The evaluation of surveillance under Measles Elimination Program in Samut Prakan province, 2018
DOI:
https://doi.org/10.14456/dcj.2021.59Keywords:
Program evaluation, surveillance system, Measles Elimination Program, Samut Prakan provinceAbstract
The member states of the World Health Organization (WHO) have a mutual commitment to eliminating measles by 2020 with a goal of measles incidence rate of less than one per million population and no measles infection domestic. In 2018, the surveillance under Measles Elimination Program in Samut Prakan Province found only 49 cases reported which less than the data in the disease surveillance system (Report 506) of Measles that more than 60 percent. Therefore, the Division of Epidemiology (DOE) has conducted an evaluation of Surveillance for Measles Elimination Program in Samut Prakan Province in 2018 by cross-sectional descriptive study in among the patients who were being treated at Samut Prakan Hospital, Bang Phli Hospital, and Bang Sao Thong Hospital and were diagnosed with specific ICD10 codes between 1 January to 31 December 2018. Quantitative data collection was performed by comparing patient data from medical record with the data obtained from the report under the surveillance system for Measles Elimination Program. Qualitative data collection was conducted by interviewing people who are involved in the surveillance system for Measles Elimination Program. Results: Sensitivity of the reports from three participating hospitals is between 2.9-5.4 percent. Predictive positive value is 62.5-100 percent. Accuracy of gender and age variables is 100 percent. For qualitative data, it has been found that 60 percent of health staff are not aware of the Measles Elimination Program and do not make use of the data obtained from the program for situation analysis. The data from the Measles Elimination Program was used for the purposes of requesting laboratory testing only as a result, relevant public health agencies should review the current situation and clarify about this program to medical and other health staff, especially about the importance of disease surveillance, so as to achieve the goals of the Measles Elimination Program
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