Evaluasi Pelaksanaan Sistem Surveilan Penyakit Tidak Menular (PTM) Di Kabupaten Gianyar Provinsi Bali: Sebuah Pendekatan Kualitatif Menggunakan Analisis ISI

Abstract

Background: In Bali, Case Fatality Rate (CFR) of NCDs increased year by year. Gianyar regency was the highest CFR which the prevalence was 4885 per 100.000 populations. Surveillance system of NCDs in Gianyar hasn’t run properly. Objective: In order to improve the system, it needs to assess the weakness of surveillance system. Method: Qualitative study was conducted to evaluate the surveillance system in inputs, processes and outputs aspects used theory triangulation. Samples were 39 surveillance officers of NCDs on the public health center, 2 on government hospital and 4 on health department. Data were collected through in-depth interviews. Content analyzed had been used. Result: From input aspect, only 6.7% laboratory provide diagnostic tools of NCDs, none of the official has qualifications as an expert epidemiological surveillance, majority of surveillance officers did not train (65.5%), double tasking (70.7%) and only 7.7% samples using electronic media for surveillance tools. In reporting process, accuracy and completeness aspects were lack from National target, respectively 50.9% were accurate and 66.2% were complete. Meanwhile, according to the outputs aspect, surveillance system of NCDs was poor in terms of acceptability, representativeness, sensitivity and timeliness of reporting. Conclusion: The weakness of NCDs surveillance system in Gianyar was found in three aspects on inputs, processes and outputs. We recommend to health department of Gianyar to provide website facility as a NCDs surveillance tool and run a routine training for digitalization surveillance system.