EVALUASI DAN IMPLEMENTASI SISTEM SURVEILANS DEMAM BERDARAH DENGUE (DBD) DI KOTA SINGKAWANG, KALIMANTAN BARAT, 2010

ABSTRACTIntroduction: Dengue Haemorrhagic Fever (DHF) is still a public health problem in Singkawang Municipalitywhich was an endemic area. DHF surveillance is expected to inform endemicity of an area, season of transmission anddisease 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 surveillanceofficers. Evaluated had been done to the variable of input, process, and output of the surveillance system. We conducted anon 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 physicalneeds, facilities and infrastructures. Process variable, data collection was late; analysis and recommendation had notbeen directed to the distribution of cases, the relationship between risk factors and the mortality of DHF incidence, andenvironment 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 valuewere good, but still weak in acceptability, sensitivity, representativeness, and timeliness. Short-term evaluation resultedthat there was an increasing knowledge of surveillance officers (p value <0.05). Mid-term evaluation resulted that therewas an increasing of completeness and accuracy of DHF report from 80% to 100%, active case finding, epidemiologyinvestigation conducted to all DHF cases.Discussion and Conclusions : DHF surveillance system in Singkawang needs to be improved, there were many attributesof surveillance system that had not done well. Training of surveillance system is needed to improve capability and capacityof the surveillance officers.Keywords: Evaluation, Surveillance, DHF, Singkawan