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In most settings, public health surveillance relies on information collected by healthcare facilities when patients come to seek treatment. This approach is limited in its ability to detect public health events and the occurrence of disease in populations that do not seek treatment at healthcare facilities or that experience barriers to treatment. This may be the case, for example, in hard-to-reach areas, areas where the population relies highly on traditional healers or alternative treatments, or in populations with stigmatising illnesses such as HIV infections. Engaging community members to collect health information from within their communities and report it for public health surveillance purposes is increasingly gaining interest as an approach to address such limitations. This approach is conventionally termed ‘community-based surveillance’ (CBS).

A definition for community-based surveillance and a way forward: results of the WHO global technical meeting, France, 26 to 28 June 2018