Josua Ligairi
School of Medicine Private Mail Bag, Fiji
Title: A Systematic Review of existing NCD Monitoring and Surveillance System and it’s adaptability to Fiji’s existing Health Information System
Biography
Biography: Josua Ligairi
Abstract
In 2012, 68 % of the global deaths were attributed to NCDs. About 48 % of NCDs in LMICs occur amongst people under the age of 70, compared to 28 % in high-income countries (HICs). The UN High-Level Meeting of the General Assembly on the Prevention and Control of Non-Communicable Diseases passed a Political Declaration on NCD prevention and control in 2011, emphasizing the need for NCD surveillance. The WHO has assessed the current capacity for NCD surveillance as inadequate in several countries. Therefore the objectives are to identify certain literatures that support the development of an NCD surveillance system, conceptualize an NCD surveillance system to the existing health information system for informed decision making, to identify prioritise areas of focus for the surveillance system. A systematic review was conducted and set for full text citations published in English dated 1 January, 2007 to 31 December 2016 using the following words “Health surveillance systems” and “NCD monitoring and surveillance system”. The literatures were tabulated according to the authors, date that was published and which journal, the title of the study, the surveillance design and their recommendations. Further analysis was conducted on the literature towards the country and its existing NCD surveillance design and what are some of the output of the countries adapted surveillance design. The 10 citations that were identified only one was conducted in a developing country while the rest were conducted in high income countries. Through literature there was less evidence on surveillance in LMIC but `the following surveillance systems were identified as essential for Fiji’s proposed NCD surveillance system. Summarising most of the countries monitoring and surveillance system it shows that the best surveillance system to be adopted for Fiji is a passive surveillance system that relies on readily collated data from primary health care facilities, hospital and with existing data sources and based on Fiji’s geographical location and vast distribution of its population to these islands, the inclusion of a spatial surveillance system as an addition to its proposed passive surveillance system would be and added benefit.
Keywords
Surveillance, Population health, wellbeing and behavioural modification, Non-communicable disease.