Overview of the Quality of the Leprosy Surveillance System at the Lamongan District Health Office Based on the Systems Approach on 2023
Muamar Afdhal Mahendra1, Lucia Yovita Hendrati2, Siti Shofiya Novita Sari2, Sigunawan3

1)FETP Student, Universitas Airlangga, Surabaya, Indonesia
2) Department of Epidemiology, Biostatistics, Population Studies and Health Promotion, Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia
3) Lamongan District Health Office, Indonesia

Abstract

Background: In the last 3 years, the new leprosy case finding rate has been &#8805-5 per 100,000 population, it becomes high burden characteristic according to epidemiological indicators. In 2016, Lamongan district achieved leprosy elimination. However, the number of new leprosy cases continues to increase. Maintenance efforts need to be made at the elimination stage, the surveillance system evaluation is a part of the initiatives to maintain the elimination status of leprosy.
Purpose: To describe the quality of the current leprosy surveillance system at the Lamongan District Health Office based on system components.
Methods: This research is descriptive study with evaluation research method. Respondents in this study were leprosy surveillance^s person in charge at the Lamongan District Health Office. Primary health office were selected by purposive sampling with the criteria of the highest and lowest case. Data analysis was carried out descriptively, namely describing system components, and comparing the results with the regulation.
Results: The aspects assessed in the inputs were human resources, infrastructure, and funds have met the standards. The process described data collection, processing and analysis, and interpretation, resulted that limitation existed in data analysis. The analysis that has been carried out used predetermined indicators, namely the Case Detection Rate, the proportion of new leprosy cases with disability, and cases that have been Released From Treatment. Analysis of people, time, and place needed have not been conducted. Output showed the dissemination of epidemiological reports and information by reports and bulletins to the policy makers and public.
Conclusion: The leprosy surveillance system based on system components showed that in general the input, process and output systems has been run well. The weakness is in the process in terms of data analysis, which is limited to indicators determined by the program, so it cannot provide information by person, place, and time.

Keywords: Evaluation, Surveillance, System, Leprosy, Lamongan

Topic: Caring for Communicable and Non-Communicable Diseases