EXPANDED SURVEILLANCE ACTIVITITES

1. Weekly HMIS Reporting in KABAROLE DISTRICT,
Nov 2019-Jan 2020
Mathias Tumwebaze
DSFP -Kabarole

2. Presentation outline
• Kabarole district profile
• Introduction
• objectives
• Methods
• Findings
• Conclusions & Recommendations
• Acknowledgment

3. District profile
• Kabarole district made up of 2
counties ( 2HSDs)
• Has 22 s/counties , 59 parishes
and 523 villages
• Population of 328,500 : annual
growth rate of 2.3%
• Health infrastructure: 4 hospitals,
2 HC IVs, 23 HC 111s & 24 HC11s
T=53 Health Centre's

4. Introduction
• A well-functioning disease surveillance system at all levels is critical to
inform health decision making
– early detection and response to public health emergencies
– Planning and prioritization of services
• For data to be useful, it must not only be accurate but timely with all
health facilities reporting
• Frontline FETP training requires participants to analyse weekly
surveillance reports as part of training

5. Objectives
1. To analyse weekly surveillance reports for the 53 health facilities in
Kabarole District for 12 epi weeks
2. To establish the district performance in ‘Timeliness’ and
‘Completeness’ of weekly reporting (HMIS 033b)
3. To carry out trend analysis, if possible, of reported epidemic prone
disease during the 12 weeks of assessment

6. Methods
1. Reviewed data in DHIS 2 on weekly reporting for all 53 health
facilities
2. Computed Timeliness and Completeness for all 53 H/Fs using
Microsoft excel program
3. Analysed and plotted line graphs to identify trends for reported
epidemic diseases with sufficient numbers

7. Findings

8. Table 1: KABAROLE DISTRICT HMISO33b WEEKLY REPORTING STATUS (WK 44 2019--WK 32020
Reporting status
Wk
44
Wk
45
Wk
46
Wk
47
Wk
48
Wk
49
Wk
50
Wk
51
Wk
52
Wk
01
Wk
02
Wk
03
Total reports
expected in week 53 53 53 53 53 53 53 53 53 53 53 53
Total reports
received in week 38 37 43 44 37 42 44 28 26 21 34 30
Total reports on
time by week 17 22 19 22 15 23 19 18 15 12 12 9
% completeness 72 70 81 83 70 79 83 53 49 40 64 57
% Timeliness 32 42 36 42 28 43 36 34 28 23 23 17

9. Figure1: Kabarole HMIS 033b weekly reporting status expected
reports, received & Reports on time
W44 W45 W46 W47 W48 W49 W50 W51 W52 W1 W2 W3
53 53 53 53 53 53 53 53 53 53 53 53
38 37
43 44
37
42
44
28
26
21
34
30
17
22
19
22
15
23
19 18
15
12 12
9
Total expected in wk Total reported in wk Total reports on time

10. Weekly surveillance reporting for Kabarole District over 12
consecutive Epi-weeks
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
W44 2019 W45 2019 W46 2019 W47 2019 W48 2019 W49 2019 W50 2019 W51 2019 W52 2020 Wk1 2020 Wk2 2020 Wk3 2020
Complete 70% 70% 81% 82% 70% 79% 83% 53% 49% 49% 64% 57%
Timely 32% 42% 36% 42% 29% 43% 46% 34% 28% 23% 23% 17%
Percent
KABAROLE DISTRICT WEEKLY REPORT TIMELINESS AND COMPLETENESS WK 44-WK 3(2019-2020)
Target 80% Timeliness & completeness
T= 32%
C--= 63%

11. Trend of Dysentery, Measles & Typhoid fever in Kabarole
wk 44 (2019–wk 3 (2020
W44 W45 W46 W47 W48 W49 W50 W51 W52 W1 W2 W3
Dysentery Cases 12 8 3 5 1 3 0 1 3 0 3 1
Measles Cases 1 0 1 0 0 1 0 0 1 0 0 0
Typhoid Fever Cases 15 13 25 29 20 17 15 2 8 12 12 13
0
5
10
15
20
25
30
35
Noofcases
Weekly trend of 3 priority IRDs(Dysentery, Measles and Typhoid fever)

12. Weekly trend of Typhoid fever, the Action threshold levels surpassed
0
5
10
15
20
25
30
35
W44W45W46W47W48 W49W50W51W52 W1 W2 W3
noofcases
Typhoid Fever Cases
Typhoid Fever Cases
Action Threhold:20 cases in
weeks
Interview of clinicians about Typhoid fever problem showed that , cases are diagnosed
using Widal test. WHO recommends diagnosis by a blood or stool culture . The observed
outbreak of typhoid fever in Kabarole could be hypothetical.

13. Conclusion
 Timeliness & Completeness of reporting in Kabarole district is
less than the national target of 80% (T=32% C=63%)
 Health facilities diagnose typhoid fever by Widal test instead of
doing blood or stool culture

14. Recommendations
• The district FETP-Frontline participants to intensify targeted support
supervision and mentorships of all health workers on HMIS reporting
• The FETP- Frontline Team from Kabarole to intensify sensitization of the
clinical & laboratory staff on diagnosis of enteric fevers by blood or stool
culture
• Procure from MOH guidelines on laboratory confirmation of typhoid
fever and distribute to all health facilities
The BIOSTATISTICIAN will intensify monthly feedback to reporting health
facilities

15. Acknowledgments
CDC- Financial Support
AFENET -Technical Support