Services Management Preparedness of Dengue Hemorrhagic Fever (DHF) Patients at Each Three Primary Health Centers Inpatient, Ponorogo and Madiun Districts, East Java Province

摘要

Background: In 2008, the number of dengue hemorrhagic fever (known as “DHF”) registered nationally were 136,333 people with Case Fatality Rate (CFR) was 0.86% and Incidence Rate (IR) was 60.06 cases per 100,000 populations. The Government target concern incidence of DHF is 20 cases per 100,000 populations. In Ponorogo district, until November 2009 the Case Fatality Rate of DHF increased more than 300% compared with last year. And 2 of 739 cases were patients died (CFR 0.27%) to 9 of 1065 cases were patients died (CFR 0.84%). Whereas at the same time in Madiun district, Case Fatality Rate of DHF decreased more than 60% compared with last year. Eight of 289 cases were patients died (CFR 2.7%) to 2 of 193 cases were patients died (CFR 1.03%). Objective: This study aimed to identify the services management preparedness of DHF patients in each three primary health centers inpatient in Ponorogo and Madiun districts. It was an observational study with a cross-sectional design and sample size in this study were each 3 primary health centers inpatient with highest DHF cases that conducted in two districts. Results: It is showed that health manpower, and availability of solutions stock as a DBD therapeutic at the 3 primary health centers inpatient in Ponorogo district were less than Madiun district. Furthermore in Ponorogo district, primary health centers inpatient was most referring than care. Three primary health centers inpatient in Madiun district has funds dengue prevention program but in Ponorogo district, it has just 1 primary health centers inpatient. Conclusion: It can be concluded that the services management preparedness of dengue patients at the 3 inpatient primary health centers in Madiun district was better than Ponorogo district. It is recommended for stakeholders improving resources primary health centers inpatient in Ponorogo district.