South African congenital disorders data, 2006 - 2014.

نویسندگان

V Lebese

C Aldous

H L Malherbe

چکیده

BACKGROUND The National Department of Health in South Africa (SA) routinely collects congenital disorder (CD) data for its national CD surveillance system. The current system has been implemented since 2006, but no reports on the data collected, methodology, achievements or challenges have been published to date. OBJECTIVES To ascertain the effectiveness of the current national CD surveillance system and its implementation. METHOD A descriptive, retrospective study using an audit of the current database was undertaken to evaluate the number of notifications received, types of CDs reported and the quality of reporting across SA for data received from 2006 to 2014. RESULTS A total of 14 571 notifications were received, including 13 252 CDs and 1 319 zero notifications, across all nine provinces. Commonly reported CDs included Down syndrome, cleft lip and palate, talipes equinovarus, neural tube defects and albinism. CONCLUSIONS The major challenges identified included erratic compliance by health facilities and a lack of healthcare providers trained in human genetics related to CDs. This has led to misdiagnosed and undiagnosed CDs, collectively resulting in under-reporting of cases by >98% during the review period. Owing to limited human and financial resources, it is recommended that the surveillance system be modified into an electronic format. This should be piloted alongside relevant training in specific sentinel sites, to improve data coverage and quality for further evaluation.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Observations on the origin of congenital intestinal atresia.

Though not many empirical data were presented in the paper with regard to social and emotional functioning, the authors did report on their impressions. It is noticeable that in both their own later publications and the work of other researchers confirmation of disturbed emotional and psychological factors, other than intellectual functioning, was found among individuals with a history of early...

متن کامل

Body figure preference in South African adolescent females: a cross cultural study.

BACKGROUND Eating disorders have traditionally been associated with the white community in South Africa. The emergence of eating disorders among blacks in the mid 1990's appeared to signal a demographic shift. Subsequent data suggested that eating disorders would increase in prevalence amongst black South Africans. OBJECTIVE The current study sought to explore body figure preference in a cros...

متن کامل

The association between substance use and common mental disorders in young adults: results from the South African Stress and Health (SASH) Survey

INTRODUCTION Although substance use is commonly associated with mental disorders, limited data on this association are available from low and middle income countries such as South Africa. The aims of the study were i) to determine patterns of substance use in young adults, ii) to identify trends of common psychiatric disorders in relation to use of specific substances, and iii) to determine whe...

متن کامل

Folic acid awareness among women of reproductive age in Cape Town.

To the Editor: Neural tube defects (NTDs) are relatively common congenital abnormalities. The prevalence in South Africa typically ranges from 1 to 3.5 per 1 000 births. Higher rates, 6.13 per 1 000 live births, have been recorded in rural Transkei. Epidemiological studies have shown that periconceptual dietary supplementation with folic acid can substantially decrease the prevalence of NTD. Th...

متن کامل