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LEPTOSPIROSIS BUKAN HANYA PENYAKIT PASCA BANJIR

Authors
Publisher
Prima Offset
Publication Date
Disciplines
  • Biology
  • Medicine

Abstract

BALABA Vol. 8, No. 01, Jun 2012 : 26-2928 5 *Dinas Kesehatan Provinsi Sumatera Utara ** Dinas Kesehatan Provinsi Kalimantan Barat *** Field EpidemiologyTraining Program (FETP) Fakultas Kedokteran UGM Yogyakarta EVALUASI DAN IMPLEMENTASI SISTEM SURVEILANS DEMAM BERDARAH DENGUE (DBD) DI KOTA SINGKAWANG, KALIMANTAN BARAT, 2010 Frans Yosep Sitepu*, Antonius Suprayogi**, Dibyo Pramono*** ABSTRACT Introduction: Dengue Haemorrhagic Fever (DHF) is still a public health problem in Singkawang Municipality which was an endemic area. DHF surveillance is expected to inform endemicity of an area, season of transmission and disease progression that can be use to make the system more effective and efficient. Methods: Observational study by using a structured questionnaire. Interview was conducted to all DHF surveillance officers. Evaluated had been done to the variable of input, process, and output of the surveillance system. We conducted an on the job training to all DHF surveillance officers after the evaluation. Results: 66.7% officers never got any trainings of surveillance, 83.3% had double duty, budgeting limited to physical needs, facilities and infrastructures. Process variable, data collection was late; analysis and recommendation had not been directed to the distribution of cases, the relationship between risk factors and the mortality of DHF incidence, and environment changing, feedback; data distribution had not been implemented optimally. Output variable was still weak, no surveillance epidemiology profile. Attribute surveillance such as simplicity, flexibility, and positive predictive value were good, but still weak in acceptability, sensitivity, representativeness, and timeliness. Short-term evaluation resulted that there was an increasing knowledge of surveillance officers (p value <0.05). Mid-term evaluation resulted that there was an increasing of completeness and accuracy of DHF report from 80% to 100%, active case finding, epidemiology investigation conducted to all DHF c

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