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Adaptation of a malaria surveillance system for use in a visceral leishmaniasis elimination programme

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Foster, Geraldine ORCID: https://orcid.org/0000-0002-9769-4349, Dunkley, Sophie, Deb, Rinki, Thomsen, Edward ORCID: https://orcid.org/0000-0003-1136-6430, Coleman, Marlize, Dhariwal, A.C, Gupta, R.K Das, Srikantiah, Sridhar, Das, Pradeep and Coleman, Michael ORCID: https://orcid.org/0000-0003-4186-3526 (2017) 'Adaptation of a malaria surveillance system for use in a visceral leishmaniasis elimination programme'. International Health, Vol 9, Issue 3, pp. 195-201.

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Abstract

Background

Successful public practice relies on generation and use of high-quality data. A data surveillance system (the Disease Data Management System [DDMS]) in use for malaria was adapted for use in the Indian visceral leishmaniasis elimination programme.

Methods

A situational analysis identified the data flows in current use. Taxonomic trees for the vector of visceral leishmaniasis in India, Phlebotomus argentipes, were incorporated into the DDMS to allow entry of quality assurance and insecticide susceptibility data. A new quality assurance module was created to collate the concentration of DDT that was applied to walls during the indoor residual spraying (IRS) vector control programme.

Results

The DDMS was implemented in Bihar State and used to collate and manage data from sentinel sites in eight districts. Quality assurance data showed that DDT was under-applied to walls during IRS; this, combined with insecticide susceptibility data showing widespread vector resistance to DDT prompted a national policy change to using compression pumps and alpha-cypermethrin insecticide for IRS.

Conclusions

The adapted DDMS centralises programmatic data and enhances evidence-based decision making and active policy change. Moving forward, further modules of the system will be implemented, allowing extended data capture and streamlined transmission of key information to decision makers.

Item Type: Article
Subjects: QX Parasitology > Insects. Other Parasites > QX 650 Insect vectors
WA Public Health > Preventive Medicine > WA 110 Prevention and control of communicable diseases. Transmission of infectious diseases
WC Communicable Diseases > Tropical and Parasitic Diseases > WC 715 Visceral leishmaniasis
WC Communicable Diseases > Tropical and Parasitic Diseases > WC 750 Malaria
Faculty: Department: Biological Sciences > Vector Biology Department
Clinical Sciences & International Health > International Public Health Department
Digital Object Identifer (DOI): https://doi.org/10.1093/inthealth/ihx018
Depositing User: Daisy Byrne
Date Deposited: 14 Jun 2017 14:43
Last Modified: 09 Nov 2018 10:26
URI: https://archive.lstmed.ac.uk/id/eprint/7224

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