Evaluation of Surviellance System

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A full report on evaluation of:

Measles surveillance in context of Disease Early Warning System (DEWS), Afghan Public Health Institute (APHI), Ministry of Public Health (MoPH) Afghanistan

By

Dr. Khwaja Mir Islam Saeed, Acting Director Public Health and Management Training Department, APHI, MoPH Third cohort Field Epidemiology and Laboratory Training Program (FELTP), National Institute of Health (NIH), Pakistan

November-December 2009

Introduction
As a requirement of field epidemiology and laboratory training program (FELTP), fellows are asked to evaluate and surveillance system of their country using updated guidelines for evaluation of public health surveillance system which is develop by CDC- HHS. The evaluation of the surveillance will identify the shortcomings and will provide recommendations to improve the system and strengthen the effectiveness and efficiency of the system. In order to apply the guidelines, Disease Early Warning System (DEWS) which is sentinel based surveillance system was selected for this purpose It should be mentioned that this document is focusing on measles surveillance in the context of DEWS.

Background
After establishment of new government and fall of Taliban regimen the efforts have been continuing to reinforce and expand the existing health system and just reconsider and refine the priorities of the health system. The main health priorities have been summarized in two main documents of Ministry of Public Health which are Basic Package of Healthcare Services (BPHS) for primary healthcare services and Essential Package of Hospital Services which is mostly for secondary and tertiary care. Strengthening and rebuilding the health infrastructure is leaded to new policies and strategies to deal with health related events including communicable and vaccine preventable diseases equitably. Generally vaccine preventable diseases in children including measles have been one of top priority in the country and scattered...
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