Surveillance Data Analysis at Facility Level
1. What is the deadline for health facilities to submit their weekly surveillance summary report?
A) Sunday midnight
B) Monday before midday
C) Tuesday morning
D) Friday evening
Answer: B) Monday before midday
2. What period does the weekly surveillance report cover?
A) Saturday to Friday
B) Sunday to Saturday
C) Monday to Sunday
D) Wednesday to Tuesday
Answer: C) Monday to Sunday
3. What is the purpose of analyzing surveillance data at the facility level?
A) To compare facilities
B) To support national reporting only
C) To inform facility-level decisions
D) To meet donor requirements
Answer: C) To inform facility-level decisions
4. What is the minimum analysis a facility should conduct on weekly data?
A) Staff workload
B) Trends of priority conditions
C) Financial cost of treatment
D) Referral frequency
Answer: B) Trends of priority conditions
5. What graph is commonly used to analyze trends in disease data?
A) Bar graph
B) Pie chart
C) Line graph
D) Histogram
Answer: C) Line graph
6. On a line graph for disease trends, what is typically on the horizontal axis?
A) Age of cases
B) Type of disease
C) Week or month
D) Number of deaths
Answer: C) Week or month
7. Which of the following is a 'person characteristic' analyzed in surveillance data?
A) Village
B) Temperature
C) Sex
D) Region
Answer: C) Sex
8. How is 'vaccination status' categorized in measles surveillance data?
A) Yes/No
B) Oral/Injectable
C) Doses taken
D) Type of vaccine
Answer: A) Yes/No
9. What proportion of cases were female if 4 out of 10 cases are female?
A) 20%
B) 30%
C) 40%
D) 60%
Answer: C) 40%
10. What village reported the most measles cases in the example data from facility XXXX?
A) A
B) B
C) C
D) None
Answer: A) A
Section 2: Interpretation and Use of Analysis
11. Why should facilities draw line graphs of priority conditions?
A) For storage in archives
B) For display to visiting staff
C) To monitor disease trends
D) To compare funding allocations
Answer: C) To monitor disease trends
12. What should facilities do with analysis results during meetings?
A) Submit them to donors
B) File them without discussion
C) Discuss and use for decisions
D) Translate them to local language only
Answer: C) Discuss and use for decisions
13. If a facility reports data without analyzing it, what is the consequence?
A) Easier data entry
B) Faster reporting
C) Missed disease trend changes
D) Increased accuracy
Answer: C) Missed disease trend changes
14. What happens if analysis findings are not shared in meetings?
A) Faster data compilation
B) Lower data quality
C) Decisions are not informed by data
D) Better confidentiality
Answer: C) Decisions are not informed by data
Section 3: Weekly Epidemiological Bulletin
15. When does the district officer lose the ability to edit submitted data?
A) Tuesday midday
B) Monday evening
C) Wednesday morning
D) Friday
Answer: A) Tuesday midday
16. What platform is used to aggregate facility data in Somaliland?
A) Excel
B) WHO Portal
C) DHIS2
D) Google Sheets
Answer: C) DHIS2
17. Who can access merged datasets for all districts in a region?
A) Facility nurses
B) Regional HMIS officer
C) Pharmacists
D) Community leaders
Answer: B) Regional HMIS officer
18. Which officer can edit submitted data?
A) HMIS Coordinator
B) District public health officer
C) National PEOC
D) Health facility staff
Answer: B) District public health officer
19. What is the purpose of the weekly epi-bulletin?
A) Store disease data only
B) Share lab results
C) Summarize and communicate key surveillance data
D) Detail drug distribution
Answer: C) Summarize and communicate key surveillance data
20. How often is the weekly epi-bulletin produced in Somaliland?
A) Monthly
B) Weekly
C) Bi-weekly
D) Quarterly
Answer: B) Weekly
21. What makes a surveillance system well-functioning?
A) Number of conditions listed
B) Capacity to produce weekly epi-bulletins
C) Number of outbreaks
D) Number of hospitals
Answer: B) Capacity to produce weekly epi-bulletins
22. What is a SITREP?
A) Weekly summary of all diseases
B) Summary for a single disease during an outbreak
C) Annual health report
D) DHIS2 summary
Answer: B) Summary for a single disease during an outbreak
23. Which section of the bulletin shows report quality by timeliness and completeness?
A) Editorial
B) Introduction
C) Reporting performance
D) Recommendations
Answer: C) Reporting performance
24. What does the 'summary of ongoing public health events' include?
A) Birth data
B) Disease name, location, case count
C) Financial expenditures
D) Staffing levels
Answer: B) Disease name, location, case count
Section 4: Improving Data Analysis and Feedback
25. What should facilities do with graphs of common conditions?
A) Hide them
B) File them
C) Display them
D) Lock them
Answer: C) Display them
26. How frequently should DSO visit facilities for support supervision?
A) Monthly
B) Every 6 months
C) Quarterly
D) Annually
Answer: C) Quarterly
27. Who should give feedback to facilities on surveillance data quality?
A) WHO
B) National HMIS
C) District Surveillance Officer
D) Pharmacist
Answer: C) District Surveillance Officer
28. How often should national/regional levels offer capacity building?
A) Once a year
B) Every quarter
C) Monthly
D) Every two years
Answer: B) Every quarter
29. Why is feedback to facilities important?
A) Reduces reports
B) Improves salaries
C) Motivates continued reporting
D) Increases patient numbers
Answer: C) Motivates continued reporting
30. Where should epi-bulletins be disseminated?
A) Only at national level
B) Only in hospitals
C) All health system levels
D) Ministry offices only
Answer: C) All health system levels
31. What is a key layout feature of the Somaliland epi-bulletin?
A) Academic language
B) Complex charts
C) Simplicity and attractiveness
D) Legal disclaimers
Answer: C) Simplicity and attractiveness
32. What key information should be in the bulletin’s title?
A) Disease names
B) Author names
C) Country, epi-week, level
D) Names of donors
Answer: C) Country, epi-week, level
33. Who is responsible for producing the national epi-bulletin?
A) WHO
B) Health facilities
C) National level health team
D) Community health workers
Answer: C) National level health team
34. What should the ‘recommendations’ section of the bulletin include?
A) Names of patients
B) Surveillance officer salaries
C) Actions to strengthen public health response
D) Maps of villages
Answer: C) Actions to strengthen public health response
35. What helps increase demand for surveillance data?
A) Restricting access
B) Disseminating epi-bulletins widely
C) Delaying bulletins
D) Reducing graphs
Answer: B) Disseminating epi-bulletins widely
36. Who should be listed in the editorial section of the bulletin?
A) Politicians
B) Health facility patients
C) The team who prepared the bulletin
D) Donors only
Answer: C) The team who prepared the bulletin