STIS and HIV in Ireland: developing a national second generation surveillance system

Abstract

Background: According to a technical report by the European Centre for Disease Prevention and Control (ECDC, 2009), the Republic of Ireland does not have a functional second generation (combining biological and behavioural intelligence) surveillance system (SGSS). Ireland’s first national sexual health strategy (2015), specifically recommends the establishment of such a system. The current project aims to address this gaps using a collaborative approach with key stakeholders, with a view to building national consensus on the design of a national second generation surveillance system. Methods: Using the Joint United Nations and World Health Organisation’s framework for initiating second generation HIV surveillance system, this project will: assess the current surveillance systems; engage key stakeholders in a national consensus building workshop; conduct a feasibility study assessing acceptability of agreed STI and HIV behavioural indicators; and draft a national STI and HIV surveillance plan. Findings: Data collection for Stage 1 has begun. A report on the strengths, weaknesses, opportunities and threats (SWOT) of current HIV/STI surveillance systems will inform data collection via the Delphi method in Stage 2 culminating in a consensus building workshop with key stakeholders. Discussion: This work will provide critical data and evidence on the national surveillance of STIs and HIV in Ireland. It will also inform the development of a SGSS and have a measurable impact on sexual healthcare policy and services while facilitating the cross-comparison of STI/HIV trends internationally.