Performance evaluation of EWARS (early warning and response system) for leptospirosis cases in Kebumen district health office in 2023

Abstract

This study aimed to evaluate the performance of the early warning and response system (EWARS) in the Kebumen District Health Office in 2023, with a focus on the early detection of leptospirosis cases. This descriptive evaluation study used secondary data from the EWARS platform. The data was retrieved from the website web.skdr.surveilans.org. The timeliness of EWARS reporting at community health centers and hospitals in 2023 was 95.42% and 96.23%, respectively. The completeness of EWARS reports at community health centers and hospitals in 2023 was 100%, respectively. Community health centers reported 314 alerts, while 413 were reported from hospitals during 2023. The most frequently reported alert from hospitals was leptospirosis. In the EWARS, 66 cases of leptospirosis were reported at week 11. Alerts from hospital reports from week 1 to week 11 were increasing. An alert from the health center report appeared in the 9th week. The response that has been made is improving health awareness of leptospirosis around the affected community health centers and hospitals in the Kebumen area. The verification of cases from hospitals was 93.46% and verified within 24 hours. The timeliness and completeness of EWARS reporting in Kebumen District have surpassed the national targets of 80% and 90%, respectively. In the case of leptospirosis, community health centers need to increase early detection of symptoms and risk factors for leptospirosis.