Details:

Alternative Title:
BMC Health Serv Res
Publisher's site:
http://dx.doi.org/10.1186/1472-6963-14-424
Personal Author:
Susilarini, Ni Ketut ; Sitorus, Martahan ; Praptaningsih, Catharina Yekti ; Sampurno, Ondri Dwi ; Bratasena, Arie ; ... More +
Susilarini, Ni Ketut ; Sitorus, Martahan ; Praptaningsih, Catharina Yekti ; Sampurno, Ondri Dwi ; Bratasena, Arie ; Mulyadi, Ester ; Rusli, Roselinda ; Fandil, Ahmad ; Mangiri, Amalya ; Apsari, Hana ; Hariyanto, Edy ; Samaan, Gina Less -
Description:
Background

A sentinel hospital-based severe acute respiratory infection (SARI) surveillance system was established in Indonesia in 2013. Deciding on the number, geographic location and hospitals to be selected as sentinel sites was a challenge. Based on the recently published WHO guideline for influenza surveillance (2012), this study presents the process for hospital sentinel site selection.

Methods

From the 2,165 hospitals in Indonesia, the first step was to shortlist to hospitals that had previously participated in respiratory disease surveillance systems and had acceptable surveillance performance history. The second step involved categorizing the shortlist according to five regions in Indonesia to maximize geographic representativeness. A checklist was developed based on the WHO recommended attributes for sentinel site selection including stability, feasibility, representativeness and the availability of data to enable disease burden estimation. Eight hospitals, a maximum of two per geographic region, were visited for checklist administration. Checklist findings from the eight hospitals were analyzed and sentinel sites selected in the third step.

Results

Six hospitals could be selected based on resources available to ensure system stability over a three-year period. For feasibility, all eight hospitals visited had mechanisms for specimen shipment and the capacity to report surveillance data, but two had limited motivation for system participation. For representativeness, the eight hospitals were geographically dispersed around Indonesia, and all could capture cases in all age and socio-economic groups. All eight hospitals had prerequisite population data to enable disease burden estimation. The two hospitals with low motivation were excluded and the remaining six were selected as sentinel sites.

Conclusions

The multi-step process enabled sentinel site selection based on the WHO recommended attributes that emphasize right-sizing the surveillance system to ensure its stability and maximizing its geographic representativeness. This experience may guide other countries interested in adopting WHO’s influenza surveillance standards for sentinel site selection.


Subjects:
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Checklist Guidelines As Topic Hospitals Humans Influenza, Human/epidemiology Research Article Sentinel Surveillance
Source:
BMC Health Serv Res. 14(1).
Document Type:
Journal Article
Name as Subject:
World Health Organization.
Place as Subject:
Indonesia
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:dd93312f959e73f4de0c5163f6bbfa6b04909df702b4e2486faa855de35dcd35
Download URL:
https://stacks.cdc.gov/view/cdc/25431/cdc_25431_DS1.pdf
File Type:

Supporting Files

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