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

Geraldine Foster, Sophie Dunkley, Rinki Deb, Edward Thomsen, Marlize Coleman, A. C. Dhariwal, R. K. Das Gupta, Sridhar Srikantiah, Pradeep Das, Michael Coleman

Research output: Contribution to journalArticlepeer-review

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.

Original languageEnglish
Article numberihx018
Pages (from-to)195-201
Number of pages7
JournalInternational Health
Volume9
Issue number3
DOIs
Publication statusPublished - 3 Jun 2017

Keywords

  • India
  • Quality assurance
  • Surveillance
  • Vector control
  • Visceral leishmaniasis

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