1. Community Based Surveillance in Somaliland: Analysis of the Functionality and Effectiveness using the CBS Platform Nyss
- Author
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J. Jung, A.H. Beledi, N. Riedel, A.O. Ahmed, and T.M. Larsen
- Subjects
Infectious and parasitic diseases ,RC109-216 - Abstract
Purpose: The Somali Red Crescent Society (SRCS) and the Norwegian Red Cross have implemented Community Based Surveillance (CBS) in Somaliland in 2018. This retrospective study analyses the functionality and effectiveness of the CBS programme using data from the innovative, custom created software platform Nyss. Nyss enables real-time CBS data collection and notifications, as well as management and analysis of reports submitted via SMS by community volunteers. Methods & Materials: Aggregated and anonymous data from routine CBS activities between March and December 2020 of Togdheer region in Somaliland were the basis for the descriptive analyses. CBS indicators of completeness and accuracy of reporting, data quality, timeliness of verification, and effectiveness were evaluated. Analyses were done directly in Nyss or Excel. Results: In average per month, 90% of the targeted villages were covered by a SRCS volunteers reporting on CBS at least once per month. Weekly completeness of reporting was at 47% in average. Most reports were sent in in the correct format (95%). Health risk reports were accurately matching the community case definition with an average of 88%. Seventy eight percent of the alerts were notified to the public health authorities within 24 hours, the mean was at 2 days and 21 hours. Actions were taken in 91% of the escalated alerts. Conclusion: The Nyss platform has been demonstrated to support rapid CBS programme monitoring, surveillance of the health situation in the community as well as early warning of potential health risks to SRCS and MoH staff. Though further efforts need to be taken to understand how Nyss is used in the field and to improve the reporting strategy and documentation to better support, monitor and analyse the programme implementation. The results are beneficial for CBS in Somaliland and other settings. Further development of M&E indicators and the CBS platform Nyss are required.
- Published
- 2022
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