The Evaluation of Standard Surveillance and Rapid Response Team in Public Health Zone 2, 2008

Abstract

          This descriptive study was performed between July and August 2008. The objective was to evaluate the standard of surveillance and rapid response team (SRRT) in area under responsibilities of Office of Disease Prevention and Control 9th Phitsanulok province. The data collected from investigation documents, reports and interviewed the principle investigator of SRRT. Selected samples from district levels by Purposive Sampling method, so there were 18 teams from this level and 5 teams from all provincial SRRT level. We use the the questionnaire and evaluation form performed by Bureau of Epidemiology for collecting data. We found all 18 district SRRTs and 5 provincial SRRTs passed the evaluation. The over all mean score of district SRRT which passed the standard evaluation level by standard and indicators was 8.4. There are 4 passed standard items, standard team work (mean scores = 9.7), the standard preparedness (mean scores = 8.8), the surveillance and alertness (mean scores =7.4). and the outbreak investigation. In each indicator, we found the overall teams passed the standard level 12 indicators. Only 2 indicators the SRRT did not passed ,there were the 6th indicator (the coverage of units that sent the notified communicable diseases continuously) , the mean was 1.5 and the 12th indicator (the coverage of outbreak investigation) the mean was 2.0. The result of overall mean score in provincial level was 7.7. All 4 standard items were passed, there were the team work (mean scores =10.0) ,the preparedness (mean scores =9.4) , the surveillance and alertness (mean scores =8.2) and the outbreak investigation (mean scores =6.6). When we look at the indicators, the overall provincial SRRT passed 11 indicators. The 3 indicators that did not pass were the 6th indicator (the coverage of units that sent the notified communicable diseases continuously), the mean was 4.8, the coverage of single case outbreak investigation and the completeness of outbreak investigation. The mean scores were 5.6. and 0.0 respectivly. So the SRRT should develope the skill and competency of analysis and interpretation of surveillance data, analyzed the situation and trend of disease and detect the epidemics. The hospital surveillance team should notify the suspected cases spontaneously or when the number of cases increased more than expectation. So the SRRT will go to investigate and control promptly.