title: Comparison of routine health management information system versus enhanced inpatient malaria surveillance for estimating the burden of malaria among children admitted to four hospitals in Uganda.
abstract: The primary source of malaria surveillance data in Uganda is the Health Management Information System (HMIS), which does not require laboratory confirmation of reported malaria cases. To improve data quality, an enhanced inpatient malaria surveillance system (EIMSS) was implemented with emphasis on malaria testing of all children admitted in select hospitals. Data were compared between the HMIS and the EIMSS at four hospitals over a period of 12 months. After the implementation of the EIMSS, over 96% of admitted children under 5 years of age underwent laboratory testing for malaria. The HMIS significantly overreported the proportion of children under 5 years of age admitted with malaria (average absolute difference = 19%, range = 8-27% across the four hospitals) compared with the EIMSS. To improve the quality of the HMIS data for malaria surveillance, the National Malaria Control Program should, in addition to increasing malaria testing rates, focus on linking laboratory test results to reported malaria cases.
authors.affiliation: Child Health and Development Centre, Makerere University College of Health Sciences, Kampala, Uganda; Infectious Diseases Research Collaboration, Kampala, Uganda; National Malaria Control Program, Ministry of Health Uganda, Kampala, Uganda; US President's Malaria Initiative, Malaria Branch, Centers for Disease Control and Prevention, Atlanta, Georgia; School of Public Health, Makerere University College of Health Sciences, Kampala, Uganda; London School of Hygiene and Tropical Medicine, London, United Kingdom; Department of Medicine, Makerere University College of Health Sciences, Kampala, Uganda; Department of Medicine, San Francisco General Hospital, University of California, San Francisco, California arthurwakg@yahoo.com.
authors.forename: Arthur
authors.initials: A
authors.lastname: Mpimbaza
authors.affiliation: Child Health and Development Centre, Makerere University College of Health Sciences, Kampala, Uganda; Infectious Diseases Research Collaboration, Kampala, Uganda; National Malaria Control Program, Ministry of Health Uganda, Kampala, Uganda; US President's Malaria Initiative, Malaria Branch, Centers for Disease Control and Prevention, Atlanta, Georgia; School of Public Health, Makerere University College of Health Sciences, Kampala, Uganda; London School of Hygiene and Tropical Medicine, London, United Kingdom; Department of Medicine, Makerere University College of Health Sciences, Kampala, Uganda; Department of Medicine, San Francisco General Hospital, University of California, San Francisco, California.
authors.forename: Melody
authors.initials: M
authors.lastname: Miles
authors.affiliation: Child Health and Development Centre, Makerere University College of Health Sciences, Kampala, Uganda; Infectious Diseases Research Collaboration, Kampala, Uganda; National Malaria Control Program, Ministry of Health Uganda, Kampala, Uganda; US President's Malaria Initiative, Malaria Branch, Centers for Disease Control and Prevention, Atlanta, Georgia; School of Public Health, Makerere University College of Health Sciences, Kampala, Uganda; London School of Hygiene and Tropical Medicine, London, United Kingdom; Department of Medicine, Makerere University College of Health Sciences, Kampala, Uganda; Department of Medicine, San Francisco General Hospital, University of California, San Francisco, California.
authors.forename: Asadu
authors.initials: A
authors.lastname: Sserwanga
authors.affiliation: Child Health and Development Centre, Makerere University College of Health Sciences, Kampala, Uganda; Infectious Diseases Research Collaboration, Kampala, Uganda; National Malaria Control Program, Ministry of Health Uganda, Kampala, Uganda; US President's Malaria Initiative, Malaria Branch, Centers for Disease Control and Prevention, Atlanta, Georgia; School of Public Health, Makerere University College of Health Sciences, Kampala, Uganda; London School of Hygiene and Tropical Medicine, London, United Kingdom; Department of Medicine, Makerere University College of Health Sciences, Kampala, Uganda; Department of Medicine, San Francisco General Hospital, University of California, San Francisco, California.
