Evaluation and Reform of Mexican National Epidemiological Surveillance System

• Published in: American journal of public health (1971) Vol. 91; no. 11; pp. 1758 - 1760
• Main Authors: Tapia-Conyer, Roberto, Kuri-Morales, Pablo, Gonzalez-Urban, Luis, Sarti, Elsa
• Format: Journal Article
• Language: English
• Published: Washington, DC Am Public Health Assoc 01-11-2001; American Public Health Association; American Journal of Public Health 2001
• Subjects: Biological and medical sciences; Case studies; Community Health Centers - organization & administration; Community Health Centers - statistics & numerical data; Decision making; Decision Making, Organizational; Disease Notification; Epidemiology; Epidemiology - education; Epidemiology - organization & administration; Evaluation; Field Action Report; General aspects; Health care; Health centres; Health facilities; Health surveillance; Health systems. Social services; Humans; Information; Information systems; Leadership; Medical sciences; Meetings; Mexico; Mexico - epidemiology; Politics; Population Surveillance - methods; Public health; Public Health Administration; Public health. Hygiene; Public health. Hygiene-occupational medicine; Reforms; Surveillance; Surveillance systems; Central America; Mexico; America; National scope; Health system; Evaluation; Decision making; Reform; Sanitary surveillance; Epidemiology; Public health
• ISSN: 0090-0036; 1541-0048
• DOI: 10.2105/AJPH.91.11.1758

To generate timely and reliable information for decision making in local health centers, Mexico's National Epidemiological Surveillance System (SINAVE) was evaluated and reformed. The reform was achieved by consensus through national meetings of epidemiologists, using a conceptual model of requirements, leadership, participation, and motivation. The new SINAVE is run by committees that use data from 16 468 local health centers that generate homogeneous information from all health institutions. Indicators, flowcharts, and standardized instruments were created. The reforms modernized SINAVE and strengthened epidemiologists' leadership, consolidated local decision making, and assessed control actions needed to improve the health of the Mexican population.