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Evaluasi Sistem Surveilans DBD di Kabupaten Blora Tahun 2017

Abstrak

Background: Dalam 49 tahun terakhir, demam berdarah telah muncul sebagai masalah
kesehatan utama di Indonesia. Pencegahan dan pengendalian penyakit yang sudah menjadi
endemis ini dilakukan dengan peningkatan sistem surveilans.

Objective: Mengetahui pelaksanaan sistem surveilans DBD di Kabupaten Blora Tahun 2017

Metode: Studi observasional deskriptif berupa evaluasi. Subjek adalah 26 petugas surveilans
DBD puskesmas dan 2 petugas surveilans Dinas Kesehatan Kabupaten Blora. Data
dikumpulkan dengan wawancara dan observasi.

Result: Sistem surveilans puskesmas dan rumah sakit mengidentifikasi kasus dengan laporan
kasus klinis sehingga sensitivitas sangat diperlukan untuk deteksi dini. Difinisi kasus memiliki
sensitivitas yang tinggi. Seluruh puskesmas sudah mengikuti pedoman dari Kemenkes dan
WHO namun kasus yang ditemukan hanya sebagai suspek karena pemeriksaan laboratorium
hanya trombosit dan hematokrit, belum bisa dilakukan analisis tren kejadian baik grafik
(mingguan, bulanan, tahunan) pola maksimal minimal maupun time series. Selama tahun 2016
di Kabupaten Blora dilaporkan 713 kasus DBD dengan CFR 1,26. Ketersediaan buku pedoman
DBD (65,38%), ketenagaan perawat 53,85%, kesmas 0%. Dari 26 puskesmas, 65,38% tenaga
surveilans belum pernah pelatihan dengan 100% mempunyai tugas rangkap. Kemampuan
pengolahan dan analisis data dibawah 40%, ketepatan dan kelengkapan laporan dibawah 60%
(SKDR) dan 42% (STP). Respon segera sudah dilakukan oleh dinas kesehatan namun belum
di tingkat puskesmas karena laporan DBD masih menunggu informasi dari surveilans aktif
dinas kesehatan pada rumah sakit di Blora.

Discussion: Studi ini menekankan perlunya sistem surveilans DBD berbasis laboratorium
dengan tenaga yang terlatih. Pendidikan dan pelatihan merupakan faktor pendukung dalam
peningkatan sistem surveilans DBD terutama pengolahan, analisis dan penyajian data untuk
dijasikan pedoman dalam membuat kebijakan di Kabupaten Blora.

Keyword: Evaluasi, DBD, Sistem Surveilans, Blora


Evaluation of DHF Surveillance System in District Blora 2017

Abstract

Background: In the last 49 years, dengue has emerged as a major health problem in
Indonesia. Prevention and control of endemic diseases is done by improving surveillance
system.

Objective: Evaluation of DHF surveillance system in District of Blora 2017

Method: Descriptive observational study in the form of evaluation. The subjects were 26
DHF surveillance officers at public health center and 2 surveillance officers of Blora District
Health Office. Data were collected by interview and observation.

Result: surveillance system in PHC and hospital identify cases with clinical case report so
that sensitivity is needed for early detection. The case definition has high sensitivity. All
health centers have followed the guidelines from the Ministry of Health and WHO but the
cases are found only as a suspect due to laboratory examination only thrombocyte and
hematocrit, can not be analyzed trends of events either graph (weekly, monthly, yearly)
minimal and minimum time series pattern. During 2016 in Blora District 713 reported cases
of dengue with CFR 1.26. Availability of DHF guidebook (65.38%), nurse 53.85%, 0%
healthiness. Of the 26 PHC, 65.38% of the surveillance personnel have never had training
with 100% having double duty. Ability to process and analyze data below 40%, accuracy and
completeness of report below 60% (Ewars) and 42% (STP). The immediate response has
been made by the health department but not yet at the puskesmas level because the DHF
report is still awaiting information from the active surveillance of the health department at the
hospital in Blora.

Discussion: This study emphasizes the need for laboratory-based dengue surveillance systems
especialli trained personnel. Education and training is a supporting factor in improving DHF
surveillance system especially in processing, analyzing and presenting data for guidance in
making policy in Blora Regency.

Keyword: Evaluation, DHF, Surveillance System, Blora