Analysis of Measles-rubella Surveillance in East Java Province during COVID-19's Pandemic

ABSTRACT

Introduction: Measles-Rubella are infectious diseases caused by paramyxovirus viruses transmitted through sneezing, coughing droplets (Ministry of Health, 2019). The suspected MR case in East Java Province, Indonesia in 2019 (668 cases), 2020 decreased significantly (213 cases). Trend of discarded rate of MR cases in East Java Province 2019-2020 shows 13th ranked. The elimination's target of MR surveillance in Indonesia there is no transmission of the virus by adequate surveillance for 3 consecutive years (East Java Provincial Health Office, 2021). Aim: Analyzing problems of MR surveillance in East Java Province during COVID-19's pandemic. Methods: This research is a descriptive study which is classified as an evaluation study. Respondents are the East Java Provincial surveillance officer health centers conducted on January 2021. Analyzing by system approach. Results: MR surveillance problems in East Java Province during the COVID-19's pandemic is suspected MR cases by IgM not reached the target (89.47%). The determinants are input aspect include man (the surveillancer are shifted to focus on COVID-19), the material-machines (MR laboratory's tools limited cause focused on COVID-19 specimens), the money (MR surveillance limited funds), the market (underreporting cases), the method (guidelines still not understanding yet). Process aspect (data analysis, interpretation doesn't completed). Output aspect (decreasing confirmed cases 83%). Conclusion: Many obstacles and inconsistencies in the MR surveillance guidelines through system approach effects MR findings because focus on handling COVID-19, so this research needs to be carried out during the COVID-19 pandemic. MR's morbidity and mortality must be controlled. © 2022 UPM Press. All rights reserved.