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Table 3 Participants’ consensus status on the feasibility of implementing recommendation statements (N = 45)

From: Feasibility of implementing recommendations to improve neglected tropical diseases surveillance and response in Kenya: a modified Delphi study

Domain

Sub-domains

Statements

Consensus

Non-consensus

Neutral

   

n (%)

n (%)

n (%)

Core Functions

Case detection, registration and confirmation

It is feasible to update surveillance guidelines currently in use at the sub-national level

50 (100)

-

-

  

It is feasible to update the available PC-NTDs case definitions currently in use at the sub-national level

37 (82)

-

8 (18)

 

It is feasible to train all health workers on the application of available PC-NTDs case definitions

31 (69)*

4 (9)

10 (22)

 

It is feasible to increase the number of laboratories at lower surveillance levels to improve PC-NTDs case confirmation capacity

16 (35)*

3 (7)

26 (58)

 

It is feasible to fully equip laboratories at the health facility level to improve PC-NTDs case confirmation

32 (71)

3 (7)

10 (22)

 

It is feasible to provide an adequate number of skilled laboratory health personnel for effective confirmation of PC-NTDs

39 (87)

-

6 (13)

Reporting

It is feasible to ensure reporting forms are always readily available in all surveillance levels

45 (100)

-

-

 

It is feasible to avail updated reporting guidelines at the sub-national level

44 (98)

-

1 (2)

 

It is feasible to list all PC-NTDs in the existing reporting forms to improve surveillance data capture

25 (55)*

3 (7)

17 (38)

 

It is feasible to ensure immediate reporting of PC-NTD cases to improve planned response actions

30 (66)*

2 (4)

13 (29)

 

It is feasible to adopt electronic reporting tools to improve transmission of PC-NTDs surveillance data to the next level

45 (100)

-

-

 

It is feasible to offer frequent training on reporting PC-NTDs using existing reporting forms

44 (98)

1 (2)

-

 

It is feasible to allocate adequate time for surveillance reports preparation and submission to the next levels

45 (100)

-

-

Data Analysis

It is feasible to enhance PC-NTDs surveillance data analysis at the sub-national level

42 (93)

-

3 (7)

 

It is feasible for analysis of PC-NTDs surveillance data to be conducted on a routine-basis

14 (31)*

22 (49)

9 (20)

 

It is feasible to undertake trend analysis of PC-NTDs reported cases periodically

27 (60)*

3 (7)

15 (33)

 

It feasible to enhance training on PC-NTDs surveillance data analysis

45 (100)

-

-

 

It is feasible to have clearly formulated PC-NTDs action thresholds

43 (95)

-

2 (4)

 

It is feasible to provide adequate data analysis tools and equipment to all surveillance levels

44 (98)

-

1 (2)

Feedback

It is feasible to improve feedback on PC-NTDs surveillance data at the sub-national level

41 (91)

-

4 (9)

 

It is feasible to provide timely feedback on PC-NTDs surveillance data reported to the next level

44 (97)

-

1 (2)

 

It is feasible to provide regular feedback on reported PC-NTDs surveillance data

42 (93)

-

3 (7)

 

It is feasible to adapt improved electronic feedback mechanisms

45 (100)

-

-

 

It is feasible to increase feedback on PC-NTDs to lower surveillance levels

41 (91)

-

4 (9)

Epidemic preparedness and response

It is feasible to provide all surveillance levels with updated PC-NTDs outbreak preparedness and response protocols

45 (100)

-

-

 

It is feasible to have well constituted outbreak response teams to respond to probable PC-NTDs outbreaks

43 (95)

-

2 (4)

 

It is feasible to provide adequate emergency supplies to respond to probable PC-NTDs outbreaks

41 (91)

-

4 (9)

 

It is feasible to provide regular training on PC-NTDs outbreak preparedness and response

45 (100)

-

-

Support Functions

Supervision

It is feasible to enhance supervision of PC-NTDs surveillance activities at the sub-national level

41 (91)

-

4 (9)

  

It is feasible to provide regular supervision of PC-NTDs surveillance activities undertaken at the lower levels

23 (51)*

2 (4)

20 (44)

 

It is feasible to formulate supervisory schedules for PC-NTDs surveillance activities

45 (100)

-

-

 

It is feasible to increase the frequency of supervisory visits to the lower surveillance levels

10 (22)*

20 (45)

15 (33)

 

It is feasible to train and sensitise all health workers regarding supervisory activities

43 (95)

1 (2)

1 (2)

 

It is feasible to properly constitute supervisory teams to adequately supervise PC-NTDs surveillance activities

45 (100)

-

-

 

It is feasible to ensure there is adequate resource provision to support supervision of PC-NTDs surveillance activities

44 (98)

-

1 (2)

 

It is feasible to increase community participation to support supervision of PC-NTDs surveillance activities

44 (98)

-

1 (2)

Training

It is feasible to enhance PC-NTDs surveillance trainings conducted at the sub-national level

44 (97)

-

1 (2)

 

It is feasible to provide regular training specifically on PC-NTDs surveillance activities

39 (87)

-

6 (13)

 

It is feasible to avail adequate training materials and equipment across all surveillance levels

45 (100)

-

-

 

It is feasible to retain trained surveillance staff across all surveillance levels

12 (27)*

24 (53)

9 (20)

Resources

It is feasible to increase funding to support PC-NTDs surveillance activities

34 (75)

-

11 (24)

 

It is feasible to provide electronic communication equipment for transmission of PC-NTDs surveillance data

45 (100)

-

-

 

It is feasible to improve transport and logistical support to facilitate PC-NTDs surveillance activities

45 (100)

-

-

 

It is feasible to increase the number of health workers involved in PC-NTDs surveillance activities

18 (40)*

2 (4)

25 (56)

 

It is feasible to improve telecommunication channels to support transmission of surveillance data

45 (100)

-

-

  

It is feasible to improve means of transportation to facilitate surveillance activities

45 (100)

-

-

Attribute Functions

Simplicity

It is feasible to simplify existing guidelines for completing reporting forms

45 (100)

-

-

  

It is feasible to simplify available forms to ease reporting of PC-NTDs

45 (100)

-

-

  

It is feasible to simplify PC-NTDs case definitions to ease application

37 (82)

-

8 (18)

  

It is feasible to simplify methods for PC-NTDs surveillance data collection and analysis

45 (100)

-

-

 

Acceptability

It is feasible for the health managers to support PC-NTDs surveillance activities in the region

45 (100)

-

-

  

It is feasible to influence health workers’ perceptions on the public health importance of PC-NTDs in the region

43 (96)

-

2 (4)

 

Stability

It is feasible to address challenges facing PC-NTDs surveillance activities with minimal delays

36 (80)

3 (7)

6 (13)

  

It is feasible to avail sufficient resources to support PC-NTDs surveillance activities

44 (98)

1 (2)

-

 

Flexibility

It is feasible for the existing surveillance systems to be well adapted to reporting all PC-NTDs in the region

32 (71)

2 (4)

11 (24)

  

It is feasible for the existing surveillance systems to adapt easily to changes in PC-NTDs information needs

33 (73)

3 (7)

9 (20)

  1. * - statements not achieving the > 70 % consensus threshold