title: Evaluation of the Notifiable diseases surveillance system in Sanyati district, Zimbabwe, 2010-2011.
abstract: BACKGROUND
  The Notifiable disease surveillance system (NDSS) was established in Zimbabwe through the Public Health Act. Between January and August 2011, 14 dog bites were treated at Kadoma Hospital. Eighty-six doses of anti-rabies vaccine were dispensed. One suspected rabies case was reported, without epidemiological investigations. The discrepancy may imply under reporting of Notifiable Diseases. The study was conducted to evaluate the NDSS in Sanyati district.
  
  
  METHODS
  A descriptive cross sectional study was conducted. Healthcare workers in selected health facilities in urban, rural, and private and public sector were interviewed using questionnaires. Checklists were used to assess resource availability and guide records review of notification forms. Epi Info(TM) was used to generate frequencies, proportions and Chi Square tests at 5% level.
  
  
  RESULTS
  We recruited 69 participants, from 16 facilities. Twenty six percent recalled at least 9 Notifiable diseases, 72% correctly mentioned the T1 form for notification, 39% correctly mentioned the forms completed in triplicate and 20% knew it was a legal requirement to notify. Ninety six percent of respondents indicated willingness to participate, whilst 41% had ever received feedback. Three out of 16 health facilities had T1 forms.
  
  
  CONCLUSIONS
  NDSS is useful, acceptable, simple, and sensitive. NDSS is threatened by lack of T1 forms, poor feedback and knowledge of health workers on NDSS. T1 forms and guidelines for completing the forms were distributed to all health facilities, public and private sector. On the job training of health workers through tutorials, supervision and feedback was conducted.
authors: Department of Community Medicine, University of Zimbabwe, Zimbabwe.
authors: Brian Abel
authors: BA
authors: Maponga
authors: Department of Health, Kadoma City Council, Zimbabwe.
authors: Daniel
authors: D
authors: Chirundu
authors: Department of Community Medicine, University of Zimbabwe, Zimbabwe.
authors: Gerald
authors: G
authors: Shambira
authors: Department of Community Medicine, University of Zimbabwe, Zimbabwe.
authors: Notion Tafara
authors: NT
authors: Gombe
authors: Department of Community Medicine, University of Zimbabwe, Zimbabwe.
authors: Mufuta
authors: M
authors: Tshimanga
authors: Department of Community Medicine, University of Zimbabwe, Zimbabwe.
authors: Donewell
authors: D
authors: Bangure
mesh_terms: D000818:Animals; D001733:Bites and Stings / Q000453:epidemiology*; D003430:Cross-Sectional Studies; D018563:Disease Notification; D004285:Dogs; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D011159:Population Surveillance; D011818:Rabies / Q000453:epidemiology / Q000517:prevention & control*; D011819:Rabies Vaccines / Q000008:administration & dosage*; D011795:Surveys and Questionnaires; D015030:Zimbabwe / Q000453:epidemiology
chemical_list: D011819:Rabies Vaccines
keywords: Evaluation; Sanyati; Zimbabwe; notifiable disease surveillance