PDF(Pubmed)
Abstract：
The sustained instability in Afghanistan, along with ongoing disease outbreaks and the impact of the COVID-19 pandemic, has significantly affected the country.During the COVID-19 pandemic, the country\'s detection and response capacities faced challenges. Case identification was done in all health facilities from primary to tertiary levels but neglected cases at the community level, resulting in undetected and uncontrolled transmission from communities. This emphasizes a missed opportunity for early detection that Event-Based Surveillance (EBS) could have facilitated.Therefore, Afghanistan planned to strengthen the EBS component of the national public health surveillance system to enhance the capacity for the rapid detection and response to infectious disease outbreaks, including COVID-19 and other emerging diseases. This effort was undertaken to promptly mitigate the impact of such outbreaks.We conducted a landscape assessment of Afghanistan\'s public health surveillance system to identify the best way to enhance EBS, and then we crafted an implementation work plan. The work plan included the following steps: establishing an EBS multisectoral coordination and working group, identifying EBS information sources, prioritizing public health events of importance, defining signals, establishing reporting mechanisms, and developing standard operating procedures and training guides.EBS is currently being piloted in seven provinces in Afghanistan. The lessons learned from the pilot phase will support its overall expansion throughout the country.
摘要：
阿富汗的持续不稳定，随着持续的疾病爆发和COVID-19大流行的影响，严重影响了这个国家。在COVID-19大流行期间，该国的检测和反应能力面临挑战。从初级到三级的所有医疗机构都进行了病例识别，但忽略了社区一级的病例，导致社区未被发现和不受控制的传播。这强调了基于事件的监视（EBS）可能促进的早期检测的错失机会。因此,阿富汗计划加强国家公共卫生监测系统的EBS部分，以提高快速发现和应对传染病暴发的能力，包括COVID-19和其他新兴疾病。采取这一努力是为了迅速减轻此类疫情的影响。我们对阿富汗的公共卫生监测系统进行了景观评估，以确定增强EBS的最佳方法，然后我们制定了实施工作计划。工作计划包括以下步骤:建立EBS多部门协调和工作组,识别EBS信息源，优先考虑重要的公共卫生事件，定义信号，建立报告机制，并制定标准操作程序和培训指南。EBS目前正在阿富汗的七个省进行试点。从试点阶段吸取的经验教训将支持其在全国的全面扩展。