authors.forename: Ruth
authors.initials: R
authors.lastname: Kigozi
authors.affiliation: Child Health and Development Centre, Makerere University College of Health Sciences, Kampala, Uganda; Infectious Diseases Research Collaboration, Kampala, Uganda; National Malaria Control Program, Ministry of Health Uganda, Kampala, Uganda; US President's Malaria Initiative, Malaria Branch, Centers for Disease Control and Prevention, Atlanta, Georgia; School of Public Health, Makerere University College of Health Sciences, Kampala, Uganda; London School of Hygiene and Tropical Medicine, London, United Kingdom; Department of Medicine, Makerere University College of Health Sciences, Kampala, Uganda; Department of Medicine, San Francisco General Hospital, University of California, San Francisco, California.
authors.forename: Humphrey
authors.initials: H
authors.lastname: Wanzira
authors.affiliation: Child Health and Development Centre, Makerere University College of Health Sciences, Kampala, Uganda; Infectious Diseases Research Collaboration, Kampala, Uganda; National Malaria Control Program, Ministry of Health Uganda, Kampala, Uganda; US President's Malaria Initiative, Malaria Branch, Centers for Disease Control and Prevention, Atlanta, Georgia; School of Public Health, Makerere University College of Health Sciences, Kampala, Uganda; London School of Hygiene and Tropical Medicine, London, United Kingdom; Department of Medicine, Makerere University College of Health Sciences, Kampala, Uganda; Department of Medicine, San Francisco General Hospital, University of California, San Francisco, California.
authors.forename: Denis
authors.initials: D
authors.lastname: Rubahika
authors.affiliation: Child Health and Development Centre, Makerere University College of Health Sciences, Kampala, Uganda; Infectious Diseases Research Collaboration, Kampala, Uganda; National Malaria Control Program, Ministry of Health Uganda, Kampala, Uganda; US President's Malaria Initiative, Malaria Branch, Centers for Disease Control and Prevention, Atlanta, Georgia; School of Public Health, Makerere University College of Health Sciences, Kampala, Uganda; London School of Hygiene and Tropical Medicine, London, United Kingdom; Department of Medicine, Makerere University College of Health Sciences, Kampala, Uganda; Department of Medicine, San Francisco General Hospital, University of California, San Francisco, California.
authors.forename: Sussann
authors.initials: S
authors.lastname: Nasr
authors.affiliation: Child Health and Development Centre, Makerere University College of Health Sciences, Kampala, Uganda; Infectious Diseases Research Collaboration, Kampala, Uganda; National Malaria Control Program, Ministry of Health Uganda, Kampala, Uganda; US President's Malaria Initiative, Malaria Branch, Centers for Disease Control and Prevention, Atlanta, Georgia; School of Public Health, Makerere University College of Health Sciences, Kampala, Uganda; London School of Hygiene and Tropical Medicine, London, United Kingdom; Department of Medicine, Makerere University College of Health Sciences, Kampala, Uganda; Department of Medicine, San Francisco General Hospital, University of California, San Francisco, California.
authors.forename: Bryan K
authors.initials: BK
authors.lastname: Kapella
authors.affiliation: Child Health and Development Centre, Makerere University College of Health Sciences, Kampala, Uganda; Infectious Diseases Research Collaboration, Kampala, Uganda; National Malaria Control Program, Ministry of Health Uganda, Kampala, Uganda; US President's Malaria Initiative, Malaria Branch, Centers for Disease Control and Prevention, Atlanta, Georgia; School of Public Health, Makerere University College of Health Sciences, Kampala, Uganda; London School of Hygiene and Tropical Medicine, London, United Kingdom; Department of Medicine, Makerere University College of Health Sciences, Kampala, Uganda; Department of Medicine, San Francisco General Hospital, University of California, San Francisco, California.
