Stepped Approach

    STEP 1 Inform and Engage
    • Inform and engage government/local government/relevant stakeholders
    • Where possible, form an advisory committee
    • Schedule time for regular meetings of all parties involved

    STEP 2 Setting up the Surveillance System
    • Prepare a realistic budget
    • Consider primary and secondary funding options, keeping in mind sustainability of the surveillance system
    • Consider stepped implementation, including pilot phase and scaling up to the national level
    • Appoint key function staff
    • Develop standard operating procedures

    STEP 3 Ethics and Data Protection
    • Obtain ethical approval and formal written permission for data collection from hospital management
    • Verify requirements from national data protection legislation

    STEP 4 Implementation
    • Enhance and refine standard operating procedures
    • Conduct training in data collection (see Module 3)
    • Develop data registration form
    • Meet and fully brief hospital management and relevant staff from whom data will be obtained (e.g. emergency room staff and medical records staff)
    • Coding and data entry
    • Data compilation and data cleaning
    • Data analysis and data interpretation
    • Ensure all key staff are adequately trained

    STEP 5 Review and Evaluate
    • Annual reporting and other formal reviews
    • Review all aspects of the implementation of the surveillance system with all relevant parties
    • Based on review, make necessary changes to management or standard operating procedures of the surveillance system
    • Where appropriate, expand to additional regions/hospitals
    • Ensure the maintenance and sustainability of the surveillance system