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November 2001, Vol 91, No. 11 | American Journal of Public Health 1758-1760
© 2001 American Public Health Association

FIELD ACTION REPORT

Evaluation and Reform of Mexican National Epidemiological Surveillance System

Roberto Tapia-Conyer, MD, MPH, MSc, Pablo Kuri-Morales, MD, MSc, Luis González-Urbán, IE and Elsa Sarti, MD, ScD

Roberto Tapia-Conyer, Pablo Kuri-Morales, Luis González-Urbán, and Elsa Sarti are with the Subsecretariat of Prevention and Control of Diseases, Mexican Secretariat of Health, Mexico City.

Correspondence: Requests for reprints should be sent to Elsa Sarti, MD, ScD, Instituto de Diagnóstico y Referencia Epidemiológicos, Prolongación de Carpio No. 470, Col. Santo Tomás, C.P. 11340, México D.F. (e-mail: esarti{at}mail.ssa.gob.mx).

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.






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