Assessment of 2021 surveillance system for under-five children with pneumonia in Bantul Regency, Indonesia

Introduction: Hospital involvement in pneumonia surveillance for children under five was found to be limited. This study aimed to assess the sensitivity of pneumonia surveillance using the capture-recapture method and provide an overview of pneumonia morbidity and mortality in children under five. M...

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Main Authors: Nining Puji Lestari, Vicka Oktaria, Samsu Aryanto, Bayu Satria Wiratama
Format: Article
Language:English
Published: Elsevier 2025-03-01
Series:Clinical Epidemiology and Global Health
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Online Access:http://www.sciencedirect.com/science/article/pii/S2213398425000478
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author Nining Puji Lestari
Vicka Oktaria
Samsu Aryanto
Bayu Satria Wiratama
author_facet Nining Puji Lestari
Vicka Oktaria
Samsu Aryanto
Bayu Satria Wiratama
author_sort Nining Puji Lestari
collection DOAJ
description Introduction: Hospital involvement in pneumonia surveillance for children under five was found to be limited. This study aimed to assess the sensitivity of pneumonia surveillance using the capture-recapture method and provide an overview of pneumonia morbidity and mortality in children under five. Methods: A descriptive study using secondary data on pneumonia cases among children under five in 2021 was conducted. Data were collected from all public health centers and eight selected hospitals in Bantul Regency, chosen based on the highest number of reported cases. The sample size included all identified cases from these facilities. Cases were defined as acute pneumonia in children under five, meeting ICD-10 criteria (J12, J13, J14, J15, J16, J17, J18, and P23.9). Data were analyzed descriptively. Results: Hospitals accounted for 87.9 % (872 cases) of the 992 cases identified from both data sources. The sensitivity of surveillance systems was 2.9 % at public health centers, 21.7 % at hospitals, and 23.9 % when considering data from both sources. Furthermore, 85.7 % (n = 14) of the deaths were attributed to unspecified congenital pneumonia. Conclusions: The sensitivity of under-five pneumonia surveillance in Bantul remains low, primarily due to limited hospital participation. Strengthening hospital engagement in surveillance activities and enhancing interventions for congenital pneumonia is essential for improving case detection and public health response.
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spelling doaj-art-bf5f3504b29840709f0507dce8fa2d432025-08-20T02:13:48ZengElsevierClinical Epidemiology and Global Health2213-39842025-03-013210195810.1016/j.cegh.2025.101958Assessment of 2021 surveillance system for under-five children with pneumonia in Bantul Regency, IndonesiaNining Puji Lestari0Vicka Oktaria1Samsu Aryanto2Bayu Satria Wiratama3Department of Biostatistics, Epidemiology and Population Health, Gadjah Mada University, IndonesiaDepartment of Biostatistics, Epidemiology and Population Health, Gadjah Mada University, IndonesiaBantul Health Office, IndonesiaDepartment of Biostatistics, Epidemiology and Population Health, Gadjah Mada University, Indonesia; Corresponding author.Introduction: Hospital involvement in pneumonia surveillance for children under five was found to be limited. This study aimed to assess the sensitivity of pneumonia surveillance using the capture-recapture method and provide an overview of pneumonia morbidity and mortality in children under five. Methods: A descriptive study using secondary data on pneumonia cases among children under five in 2021 was conducted. Data were collected from all public health centers and eight selected hospitals in Bantul Regency, chosen based on the highest number of reported cases. The sample size included all identified cases from these facilities. Cases were defined as acute pneumonia in children under five, meeting ICD-10 criteria (J12, J13, J14, J15, J16, J17, J18, and P23.9). Data were analyzed descriptively. Results: Hospitals accounted for 87.9 % (872 cases) of the 992 cases identified from both data sources. The sensitivity of surveillance systems was 2.9 % at public health centers, 21.7 % at hospitals, and 23.9 % when considering data from both sources. Furthermore, 85.7 % (n = 14) of the deaths were attributed to unspecified congenital pneumonia. Conclusions: The sensitivity of under-five pneumonia surveillance in Bantul remains low, primarily due to limited hospital participation. Strengthening hospital engagement in surveillance activities and enhancing interventions for congenital pneumonia is essential for improving case detection and public health response.http://www.sciencedirect.com/science/article/pii/S2213398425000478PneumoniaUnder-fiveCapture-recaptureCongenital pneumonia
spellingShingle Nining Puji Lestari
Vicka Oktaria
Samsu Aryanto
Bayu Satria Wiratama
Assessment of 2021 surveillance system for under-five children with pneumonia in Bantul Regency, Indonesia
Clinical Epidemiology and Global Health
Pneumonia
Under-five
Capture-recapture
Congenital pneumonia
title Assessment of 2021 surveillance system for under-five children with pneumonia in Bantul Regency, Indonesia
title_full Assessment of 2021 surveillance system for under-five children with pneumonia in Bantul Regency, Indonesia
title_fullStr Assessment of 2021 surveillance system for under-five children with pneumonia in Bantul Regency, Indonesia
title_full_unstemmed Assessment of 2021 surveillance system for under-five children with pneumonia in Bantul Regency, Indonesia
title_short Assessment of 2021 surveillance system for under-five children with pneumonia in Bantul Regency, Indonesia
title_sort assessment of 2021 surveillance system for under five children with pneumonia in bantul regency indonesia
topic Pneumonia
Under-five
Capture-recapture
Congenital pneumonia
url http://www.sciencedirect.com/science/article/pii/S2213398425000478
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