Health system barriers to strengthening vaccine-preventable disease surveillance and response in the context of decentralization: evidence from Georgia
2006

Improving Vaccine Disease Surveillance in Georgia

Sample size: 87 publication Evidence: moderate

Author Information

Author(s): David R Hotchkiss, Thomas P Eisele, Mamuka Djibuti, Eva A Silvestre, Natia Rukhadze

Primary Institution: Tulane University School of Public Health and Tropical Medicine

Hypothesis

How does a pilot intervention affect the capacity and motivation of health workers to analyze and use data for vaccine-preventable disease surveillance in Georgia?

Conclusion

The intervention improved perceived capacity to analyze data but faced health system barriers that limited its effectiveness in enhancing data use for public health responses.

Supporting Evidence

  • The intervention led to a significant increase in perceived capacity to perform data analysis.
  • Guidelines for data analysis were reported to exist by 100% of respondents in the intervention group at follow-up.
  • The intervention did not significantly improve the perceived value of using analyzed data for decision-making.

Takeaway

The study tried to help health workers in Georgia use data better to track diseases, but there were still problems that made it hard for them to do so.

Methodology

A pre-post quasi-experimental design with surveys and focus group discussions among health staff in intervention and control areas.

Potential Biases

Social desirability bias may have influenced self-reported data.

Limitations

The study's sample size limited statistical power, and the lack of randomization may affect internal validity.

Participant Demographics

The majority of respondents were female, with an average age of 43.1 years in the intervention group.

Statistical Information

P-Value

0.0003

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1471-2458-6-175

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