Assignment of Village Surveillance Officer for The Development of Dengue Hemorrhagic Fever Surveillance in Kendari, South East Sulawesi


Sunarsih, Timbul Supodo

 

Masters Program in Public Health, School of Health Sciences Mandala Waluya, Kendari

 

ABSTRACT

Background: Dengue hemorrhagic fever (DHF) is a major public health problem in Indonesia. Strong surveillance system is critical to monitor DHF incidence and its risk factors over time. Timely information provided by the surveillance can be used for the deci­sion makers to take necessary action to control and prevent the disease problem. This study aimed to determine the effectiveness of village surveillance officer for the develop­ment of DHF surveillance in Kendari, South East Sulawesi.

Subjects and Method: This was a quasi experiment study, using before and after inter­ven­tion. The study was carried out in 6 villages with village surveillance officers and 2 villages with no village surveillance officers as controls. There were 3 village officers survei­l­­­­­­­lance who ser­v­ed at RT, RW, and villages level. This study began with the recruitment of village survei­l­lan­ce offi­cers followed by training. A total sample of 520 household heads was selected for this stu­dy by clus­ter sampling. There were 65 house­hold heads for each village. The dependent va­ri­able was village surveilance officer assign­ment. The inde­pen­dent variables were community be­ha­vior, envi­ronmental sani­ta­tion, larva free numbers and reporting systems from the com­munity. The data were col­lected by questionnaire and observation sheet. Data were analyzed by Wil­co­xon sig­ned rank test and path analysis.

Results: The existence of village surveillance officer was associated with improved com­munity behavior, better environmental sanitation, and increased larva free index. There was difference in the performance of village surveillance officer at each level of work. Village surveillance of­fi­cer effectively encouraged community participation. Village survei­ll­ance officer is effective in im­­plementing DHF control and prevention, including early detect­ion, recording, reporting, and ra­pid response of cases.

Conclusions: The existence of village surveillance officer is associated with improved com­munity behavior, better environmental sanitation, and increased larva free index.

Keywords: village surveillance officer, community behavior, environmental sanitation, larva free index, dengue hemorrhagic fever.

Correspondence: Sunarsih. Masters Program in Public Health, School of Health Sciences Mandala Waluya, Jl. A.H.Nasution No. G 37, Kendari, South East Sulawesi. Email: narsih_sultra@yahoo.com. Mobile: 081341511718

DOI: https://doi.org/10.26911/theicph.2019.01.32

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