Surveillance evaluation of gonorrhea, Phaholpolpayuhasena Hospital, 2023 – 2024

Abstract

This study employed a cross-sectional descriptive design to examine the gonorrhea reporting process, evaluate quantitative and qualitative attributes, and propose recommendations for strengthening the surveillance system. Medical records of 262 gonorrhea patients diagnosed between January 2023 and December 2024, were reviewed and compared with 100 reported cases from the 506-disease surveillance system. The quantitative evaluation revealed a sensitivity of 71.94%, a positive predictive value of 91.74%, and timeliness of 72.48% for reporting within seven days. Data in the 506 system were representative across sex, age, race, time, and place, with a high degree of completeness. Regarding qualitative attributes, the surveillance system was perceived as acceptable by both administrators and staff. Challenges included operational complexity, largely due to reliance on individual experience for data validation, and limited flexibility stemming from dependence on a single reporting officer. Despite this, the system demonstrated stability, supported by adequate resources from administrators and generated information that was effectively utilized for communication and disease surveillance.