Improving HIV Case Surveillance in Asia

By Christelle Gorman November 27, 2012

After a period of eight years out of the region, NASTAD’s Global Program, in partnership with the Surveillance and Strategic Information Unit of CDC’s Division of Global HIV/AIDS and the World Health Organization hosted the Asia Region Workshop on Integrated HIV/AIDS Case Surveillance in Bangkok, Thailand, October 2012. Over the course of the workshop, NASTAD worked with 40 surveillance staff from Cambodia, China, India, Indonesia, Kazakhstan, Laos, Mongolia, The Philippines, Thailand, Uzbekistan and Vietnam.

This workshop was offered to leverage CDC’s and WHO’s growing support of case-based surveillance due to the vast availability of person-level data that exists in countries as international HIV/AIDS programs have developed and been implemented. Case-based surveillance--which is the practice of measuring and monitoring the incidence, progression and outcome of a disease through the collection of person-level data for a series of key or sentinel (reportable) events--can effectively leverage existing data to better understand the national HIV/AIDS epidemic in a routine and timely manner.

The four-day workshop, supporting nine countries in the region, focused on:

  1. A review of case reporting and case-based surveillance systems in the Asia Region
  2. The development and planned implementation of case surveillance system and process monitoring and evaluation frameworks
  3. Planning for implementation of case surveillance related data and process quality improvement activities
  4. Opportunities for case-based surveillance data utilization for epidemiologic tracking and response, as well as program planning and evaluation

The workshop facilitated peer-based review of systems and processes and allowed for targeted technical assistance and the guided development of system monitoring and evaluation frameworks and quality improvement plans. With the opportunity to work as a country team, with facilitation and peer feedback, great strides were made in system and process improvement planning. With ongoing follow-up, we hope participating countries will see great strides in their case-based surveillance systems.

This workshop built on the curriculum and success of the Integrated HIV/AIDS Case Surveillance Workshops in Ethiopia (October 2011 for Botswana, Ethiopia, Kenya, Namibia, South Sudan, Tanzania, Uganda, and Zambia) and Senegal (May 2012 for Burkina Faso, Cameroon, Côte d'Ivoire (Ivory Coast), Democratic Republic of Congo, Mali, Mauritania, Rwanda, and Senegal). These first two workshops were offered to help interested countries envision ways to leverage their existing patient-level data and management systems into usable surveillance data for national-level planning.

Future workshops are planned for Latin America and for the Caribbean Region in 2013. Stay tuned for updates.

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