The Role of Facility - Based Data for Effective Control of Dengue Hemorrhagic Fever in Yogyakarta

• Main Author: Perpustakaan UGM, i-lib
• Format: Article NonPeerReviewed
• Published: [Yogyakarta] : Universitas Gadjah Mada 2002
• Subjects: Jurnal i-lib UGM
• Online Access: https://repository.ugm.ac.id/25616/; http://i-lib.ugm.ac.id/jurnal/download.php?dataId=8615
• Institution: Universitas Gadjah Mada

Background: Data collected in community health centers and hospitals are not properly used to strengthen Dengue Hemorrhagic Fever (DHF) surveillance system due to their fragmented reporting. Objective: The purpose of this study is to integrate facility-based data from puskesmas (community health center) and hospitals for early warning and effective control of DHF. Methods: Data on reported cases diagnosed as DHF were obtained from community health centers (Kraton, Yogyakarta municipality and Depok I, Sleman district) and computerized discharged summaries at Dr. Sardjito Hospital. Interviews were conducted to describe how DHF cases were diagnosed, and how community interventions were implemented based on the reports of DHF cases. Result: The findings of this study suggested that virtually all DHF cases were diagnosed in hospitals, yet investigations of possible DHF transmissions in the community were carried out by epidemiologists at the community health centers based on reports by community members. The decision to do fogging and other DHF control measures was made in the district health office. Conclusions: Fragmented DHF information system slows down effective DHF control. It is therefore suggested that facility-based data should be integrated and evaluated at least weekly so that proactive DHF control program can be planned and implemented based on epidemiology evidence. Keywords: dengue hemorrhagic fever, information system, facility-based