officials should prioritise resource allocation based on geographical data to optimise disease control efforts across Uganda. public health surveillance, multilevel regression analysis, clinical outcomes, Uganda Treatment effect was estimated with logit (pᵢ) =₀+^ Xᵢ, and uncertainty reported using confidence-interval based inference.
Mukasa et al. (2013) studied this question.