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ABSTRAK

Penulis: Ahmad Musyafa1, Th. B. Rahayujati1, Henny Indriyanti2;


1
Field Epidemiology and Training Program, Universitas Gadjah Mada,
2
Blora District Health Office, Central of Java, Indonesia
Name of FETP: FETP Indonesia
Lulusan FETP: Cohort 2016

Judul: Implementasi Sistem Surveilans Demam Berdarah Dengue di Kabupaten


Blora Tahun 2017

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.
Hasil evaluasi sistem surveilans di DKK Blora, ketepatan < 80%, kelengkapan <
90% dan penggunaan formulir pelaporan yang tidak seragam. Seluruh responden
adalah perawat belum pernah pelatihan (65,38%) dan lama menjabat >10 tahun
(46,15%)
Metode: Studi observasional deskriptif berupa evaluasi dan implementasi. Subjek
adalah 26 petugas surveilans DBD puskesmas dan 2 petugas surveilans Dinas
Kesehatan Kabupaten Blora. Implementasi dengan refresing dan pelatihan aplikasi
pengolahan data. Evaluasi dilakukan dengan jangka pendek dan jangka panjang.
Result: Seluruh petugas surveilans (26 Puskesmas dan 2 DKK) mengikuti refresing
dan pengolahan data tanggal 17 s/d 18 Januari 2017. Kegiatan meliputi
penyampaian materi, pengenalan dan praktek penggunaan aplikasi. Evaluasi jangka
pendek dengan pre dan post test menunjukkan perbedaan mean 15,38. Uji t test p =
0,000; (95 CI = 12,4-18,4) sedangkan hasil refleksi penggunaan aplikasi
menunjukkan peningkatan kemampuan petugas dari sebelumnya tidak paham
menjadi paham dan sangat paham. Evaluasi jangka panjang; 1 orang petugas khusus
surveilans, ketersediaan formulir seragam 26 puskesmas (100), pengolahan dan
penyajian 25 puskesmas (96,15%), kelengkapan 26 puskesmas (100%) namun
ketepatan laporan minggu 9 dan 12 masih dibawah 80%. Bimbingan tekhnis sudah
berjalan dengan adanya pertemuan penemuan kasus PD3I dan penyakit potensial
wabah di 10 puskesmas rawat inap.
Discussion: Secara umum intervensi sudah berhasil, terlihat dengan adanya
peningkatan pengetahuan dan keterampilan petugas dalam kegiatan survelans
DBD. Bimbingan tekhnis, monitoring dan evaluasi perlu dilakukan secara periodik
agar ketepatan dan kelengkapan laporan memenuhi target nasional.

Keyword: Implementasi Sistem Surveilans, DBD, Blora

1
ABSTRACT

Author: Ahmad Musyafa1, Th. B. Rahayujati1, Henny Indriyanti2;


1. Epidemiology and Training Program, Gadjah Mada University,
2. District Health Office of Bada, Central Java, Indonesia
FETP Name: FETP Indonesia
FETP Graduate: Cohort 2016

Title: Implementation of Dengue Hemorrhagic Surveillance System in District of


Blora 2017

Backgrounds: 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. The result of evaluation of surveillance in DHO of Blora,
timeliness <80%, completeness <90% and use of non-uniform reporting forms. All
respondents were nurses had never training (65,38%) and long> 10 years (46,15%).

Methods: We conduct descriptive observational study in the form of evaluation


and implementation. The subjects were 26 DHF surveillance officers at Public
Health Center and 2 surveillance officers of Blora District Health Office.
Implementation with refreshing and training of data processing applications.
Evaluation is done with short and long term.

Results: All surveillance officers (26 PHC and 2 DHO) followed refresher and
processing data from 17 to 18 January 2017. Material delivery, introduction and
application usage. Short-term evaluation with pre and post test shows a mean
difference of 15.38. t test p = 0,000; (95 CI = 12,4-18,4) whereas the result of
reflection of application usage shows improvement of officer ability from before
do not understand to understand and very understand. Long Term Evaluation; 1
person special surveillance officer, birth control pill 26 puskesmas (100),
processing and presentation of 25 PHC (96,15%), completeness of 26 PHC (100%)
but the accuracy of 9 and 12 weeks report still below 80%. Technical guidance is
already underway with the meeting to find cases of potential disease outbreaks in
10 PHC inpatient.

Discussions: Generally successful, seen with increased knowledge and skills in


DHF surveillance activities. Technical guidance, monitoring and evaluation needs
to be done periodically so that the accuracy and completeness of the report meet
national targets.

Keywords: Implementation of Surveillance System, DHF, Blora