关键词: Burkina Faso Ministry of Health disease surveillance integrated specimen referral system laboratory system national courier services

Mesh : Burkina Faso Humans COVID-19 Specimen Handling Referral and Consultation SARS-CoV-2

来  源:   DOI:10.3389/fpubh.2024.1384382   PDF(Pubmed)

Abstract:
UNASSIGNED: In 2017, the Ministry of Health and Public Hygiene (MoH) of Burkina Faso designed and piloted a specimen transport system using the national courier services (La Poste BF) in 4 districts. Based on satisfactory performance indicators, the MoH set a vision aimed at scaling up this system to strengthen disease detection and surveillance of epidemic prone diseases across the country. This work describes the implementation process, performances, and lessons learned.
UNASSIGNED: This work describes the implementation process, performances, and lessons learned. Under the leadership of the Directorate of Population Health Protection within the MoH, a stepwise approach was used to bring together multiple partners across sectors to develop the first needed documents including a guide, an implementation plan, Standard Operating Procedures, and data collection tools. Then, the execution phase included equipment purchase, trainings, and consensus on a financing mechanism. Key indicators were defined to allow performance monitoring.
UNASSIGNED: The integrated biological specimen referral system (SITEB) was officially launched in January 2020 to transport human biological specimens of priority diseases including COVID-19 from district level to reference laboratories nationwide. As of December 31, 2022, La Poste BF transported 168,856 packages containing 206,314 specimens from all 13 regions. 99.66% of packages were delivered in <24 h as required, and 99.68% of specimens were in good condition at reception. COVID-19 specimens represented respectively 18% and 63% of samples transported in 2020 and 2021.
UNASSIGNED: The political will combined with the experience gained during the pilot phase and the commitment and support from all stakeholders laid to the foundation of the effective implementation of this system. Collaboration between two government entities (MoH and Minister of Transport, Urban Mobility, and Road Safety) to benefit public health has led to reasonable pricing for sustainability. Although all documents integrate the \"One Health\" approach, the system ensures the transport of only human samples for now. Despite security constraints, Burkina Faso has successfully set up a system using the national postal service to ensure the routine transport of specimens for all diseases under laboratory surveillance including laboratory tests for HIV and TB from the district level to reference laboratories nationwide. This system has also proved to be useful and efficient in managing public health emergency.
摘要:
2017年,布基纳法索卫生和公共卫生部(MoH)在4个地区使用国家快递服务(LaPosteBF)设计并试行了标本运输系统。基于令人满意的绩效指标,卫生部设定了一个愿景,旨在扩大这一系统,以加强对全国易流行疾病的疾病检测和监测。这项工作描述了实施过程,表演,和吸取的教训。
这项工作描述了实现过程,表演,和吸取的教训。在卫生部人口健康保护局的领导下,采用了逐步的方法,将各个部门的多个合作伙伴召集在一起,以开发第一批所需的文件,包括指南,实施计划,标准操作程序,和数据收集工具。然后,执行阶段包括设备采购,培训,并就融资机制达成共识。定义了关键指标以进行绩效监测。
综合生物标本转诊系统(SITEB)于2020年1月正式启动,将包括COVID-19在内的优先疾病的人类生物标本从地区级运送到全国的参考实验室。截至2022年12月31日,LaPosteBF从所有13个地区运送了168,856个包裹,其中包含206,314个样本。99.66%的包裹按要求在<24小时内交付,99.68%的标本在接收时状况良好。COVID-19标本分别占2020年和2021年运输样品的18%和63%。
政治意愿与在试点阶段获得的经验以及所有利益相关者的承诺和支持相结合,为有效实施该系统奠定了基础。两个政府实体(卫生部和交通部长,城市流动性,和道路安全),以使公共卫生受益,从而为可持续性制定了合理的定价。尽管所有文档都集成了“一个健康”方法,该系统确保目前仅运输人类样本。尽管有安全限制,布基纳法索已成功建立了一个使用国家邮政服务的系统,以确保在实验室监测下的所有疾病的标本的常规运输,包括从地区一级到全国参考实验室的艾滋病毒和结核病实验室检测。该系统也被证明在管理公共卫生紧急情况方面是有用和有效的。
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