{"id":3539,"date":"2025-06-25T15:35:57","date_gmt":"2025-06-25T15:35:57","guid":{"rendered":"https:\/\/santemonde.org\/2025\/06\/25\/35-ans-de-surveillance-epidemiologique\/"},"modified":"2025-06-26T19:50:49","modified_gmt":"2025-06-26T19:50:49","slug":"35-ans-de-surveillance-epidemiologique","status":"publish","type":"post","link":"https:\/\/santemonde.firmecreative.com\/en\/2025\/06\/25\/35-ans-de-surveillance-epidemiologique\/","title":{"rendered":"35 Years of Epidemiological Surveillance: A Local Approach for Global Impact"},"content":{"rendered":"<p>In 1990, as the AIDS epidemic hit Francophone Africa hard, Sant\u00e9 Monde stepped in to support countries in strengthening their ability to detect and respond to health threats. This marked the beginning of a journey spanning more than three decades \u2014 driven by innovation, collaboration, and tangible results.<\/p>\n<h3><strong>Milestones Along the Way<\/strong><\/h3>\n<p><strong>1990-1998: The First Steps<\/strong><\/p>\n<p>It all began with the <span style=\"color: #ea6371;\">Epidemiological Surveillance Support Project (PAS\u00c9)<\/span>, backed by Canadian cooperation. Five West African countries (Benin, Burkina Faso, Ivory Coast, Mali, and Niger) trusted us to improve the collection and analysis of quality health data, through training and information-sharing programs.<\/p>\n<p>This is when the concept of the <span style=\"color: #ea6371;\">Centres for Epidemiological Surveillance Center (CES)<\/span> was born, a groundbreaking idea that quickly became Sant\u00e9 Monde\u2019s signature approach. This methodological innovation laid the foundation for the organization\u2019s future work and has been continuously refined through each new project.<\/p>\n<hr \/>\n<p><strong>What is a CES?<\/strong><\/p>\n<p>A CES acts like a local \u201ccommand center\u201d that brings together health professionals \u2014 field agents, lab technicians, and more \u2014 to monitor diseases in a targeted region. Instead of working in silos, they collaborate, share data, and respond more quickly. These interdisciplinary teams are trained, equipped, and supported to implement the WHO\u2019s Integrated Disease Surveillance and Response (IDSR) strategy effectively.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-3526\" src=\"https:\/\/santemonde.org\/wp-content\/uploads\/2025\/06\/sante-monde-cse-2018-min-300x225.jpg\" alt=\"\" width=\"552\" height=\"414\" srcset=\"https:\/\/santemonde.firmecreative.com\/wp-content\/uploads\/2025\/06\/sante-monde-cse-2018-min-300x225.jpg 300w, https:\/\/santemonde.firmecreative.com\/wp-content\/uploads\/2025\/06\/sante-monde-cse-2018-min-1024x768.jpg 1024w, https:\/\/santemonde.firmecreative.com\/wp-content\/uploads\/2025\/06\/sante-monde-cse-2018-min-768x576.jpg 768w, https:\/\/santemonde.firmecreative.com\/wp-content\/uploads\/2025\/06\/sante-monde-cse-2018-min-1536x1152.jpg 1536w, https:\/\/santemonde.firmecreative.com\/wp-content\/uploads\/2025\/06\/sante-monde-cse-2018-min-2048x1536.jpg 2048w, https:\/\/santemonde.firmecreative.com\/wp-content\/uploads\/2025\/06\/sante-monde-cse-2018-min-1200x900.jpg 1200w\" sizes=\"auto, (max-width: 552px) 85vw, 552px\" \/><\/p>\n<hr \/>\n<p><strong>1999-2011: The Digital Era<\/strong><\/p>\n<p>With the launch of the <span style=\"color: #ea6371;\">Integrated Epidemiological Surveillance Support Project (PAS\u00c9i)<\/span>, new technologies came into play. CES&#8217; were connected, and data flowed more efficiently. Later, through PAS\u00c9i 2, we helped five countries (Benin, Burkina Faso, Guinea, Mali, and Niger) integrate epidemiology training into their national public health schools. The goal? To ensure sustainable, autonomous skills transfer.