Role of Human Resource, Facilities, and Infrastructure in Early Warning System of Dengue Haemorrhagic Fever in Dumai, Riau

Dwie Novitaroza, Zulfendri, Nurmaini


Masters Program in Public Health, Universitas Sumatera Utara



Background: Dengue/dengue hemorrhagic fever (DF/DHF) has been one of the most important resurgent tropical diseases in the past 3 decades, with expanding geo­graphical distribution of both the viruses and the mosquito vectors, increased fre­quency of epidemics, development of hyper-endemicity (co-circulation of multiple virus serotypes), and the emergence of DHF in new areas. Early warning sys­tems (EWS) are in most instances, timely surveillance systems that collect informa­tion on epidemic-prone diseases in order to trigger prompt public health inter­ven­tions. An EWS is an instrument for communicating information about impen­ding risks to vulnerable people before a hazard event occurs, thereby enabling ac­tions to be taken to mitigate potential harm, and sometimes, providing an oppor­tu­nity to prevent the hazardous event from occurring.  This study aimed to des­cribe the role of human resource, facilities, and infrastructure in EWS of dengue hae­­morrhagic fever in Dumai, Riau.

Subjects and Method: This was a qualitative study conducted in Dumai, Riau. A sample of informants was selected for this study, including personnel from Du­mai City Health Office, health center doctors, and communicable disease control personnel. The study theme was adequacy of resources for DHF EWS. The data were collected by in-depth interview, observation, and document  review.

Results: The qualification, competence, and number of human resources for  DHF surveillance and EWS at Dumai Municipality Health Office had not con­for­med with the standards. Facilities and infrastructure, including computing de­vi­ces, were sufficient in number. However, Standard Operating Procedures (SOP) for DHF surveillance program and EWS was non-existent.

Conclusion: Health personnel for DHF control and prevention are limited in num­ber competence and qualification. SOP for DHF surveillance program and EWS is non-existent.

Keywords: Dengue Haemorrhagic Fever, human resource, facilities, infra­struc­ture, warning system

Correspondence: Dwie Novitaroza. Masters Program in Public Health, Universitas Sumatera Utara, Medan, North Sumatera. Email: Mobile: 081365218120


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