Fidelity of Measles Intervention Implementation on Measles Elimination Phase in Primary Health Center City of Yogyakarta

Dina Arisonaningtyas, Mei Neni Sitaresmi, Riris Andono Ahmad

2022

Abstract

Introduction: Measles is an infectious viral diseases that can be prevented by vaccination. Indonesia has recently entered the elimination phase, and has set the target to achieve the goal in 2020. Yogyakarta has implemented Case Based Measles Surveillance (CBMS) since 1998. Fidelity of the program may contribute to the outcome of these efforts regarding this issue. Methods: This research used a mixed method exploratory sequential design conducted at 18 Primary Health Centres (PHCs) City of Yogyakarta from September to November 2017. Qualitative approach by a cross sectional survey among 33 respondents. We used secondary data to support the qualitative findings. Results: Health staff routinely adhered to the standard operating procedures but experienced a lack of funding support for follow up and did not have adequate staff for data analysis. Surveillance and immunization officers were not always making proper coordination during the outbreak. Most of epidemiologic investigations were performed after the peak of the cases. Quality of delivery of the CBMS program lacked in: timely delivery of measles report cases, coordination with private practice in case detection, and feedback to patients about laboratory result. Quality of delivery of the measles immunization program lacked in: timely delivery report, refreshing knowledge from District Health Office (DHO) annually, and coverage of booster measles immunization , Surveillance officer’s knowledge showed 46,7% was good and for immunization officer’s knowledge showed only 5,6% was good. There were a number of key aspects needing improvement. Conclusion: Coordination between surveillance and immunization officers during outbreaks and performance of management duties are needed to address the complexity of measles intervention program implementation.

Paper Citation

in Harvard Style

Arisonaningtyas D., Sitaresmi M. and Ahmad R. (2022). Fidelity of Measles Intervention Implementation on Measles Elimination Phase in Primary Health Center City of Yogyakarta. In Proceedings of the 4th International Conference on Social Determinants of Health - Volume 1: ICSDH, ISBN 978-989-758-621-7, SciTePress, pages 174-179. DOI: 10.5220/0011646900003608

in Bibtex Style

@conference{icsdh22,
author={Dina Arisonaningtyas and Mei Neni Sitaresmi and Riris Andono Ahmad},
title={Fidelity of Measles Intervention Implementation on Measles Elimination Phase in Primary Health Center City of Yogyakarta},
booktitle={Proceedings of the 4th International Conference on Social Determinants of Health - Volume 1: ICSDH,},
year={2022},
pages={174-179},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0011646900003608},
isbn={978-989-758-621-7},
}

in EndNote Style

TY - CONF

JO - Proceedings of the 4th International Conference on Social Determinants of Health - Volume 1: ICSDH,
TI - Fidelity of Measles Intervention Implementation on Measles Elimination Phase in Primary Health Center City of Yogyakarta
SN - 978-989-758-621-7
AU - Arisonaningtyas D.
AU - Sitaresmi M.
AU - Ahmad R.
PY - 2022
SP - 174
EP - 179
DO - 10.5220/0011646900003608
PB - SciTePress