Emerging epidemics: is the Zanzibar healthcare system ready to detect and respond to mosquito-borne viral diseases?
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Emerging epidemics: is the Zanzibar healthcare system ready to detect and respond to mosquito-borne viral diseases? / Saleh, Fatma; Kitau, Jovin; Konradsen, Flemming; Mboera, Leonard E.G.; Schiøler, Karin Linda.
I: BMC Health Serv Res, Bind 21, Nr. 866, 2021.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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T1 - Emerging epidemics: is the Zanzibar healthcare system ready to detect and respond to mosquito-borne viral diseases?
AU - Saleh, Fatma
AU - Kitau, Jovin
AU - Konradsen, Flemming
AU - Mboera, Leonard E.G.
AU - Schiøler, Karin Linda
PY - 2021
Y1 - 2021
N2 - BackgroundEffective control of emerging mosquito-borne viral diseases such as dengue, chikungunya, and Zika requires, amongst other things, a functional healthcare system, ready and capable of timely detection and prompt response to incipient epidemics. We assessed the readiness of Zanzibar health facilities and districts for early detection and management of mosquito-borne viral disease outbreaks.MethodsA cross-sectional study involving all 10 District Health Management Teams and 45 randomly selected public and private health facilities in Zanzibar was conducted using a mixed-methods approach including observations, document review, and structured interviews with health facility in-charges and District Health Management Team members.ResultsThe readiness of the Zanzibar healthcare system for timely detection, management, and control of dengue and other mosquito-borne viral disease outbreaks was critically low. The majority of health facilities and districts lacked the necessary requirements including standard guidelines, trained staff, real-time data capture, analysis and reporting systems, as well as laboratory diagnostic capacity. In addition, health education programmes for creating public awareness and Aedes mosquito surveillance and control activities were non-existent.ConclusionsThe Zanzibar healthcare system has limited readiness for management, and control of mosquito-borne viral diseases. In light of impending epidemics, the critical shortage of skilled human resource, lack of guidelines, lack of effective disease and vector surveillance and control measures as well as lack of laboratory capacity at all levels of health facilities require urgent attention across the Zanzibar archipelago.
AB - BackgroundEffective control of emerging mosquito-borne viral diseases such as dengue, chikungunya, and Zika requires, amongst other things, a functional healthcare system, ready and capable of timely detection and prompt response to incipient epidemics. We assessed the readiness of Zanzibar health facilities and districts for early detection and management of mosquito-borne viral disease outbreaks.MethodsA cross-sectional study involving all 10 District Health Management Teams and 45 randomly selected public and private health facilities in Zanzibar was conducted using a mixed-methods approach including observations, document review, and structured interviews with health facility in-charges and District Health Management Team members.ResultsThe readiness of the Zanzibar healthcare system for timely detection, management, and control of dengue and other mosquito-borne viral disease outbreaks was critically low. The majority of health facilities and districts lacked the necessary requirements including standard guidelines, trained staff, real-time data capture, analysis and reporting systems, as well as laboratory diagnostic capacity. In addition, health education programmes for creating public awareness and Aedes mosquito surveillance and control activities were non-existent.ConclusionsThe Zanzibar healthcare system has limited readiness for management, and control of mosquito-borne viral diseases. In light of impending epidemics, the critical shortage of skilled human resource, lack of guidelines, lack of effective disease and vector surveillance and control measures as well as lack of laboratory capacity at all levels of health facilities require urgent attention across the Zanzibar archipelago.
KW - Faculty of Health and Medical Sciences
KW - Epidemics
KW - Healthcare system readiness
KW - Mosquito-borne viral disease
KW - Zanzibar
U2 - 10.1186/s12913-021-06867-6
DO - 10.1186/s12913-021-06867-6
M3 - Journal article
C2 - 34429111
VL - 21
JO - BMC Health Services Research
JF - BMC Health Services Research
SN - 1472-6963
IS - 866
ER -
ID: 276951390