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Developing a Public Health Monitoring System in a War-torn Region: A Field Report From Iraqi Kurdistan

Published online by Cambridge University Press:  05 November 2019

Stefania Moramarco*
Affiliation:
Department of Biomedicine and Prevention, University of Rome Tor Vergata, Italy
Faiq B. Basa
Affiliation:
Rizgary Hospital, Erbil, Kurdistan Region, Iraq
Haveen H. Alsilefanee
Affiliation:
Directorate of Health, Dohuk, Kurdistan Region, Iraq
Sivar A. Qadir
Affiliation:
Directorate of Health, Sulaymaniyah, Kurdistan Region, Iraq
Leonardo Emberti Gialloreti
Affiliation:
Department of Biomedicine and Prevention, University of Rome Tor Vergata, Italy
*
Correspondence and reprint requests to Stefania Moramarco, University of Rome Tor Vergata, via Montpellier 1, 00133 Rome, Italy (e-mail: stefania.moramarco@gmail.com).

Abstract

Wars, terrorism, and embargos destroyed facilities and shattered the public health system of Iraq. Today, there is limited documented knowledge about the health situation of the Iraqi population, particularly because health data are not systematically collected. Therefore, the capacity of the health system to address the major health problems of the population is considerably reduced. This report describes the implementation, started in 2015, of an electronic system for epidemiological monitoring and health surveillance, designed to collect and manage health care data in Iraqi Kurdistan. The aim of the program is to network all of the main health centers and hospitals of the region, then of the whole country, and to train medical and administrative staff in the management and analysis of health data. In countries recovering from war, a functioning health monitoring system is essential in guiding the development of appropriate public health interventions, a key instrument to prepare the health system to respond to future emergencies.

Type
Report from the Field
Copyright
Copyright © 2019 Society for Disaster Medicine and Public Health, Inc.

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References

REFERENCES

Ross, AC, Moore, M, Hilborne, LH, et al. Strengthening health care in the Kurdistan Region of Iraq, Santa Monica, Calif.: RAND Corporation, RB-9990-KRG. 2017. https://www.rand.org/pubs/research_briefs/RB9990.html. Accessed April 7, 2019.Google Scholar
Hagopian, A, Flaxman, AD, Takaro, TK, et al. Mortality in Iraq associated with the 2003–2011 war and occupation: findings from a national cluster sample survey by the University Collaborative Iraq Mortality Study. PLoS Med. 2013;10(10):e1001533. doi:10.1371/journal.pmed.1001533.CrossRefGoogle ScholarPubMed
IOM, RWG, UNAMI, et al. Reasons to remain: categorizing protracted displacement in Iraq, November 2018. International Organization for Migration (IOM). 2018. https://iraq.iom.int/files/publications/Categorizing_Protracted_Displacement_in_Iraq_2018-11_IOM_RWG_SI.pdf. Accessed October 29, 2019.Google Scholar
Ross, AC, Moore, M, Hilborne, LH, et al. Health sector reform in the Kurdistan Region – Iraq Primary Care Management Information System, Physician Dual Practice Finance Reform, and Quality of Care Training. Kurdistan Regional Government Ministry of Planning, Ministry of Health. RAND Corporation. 2017. https://www.rand.org/pubs/research_reports/RR1658.html. Accessed April 7, 2019.Google Scholar
Webster, PC. Iraq’s health system yet to heal from ravages of war. Lancet. 2011;378(9794):863866.CrossRefGoogle Scholar
World Health Organization (WHO). Health systems profile – Iraq. Regional Health Systems Observatory. 2006. http://apps.who.int/medicinedocs/documents/s17295e/s17295e.pdf. Accessed April 6, 2019.Google Scholar
Al Hilfi, TK, Lafta, R, Burnham, G. Health services in Iraq. Lancet. 2013;381(9870):939948.CrossRefGoogle Scholar
IOM, UNFPA, KRSO. Demographic survey Kurdistan Region of Iraq. 2018. http://iomiraq.net/reports/demographic-survey-kurdistan-region-iraq. Accessed April 3, 2019.Google Scholar
Mokdad, AH, Forouzanfar, MH, Daoud, F, et al. Health in times of uncertainty in the eastern Mediterranean region, 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet Glob Health. 2016;4(10):e704713.CrossRefGoogle ScholarPubMed
Iraqi Ministry of Health and WHO. A basic health services package for Iraq. 2009. http://applications.emro.who.int/dsaf/libcat/EMROPD_2009_109.pdf. Accessed October 29, 2019.Google Scholar
Emberti Gialloreti, L, Moramarco, S, Palombi, L. Investing in epidemiological surveillance for recovering health system in war-torn countries. Perspect Public Health. 2019;epub.CrossRefGoogle Scholar
Massoudi, BL, Chester, KG. Public health, population health, and epidemiology informatics: recent research and trends in the United States. Yearb Med Inform. 2017;26(1):241247.Google ScholarPubMed
DHIS2 [District Health Information System 2] Version 2.31. DHIS 2 Documentation team. 2006–2019. https://www.dhis2.org/. Accessed April 6, 2019.Google Scholar
UNICEF. The State of the World’s Children 2009. Statistical tables. 2009. https://www.unicef.org/sowc09/docs/SOWC09_all_tables.pdf. Accessed February 28, 2019.Google Scholar
Ministry of Planning Kurdistan Regional Government. Kurdistan Region of Iraq 2020. A vision for the future. 2013. http://www.mop.gov.krd/resources/MoP%20Files/Newsletter/kurdistan_region_of_iraq_2020_new.pdf. Accessed October 29, 2019.Google Scholar