Riky Hamdani, - and Atik Choirul Hidajah, - (2017) Quality of Diphtheria Surveillance System in the East Java Provincial Health Office. In: PROCEEDINGS OF THE 2ND INTERNATIONAL SYMPOSIUM OF PUBLIC HEALTH. FKM UNAIR, Surabaya, pp. 360-367. ISBN 978-989-758-338-4

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Abstract

Diphtheria is a serious health problem in East Java. By 2015, the number of new cases of diphtheria in East Java was 319, which is the highest number of cases in Indonesia. This study was a surveillance system evaluation of system components and attributes approaches. Data was collected through interviews with three surveillance officers in the East Java Provincial Health Office for observation and document analysis. Data was analyzed descriptively. The problems found in the system components were the accuracy and completeness of EWARS Report from the reporting units, which were 56% and 69% respectively; the monthly absences were not conducted, and the epidemiology bulletins was published 4 times in a year. The problem with the attributes was that the data was not analyzed timely, rather than data representativeness, District Health Office reports were not filled completely, and Positive Predictive Values (PPV) were only 4.38% in 2015 and 2.83% in 2016. System components and attributes, such as timeliness and data quality, were incompatible with the Indicator of Health Epidemiology Surveillance System. It also known that the Diphtheria surveillance system was simple, but has a low acceptability, sensitivity, PPV score, and representativeness, when compared to the CDC Guidelines of Surveillance.

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