Leptospirosis is a newly emerging infectious disease in Indonesia’s Banyumas District. Based on data provided by the District Health Office (DHO) in Banyumas, there were 22 cases of leptospirosis between 2010 and May 2014. Leptospirosis surveillance is crucial for the prevention and control of the disease. The aim of this study was to achieve an in-depth understanding of leptospirosis surveillance system readiness in the Banyumas District. The research used qualitative methods, and all research data were collected using purposive techniques to examine eight informants via in-depth interviews, observations, and document studies. The data
were subject to content analysis. The results showed that input readiness does support the system, but it is inadequate, while overall process readiness was not good enough, and the output was suboptimal. The main supporting factors for this study were the availability of resources, awareness, good communication and research partners/cooperation. The main inhibiting factors were the incomplete nature of the data infrastructure, especially the limited availability of Rapid Diagnstic Tests (RDT) and surveillance case report forms, the lack of reporting agreements, and the lack of evaluating standards. Improvement in and the development of a system with proper budget allocations is required for the availability of microscopic agglutination test (MAT) and polymerase chain reaction (PCR) in hospitals, the development of standard operating procedures (SOP) for the leptospirosis surveillance system, surveillance case report forms, the distribution of RDT at public health centers, and the activation of surveillance based at the community level. With this in mind, it is expected that the DHO Banyumas will create and distribute surveillance case report forms and follow SOP, in order for the leptospirosis surveillance system in Banyumas to be sustained
and systematic.
Keywords: System, Surveillance, Leptospirosis