Development and validation of a framework to improve neglected tropical diseases surveillance and response at sub-national levels in Kenya.
Background Assessment of surveillance and response system functions focusing on notifiable diseases has widely been documented in literature. However, there is limited focus on diseases targeted for elimination or eradication, particularly preventive chemotherapy neglected tropical diseases (PC-NTDs...
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ftdoajarticles:oai:doaj.org/article:65668b643b554533adc1439d87c02895 2023-05-15T15:13:51+02:00 Development and validation of a framework to improve neglected tropical diseases surveillance and response at sub-national levels in Kenya. Arthur K S Ng'etich Kuku Voyi Clifford M Mutero 2021-10-01T00:00:00Z https://doi.org/10.1371/journal.pntd.0009920 https://doaj.org/article/65668b643b554533adc1439d87c02895 EN eng Public Library of Science (PLoS) https://doi.org/10.1371/journal.pntd.0009920 https://doaj.org/toc/1935-2727 https://doaj.org/toc/1935-2735 1935-2727 1935-2735 doi:10.1371/journal.pntd.0009920 https://doaj.org/article/65668b643b554533adc1439d87c02895 PLoS Neglected Tropical Diseases, Vol 15, Iss 10, p e0009920 (2021) Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2021 ftdoajarticles https://doi.org/10.1371/journal.pntd.0009920 2022-12-30T20:36:18Z Background Assessment of surveillance and response system functions focusing on notifiable diseases has widely been documented in literature. However, there is limited focus on diseases targeted for elimination or eradication, particularly preventive chemotherapy neglected tropical diseases (PC-NTDs). There are limited strategies to guide strengthening of surveillance and response system functions concerning PC-NTDs. The aim of this study was to develop and validate a framework to improve surveillance and response to PC-NTDs at the sub-national level in Kenya. Methods A multi-phased approach using descriptive cross-sectional mixed-method designs was adopted. Phase one involved a systematic literature review of surveillance assessment studies to derive generalised recommendations. Phase two utilised primary data surveys to identify disease-specific recommendations to improve PC-NTDs surveillance. The third phase utilised a Delphi survey to assess stakeholders' consensus on feasible recommendations. The fourth phase drew critical lessons from existing conceptual frameworks. The final validated framework was based on resolutions and inputs from concerned stakeholders. Results The first phase identified thirty studies that provided a combination of recommendations for improving surveillance functions. Second phase described PC-NTDs specific recommendations linked to simplified case definitions, enhanced laboratory capacity, improved reporting tools, regular feedback and supervision, enhanced training and improved system stability and flexibility. In the third phase, consensus was achieved on feasibility for implementing recommendations. Based on these recommendations, framework components constituted human, technical and organisational inputs, four process categories, ten distinct outputs, outcomes and overall impact encompassing reduced disease burden, halted disease transmission and reduced costs for implementing treatment interventions to achieve PC-NTDs control and elimination. Conclusion In view of the mixed ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic PLOS Neglected Tropical Diseases 15 10 e0009920 |
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Directory of Open Access Journals: DOAJ Articles |
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English |
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Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
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Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Arthur K S Ng'etich Kuku Voyi Clifford M Mutero Development and validation of a framework to improve neglected tropical diseases surveillance and response at sub-national levels in Kenya. |
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Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
Background Assessment of surveillance and response system functions focusing on notifiable diseases has widely been documented in literature. However, there is limited focus on diseases targeted for elimination or eradication, particularly preventive chemotherapy neglected tropical diseases (PC-NTDs). There are limited strategies to guide strengthening of surveillance and response system functions concerning PC-NTDs. The aim of this study was to develop and validate a framework to improve surveillance and response to PC-NTDs at the sub-national level in Kenya. Methods A multi-phased approach using descriptive cross-sectional mixed-method designs was adopted. Phase one involved a systematic literature review of surveillance assessment studies to derive generalised recommendations. Phase two utilised primary data surveys to identify disease-specific recommendations to improve PC-NTDs surveillance. The third phase utilised a Delphi survey to assess stakeholders' consensus on feasible recommendations. The fourth phase drew critical lessons from existing conceptual frameworks. The final validated framework was based on resolutions and inputs from concerned stakeholders. Results The first phase identified thirty studies that provided a combination of recommendations for improving surveillance functions. Second phase described PC-NTDs specific recommendations linked to simplified case definitions, enhanced laboratory capacity, improved reporting tools, regular feedback and supervision, enhanced training and improved system stability and flexibility. In the third phase, consensus was achieved on feasibility for implementing recommendations. Based on these recommendations, framework components constituted human, technical and organisational inputs, four process categories, ten distinct outputs, outcomes and overall impact encompassing reduced disease burden, halted disease transmission and reduced costs for implementing treatment interventions to achieve PC-NTDs control and elimination. Conclusion In view of the mixed ... |
format |
Article in Journal/Newspaper |
author |
Arthur K S Ng'etich Kuku Voyi Clifford M Mutero |
author_facet |
Arthur K S Ng'etich Kuku Voyi Clifford M Mutero |
author_sort |
Arthur K S Ng'etich |
title |
Development and validation of a framework to improve neglected tropical diseases surveillance and response at sub-national levels in Kenya. |
title_short |
Development and validation of a framework to improve neglected tropical diseases surveillance and response at sub-national levels in Kenya. |
title_full |
Development and validation of a framework to improve neglected tropical diseases surveillance and response at sub-national levels in Kenya. |
title_fullStr |
Development and validation of a framework to improve neglected tropical diseases surveillance and response at sub-national levels in Kenya. |
title_full_unstemmed |
Development and validation of a framework to improve neglected tropical diseases surveillance and response at sub-national levels in Kenya. |
title_sort |
development and validation of a framework to improve neglected tropical diseases surveillance and response at sub-national levels in kenya. |
publisher |
Public Library of Science (PLoS) |
publishDate |
2021 |
url |
https://doi.org/10.1371/journal.pntd.0009920 https://doaj.org/article/65668b643b554533adc1439d87c02895 |
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Arctic |
geographic_facet |
Arctic |
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Arctic |
genre_facet |
Arctic |
op_source |
PLoS Neglected Tropical Diseases, Vol 15, Iss 10, p e0009920 (2021) |
op_relation |
https://doi.org/10.1371/journal.pntd.0009920 https://doaj.org/toc/1935-2727 https://doaj.org/toc/1935-2735 1935-2727 1935-2735 doi:10.1371/journal.pntd.0009920 https://doaj.org/article/65668b643b554533adc1439d87c02895 |
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https://doi.org/10.1371/journal.pntd.0009920 |
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PLOS Neglected Tropical Diseases |
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15 |
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10 |
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e0009920 |
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