Factors of Event-base Surveillance Success among SRRT Networks at Sub-district Level, Phrae, Thailand, 2013

Abstract

A cross-sectional study both descriptive and analytical was conducted to determine a factor of event-base surveillance success among sub-district SRRT network at Phrae Province, Thailand in 2013. Study populations were 119 public health officers who had been responsibility of surveillance at 119 health centers and 16 officers who response for surveillance and investigation from all 8 districts. This included one focal point at provincial health office. In 2013, only 47.01% among 56 health centers had one event which appropriate verification and response. Totally, 331 events were notified to event-base surveillance system at health center level but 220 events (66.46%) were met definition of “event-base surveillance success”. The factors influenced the success of event-base surveillance including 1) Knowledge; attending event-base surveillance course and understanding by reading the manual book of event-base surveillance (p-value = 0.006 and 0.009 respectively) 2) Practice; notifying by non-health professional and writing of working detail in registered book (p-value = 0.002 and 0.004 respectively). The factors were not influencing the program success including 1) Budgeting; receiving budget for the program ( p-value = 0.87) and 2) Attitude; between success and non-success groups (p-value = 0.74). Only 2 out of 8 districts had a success rate of the program more than 80% and the remaining were in between 35.3-50.0%.
The districts where had the success program were an outstanding practice such as regular program summarize, informing stakeholder in the monthly meeting, inspecting and feedback by social media and communications in regular basis. The provincial focal point was supported the network and program by logistic mobilization and rewards re-inforcement to the local staffs. This included random inspection at the health centers. We suggest that the public health executives at provincial and district must continue support the SRRT netweork at sub-district level.