An Evaluation of Standard and Risk Factors Associated with Non-Special Performance of District-Surveillance and Rapid Response Teams in Health Region 10th , 2023–2024

Abstract

     This study aimed to examine the evaluation results of the indicators based on standard criteria  and examine risk factors associated with non-Special performance among District-Surveillance and Rapid Response Teams (D-SRRT) during 2023–2024. The study employed a survey research by cross-sectional analytical. The study population consisted of all 70 D-SRRTs in Health Region 10^th, The sample consisted of 61 D-SRRT teams selected based on the specified criteria. Data analysis included both descriptive and inferential statistics. Inferential analysis utilized Crude Odds Ratio (ORcrude) and Adjusted Odds Ratio (ORadj) with 95% confidence intervals (95% CI), and statistical significance was set at P-value ≤ 0.05.

      Results Some D-SRRTs did non-special performance standard for disease investigation and Controls. The transfer of Subdistrict Health Promoting Hospitals (SHPHs) to the Provincial Administrative Organization showed no significant association with non-Special performance. However, two significant risk factors were identified: Members of Team (ORadj = 5.79; 95% CI = 1.07–31.27) and previous certification at the basic-level standard (ORadj = 7.54; 95% CI = 1.65–34.47). Both factors were significantly associated with not achieving the good-level standard (P-value ≤ 0.05), predicting a 5.79-fold and 7.54-fold increased risk, respectively. Conclusion It is recommended to develop Standard Operating Procedures (SOPs), guidelines, and appropriate models to improve the performance of D-SRRTs in achieving Special-level standard certification.