Assessment of the COVID-19 Surveillance System in Sudan: Performance, Limitations, and Recommendations

Nouh Saad Mohamed Molecular Biology Unit, Sirius Training and Research Centre, Khartoum, Sudan;

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Yousif Ali Sudan Field Epidemiology Training Program, Health Emergencies and Epidemics Control General Directorate, Sudan Federal Ministry of Health, Khartoum, Sudan;

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Emmanuel Edwar Siddig Faculty of Medical Laboratory Sciences, University of Khartoum, Khartoum, Sudan;

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Ayman Ahmed Swiss Tropical and Public Health Institute (Swiss TPH), Allschwil, Switzerland;
Faculty of Science, University of Basel, Basel, Switzerland;
Institute of Endemic Diseases, University of Khartoum, Khartoum, Sudan

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Assessing the COVID-19 surveillance system is vital. It identifies cases swiftly and is crucial in curbing COVID-19 spread, especially among vulnerable groups. Public health surveillance collects, analyzes, and shares data systematically, informing actions to lessen disease impact. Here we used a mixed-approach method to assess the COVID-19 surveillance system in Sudan by reviewing the secondary data (line list) from January 28, 2020 to November 2, 2022. The system’s effectiveness was rated weak based on the poor quality and incompleteness of the collected data, as well as the reporting process to policymakers and responders. Moreover, the system’s acceptability score was low, mainly because of the incompleteness and delays in data reported from the private sector. This assessment recommends that the Federal Ministry of Health invest in improving the surveillance system by building the technical capacity of the staff, infrastructure, and utilization of the District Health Information Software-2 for data collection, analysis, and dissemination.

Author Notes

Current contact information: Nouh Saad Mohamed, Molecular Biology Unit, Sirius Training and Research Centre, Khartoum, Sudan, E-mail: nouh_saad@outlook.com. Yousif Ali, Sudan Field Epidemiology Training, Health Emergencies and Epidemics Control General Directorate, Sudan Federal Ministry of Health, Khartoum, Sudan, E-mail: yousif.health@gmail.com. Emmanuel Edwar Siddig, Faculty of Medical Laboratory Sciences, University of Khartoum, Khartoum, Sudan, E-mail: Emanuel-esd@gmail.com. Ayman Ahmed, Swiss Tropical and Public Health Institute, Allschwil, Switzerland; Faculty of Science, University of Basel, Basel, Switzerland; and Institute of Endemic Diseases, University of Khartoum, Khartoum, Sudan, E-mail: ayman.ame.ahmed@gmail.com.

Address correspondence to Nouh Saad Mohamed, Molecular Biology Unit, Sirius Training and Research Centre, Khartoum 11111, Sudan. E-mail: nouh_saad@outlook.com
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