Assessment of Dengue Surveillance System Nakhon Chai Si District Nakhon Pathom Province, year 2020

Abstract

Dengue fever is a problematic disease in Nakhon Pathom province. In fiscal year 2021, dengue fever was chosen as the main strategy for important communicable disease problems in Nakhon Pathom province. The past situation in 2018, Nakhon Pathom Province Has the highest morbidity rate per 100,000 population in Thailand. When analyzing the area in Nakhon Pathom Province during the past 3 years (2017-2019), Nakhon Chai Si District was ranked 1 in 3 districts found in the most epidemic in dengue fever. In the past year 2019, Nakhon Chai Si District Found the first dengue outbreak in Nakhon Pathom province. This study aims to study the dengue fever surveillance system in Nakhon Chai Si District Nakhon Pathom Province and to study the effect of the dengue fever surveillance system in hospitals of Nakhon Chaisri District. Nakhon Pathom Province. The study methodology in cross sectional study was divided into 2 types: 1. Descriptive study. Medical records were reviewed in both inpatient and outpatient settings. to find the sensitivity and the forecast value plus compare with Operational definition of a hospital and definitions according to the standards of the Department of Disease Control The total number of this study was 667 medical records. 2. A qualitative study. The researcher conducted interviews with relevant departments in hospitals, executives, on-site workers. in the dengue fever surveillance system

           The results showed that an overview of the results of the assessment of the Dengue Fever Surveillance System. Nakhon Chai Si District Nakhon Pathom Province, in 2020, the sensitivity was 65% and the positive prognosis in the Dengue Fever Surveillance System 61% was at a moderate level. The evaluation results were found to be timely. data accuracy It was found that it was 100% correct. The problem found was the date of onset of illness found in some hospitals with 40% accuracy. Assessment in terms of quality Representation, difficulty, flexibility of surveillance systems. (Flexibility) is good, data storage, system and operational guidelines are clear until step by step. The dengue surveillance data is utilized to analyze the situation. and look at the trend of the outbreak The results of the sensitivity study and positive forecast when reviewing medical records and compared with the definitions in hospital practice guidelines. and definitions according to the Department of Disease Control standard criteria showed increased sensitivity and positive prognostic values ​​in Nakhon Chai Si district. However, when separating the evaluation of the 3 hospitals this time, the sensitivity value and the predictive value were positive. being in a similar group is in the range of medium and good