Evaluation of the malaria epidemiological surveillance system in the health district of Tominian, Mali, 2017-2019

Abstract

Background: The incidence of malaria in 2018 was high in Ségou and Tominian compared to the national level (84 ‰) with respectively 95 ‰ and 98.4 ‰. In the absence of a previous evaluation report and to support malaria surveillance in Tominian, we initiated this evaluation on data from 2017 to 2019. Methods: We conducted a cross-sectional study on malaria surveillance data from the Tominian health district. We appreciated the organizational and functional attributes, sensitivity, acceptability, utility, simplicity, and representativeness. We included in our study the health staff involved in malaria surveillance from the referral health center, community health centers and a doctor's office. The frequencies were calculated with Excel® 2013. Results: The promptness in the transmission of weekly reports was respectively 81.11%, 85.14%, 80.77% in 2017, 2018 and 2019. The motivation of the agents in charge of malaria surveillance was 58.18%. Identification of populations at risk and monitoring of trends was 63.64%. The people surveyed mentioned the simplicity of the surveillance system at 92.21%. The medical office did not send any report for the period. Conclusion: Health workers rated the malaria surveillance system as faithful, simple, acceptable, representative, sensitive and useful. We recommend the involvement of private structures in improving local malaria surveillance system.