Hasirun1, Arief Hargono2, dan Fransisca Susilastuti3
1Program Magister Epidemiologi Lapangan FKM Universitas Airlangga
2Departemen Epidemiologi FKM Universitas Airlangga
3 BBTKL PP Surabaya
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Sidoarjo County was included in the 5 top regions in East Java with diphtheria cases in 2014. Controlling diphtheria, it is required a good surveillance system. The objective of this study was to identify the problems or weaknesses of implementation of diphtheria surveillance systems based on system (input, process, output) and attributes. The design of this study used evaluation research. This study was conducted in 12 Public Health Centers (PHC) and Sidoarjo District Health Office. Data were collected by interviewing surveillance programmer at PHC and District Health Office, using questionnaires, and document analysis to collect in-depth data. The weaknesses of the system were the availability of infrastructure, especially the computer, was not optimal. The majority of surveillance officer at the PHC had a double task. Some were new surveillance officers. Filling of diph-1 Form was not optimal. Surveillance officers did a lot of reports. Weekly report (W2) and EWARS were similar. Taking the swab of some cases was carried out after they got antibiotics. The acceptability of the system was still low at the hospotal and private services. The accuracy of reporting was not optimal. Alternative strengthening system were to train the new officers, to institute a surveillance team at the PHC, to hold workshop for private health facilities related to data reporting, to make simple application for a surveillance officer at the health centers. Problems of diphtheria surveillance systems based on system existed on input and process, while based on attributes existed on simplicity, acceptability, sensitivity, data quality, and timeliness.
Keywords: diphtheria, systems, surveillance, attributes