Evaluation of Communicable Disease Surveillance System at AL-Najaf Governorate

To evaluate the communicable disease control surveillance system to target disease of expanded program on immunization at primary Health Care Center, Health Care Sectors, and Health Directorate and to indicate the level of usefulness of surveillance system characteristics of simplicity, flexibility, acceptability, stability. descriptive evaluation study is conducted on primary health care centers, primary health sectors, health directorates in AL- Najafe Governorate from 25 March 2015 to 30 January 2016. A probability multistage sample of (22) subjects which is selected from communicable disease for target disease of surveillance system units. Data were collected throughout the utilization of the developed questionnaire and interview technique. Questionnaire has been divided into three main parts consist, form(A) especially for health directorate, form (B) for health sectors, and form (C) for primary health care centers  each form contains the basic components, structure; consists of manpower and materials and resources of surveillance system, process; consists of  system components, and, feedback, outcome; consists of attributes ( 217) items.. The study results indicate that the study results regarding to male that there is majority of them are males. In addition, the study results indicate that the health officers have less than 5 years of experience in PHCs, and health sectors; while they have more than 8 years of experience at health directorate, shortage distribution of staff from physician and others specials as being compared with standard staff WHO (2001). Most of study sample which find lack in materials and resources at primary health care centers and health care sector except health directorate. recommend reveal Ministry of Higher Education and Scientific Research Further studies should be conducted to involve more governments in Iraq about the effectiveness of the surveillance system and to determine the factors that cause it is in affectivity. Apply the surveillance system as a unit in the faculty of nursing curriculums to increase the community health nurses' experience in area of surveillance system.  Also, regarding Ministry of Health of recommendation Used of community health nurses as a managers to manage the surveillance system to benefit from their experience in surveillance system and all the community and community health nursing duties.