EVALUATION OF EARLY WARNING ALERT AND RESPONSE SYSTEM (EWARS) HEALTH OFFICE IN TULANG BAWANG LAMPUNG PROVINCE 2012

Abstract

Background: Early Warning Alert and Response System (EWARS) is one of the surveillance tools to determine early the presence warning signals of infectious disease, outbreaks potential. Based on weekly reports in 2012 at Tulang Bawang Health Office, it was showed that the accuracy and completeness of EWARS reports had been the lowest rates among 13 offices in Lampung. In the other hand, it hand not reach the Ministry of Health standard.

Method: This research was qualitative research by using evaluating approach. Information was collected through indepth interview to 20 interviewees, observations and documents review. The data analysis was content analysis. Validity test used was sources triangulation, methods and data.

Result: EWARS policy had been socialized to all health sub offices. Allocation of fund source was from office budget as limited vouchers. The availability of officers, facilities, infrastructures and technology had not reached standard. Program plan had not been wholly realized. Officers had been trained, but at level of hospitals and clinics had not actively done disease surveillance yet. Data reports were often delayed. Data validation and monitoring had not been optimal. Officers did not complete weekly reports in 2012. Weekly formats were collected every month.

Conclusion: The implementation of Early Warning Alert and Response System (EWARS) at Tulang Bawang Health Office Lampung Province was not optimal. Thus, it was recommended to increase the motivation and commitment of officers in reporting data every week.

Keyword: Evaluation, EWARS, weekly reports