EVALUATION OF DIPHTHERIA SURVEILLANCE SYSTEM IN PROBOLINGGO DISTRICT: STUDY OF SYSTEM APPROACH AND ATTRIBUTES

Background: There is still an outbreak of diphtheria in the Probolinggo district in 2023. Diphtheria mainly affects children who are not immunized. Support through a surveillance system is needed to overcome the diphtheria problem. Purpose: This study aims to describe the quality of diphtheria surve...

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Main Authors: Lidya Nur Maulina, Siti Shofiya Novita Sari, Abubakar Tarawally, Sholikah Sholikah, Retno Anjar
Format: Article
Language:English
Published: Universitas Airlangga 2025-05-01
Series:Jurnal Berkala Epidemiologi
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Online Access:https://e-journal.unair.ac.id/JBE/article/view/70181
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author Lidya Nur Maulina
Siti Shofiya Novita Sari
Abubakar Tarawally
Sholikah Sholikah
Retno Anjar
author_facet Lidya Nur Maulina
Siti Shofiya Novita Sari
Abubakar Tarawally
Sholikah Sholikah
Retno Anjar
author_sort Lidya Nur Maulina
collection DOAJ
description Background: There is still an outbreak of diphtheria in the Probolinggo district in 2023. Diphtheria mainly affects children who are not immunized. Support through a surveillance system is needed to overcome the diphtheria problem. Purpose: This study aims to describe the quality of diphtheria surveillance systems based on system approach and surveillance attributes. Methods: Descriptive research was carried out on 17 samples with an evaluation study on the diphtheria surveillance system in 2023 at health centers in the working area of the Probolinggo District Health Office. Data were collected by interview and document study using questionnaires and check list sheets. Data analysis was carried out by describing the system components and attributes of the surveillance system in 17 respondents, compared with the Diphtheria control guideline book 2023, Indonesian Minister of Health Regulation No. 45 of 2014, and surveillance attributes from CDC. The information obtained was presented in the form of tables and narratives. Results: The evaluation of diphtheria surveillance system components (input, process, output) in Probolinggo District was done using surveillance guidelines. Meanwhile, the diphtheria surveillance system assessment based on attributes showed simplicity, flexibility, acceptability, representativeness, stability, and good data quality. However, the system is not yet sensitive, and timeliness is still low. Conclusion: The implementation of the diphtheria surveillance system has mainly been carried out well, supported by the completeness of several surveillance attributes. Optimizing the use of the  Early Warning and Response System (EWS) application is necessary to improve the current surveillance system.
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spelling doaj-art-84d748ceb69949669b1bf5078e7d161a2025-08-20T03:58:48ZengUniversitas AirlanggaJurnal Berkala Epidemiologi2301-71712541-092X2025-05-0113210211110.20473/jbe.V13I22025.102-11168370EVALUATION OF DIPHTHERIA SURVEILLANCE SYSTEM IN PROBOLINGGO DISTRICT: STUDY OF SYSTEM APPROACH AND ATTRIBUTESLidya Nur Maulina0https://orcid.org/0009-0001-6208-0902Siti Shofiya Novita Sari1https://orcid.org/0000-0003-0117-382XAbubakar Tarawally2https://orcid.org/0000-0002-2094-803XSholikah Sholikah3Retno Anjar4Master of Epidemiology, Department of Epidemiology, Biostatistic, Population Studies and Promotion of Health, Faculty of Public Health, Universitas Airlangga, Surabaya, IndonesiaDepartment of Epidemiology, Biostatistic, Population Studies and Promotion of Health, Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia / Airlangga Disease Prevention and Research Center – One Health Collaborating Center, Universitas Airlangga, Surabaya, IndonesiaDirectorate of Environmental Health, Ministry of Health, Sierra LeoneHealth Quarantine Center, Probolinggo, IndonesiaProbolinggo District Health Office, Probolinggo, IndonesiaBackground: There is still an outbreak of diphtheria in the Probolinggo district in 2023. Diphtheria mainly affects children who are not immunized. Support through a surveillance system is needed to overcome the diphtheria problem. Purpose: This study aims to describe the quality of diphtheria surveillance systems based on system approach and surveillance attributes. Methods: Descriptive research was carried out on 17 samples with an evaluation study on the diphtheria surveillance system in 2023 at health centers in the working area of the Probolinggo District Health Office. Data were collected by interview and document study using questionnaires and check list sheets. Data analysis was carried out by describing the system components and attributes of the surveillance system in 17 respondents, compared with the Diphtheria control guideline book 2023, Indonesian Minister of Health Regulation No. 45 of 2014, and surveillance attributes from CDC. The information obtained was presented in the form of tables and narratives. Results: The evaluation of diphtheria surveillance system components (input, process, output) in Probolinggo District was done using surveillance guidelines. Meanwhile, the diphtheria surveillance system assessment based on attributes showed simplicity, flexibility, acceptability, representativeness, stability, and good data quality. However, the system is not yet sensitive, and timeliness is still low. Conclusion: The implementation of the diphtheria surveillance system has mainly been carried out well, supported by the completeness of several surveillance attributes. Optimizing the use of the  Early Warning and Response System (EWS) application is necessary to improve the current surveillance system.https://e-journal.unair.ac.id/JBE/article/view/70181evaluationsensitivitysurveillance systemtimelinessdiphtheria
spellingShingle Lidya Nur Maulina
Siti Shofiya Novita Sari
Abubakar Tarawally
Sholikah Sholikah
Retno Anjar
EVALUATION OF DIPHTHERIA SURVEILLANCE SYSTEM IN PROBOLINGGO DISTRICT: STUDY OF SYSTEM APPROACH AND ATTRIBUTES
Jurnal Berkala Epidemiologi
evaluation
sensitivity
surveillance system
timeliness
diphtheria
title EVALUATION OF DIPHTHERIA SURVEILLANCE SYSTEM IN PROBOLINGGO DISTRICT: STUDY OF SYSTEM APPROACH AND ATTRIBUTES
title_full EVALUATION OF DIPHTHERIA SURVEILLANCE SYSTEM IN PROBOLINGGO DISTRICT: STUDY OF SYSTEM APPROACH AND ATTRIBUTES
title_fullStr EVALUATION OF DIPHTHERIA SURVEILLANCE SYSTEM IN PROBOLINGGO DISTRICT: STUDY OF SYSTEM APPROACH AND ATTRIBUTES
title_full_unstemmed EVALUATION OF DIPHTHERIA SURVEILLANCE SYSTEM IN PROBOLINGGO DISTRICT: STUDY OF SYSTEM APPROACH AND ATTRIBUTES
title_short EVALUATION OF DIPHTHERIA SURVEILLANCE SYSTEM IN PROBOLINGGO DISTRICT: STUDY OF SYSTEM APPROACH AND ATTRIBUTES
title_sort evaluation of diphtheria surveillance system in probolinggo district study of system approach and attributes
topic evaluation
sensitivity
surveillance system
timeliness
diphtheria
url https://e-journal.unair.ac.id/JBE/article/view/70181
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