Uganda’s experience in establishing an electronic compendium for public health emergencies

Uganda has implemented several interventions that have contributed to prevention, early detection, and effective response to Public Health Emergencies (PHEs). However, there are gaps in collecting and documenting data on the overall response to these PHEs. We set out to establish a comprehensive electronic database of PHEs that occurred in Uganda since 2000. We constituted a core development team, developed a data dictionary, and worked with Health Information Systems Program (HISP)-Uganda to develop and customize a compendium of PHEs using the electronic Integrated Disease Surveillance and Response (eIDSR) module on the District Health Information Software version 2 (DHIS2) platform. We reviewed literature for retrospective data on PHEs for the compendium. Working with the Uganda Public Health Emergency Operations Center (PHEOC), we prospectively updated the compendium with real-time data on reported PHEs. We developed a user’s guide to support future data entry teams. An operational compendium was developed within the eIDSR module of the DHIS2 platform. The variables for PHEs data collection include those that identify the type, location, nature and time to response of each PHE. The compendium has been updated with retrospective PHE data and real-time prospective data collection is ongoing. Data within this compendium is being used to generate information that can guide future outbreak response and management. The compendium development highlights the importance of documenting outbreak detection and response data in a central location for future reference. This data provides an opportunity to evaluate and inform improvements in PHEs response.

[1]  A. Rimoin,et al.  Examination of scenarios introducing rubella vaccine in the Democratic Republic of the Congo , 2021, Vaccine: X.

[2]  A. F. Bochner,et al.  7-1-7: an organising principle, target, and accountability metric to make the world safer from pandemics , 2021, The Lancet.

[3]  M. Smolinski,et al.  Using Timeliness Metrics to Track Progress and Identify Gaps in Disease Surveillance. , 2021, Health security.

[4]  A. Tatem,et al.  Vaccination strategies for measles control and elimination: time to strengthen local initiatives , 2021, BMC Medicine.

[5]  Quentin J. Leclerc,et al.  The importance of supplementary immunisation activities to prevent measles outbreaks during the COVID-19 pandemic in Kenya , 2020, BMC Medicine.

[6]  G. Boivin,et al.  Pandemics Throughout History , 2021, Frontiers in Microbiology.

[7]  I. Naigaga,et al.  Operationalizing the One Health Approach in Uganda: Challenges and Opportunities , 2020, Journal of epidemiology and global health.

[8]  A. Rashford,et al.  Joint external evaluation of the International Health Regulation (2005) capacities: current status and lessons learnt in the WHO African region , 2019, BMJ Global Health.

[9]  B. Zhu,et al.  Conducting the Joint External Evaluation in Uganda: The Process and Lessons Learned. , 2019, Health security.

[10]  W. Bazeyo,et al.  Lowland grazing and Marburg virus disease (MVD) outbreak in Kween district, Eastern Uganda , 2019, BMC Public Health.

[11]  J. Matovu,et al.  Strengthening Global Health Security Through Africa's First Absolute Post-Master's Fellowship Program in Field Epidemiology in Uganda. , 2018, Health security.

[12]  L. Nyakarahuka,et al.  Impact of enhanced viral haemorrhagic fever surveillance on outbreak detection and response in Uganda. , 2018, The Lancet. Infectious diseases.

[13]  S. Reef,et al.  Progress in Rubella and Congenital Rubella Syndrome Control and Elimination — Worldwide, 2000–2016 , 2017, MMWR. Morbidity and mortality weekly report.

[14]  David L Buckeridge,et al.  Public Health Surveillance Systems: Recent Advances in Their Use and Evaluation. , 2017, Annual review of public health.

[15]  M. Smolinski,et al.  Finding Outbreaks Faster , 2017, Health security.

[16]  S. Dowell,et al.  Rapidly Building Global Health Security Capacity — Uganda Demonstration Project, 2013 , 2014, MMWR. Morbidity and mortality weekly report.

[17]  M. Nanyunja,et al.  The implementation of Integrated Disease Surveillance and Response in Uganda: a review of progress and challenges between 2001 and 2007 , 2012, Health policy and planning.

[18]  Son Doan,et al.  GENI-DB: a database of global events for epidemic intelligence , 2012, Bioinform..

[19]  N. Khetsuriani,et al.  Supplementary immunization activities to achieve measles elimination: experience of the European Region. , 2011, The Journal of infectious diseases.

[20]  Kate E. Jones,et al.  Global trends in emerging infectious diseases , 2008, Nature.

[21]  I. Kohane,et al.  An Epidemiological Network Model for Disease Outbreak Detection , 2007, PLoS medicine.

[22]  Jeffrey Wasserman,et al.  Conceptualizing and defining public health emergency preparedness. , 2007, American journal of public health.

[23]  Gerard Borsboom,et al.  Forecasting malaria incidence from historical morbidity patterns in epidemic‐prone areas of Ethiopia: a simple seasonal adjustment method performs best , 2002, Tropical medicine & international health : TM & IH.