Authors: Dian Muspitaloka Hikmayati1, Atik C. Hidajah2
1Field Epidemiology Training Program, Faculty of Public Health, Airlangga University, Indonesia
2Epidemiology Department, Faculty of Public Health, Airlangga University, Indonesia
Abstract
Background: East Java is the second province in Indonesia which has the highest number of diphtheria new cases. There were 67 cases (26,5%) new cases of diphtheria in Indonesia from East Java. In an effort to improve the surveillance system, it is required a study to describe, evaluate and indentify problems in diphteria surveillance system implementation based on surveillance components. Method: This study used the evaluation study design. Data were collected through interviews with three surveillance officer in East Java Provincial Health Office, observation and document analysis. Data were anayzed descriptively. Results: The Problems found by this study were the accuracy of Surveillance Integration Report from the reporting units was 25%, the accuracy of EWARS was 56%, the completeness of EWARS was 69%, the monthly absences was not given to reporting units, and the epidemiology studies bulletin was just published 4 times in a year. Conclusions: There was a shortage on each component of Diphteria surveillance system in East Java Provincial Health Office which cause the incompatibility of input, process, and output components with the indicator of Health Epidemiology Surveillance System. Therefore, East Java Provincial Health Office required to strengthen the commitment on the diphteria surveillance procedures to reporting units, give an evaluation and feedback to the reporting units, and develop a simple electronic information system to improve the accuracy of reporting.
Keywords: Diphteria, Surveillance System, Surveillance Components
