Journal of Epidemiology and Global Health

Volume 6, Issue 1, March 2016, Pages 37 - 44

Evaluation of tuberculosis public health surveillance, Al-Madinah province, Kingdom of Saudi Arabia, 2012

Authors
Mohammed J. Alkhalawia, *, mjalkhalawi@moh.gov.sa Malkhalawi@Alum.emory.edu, Scott J.N. McNabbb, Abdullah M. Assiric, Ziad A. Memishc, d
aPublic Health department, Ministry of Health, Saudi Arabia
bRollins School of Public Health, Atlanta, USA
cGlobal Centre for Mass Gatherings Medicine (GCMGM), Ministry of Health, Riyadh, Saudi Arabia
dCollege of Medicine, Alfaisal University, Riyadh, Saudi Arabia
*Corresponding author. Tel.: +966 591212455.
Corresponding Author
Received 12 January 2015, Revised 19 April 2015, Accepted 22 April 2015, Available Online 18 May 2015.
DOI
10.1016/j.jegh.2015.04.005How to use a DOI?
Keywords
Public health surveillance; Tuberculosis; Surveillance evaluation; Program evaluation; Saudi Arabia
Abstract

The objective of the study is to evaluate the quality of the data, the sensitivity of the surveillance, and the completeness of identification and investigation of tuberculosis (TB) patient’s contacts. The study covered the TB surveillance program in Al-Madinah province in 2011. First, we reviewed all the notifications, treatment cards, and register books, as well as monthly and quarterly reports, for completeness and accuracy of data. Then, we searched for the missed cases that were not reported. Finally, we reviewed all the patients’ household contacts’ reports to assess the degree of completion of identification and investigation. There were 444 cases detected during the study period; only 200 cases were reported. The sensitivity of the TB surveillance system was 45%. Among the 200 reported cases, the results revealed high completeness rates for demographic and disease data and low completeness rates for the test result fields. The contact identification and investigation showed that 34.4% of smear-positive cases’ contacts were not identified. Only 67% of identified contacts were investigated. The review of hospital records and lab registers showed that 244 cases were not reported. In conclusion, the TB surveillance system has several areas that need improvement.

Copyright
© 2015 Ministry of Health, Saudi Arabia. Published by Elsevier Ltd.
Open Access
This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)

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Journal
Journal of Epidemiology and Global Health
Volume-Issue
6 - 1
Pages
37 - 44
Publication Date
2015/05/18
ISSN (Online)
2210-6014
ISSN (Print)
2210-6006
DOI
10.1016/j.jegh.2015.04.005How to use a DOI?
Copyright
© 2015 Ministry of Health, Saudi Arabia. Published by Elsevier Ltd.
Open Access
This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)

Cite this article

TY  - JOUR
AU  - Mohammed J. Alkhalawi
AU  - Scott J.N. McNabb
AU  - Abdullah M. Assiri
AU  - Ziad A. Memish
PY  - 2015
DA  - 2015/05/18
TI  - Evaluation of tuberculosis public health surveillance, Al-Madinah province, Kingdom of Saudi Arabia, 2012
JO  - Journal of Epidemiology and Global Health
SP  - 37
EP  - 44
VL  - 6
IS  - 1
SN  - 2210-6014
UR  - https://doi.org/10.1016/j.jegh.2015.04.005
DO  - 10.1016/j.jegh.2015.04.005
ID  - Alkhalawi2015
ER  -