Recommendations for Improving Communicable Diseases Surveillance System in Iran from the Viewpoint of Stakeholders: A Qualitative Study

A timeliness warning of communicable diseases surveillance system (CDSS) in every country is vital for maintaining national, regional, and global health security. This study aimed at providing recommendations to improve the CDSS in Iran. This qualitative study was conducted in 64 people working in CDSS and other associated organizations using semi-structured interviews and focus group discussions between October 2016 and April 2017. The interviews were analyzed via conventional content analysis approach using MAXQDA 10. The solutions that could improve the CDSS were categorized into four main categories and 8 sub- categories as follows: stewardship of the CDSS, improving reporting comprehensiveness, development and improvement of infrastructures, and training and retraining. The timeliness and comprehensiveness of the CDSS information depend on intersectoral collaboration. Therefore, main recommendations for reinforcement of CDSS include strengthening intersectoral cooperation, using incentives to obtain the supports of private sector professionals, developing reporting systems, and community participation.