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GMJ News > Policy & Systems > Global Health > Multi-country study reveals critical gaps in Chagas disease data systems across Bolivia and Paraguay
Global HealthNew StudiesPolicy & SystemsResearch Digest

Multi-country study reveals critical gaps in Chagas disease data systems across Bolivia and Paraguay

GMJ
Last updated: 08/06/2026 20:11
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GMJ Policy Desk
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Healthcare workers reviewing Chagas disease surveillance data in Latin American clinic
New research identifies critical gaps in Chagas disease surveillance systems across Bolivia and Paraguay. The multi-level study offers actionable guidance for strengthening health data management in endemic regions. — Photo: Jair Lázaro / Pexels
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🎧 Listen to this article4:33 min · 653 words · GMJ Audio
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✓ Reviewed by Prof. Giorgi Pkhakadze, MD, MPH, PhD · ORCID 0000-0001-7609-4515

🟠 Moderate Evidence

Contents
    • Key takeaways
      • Study at a Glance
      • Chagas Disease: A Neglected Health Priority
  • Systematic challenges across healthcare levels
  • National-level solutions urgently needed
  • Actionable guidance for health authorities
    • What this means
  • Frequently asked questions
    • What is Chagas disease and why is surveillance important?
    • How do data system gaps affect disease control?
    • What makes this study’s approach unique?

A comprehensive qualitative study published in The Lancet Regional Health – Americas has identified significant weaknesses in health management information systems for Chagas disease surveillance across Bolivia and Paraguay. The research, which examined data management practices at multiple healthcare levels, reveals systemic challenges that impede effective disease monitoring and control efforts in these endemic regions.

Key takeaways

  • Health information systems for Chagas disease show critical gaps in routine data management across Bolivia and Paraguay
  • Multi-level analysis reveals systemic challenges affecting surveillance and control efforts
  • Study findings provide actionable guidance for national health authorities to strengthen data systems

Study at a Glance

Source The Lancet Regional Health – Americas
Study type Multi-level qualitative study
Sample size Multiple healthcare levels analyzed
Population Healthcare workers and data management systems
Country Bolivia and Paraguay
2 countries
examined for Chagas disease data management gaps

Chagas Disease: A Neglected Health Priority

Key challenges in health information systems across endemic regions

6-7m
People infected globally
75m
People at risk
21
Endemic countries

Source: WHO, 2025 | Georgian Medical Journal News

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Systematic challenges across healthcare levels

The study’s multi-level approach examined data management practices from primary healthcare facilities to national surveillance systems, according to the research published in The Lancet Regional Health – Americas. The study identified significant gaps in routine data collection, processing, and utilization that compromise the effectiveness of Chagas disease control programmes in both countries.

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According to the World Health Organization, Chagas disease affects an estimated 6-7 million people worldwide, with the majority of cases concentrated in Latin America.

National-level solutions urgently needed

The research findings published in The Lancet Regional Health – Americas emphasize the critical need for national-level interventions to strengthen health information systems for Chagas disease surveillance. The study authors note that current data management practices fall short of supporting effective disease monitoring and control efforts across endemic regions.

These systemic weaknesses have implications for broader global health initiatives targeting neglected tropical diseases.

Actionable guidance for health authorities

The study provides concrete recommendations for national health authorities and international stakeholders working to improve data systems for neglected diseases in endemic regions, according to the Lancet publication. The findings highlight specific areas where targeted interventions could significantly enhance surveillance capacity and disease control efforts.

For healthcare systems in policy development phases, these insights offer evidence-based direction for resource allocation and system strengthening initiatives. The research underscores the importance of coordinated approaches that address data management challenges at multiple levels simultaneously.

The study identifies critical gaps in routine data management for Chagas disease and underscores the importance of national-level solutions to support surveillance and control efforts

— Study authors, The Lancet Regional Health – Americas (2026)

What this means

For patients: Improved data systems could lead to better disease detection, treatment access, and monitoring in endemic communities
For clinicians: Enhanced surveillance systems would provide better epidemiological data to guide clinical decision-making and patient management
For policymakers: The findings offer evidence-based guidance for prioritizing health system investments and developing targeted surveillance strengthening programmes

Frequently asked questions

What is Chagas disease and why is surveillance important?

Chagas disease is a potentially life-threatening illness caused by the parasite Trypanosoma cruzi, according to the WHO. Effective surveillance systems are crucial for early detection, treatment, and prevention of transmission in endemic areas.

How do data system gaps affect disease control?

Poor data management impedes accurate case tracking, resource allocation, and programme evaluation. This compromises the effectiveness of control interventions and limits progress toward elimination goals.

What makes this study’s approach unique?

The multi-level qualitative design examined data management practices across different healthcare levels in two countries, providing comprehensive insights into systemic challenges rather than isolated problems, according to The Lancet Regional Health – Americas publication.

The study’s comprehensive analysis of health information system challenges provides a roadmap for strengthening Chagas disease surveillance in endemic regions, as outlined in The Lancet Regional Health – Americas. The research findings from Bolivia and Paraguay could be adapted to improve surveillance capacity across Latin America’s endemic regions.

Source: Strengthening health management information systems for Chagas disease: a multi-level qualitative study in Bolivia and Paraguay

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Disclaimer. This article is health journalism intended for general information and education. It is not medical advice and is not a substitute for professional diagnosis or treatment. Always consult a qualified healthcare provider about your individual circumstances. Full disclaimer →

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Related reference
  • Chagas disease · Condition
  • Chaga · Ingredient
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Written by
Prof. Giorgi Pkhakadze, MD, MPH, PhD
Editor-in-Chief, GMJ News
Full profile →  ·  ORCID 0000-0001-7609-4515
Medical disclaimer. This article is health journalism intended for general information. It is not medical advice and is not a substitute for consultation with a qualified healthcare professional. Always seek your physician's advice regarding any medical condition.
Medically reviewed by Prof. Giorgi Pkhakadze, MD, MPH, PhD. Spotted an error? Contact the editorial team.
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