Evaluation of Malaria Surveillance System in Nongyaplong District, Phetchaburi Province, 2019

Abstract

Malaria has been important health problem in Nongyaplong district, Phetchaburi. This study is evaluation of Malaria surveillance 2019, in order to show quality evaluation, improvement and development Malaria surveillance in Nongyaplong district health system databases. The study is evaluation by descriptive cross-sectional study 2 components; quantitative and qualitative studies of surveillance system. Medical record and code ICD-10 of Malaria patients in Nongyaplong hospital and report of surveillance system (Report 506 and Malaria online) since 1 Jan to 31 Dec 2019, interviewing people in surveillance system about operation of system, reporting, opinions and attitude of surveillance system are studied. When study evaluated by epidemiology categories definition of Malaria that showed 41 medical records, 35 records in Report 506 and 61 records in Malaria online. The sensitivity of surveillance systems is shown in Report 506 = 85.37%, Malaria online = 89.71%. The positive predictive value of surveillance systems is shown in Report 506 = 81.40%, Malaria online = 87.14%. Report 506 presents completed data of name and surname, address, age, sex and date of diagnosis at 100% and the corrected data in Report 506 is data of name and surname, address, age and sex. Malaria online illustrates completed data of address, age, sex and date of diagnosis, and the corrected data in Malaria online is data of address and sex. The completed and corrected data between Report 506 and Malaria online as result of direction of data are achieved, Report 506 is connected directly hospital data center, so inaccurate data consist by data input, but Malaria online has inaccurate data by translate data form. The representative data is proportion of sex, interquartile range for age, number of Malaria patient and area of spread of infection. Report 506 has timeliness of report = 77.14%, but Malaria online shows 95.08%. Qualitative studies of surveillance system for Report 506 and Malaria online have acceptability, reliability, stability and facility for operated systems. However, convenient and flow of system in Report 506 have been better than Malaria online but Report 506 does not cover all in the health system same as Malaria online, so surveillance system to promoting knowledge management of Nongyaplong district health system for malaria is Malaria online. Conclusion, Malaria online shows result better more Report 506,  that support active case finding and report via Line application, so Malaria online has timeliness better than Report 506 and shows representative data nearby other surveillance system. The quality of Malaria online shows acceptability and important systems for malaria surveillance. Limitation of system is availability and access program of Malaria online that shows point of developmental human resources more effectiveness coming soon.