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Strengthening health management information systems for Chagas disease: a multi-level qualitative study in Bolivia and Paraguay
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DOI：10.1016/j.lana.2026.101514.png)
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Abstract
En 中文
Chagas disease is a neglected tropical disease caused by the parasite Trypanosoma cruzi. It causes a significant health burden in the Americas, especially in Bolivia and Paraguay, where the disease is most endemic in the transnational Chaco region. Issues with data quality and availability prevent a true understanding of the current burden of disease, with missed opportunities for surveillance, resource allocation, and evaluation of interventions. This study aimed to explore routine Chagas disease data systems in Bolivia and Paraguay, focusing on data flow, barriers to data quality and reporting, and data sharing across health system levels, and to identify opportunities to strengthen surveillance and decision-making.
Keywords:
Chagas disease
Trypanosoma cruzi
Routine surveillance data
Health management information system
Bolivia
Paraguay
The Chaco
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