Table 1 Tool for evaluation of cholera response activities
From: Assessment of the response to cholera outbreaks in two districts in Ghana
Response areas | Components | Strengths | Weaknesses |
|---|---|---|---|
Organization of the response | Organization of the response – cholera coordination committee – control measures – monitoring of the activities | ||
Involvement of international partners – coordination of partners – project proposals | |||
Information management – information dissemination – media involvement – coordination with media | |||
Surveillance and laboratory confirmation | Surveillance – data for action – outbreak investigation | ||
Outbreak detection – quality of early warning system – quality of background information – flow of epidemiological information – first control measures taken | |||
Outbreak confirmation – laboratory confirmation of diagnosis – case definition | |||
Case management | Case management: treatment – rehydration therapy – antibiotics – preventive measures (isolation, hygiene) | ||
Reduction of mortality – case-fatality rate – training of health care workers – cholera treatment units in place | |||
Hygiene measures in health care facilities – organization of cholera treatment units – disinfection – water supply | |||
Control of the environment | Safe water – measures to ensure safe drinking-water. – chlorination of water sources | ||
Sanitation – access to sanitation facilities – hygiene | |||
Funeral practices – official recommendations to communities, health care workers and funeral organizers | |||
Control of the spread in the community | Involvement of the community – education campaign (messages and channels) – active case-finding | ||
Safe food – marketplaces – street food handlers |