Evaluation of the Acute Flaccid Paralysis Surveillance System of Polio Free in East Java, Indonesia, 2019

Abstract

Background: Proving that the wild polio virus no longer exists in Indonesia, the symptoms must be found that
resemble polio. These symptoms are found in patients with AFP (Acute Flaccid Paralysis). AFP surveillance
is an observation made of all cases of acute paralysis or AFP in children aged <15 years who are vulnerable
to polio. The priority problem that is still found in the East Java Provincial Health Office regarding AFP
surveillance is the reduction in the discovery of non-polio AFP cases and adequate specimens.
Aims: The purpose of this study was to analyze the implementation of AFP surveillance activities in the East
Java Province Health Office in 2019.
Methods: Data collection was carried out by primary and secondary to study the AFP surveillance overview.
Primary data were obtained from in depth interviews with AFP surveillance program holders in East Java
Provincial Health Office. Secondary data is processed using Microsoft Office Excel, Epi Info and Quantum
GIS.
Results: The result is in 2019 the rate of non-polio AFP and the percentage of adequate specimens in East
Java Province has under the target. In 2019 there was a decrease compared to the previous year, the nonpolio AFP rate was 1.64 and the percentage of adequate specimens was 56.2%. Only as many as six districts
/ cities in East Java Province had pass these two indicators.
Conclusion: The lack of visits and reports from both the hospital and the community is one of causative
factor. Intensive and routine AFP surveillance is needed to monitor the emergence of polio cases