EVALUASI DAN IMPLEMENTASI SISTEM SURVEILANS DEMAM BERDARAH DENGUE (DBD) DI KOTA SINGKAWANG, KALIMANTAN BARAT, 2010

• Main Authors: Frans Yosep Sitepu, Antonius Suprayogi, Dibyo Pramono
• Format: Article
• Language: Indonesian
• Published: Balai Litbang P2B2 Banjarnegara 2013-09-01
• Series: Balaba: Jurnal Litbang Pengendalian Penyakit Bersumber Binatang Banjarnegara
• Online Access: http://ejournal.litbang.kemkes.go.id/index.php/blb/article/view/3259

ABSTRACT<br />Introduction: Dengue Haemorrhagic Fever (DHF) is still a public health problem in Singkawang Municipality<br />which was an endemic area. DHF surveillance is expected to inform endemicity of an area, season of transmission and<br />disease progression that can be use to make the system more effective and efficient.<br />Methods: Observational study by using a structured questionnaire. Interview was conducted to all DHF surveillance<br />officers. Evaluated had been done to the variable of input, process, and output of the surveillance system. We conducted an<br />on the job training to all DHF surveillance officers after the evaluation.<br />Results: 66.7% officers never got any trainings of surveillance, 83.3% had double duty, budgeting limited to physical<br />needs, facilities and infrastructures. Process variable, data collection was late; analysis and recommendation had not<br />been directed to the distribution of cases, the relationship between risk factors and the mortality of DHF incidence, and<br />environment changing, feedback; data distribution had not been implemented optimally. Output variable was still weak,<br />no surveillance epidemiology profile. Attribute surveillance such as simplicity, flexibility, and positive predictive value<br />were good, but still weak in acceptability, sensitivity, representativeness, and timeliness. Short-term evaluation resulted<br />that there was an increasing knowledge of surveillance officers (p value &lt;0.05). Mid-term evaluation resulted that there<br />was an increasing of completeness and accuracy of DHF report from 80% to 100%, active case finding, epidemiology<br />investigation conducted to all DHF cases.<br />Discussion and Conclusions : DHF surveillance system in Singkawang needs to be improved, there were many attributes<br />of surveillance system that had not done well. Training of surveillance system is needed to improve capability and capacity<br />of the surveillance officers.<br />Keywords: Evaluation, Surveillance, DHF, Singkawang