2014, Number 1
<< Back Next >>
Rev Cubana Med Gen Integr 2014; 30 (1)
Evaluation of cholera surveillance at 'Heroes of Moncada' polyclinic
Fariñas RAT, Ramos VI, Rodríguez BE, Savón PO, Morales HN, Rodríguez TR, Gómez JM, Calderón MM, Lage DC, Díaz DB, Vázquez TYC
Language: Spanish
References: 15
Page: 21-35
PDF size: 419.92 Kb.
ABSTRACT
Introduction: Evaluation is conceived as the activity that allows a judgment of value. Cholera is an infectious disease known since ancient times, so for more than 40
years it has been under surveillance in Cuba. Multiple and complex variables have been responsible for the entry of
Vibrio cholerae in Cuba, conditioning the emergence
of several outbreaks on the national territory.
Objective: To assess cholera
surveillance at Heroes of Moncada polyclinic in Plaza Township, Havana from October
to November 2012.
Method: A tactical, descriptive, cross-sectional study assessment was performed.
The universe consisted of 26 medical practices, a principal assistant of Hygiene and
Epidemiology, 3 laboratory technicians, 2 of statistics technicians, and 3 hygiene
technicians from this area. A convenience sample was selected representing 20% of
the universe. The rapid assessment methodology proposed by Dr. Teresa Fariñas was
applied, visiting 5 medical practices of this area over a total period of two days.
Further background information from October and first half of November was
collected.
Results: gaps were identified between what was primarily instructed to
control by family physicians and nurses in case of health care due to acute diarrheal
disease and what actually was taking place.
Conclusions: The evaluation of cholera surveillance in our study was assessed fairly
satisfactory, by being scored as unuseful, with a fairly acceptable quality and
satisfactory results.
REFERENCES
VIGIWEB Cuba. [Forge]. [homepage on the Internet]. [actualizado 2006; citado 2007]. Disponible en: http://forge.cujae.edu.cu/projects/vigiweb/.
Donabedian A. Evaluating the Quality of medical care. Milbank Memorial fund Quarterly; 1966.p.44:-166.
Pineault RY, Daveluy C. La planificación sanitaria. Barcelona: Masón S. A; 1988.
Center for Disease Control and Prevention. Framework for program evaluation in public health. MMWR 1999; 48.
Colimón KM. Fundamentos de la epidemiología. Medellín: Díaz de santos; 1990. p. 281-297.
Recommendations from the guidelines working group. MMWR 2001 Jul. [acceso agosto 2001]. Disponible en:URL: http://www.cdc.gov/ncidod/hip/GUIDE/longterm.htm.
Ministerio de Salud Pública de Cuba. Área de Higiene y Epidemiología. Unidad de Análisis y Tendencias en Salud Sistema de vigilancia en salud. Documento de trabajo. 1994: 9-12.
Gómez de Haz, H; Fariñas Reinoso AT. Evaluación de la vigilancia de la sífilis congénita en Ciudad de La Habana, 1996. Rev Cub Salud Pública 1998; 24(2):73-7.
Gálvez A.M. Guía metodológica para la evaluación económica en Salud. Cuba, 2003. Revista Cubana de Salud Pública 2004;30 (1):1-10.
Cólera, a las puertas de una crisis mundial. Reporte Técnico de Vigilancia. 2000; 5(1): 3-5.
Ministerio de Salud Pública. Plan de prevención y control del cólera. La Habana, 25 de septiembre 2012
Moriyama IM. Indicators of social change. Problems in the measurements of health status. New York: Russell Sage Foundation; 1968.
_____ Vigilancia microbiológica de cólera. Informe técnico. Centro Provincial de Higiene y Epidemiología, La Habana. 2012
López A L. Evaluación de la vigilancia de las Enfermedades Prevenibles por Vacunas. Municipio Guanabacoa. 2006. [Tesis para optar por el título de Especialista en 1er Grado en Higiene y Epidemiología]. 2006.
Rodríguez DM. Evaluación del Sistema de Vigilancia en la Atención Primaria de Salud. Municipio Santiago de Cuba. Septiembre 2002. [Tesis para optar por el título de master en Epidemiología]. 2002
Full text