Linking Public Health Surveillance System to Policymaking and Local Development

  • Ligia Malagón de Salazar


The need to create surveillance systems that go beyond data release and generate useful, relevant, and accessible information to make appropriate decisions has been widely recognized. To reach this goal, the design and implementation of surveillance systems should consider not only technical issues but aspects that guarantee their sustainability and utility and, more important, the utilization of surveillance data for resource allocation and planning of health programs and interventions. Until now, key issues, such as political will, community involvement, local structures, decision-making processes, and accountability in surveillance outcomes, have been neglected.

For many years we have faced the same problems, all against the backdrop of an epidemiological mosaic where infectious and communicable diseases coexist, with limited capacity to conduct surveillance, low priority given to data by decision makers, and limited utilization of information, among other issues.

Technical, management, and political approaches involving new partnerships, new ways to involve different stakeholders in the process, new methods and tools, and ways to overcome resource restrictions and improve surveillance effectiveness must be devised. An alternative approach has been suggested to meet the aforementioned problems and to make surveillance socially responsible, relevant, and effective, not only for reporting but also for its contribution to producing and sustaining health changes. In this chapter, the vision, strategies, methods, tools, and results of a community-based surveillance system are presented. Three aspects are addressed: the context in which the surveillance is applied, the theory supporting the surveillance system, and the perspectives, goals, solutions, and lessons learned from previous experience.


Health promotion Policy Territory Intersectorality 


  1. Abel T, Cockerham WC, Niemann S (2000) A critical approach to lifestyle and health. In: Watson J, Platt S (eds) Researching health promotion. Routledge, LondonGoogle Scholar
  2. Aldana VE, Reyes AA (2004) Disolver problemas: criterio para formular proyectos sociales. Departamento de Ingeniería Industrial, Facultad de Ingeniería. Universidad de los Andes. Bogotá, ColombiaGoogle Scholar
  3. CDC (2000) Chronic Disease Notes & Reports, National Center for Chronic Disease Prevention and Health Promotion. 1, 2001Google Scholar
  4. De Salazar L (1996) Epidemiological Surveillance System in Latin America and the Caribbean: Perspectives, Challenges, and Solutions p. 197-207Google Scholar
  5. De Salazar L (1999) Escuelas Promotoras de Salud: resultado de alianzas estratégicas entre la academia, el gobierno municipal y la comunidad. Centro para el Desarrollo y Evaluación de Políticas y Tecnología en Salud Pública. CEDETES. Facultad de Salud, Universidad del Valle, CaliGoogle Scholar
  6. De Salazar L (2003) A community- based surveillance information and epidemiological surveillance system: an answer to the obstacles in developing countries. p. 203Google Scholar
  7. Ferguson BJ (1993) Youth at the threshold of the 21st century: the demographic situation. J Adolesc Health.14: 638–644, 703–710. © Springer Science+Business Media New York 2003CrossRefGoogle Scholar
  8. Harrison RG (2000) Artificial neural networks for healthcare, analysis, interpretations, and use of complex social and behavioral surveillance data: looking back in order to go forward. SavannahGoogle Scholar
  9. Jekel JF, Elmore JJ, Katz DL (1996) Epidemiology biostatics and preventive medicine. WB Saunders, PhiladelphiaGoogle Scholar
  10. Krieger N (2001) Theories for social epidemiology in the 21th century: an ecosocial perspective. Int J Epidemiol 30:668–677CrossRefGoogle Scholar
  11. McQueen D, Anderson L (2001) What counts as evidence: issues and debates. WHO Eval Health Promot Princ Perspect Eur Ser 92:63–79Google Scholar
  12. McQueen D, Puska P (2003) Global behavioral risk factor surveillance. In: McQueen D, Puska P (eds) Global behavioral risk factor surveillance. Kluwer Academic/Plenum, New YorkCrossRefGoogle Scholar
  13. Mokdad Ali H, Stroup DF, Giles WH (2003) Public health surveillance for behavioural risk factors in a changing environment. Recommendations from the behavioural risk factor surveillance team. MMWR Recomm Rep 52(RR-9):1–12PubMedGoogle Scholar
  14. Ramos Rodríguez et al. (2015) INTERAÇÕES, Campo Grande. 16(2): 339–350Google Scholar
  15. Strong K, Bonita R (2003) The surf report 1. Surveillance of risk factors related to non communicable diseases: current status of global data. World Health Organization, GenevaGoogle Scholar
  16. World Health Organization (2001) Evaluation in health promotion. Principles and perspectives. In: Rootman I et al (eds) Evaluation in health promotion. Principles and perspectives. WHO Regional Publications, European Series, No 92Google Scholar
  17. World Health Organization (2003a) The World health report. Neglected global epidemics: three growing threats: cardiovascular disease the need to act. Chapter 6Google Scholar
  18. World Health Organization (2003b) The Nuffield trust. The future of health- health of the future. Fourth European consultation on future trends. In: Barnard K (eds). WHO, GenevaGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Foundation for Public Health Development (FUNDESALUD)CaliColombia

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