An evaluation of hand foot and mouth disease surveillance system in Thaphae hospital, Satun province, Thailand, 2015

Abstract

Background: Hand, foot and mouth disease (HFMD) is a notifiable in the national disease surveillance system of Ministry of Public Health Thailand. The HFMD is prone to outbreak among children under 5 years old. The reported HFMD case of Thaphae district in 2015 was 95.53 cases per hundred thousand populations, higher than 5-yr median. Thaphae hospital conducted the surveillance evaluation of HFMD which aimed to determine the effectiveness of surveillance systems, to study the quantitative and qualitative attributes of surveillance system and to improve the evaluation and monitoring system.
Methods: Cross-sectional study was conducted. The medical records were reviewed by inclusion criteria of HFMD and other diseases which diagnosed during 1 January to 31 December 2015. We interviewed hospital staff in all stakeholders who involved surveillance system.
Results: The sensitivity of the HFMD surveillance system during 2015 was 48.84% and predictive value positive was 80.77%. The accuracy of age and gender reported in the surveillance was 100% and onset date was correct approximately 88.46%. The hospital staff who relevant with surveillance system had high perception and cooperation. The system had stability and flexibility. The usefulness was good among hospital staff.
Conclusions: Thaphae hospital was good quantitative attributes such as PVP, representativeness, and data quality. But it should improve the sensitivity and timeliness. There should have more well trained staff.