<\/p>\n<blockquote><p>\u201cThe idea of training nurses specialized in epidemiology\u2014who can think critically about how to collect data, conduct initial analyses, and transmit information under the best possible conditions\u2014is what helped us build our capacity to respond to epidemic-prone diseases.\u201d<\/p>\n<p><em style=\"font-size: 16px;\">&#8211; Adama Traor\u00e9, Secretary General, Ministry of Health, Burkina Faso (2009)<\/em><\/p><\/blockquote>\n<p><strong>2014-2017: A Regional Vision<\/strong><\/p>\n<p><span style=\"color: #ea6371;\">The<\/span><span style=\"color: #ea6371;\"> <em>West Africa Regional Disease Surveillance (WARDS<\/em>) <span style=\"color: #000000;\">project<\/span><\/span>, funded by the World Bank, opened the doors to the ECOWAS region. We adapted our approach to 15 countries, working alongside the CDC, Fondation M\u00e9rieux, WHO, the University of Oslo, and the University of Ghana.<\/p>\n<p><strong>2017-2024: Continued Expansion<\/strong><\/p>\n<p>Recognized for its expertise, Sant\u00e9 Monde was invited to contribute to the World Bank\u2019s <a href=\"http:\/\/www.santemonde.org\/en\/redisse\"><span style=\"color: #ea6371;\">Regional Disease Surveillance Systems Enhancement (REDISSE)<\/span><\/a> programme, allowing us to go even further. Through successive mandates, we deployed nearly 150 new CES&#8217; across 10 countries. We refined our methods, continued to rely on local expertise, and expanded into Central Africa with projects in Chad and the Democratic Republic of Congo.<\/p>\n<blockquote><p>\u201cThis [program] strengthened national and provincial capacities in epidemiological surveillance, laboratory diagnostics, public health emergency management, human resource development, and multisectoral coordination. Thanks to the commitment of all partners [including Sant\u00e9 Monde] significant progress has been made in health security.\u201d<\/p>\n<p><em style=\"font-size: 16px;\">&#8211; Dr. Dominique BAABO KUBUYA, National Coordinator, Health System Development Program, DRC (2025)<\/em><\/p><\/blockquote>\n<hr \/>\n<h3><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-3523\" src=\"https:\/\/santemonde.org\/wp-content\/uploads\/2025\/06\/sante-monde-redisse-gb-cse-300x225.jpg\" alt=\"\" width=\"541\" height=\"406\" srcset=\"https:\/\/santemonde.firmecreative.com\/wp-content\/uploads\/2025\/06\/sante-monde-redisse-gb-cse-300x225.jpg 300w, https:\/\/santemonde.firmecreative.com\/wp-content\/uploads\/2025\/06\/sante-monde-redisse-gb-cse.jpg 573w\" sizes=\"auto, (max-width: 541px) 85vw, 541px\" \/><\/h3>\n<h3><strong>What We&#8217;ve Achieved Together<\/strong><\/h3>\n<ul>\n<li><span style=\"color: #ea6371;\">1,567 professionals <\/span>trained across 18 countries<\/li>\n<li><span style=\"color: #ea6371;\">697 CES<\/span> established or strengthened<\/li>\n<li><span style=\"color: #ea6371;\">$36 million<\/span> mobilized<\/li>\n<li><span style=\"color: #ea6371;\">18 partner countries<\/span><\/li>\n<\/ul>\n<p>Behind these numbers are <span style=\"color: #ea6371;\">lives protected<\/span>. It\u2019s impossible to count the number of epidemics prevented thanks to early detection and prevention. Every trained professional, every center established, represents a stronger capacity to prevent outbreaks and contribute to global health security.<\/p>\n<p><strong>Our Strength: An Integrated Approach<\/strong><\/p>\n<p>We believe in the \u201cOne Health\u201d vision: human, animal, and environmental health are interconnected. This holistic approach guides everything we do.