Since 2017, a zoonoses prevention and control programme has been implemented in four pilot districts in Indonesia adopting a One Health (OH) approach, involving officers from the public health, animal health, and wildlife sectors. After a series of trainings, coordination among sectors has been enhanced and disease information shared among all sectors and used to guide rabies risk mitigation efforts. The objective of the current study was to evaluate the OH capacity building program in the pilot districts of Minahasa, Boyolali, Ketapang and Bengkalis. The initiative was assessed using the questionnaire data collected from each district and utilizing a framework developed by the Network for Evaluation of One Health (NEOH). The OH-index is used as an estimation of the degree to which OH is integrated into the operations and supporting infrastructure of the initiative. The results of this assessment show that the zoonoses prevention and control programme in Indonesia incorporates effectively the OH approach, both in its operations and the associated infrastructure. According to the data collected in four pilot areas, the initiative has a OH-ness index score of 0.74. This number indicates that this programme is a good example of how OH can be implemented in Indonesia.

Thailand is classified by the World Health Organization as one of a few countries in the world with the highest tuberculosis (TB) burden. The Thai Ministry of Public Health has implemented the ‘Tuberculosis Case Management’ (TBCM) as the main database for the national TB surveillance. TBCM is designed for case registration and management as well as case reporting and notification. This study thus aimed to evaluate TBCM for its surveillance function. A cross-sectional descriptive study was conducted to review the surveillance function of TBCM during 1 Jan to 30 Jun 2017 at Mae Sot Hospital, Thailand. The study team reviewed the protocols and guidelines of TBCM. The practice of health personnel at the TB clinic was observed to determine the data flow of TBCM. Qualitative and quantitative study methods were employed in accordance with the Center for Disease Control and Prevention’s Guidelines for Evaluating Surveillance Systems. We found that TBCM reporting system at Mae Sot Hospital was acceptable, stable and useful in achieving the objectives of TB control program. Sensitivity and positive predictive value of TBCM accounted for 80.8% and 99.4% respectively. The most common reason of miss-reporting was a loss to follow-up after admission or after health exam, particularly amongst non-Thai patients. Timeliness and data quality were concerned attributes that required improvement. TBCM and the in-house medical recording system should be harmonized to mitigate the risk of erroneous coding.

Surveillance system evaluation is essential for the system improvement. The Indonesia government is conducting the animal brucellosis surveillance to determine herd prevalence and detect infected animals in the herd. This study was conducted to evaluate this brucellosis surveillance system using the Outild’analyse des systèmes de surveillance (OASIS) tool. The questionnaire, developed based on the OASIS tool, was sent to officers in charge of the surveillance system at national, regional and local levels. After collection of information, a consensus panel meeting was conducted to validate and summarize the responses. The OASIS tool assessed the level of satisfaction, critical points and attributes of the surveillance system. There were 37 respondents, including 27 provincial, eight regional and two national officers. The respondents were most satisfied with the information dissemination component of the system. They were also satisfied with the utility of the system, laboratory capacity, surveillance tool, data analysis and communication. In contrast, attention was needed for field institutional organization, surveillance procedures and evaluation, sampling points, and representativeness. Corrective actions can be taken and prioritized based on the evaluation findings, focusing at specific elements which did not meet the officers’ expectation.

Bali Province was historically free from rabies. The first human rabies case in Bali was confirmed in late 2008. By June 2010, rabies had spread to all districts, affecting 30% of villages with 133 human deaths reported. To describe rabies situation in Bali from 2008 to 2011, data on human deaths and animal surveillance were collected from provincial public health and livestock offices of Bali, and Disease Investigation Centre (DIC) in Denpasar City, Bali. A total of 443 dogs were tested for rabies by the DIC Denpasar. Of these, 29% were tested positive by Fluorescent Antibody Test (FAT). The highest proportions of positive sample were from dogs that bit human and dogs with clinical signs of rabies. Male dogs were 1.7 times more likely to have rabies than the female ones and unvaccinated dogs were 2.2 times more likely to be infected with rabies than the vaccinated dogs. To control rabies in Bali, a multi-ministerial coordination mechanisms at national and local levels were established. Prevention and control measures were implemented, including mass dog vaccination, surveillance, stray dogs depopulation and public awareness campaign. Mass dog vaccination and stray dogs depopulation targeting dogs with history of biting humans or clinical symptoms demonstrated success in preventing spread of rabies in Bali.