Untapped Potential: A Qualitative Study of a Hospital-Based Dengue Surveillance System

Sulistyawati, Sulistyawati and Nilsson, Maria and Ekasari, Marlita Putri and Mulasari, Surahma Asti and Sukesi, Tri Wahyuni and Padmawati, Retna Siwi and Holmner, A°sa (2020) Untapped Potential: A Qualitative Study of a Hospital-Based Dengue Surveillance System. [Artikel Dosen]

Text HASIL CEK_Sulistyawati Sulistyawati, Maria Nilsson, Marlita Putri Ekasari, Surahma Asti Mulasari, Tri Wahyuni Sukesi,Retna Siwi Padmawati, and Asa Holmne (1).pdf Download (3MB)

Abstract

The incidence and geographical distribution of dengue fever has increased in recent decades. The actual
disease burden is unknown owing to frequent underreporting and misclassification of cases. A well-functioning system
for diagnosing, treating, and reporting cases is of prime importance as disease statistics is the foundation for decisions
aiming to control the disease. This study aimed to explore the hospital-based disease surveillance system in Yogyakarta,
a dengue-endemic region on Java, Indonesia. Semi-structured interviews were performed with 16 informants from four
hospitals, including five general practitioners, three internists, four pediatricians, and four administrative staff working with
administration relating to dengue diagnostics and reporting. Data were analyzed using content analysis. A theme arose
from the analysis “Dengue surveillance stands and falls by the rigor of the health system.” The theme, and underlying
categories and subcategories, describes a surveillance system that in the best-case scenario works well and is likely to
produce reliable dengue case data. However, there is a lack of synchronization between regulations and guidelines in
different hospitals and some friction between regulatory bodies and the care provider. Knowledge among the staff
appears to vary, and many clinical and financial decisions are made rather arbitrarily, which ultimately might lead to
unequal health service delivery. In conclusion, the dengue surveillance system under study could improve further,
particularly by ensuring that all regulations and recommended procedures are standardized and that all staff are given the
best opportunity to stay updated on dengue-related matters, clinical as well as regulatory, on a regular basis.

Item Type:	Artikel Dosen
Subjects:	Q Science > Q Science (General)
Depositing User:	surahma asti mulasari
Date Deposited:	02 Mar 2023 09:55
Last Modified:	02 Mar 2023 09:55
URI:	http://eprints.uad.ac.id/id/eprint/40440

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