<\/p>\n<p><strong>5 Pillars of Success<\/strong><\/p>\n<ol>\n<li><span style=\"color: #ea6371;\">Decentralize<\/span> surveillance to the district level<\/li>\n<li><span style=\"color: #ea6371;\">Train<\/span> local teams<\/li>\n<li><span style=\"color: #ea6371;\">Institutionalize<\/span> training in national schools<\/li>\n<li><span style=\"color: #ea6371;\">Connect<\/span> labs with the field<\/li>\n<li><span style=\"color: #ea6371;\">Strengthen<\/span> regional health security<\/li>\n<\/ol>\n<hr \/>\n<h3><strong>35 Years Later: Our Vision<\/strong><\/h3>\n<p>Our role is not to direct, but to support. CES&#8217; belong to the countries and the local teams who bring them to life. With openness, respect, and active listening, we\u2019ve shown that building sustainable systems is possible.<\/p>\n<p>And the story continues, alongside our African partners, to meet today\u2019s and tomorrow\u2019s health challenges.<\/p>\n<p><a href=\"https:\/\/santemonde.org\/en\/expertises\/#epidemiology\"><i>Learn more<\/i><\/a><\/p>\n<p>&#8211;<\/p>\n<p><span style=\"color: #ea6371;\"><strong>Thank You<\/strong><\/span><\/p>\n<p><span style=\"color: #ea6371;\">To all those who have been part of this journey \u2014 our teams in Africa and Canada, our partners, and above all, the field agents \u2014 thank you. It is because of your dedication that this collective expertise exists and continues to thrive at Sant\u00e9 Monde.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>In 1990, as the AIDS epidemic hit Francophone Africa hard, Sant\u00e9 Monde stepped in to support countries in strengthening their ability to detect and respond to health threats. This marked the beginning of a journey spanning more than three decades \u2014 driven by innovation, collaboration, and tangible results. Milestones Along the Way 1990-1998: The First<span class=\"more\"> [&#8230;]<\/span><\/p>\n","protected":false},"author":9,"featured_media":3532,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_seopress_robots_primary_cat":"none","_seopress_titles_title":"","_seopress_titles_desc":"","_seopress_robots_index":"","footnotes":""},"categories":[114],"tags":[],"class_list":["post-3539","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-histoire-de-codeveloppement-en"],"acf":[],"_links":{"self":[{"href":"https:\/\/santemonde.firmecreative.com\/en\/wp-json\/wp\/v2\/posts\/3539","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/santemonde.firmecreative.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/santemonde.firmecreative.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/santemonde.firmecreative.com\/en\/wp-json\/wp\/v2\/users\/9"}],"replies":[{"embeddable":true,"href":"https:\/\/santemonde.firmecreative.com\/en\/wp-json\/wp\/v2\/comments?post=3539"}],"version-history":[{"count":1,"href":"https:\/\/santemonde.firmecreative.com\/en\/wp-json\/wp\/v2\/posts\/3539\/revisions"}],"predecessor-version":[{"id":3541,"href":"https:\/\/santemonde.firmecreative.com\/en\/wp-json\/wp\/v2\/posts\/3539\/revisions\/3541"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/santemonde.firmecreative.com\/en\/wp-json\/wp\/v2\/media\/3532"}],"wp:attachment":[{"href":"https:\/\/santemonde.firmecreative.com\/en\/wp-json\/wp\/v2\/media?parent=3539"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/santemonde.firmecreative.com\/en\/wp-json\/wp\/v2\/categories?post=3539"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/santemonde.firmecreative.com\/en\/wp-json\/wp\/v2\/tags?post=3539"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}