Assessment of 2021 surveillance system for under-five children with pneumonia in Bantul Regency, Indonesia

IF 2.3 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Clinical Epidemiology and Global Health Pub Date : 2025-02-08 DOI:10.1016/j.cegh.2025.101958

Nining Puji Lestari , Vicka Oktaria , Samsu Aryanto , Bayu Satria Wiratama

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Abstract

Introduction

Hospital involvement in pneumonia surveillance for children under five was found to be limited. This study aimed to assess the sensitivity of pneumonia surveillance using the capture-recapture method and provide an overview of pneumonia morbidity and mortality in children under five.

Methods

A descriptive study using secondary data on pneumonia cases among children under five in 2021 was conducted. Data were collected from all public health centers and eight selected hospitals in Bantul Regency, chosen based on the highest number of reported cases. The sample size included all identified cases from these facilities. Cases were defined as acute pneumonia in children under five, meeting ICD-10 criteria (J12, J13, J14, J15, J16, J17, J18, and P23.9). Data were analyzed descriptively.

Results

Hospitals accounted for 87.9 % (872 cases) of the 992 cases identified from both data sources. The sensitivity of surveillance systems was 2.9 % at public health centers, 21.7 % at hospitals, and 23.9 % when considering data from both sources. Furthermore, 85.7 % (n = 14) of the deaths were attributed to unspecified congenital pneumonia.

Conclusions

The sensitivity of under-five pneumonia surveillance in Bantul remains low, primarily due to limited hospital participation. Strengthening hospital engagement in surveillance activities and enhancing interventions for congenital pneumonia is essential for improving case detection and public health response.

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对印度尼西亚班图尔县2021年5岁以下儿童肺炎监测系统的评估

医院参与五岁以下儿童肺炎监测的情况有限。本研究旨在评估使用捕获-再捕获方法的肺炎监测的敏感性，并提供五岁以下儿童肺炎发病率和死亡率的概述。方法采用2021年5岁以下儿童肺炎病例二级数据进行描述性研究。数据是从班图尔县所有公共卫生中心和8家选定医院收集的，这些医院是根据报告病例的最高数量选择的。样本量包括来自这些设施的所有已确定病例。病例定义为5岁以下儿童急性肺炎，符合ICD-10标准（J12、J13、J14、J15、J16、J17、J18和P23.9）。对数据进行描述性分析。结果992例病例中，医院占87.9%（872例）。在公共卫生中心监测系统的敏感性为2.9%，在医院为21.7%，在考虑两个来源的数据时为23.9%。此外，85.7% （n = 14）的死亡归因于未指明的先天性肺炎。结论班图尔5岁以下儿童肺炎监测的敏感性仍然较低，主要是由于医院参与有限。加强医院参与监测活动和加强对先天性肺炎的干预措施对于改进病例发现和公共卫生应对至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Epidemiology and Global Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

4.60

自引率

7.70%

发文量

218

审稿时长

66 days

期刊介绍： Clinical Epidemiology and Global Health (CEGH) is a multidisciplinary journal and it is published four times (March, June, September, December) a year. The mandate of CEGH is to promote articles on clinical epidemiology with focus on developing countries in the context of global health. We also accept articles from other countries. It publishes original research work across all disciplines of medicine and allied sciences, related to clinical epidemiology and global health. The journal publishes Original articles, Review articles, Evidence Summaries, Letters to the Editor. All articles published in CEGH are peer-reviewed and published online for immediate access and citation.