8.6 Intervention report


When the intervention is over, write an accurate, concise and structured report.
The report must be dated and the name of the country specified, as well as the author’s (or authors’) name and position.
It should contain the following elements:

1. Context

– General demographic data.
– Natural disaster, war, security concerns, displaced populations, mass gathering (e.g. pilgrimage).
Organization of the health system, existing cholera emergency plan of action, quality of early warning system and surveillance before the outbreak.
– Other public health concerns (malnutrition, concurrent epidemic illnesses, etc.).
– Involvement of national and international partners.
– Any relevant information.

2. Epidemiologic overview

– Cholera situation in the country (past cholera history and historical data).
– Description of the current outbreak (epidemic start date (and end date if achieved), origin and means of spread, geographical distribution of cases, total number of cases and deaths, attack rate and case fatality rate, etc.).
– Results of laboratory testing.
– Any relevant information.

3. Outbreak response overview

– Initial evaluation/investigation.
– Response strategy.
– Case management (number of CTC, CTU, ORP set up, overall number of persons treated including cases and deaths).
– Water, sanitation, hygiene and logistics interventions.
– Health promotion interventions.
– Vaccination campaign.
– Training.
– Any other relevant activity.

4. Evaluation of the response

– Interaction/coordination with the different actors, outbreak response committee.
– Quality of early warning system and surveillance during the outbreak.
– Performance of investigation and rapid response.
– Performance of laboratory services.
– Adequacy of chosen response strategy.
– Quality of care, reason to explain a CFR > 1%.
– Difficulties encountered during the intervention (e.g. supply chain, population opposition).
– Cost per activity.
– Any other relevant information.

5. Recommendations

– For short, medium and long term.

6. Appendices

– Map, tables, graphs.
– Questionnaires and/or other survey forms.
– Protocols.
– Any document of interest.