Factors Related to Standard Evaluate Results of Surveillance Rapid and Response Team (SRRT) at District Level, Nakhonratchasima Province

Abstract

This study aimed to determine factors related to the standard performance of
the surveillance rapid and response team; (SRRT) at districts in Nakhonratchasima province.
The study design was a cross-sectional analytic study. Data were collected from January 1,
2012 to March 31, 2012 by applying the individual semi-structered interview to the 267
SRRT members STATA version 10.0 had applied for analysing and presenting descriptive
statistics and inferential statistics. Univariate analysis and multiple logistic regression were
used for identifying risk factors and presenting adjusted odds ratio (ORadj), 95% CI,
significance level at p-value<0.05.
The results showed the 24 of 32 districts SRRT performance met the standard
(75.00%) and 267 members of SRRT were interviewed only 211 persons (79.03%) whom
district of SRRT standard received requirement index. Characteristics of SRRT members were
mostly female (53.93%), mean of age was 34.7 years (S.D.=10.47). They had ever been on
epidemiological training for 84.64%, mean of epidemiological working experience was 7.15 years
(S.D.=7.01), had experienced to investigate of an outbreak (93.63%), had full fill to work of
surveillance and investigated job (48.31%). The median of SRRT members per team was 13
persons, the median responsibility areas per team was 9 sub-districts, had been coordinator
of SRRT for 93.26%, had problem of working fund 55.06%. The statistically significant factors
related to the SRRT standard performance by using the univariate were the proper
management of the leader (OR=6.21; 95%CI=1.69-22.87; p-value=0.002) and the number of
responsibility areas ≤6 sub-districts per team (OR=3.32; 95% CI=1.78-6.21; p-value<0.001).
The statistically significant factors related to the SRRT standard performance using the
multiple logistic regression which controlling two confounding factors, age and sex in the
model. There were proper management of the leader (ORadj= 4.07; 95%CI=1.04-15.85; p-value=
0.043) and the number of responsibility areas ≤6 sub-districts per team (ORadj=3.00; 95% CI=
1.58-5.70; p-value<0.001)
The results of this study suggested that the achievement of the SRRT standard
performance at the district level should play attention to the management skill of the
SRRT leader and team members knowledge on the quality of the disease investigation
report and regular supportive funds. Furthermore, they should decrease the size of
responsible areas of SRRT for rapidly detection and investigation of an outbreak of disease
in the community.