EVALUATION OF DHF SURVEILANCE SYSTEM

ABSTRACT

EVALUATION OF DHF SURVEILANCE SYSTEM

IN CILACAP DISTRICT CENTRAL JAVA PROVINCE, 2011

Opyn Mananta

Background : Dengue  is tropical infection diseases that was  potentially outbreak in Indonesian.  The outbreaks occured in the country due to some factors. One of the factors was people  mobilization in the country due or increasing of  mode and frequency transportation in Indonesia.  Cilacap is one district / city  in Indonesia which has high mobilization of people.  In 2010, Total cases of DHF in Cilacap District is 22 cases each 100.000 person and Case Fatality Rate was 2,1 %. DHF surveilllance in Cilacap had never been evealuated for the last decade.

Objective : To describe  DHF surveillance system in Cilacap District,  2011?

Methodology : DHF surveillance system evaluation in Cilacap District done by using quantitative and qualitative approaches. 24 health centers had been slected and 7 key informants (from DHO and District Hospital) had been interviewed to gather all information required in this evaluation.

Result : This evaluation found in the input component: Only 1 persons in each health centers responsible for the DHF surveillance,, all  of HC staffs  has never been trained on surveillance. 3 persons in DHO was responsible for DHF suveilans. In the process components: Data collection from HC to DHO was not timely for all HCs,. Output: the perfomants of surveilance system in cilacap reflected by Timeliness report was low where DHF case report  < 24 hour  was 32 %, DHF case report weekly is 63 % and DHF case report monthly is 71,43 %. The ability of system to know trend of DHF was 71%, to detect DHF outbreak was 62%, to predict of DHF incidence rate and mortality rate was 62% and to identify of DHF risk factor  was 95%.  DHF surveilance system was representative with actual situation (representativeness).  All health care unit can accept any changesof the system further more system was simple and flexible to answer the objective of DHF surveillance system.

All DHF case definition (suspected, probable and confirmed) used in this surveillance in Cilacap.  This system is  using internet access (web media) instead of manual  reporting system. Regular meeting was done for DHF surveillance officer  every 6 months and the meeting participants was 86% of total health centers. The form use in DHF surveilance in Cilacap  had been modified compared to the national guideline of DHF surveilance that published by ministry of health.

Conclusion : The DHF surveillance system in Cilacap was done by lack of surveillance staff, inadequate training and limited number of staff (in input component). Data collection reflected low timelinees, reporting used internet media rather than manual reporting system (in process component). While the DHF surveillance in Cilacap shows in proper output and low performance indicators.

Recommendation : Based on the finding training on surveillance was required to improve surveillance system in Cilacap and involved all health services in DHF  surveillance system. Regular meeting and revision of form and socialization on national guideline of DHF surveillance system for all surveillance staffs in Cilacap district.

Keyword : DHF, surveillance, evaluation.