authors.forename: Steven S
authors.initials: SS
authors.lastname: Yoon
authors.affiliation: Child Health and Development Centre, Makerere University College of Health Sciences, Kampala, Uganda; Infectious Diseases Research Collaboration, Kampala, Uganda; National Malaria Control Program, Ministry of Health Uganda, Kampala, Uganda; US President's Malaria Initiative, Malaria Branch, Centers for Disease Control and Prevention, Atlanta, Georgia; School of Public Health, Makerere University College of Health Sciences, Kampala, Uganda; London School of Hygiene and Tropical Medicine, London, United Kingdom; Department of Medicine, Makerere University College of Health Sciences, Kampala, Uganda; Department of Medicine, San Francisco General Hospital, University of California, San Francisco, California.
authors.forename: Michelle
authors.initials: M
authors.lastname: Chang
authors.affiliation: Child Health and Development Centre, Makerere University College of Health Sciences, Kampala, Uganda; Infectious Diseases Research Collaboration, Kampala, Uganda; National Malaria Control Program, Ministry of Health Uganda, Kampala, Uganda; US President's Malaria Initiative, Malaria Branch, Centers for Disease Control and Prevention, Atlanta, Georgia; School of Public Health, Makerere University College of Health Sciences, Kampala, Uganda; London School of Hygiene and Tropical Medicine, London, United Kingdom; Department of Medicine, Makerere University College of Health Sciences, Kampala, Uganda; Department of Medicine, San Francisco General Hospital, University of California, San Francisco, California.
authors.forename: Adoke
authors.initials: A
authors.lastname: Yeka
authors.affiliation: Child Health and Development Centre, Makerere University College of Health Sciences, Kampala, Uganda; Infectious Diseases Research Collaboration, Kampala, Uganda; National Malaria Control Program, Ministry of Health Uganda, Kampala, Uganda; US President's Malaria Initiative, Malaria Branch, Centers for Disease Control and Prevention, Atlanta, Georgia; School of Public Health, Makerere University College of Health Sciences, Kampala, Uganda; London School of Hygiene and Tropical Medicine, London, United Kingdom; Department of Medicine, Makerere University College of Health Sciences, Kampala, Uganda; Department of Medicine, San Francisco General Hospital, University of California, San Francisco, California.
authors.forename: Sarah G
authors.initials: SG
authors.lastname: Staedke
authors.affiliation: Child Health and Development Centre, Makerere University College of Health Sciences, Kampala, Uganda; Infectious Diseases Research Collaboration, Kampala, Uganda; National Malaria Control Program, Ministry of Health Uganda, Kampala, Uganda; US President's Malaria Initiative, Malaria Branch, Centers for Disease Control and Prevention, Atlanta, Georgia; School of Public Health, Makerere University College of Health Sciences, Kampala, Uganda; London School of Hygiene and Tropical Medicine, London, United Kingdom; Department of Medicine, Makerere University College of Health Sciences, Kampala, Uganda; Department of Medicine, San Francisco General Hospital, University of California, San Francisco, California.
authors.forename: Moses R
authors.initials: MR
authors.lastname: Kamya
authors.affiliation: Child Health and Development Centre, Makerere University College of Health Sciences, Kampala, Uganda; Infectious Diseases Research Collaboration, Kampala, Uganda; National Malaria Control Program, Ministry of Health Uganda, Kampala, Uganda; US President's Malaria Initiative, Malaria Branch, Centers for Disease Control and Prevention, Atlanta, Georgia; School of Public Health, Makerere University College of Health Sciences, Kampala, Uganda; London School of Hygiene and Tropical Medicine, London, United Kingdom; Department of Medicine, Makerere University College of Health Sciences, Kampala, Uganda; Department of Medicine, San Francisco General Hospital, University of California, San Francisco, California.
authors.forename: Grant
authors.initials: G
authors.lastname: Dorsey
mesh_terms: D002648:Child; D005260:Female; D063005:Health Information Systems; D006761:Hospitals; D006801:Humans; D016778:Malaria, Falciparum / Q000453:epidemiology*; D008297:Male; D011159:Population Surveillance; D014454:Uganda / Q000453:epidemiology