Development of a system and mechanism for reporting Communicable Diseases Surveillance in the digital 506 among epidemiologists in Sisaket province

Abstract

      This research investigated factors associated with the behavior of reporting communicable disease surveillance in the digital 506 system among epidemiologists and developed a system and mechanism for reporting communicable disease surveillance in the digital 506 among epidemiologists in Sisaket province. The research consisted of three phases: Phase 1, an analytical cross-sectional study aimed to identify factors associated with behavior for reporting Communicable Diseases Surveillance  in the digital 506 system among epidemiologist patients; Phase 2, action research aimed to develop  a system and mechanism for reporting Communicable Diseases Surveillance in the digital 506 based on the PDCA model; and Phase 3, a quasi-experimental study aimed to assess the effect of the system and mechanism for reporting Communicable Diseases Surveillance in the digital 506 system. The data were analyzed using multivariable linear regression, content analysis, and paired t-test statistics.          

         The results indicated 2 predicted factors associated with behavior for reporting Communicable Diseases Surveillance in the digital 506 system among epidemiologists, including: experience  reporting Communicable Diseases Surveillance in the digital 506 system (adjusted mean diff =5.33, 95% CI=2.00–8.66), and a good level of satisfaction with a system for reporting Communicable Diseases Surveillance in the digital 506 system (adjusted mean diff = 9.53, 95% CI = 6.16 to 12.90). A system   and mechanism for reporting communicable disease surveillance in the digital 506 among epidemiologists in Sisaket province contained six key components: 1) problem and gap analysis, 2) development and improvement of health information systems, 3) training to enhance knowledge and skills; 4) management of username and password systems; 5) monitoring and evaluation,  6) establishment of a network. Following system implementation, the score of knowledge, attitudes, behaviors, and satisfaction with the reporting of communicable diseases surveillance in the digital 506 system among epidemiologists was significantly higher than before system implementation. Furthermore, the completeness and timeliness of data reporting for communicable disease surveillance in the digital D506 system of health service units also improved.