Table 2 Readiness of Zanzibar health care facilities in the detection and response to MBVD outbreaks
Variable/indicator | Primary health care facilitiesa | Secondary health care facilities (Hospitals) | Â | |
|---|---|---|---|---|
| Â | Public (n = 29) | Private (n = 11) | Public (n = 4) + Private (n = 1) | Facility Total (n = 45) |
| Â | n (%) | n (%) | n (%) | n (%) |
Surveillance | ||||
 Availability of standard case definitions for MBVDs: | ||||
  Dengue, yellow fever | 21 (72) | 2 (18) | 0 (0) | 23 (51) |
  Chikungunya, Zika, Rift Valley Fever (RVF) | 0 (0) | 0 (0) | 0 (0) | 0 (0) |
 Availability of adequate supply of surveillance forms | 26 (80) | 9 (82) | 5 (100) | 40 (89) |
 Capacity for data analysis/visible graphs | 3 (10) | 0 (0) | 0 (0) | 3 (7) |
 Facility with electronic system/database for surveillance data reporting | 0 (0) | 0 (0) | 0 (0) | 0 (0) |
Standard guidelines | ||||
 Availability of national guidelines for MBVD surveillance | ||||
  Yellow fever (within national IDSR guidelines) | 3 (10) | 1 (9) | 0 (0) | 4 (9) |
  Dengue, chikungunya, Zika, RVF | 0 (0) | 0 (0) | 0 (0) | 0 (0) |
 Availability of standard case management manuals for MBVDs | 0 (0) | 0 (0) | 0 (0) | 0 (0) |
 Availability of guidelines for sample collection, handling, and transportation | 11 (38) | 8 (73) | 3 (60) | 22 (49) |
Diagnostic readiness | ||||
 Capacity to collect and handle blood/serum samples until transportation | 23 (79) | 7 (64) | 4 (80) | 34 (75) |
 Capacity to transport samples to higher level laboratory | 10 (35) | 3 (27) | 3 (60) | 16 (36) |
 Availability of functional diagnostic equipment and materials | ||||
  Rapid diagnostic test kits | 0 (0) | 0 (0) | 0 (0) | 0 (0) |
  Molecular diagnostics | 0 (0) | 0 (0) | 0 (0) | 0 (0) |
Human resource capacity | ||||
 Trained on disease surveillance | 18 (62) | 4 (36) | 2 (40) | 22 (49) |
 Trained on MBVDs surveillance and response (only dengue reported) | 2 (7) | 0 (0) | 0 (0) | 2 (4) |
MBVD prevention/control measures | ||||
 Availability of a contingency plan | 0 (0) | 0 (0) | 0 (0) | 0 (0) |
 Provide routine health education on MBVDs and control measures | 0 (0) | 0 (0) | 0 (0) | 0 (0) |
 Perform routine environmental management practices for Aedes mosquito control | 0 (0) | 0 (0) | 0 (0) | 0 (0) |