Dengue hemorrhagic fever (DHF) is a vector-borne disease that is a global health problem. Yogyakarta special region (DIY) is an endemic region on DHF. DHF's genesis rate exceeded 49/100,000 people. Surveillance is a continuous data-gathering activity that analyzes, interprets, and disseminates information. Many things could still be improved when running DHF surveillance activity, resulting in a need for early detection of extraordinary events. Increased laboratory capacity in actively finding cases and timely reporting management needs to be developed to support the prevention of transmission of dengue fever. This researcher aims to develop lab-based DHF surveillance at the public health center level that can raise awareness and guide society in preventing contagion.
Methode: The study is implementation research, in which some steps are plan-do - study-act. The first stage includes a plan to analyze the situation of the surveillance system, and phase two includes the development of a prototype lab-based DHF surveillance model. The three studies and acts include a test pilot implementation of DHF surveillance of a lab-based DHF surveillance and an evaluation of the implementation of a lab-based DHF surveillance. The first stage involves qualitative design. Based on stage one, stage two was flattened with a qualitative design. Stage three is done using qualitative and quantitative design. Research involves four implementation public health centers and four non implementation public health centers with high DHF cases in districts. Implementation and non-implementation were randomly selected. Implementation assessment measures number of DHF cases, precision, and completeness, as well as reporting surveillance of DHF-based lab, acceptability, feasibility, and sustainability lab-based DHF surveillance.
Result: The model of surveillance of DHF-based lab is a reported line for dengue suspects that is initiated in laboratory examination data based on NS1, IgG, and IgM as a reference to the diagnosis of dengue infection. Surveillance of DHF -based lab for information on dengue infection, dengue program officials can receive it more quickly. This has an advantage in response rate if the case increases. The follow-up is on epidemiological research and vector control. A doctor is more appropriate for managing DHF cases. Based on implementation data, 64 reactive NS1 sufferers are referred to hospitals as 12 (19.0%). With 7 positive IgM results referred to by 2 (28.5%). Based on the results of the dengue surveillance-based laboratory, it can be run by four implementation public health centers. The system can run smoothly. The results of the precision and completeness of the dengue surveillance-based laboratory were obtained timely with 100% and completeness 76, 3%.
Conclusion: Surveillance of DHF-based labs is helpful in the early detection of dengue cases. The implementation surveillance of a based lab is well executed, but regulations require that it be enforced to ensure its continuity. DHF surveillance is based in a laboratory in line with government integration of primary services so that DHF's base surveillance programs can increase early detection in the public health center.
