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Volume 08 Journal of Community Medicine & Health Education Public Health Summit 2018
May 24-25, 2018
May 24-25, 2018 Osaka, Japan
4th World Congress on
Public Health, Epidemiology & Nutrition
Evaluation of national Kala Azar surveillance system – India, 2016
Syed Shuja Qadri1, Nupur Roy2, Ekta Saroha3, Samir V Sodha 3,4, Rajesh Yadav3, C S Aggarwal1, Sujeet Singh2 and Prabir Kumar Sen 2
1National Centre for Disease Control, India
2National Vector Borne Disease Control Programme, India
3Centers for Disease Control and Prevention, India
4Centers for Disease Control and Prevention, USA
Introduction: Kala Azar (KA) or visceral Leishmaniasis is a neglected tropical disease with 100% case fatality, if untreated, and
causes 1.6 million illnesses worldwide annually. India accounts for 50% of global burden. We described and evaluated ‘national
vector borne disease control programme’s (NVBDCP)’ KA surveillance system (KASS) to identify strengths, weaknesses and
to provide recommendations.
Methods: We reviewed 2016 annual report and evaluated KASS attributes. We interviewed all staff about clarity of guidelines,
ease of reporting, data processing, data flow and feedback receipt to evaluate simplicity. We calculated proportion states used
standardized formats and web-portal to evaluate acceptability. We calculated proportion state monthly reports received by
due-date and proportion national monthly line-list and web-portal with missing data to evaluate timeliness and completeness,
respectively. We calculated proportion public and private institutions reported to NVBDCP to evaluate representativeness.
We enumerated times reporting guidelines changed, web-portal disrupted, hotspots detected and indoor residual activities
conducted to evaluate flexibility, stability and usefulness, respectively.
Results: KASS targets four states prioritized for KA elimination. It includes monthly passive surveillance and quarterly active
surveillance through camps and house-to-house searches in hotspots. Of all staff, 88% (8/9) reported guidelines to be clear,
however, ease of reporting, data processing, data flow and feedback receipt were 22% (2/9), 33% (3/9), 44% (4/9) and 22% (2/9),
respectively. In 2016, 25% (1/4) states used standardized formats and 50% (2/4) used web-portal. Only 29% (14/48) reports
were timely, 33% (4/12) line-list and 16% (2/12) web-portal data were complete. All public but no private health institutions
reported. Reporting guidelines changed from monthly to weekly recently, web-portal had six disruptions and four hotspots
detected followed by indoor residual activities.
Conclusions: KASS is flexible and useful; however, needs improvement in simplicity, acceptability, timeliness, completeness,
representativeness and stability. We recommended training staff about standardized surveillance and guidelines. Consequently,
by October 2017 timely standardized reporting improved and nine hotspots were identified.
J Community Med Health Educ 2018, Volume 8
DOI: 10.4172/2161-0711-C2-036