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Communicable Diseases Surveillance System in Aruba

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A Multicultural Caribbean United Against HIV/AIDS. Santo ... DEVELOP RAPPORT WITH STAKEHOLDERS. FEEDBACK. DEVELOP PARTNERSHIPS. EVALUATE SYSTEMS PERIODICALLY ... – PowerPoint PPT presentation

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Title: Communicable Diseases Surveillance System in Aruba


1
Communicable Diseases Surveillance System in Aruba
A Multicultural Caribbean United Against
HIV/AIDS Santo Domingo, Dominican Republic March
5-7, 2004
  • drs. Chanin Boekhoudt
  • Department of Public Health Aruba

2
INFORMATION ON ARUBA
3
INFORMATION ON ARUBA
  • area 193 sq km
  • population 90.506 (Census 2000)
  • language Dutch and Papiamento
  • (English and Spanish are widely spoken)
  • dependency status
  • part of the Kingdom of the Netherlands

4
HEALTH CARE SYSTEM
  • General Health Insurance (as of January 2001)
  • 38 General Practitioners
  • 60 Specialists (20 specialties)
  • 1 Hospital
  • 1 Medical Center
  • 1 Home nursing organization
  • 1 national laboratory
  • 3 private
  • laboratories

5
BOTTLENECKS SURVEILLANCE SYSTEM
  • Not clear WHERE to notify
  • FEEDBACK from Public Health to Physicians was
    lacking
  • Not clear WHAT and WHEN to notify
  • FORMS not appropriate
  • Not aware of the IMPORTANCE of notifying
  • NO INCENTIVES to participate
  • LAWS are outdated

6
ADDRESSING THE CHALLENGES
  • WHERE to notify
  • FEEDBACK
  • 2 newsletters
  • INFORMATION (QUARTERLY)
  • ALERT
  • 1 2 pages
  • sent by fax
  • request to notify to
  • the section of Communicable Diseases

7
Newsletters
8
ADDRESSING THE CHALLENGES
  • WHAT and WHEN to notify
  • Communicable Diseases Manual
  • Dutch and Papiamento
  • Classification of diseases according to priority
    in notification
  • Group A immediately
  • Group B within 24 hours
  • Group C within a week

9
Communicable Diseases Manual
10
ADDRESSING THE CHALLENGES
  • Appropriate FORMS
  • Develop new forms
  • 1 for group AB
  • 1 for group C

11
Form Group AB
12
Form Group C
13
ADDRESSING THE CHALLENGES
  • Awareness on IMPORTANCE OF NOTIFICATION
  • INCENTIVE to Participate
  • Workshop for physicians and health care
    providers
  • importance of notification for public health
  • introduction Communicable Diseases Manual
  • introduction new notification forms
  • Continuous Medical Education accreditation

14
Workshop
15
ADDRESSING THE CHALLENGES
  • Modernizing LAWS
  • STILL TO BE ADDRESSED

16
Surveillance System Aruba
Physicians
Manual Forms
Section of Contagious Diseases
17
Surveillance System Aruba
Physicians
Feedback on patient
Section of Contagious Diseases
18
Surveillance System Aruba
Physicians
Lab. requests
Section of Contagious Diseases
National Laboratory of Aruba
19
Surveillance System Aruba
Physicians
Lab. results
Section of Contagious Diseases
National Laboratory of Aruba
Lab. results
20
Surveillance System Aruba
Physicians
Section of Contagious Diseases
Section of Epidemiology Research
National Laboratory of Aruba
Submit data
21
Surveillance System Aruba
Physicians
Section of Contagious Diseases
Section of Epidemiology Research
National Laboratory of Aruba
Health analysis
22
Surveillance System Aruba
Physicians
PH Feedback 2 newsletters
Section of Contagious Diseases
Section of Epidemiology Research
National Laboratory of Aruba
PH Feedback 2 newsletters
23
Surveillance System Aruba
Physicians
Section of Contagious Diseases
National Laboratory of Aruba
Section of Epidemiology Research
24
OUTCOMES AFTER 1 YEAR
  1. INCREASE IN NOTIFICATION
  2. MORE CAPABLE TO ANTICIPATE OUTBREAKS
  3. CARRYING OUT AN OUTBREAK INVESTIGATION
  4. MORE CONTACT WITH PHYSICIANS

25
LESSONS LEARNT
  1. DEVELOP RAPPORT WITH STAKEHOLDERS
  2. FEEDBACK
  3. DEVELOP PARTNERSHIPS
  4. EVALUATE SYSTEMS PERIODICALLY
  5. SURVEILLANCE SYSTEM SHOULD BE SIMPLE ENOUGH TO
    MAINTAIN

26
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