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Completeness and Reliability of the Republic of South Africa National Tuberculosis (TB) Surveillance System

Overview of attention for article published in BMC Public Health, August 2015
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  • Good Attention Score compared to outputs of the same age (73rd percentile)
  • Above-average Attention Score compared to outputs of the same age and source (61st percentile)

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Title
Completeness and Reliability of the Republic of South Africa National Tuberculosis (TB) Surveillance System
Published in
BMC Public Health, August 2015
DOI 10.1186/s12889-015-2117-3
Pubmed ID
Authors

Laura Jean Podewils, Nonkqubela Bantubani, Claire Bristow, Liza E Bronner, Annatjie Peters, Alexander Pym, Lerole David Mametja

Abstract

Accurate surveillance data are paramount to effective TB control. The Republic of South Africa's National TB Control Program (NTP) has conducted TB surveillance since 1995 and adopted the Electronic TB Register (ETR) in 2005. This evaluation aimed to determine the completeness and reliability of data in the Republic of South Africa's TB Surveillance System. Three of nine provinces, three subdistricts per province, and 54 health facilities were selected by stratified random sampling. At each facility, 30 (or all if <30) patients diagnosed in Quarter 1 2009 were randomly selected for review. Patient information was evaluated across two paper and four electronic sources. Completeness of program indicators between paper and electronic sources was compared with chi-square tests. The kappa statistic was used to evaluate agreement of values. Over one-third (33.7 %) of all persons with presumptive TB recorded as smear positive in the TB Suspect Register did not have any records documenting notification, treatment, or management for TB disease. Of 1339 persons with a record as a TB patient at the facility, 1077 (80 %) were recorded in all data sources. Over 98 % of records contained complete age and sex data. Completeness varied for HIV status (53-86 %; p < 0.001) and DOT during the intensive phase of treatment (17-54 %; p < 0.001). Agreement for sex was excellent across sources (kappa 0.94); moderate for patient type (0.78), treatment regimen (0.79), treatment outcome (0.71); and poor for HIV status (0.33). The current evaluation revealed that one-third of persons diagnosed with TB disease may not have been notified of their disease or initiated on treatment ('initial defaulters'). The ETR is not capturing all TB patients. Further, among patients with a TB record, completeness and reliability of information in the TB Surveillance System is inconsistent across data sources. Actions are urgently needed to ensure that all diagnosed patients are treated and managed and improve the integrity of surveillance information.

X Demographics

X Demographics

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 166 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Cameroon 1 <1%
Ghana 1 <1%
Unknown 164 99%

Demographic breakdown

Readers by professional status Count As %
Student > Master 45 27%
Researcher 25 15%
Student > Ph. D. Student 23 14%
Student > Postgraduate 11 7%
Student > Bachelor 10 6%
Other 20 12%
Unknown 32 19%
Readers by discipline Count As %
Medicine and Dentistry 58 35%
Nursing and Health Professions 25 15%
Social Sciences 13 8%
Agricultural and Biological Sciences 5 3%
Computer Science 4 2%
Other 22 13%
Unknown 39 23%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 5. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 07 January 2016.
All research outputs
#6,047,209
of 22,821,814 outputs
Outputs from BMC Public Health
#6,221
of 14,867 outputs
Outputs of similar age
#69,515
of 264,425 outputs
Outputs of similar age from BMC Public Health
#122
of 323 outputs
Altmetric has tracked 22,821,814 research outputs across all sources so far. This one has received more attention than most of these and is in the 73rd percentile.
So far Altmetric has tracked 14,867 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 13.9. This one has gotten more attention than average, scoring higher than 57% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 264,425 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 73% of its contemporaries.
We're also able to compare this research output to 323 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 61% of its contemporaries.