EWARS is a system to monitor the trend of potential disease outbreaks each week and provide a warning signal (alert). South Kalimantan is one of the provinces in Indonesia that implements EWARS. Evaluation of system performance and weakness was needed to improve EWARS quality in the South Kalimantan Province. It was an evaluation study with input, process and output approaches to EWARS that were implemented at a provincial level from the 1 st until the 39 th week in 2017. Data was collected through interviews, document studies, and observations in two Public Health Centers (PHC), the District and Provincial Health Offices. There was no problem in input components such as the availability of facilities and funds in all the districts, but there were still some untrained PHC officers. Evaluation of process components showed that only 94% of PHC submitted the reports and only 79% submitted timely reports. Evaluation of output components found that only 40% of alerts have been verified, weekly analyses were not created, monitoring of reporting and alert responses have not been done intensively. The weaknesses on the input, process, and output components were expected to contribute to the low quality of the EWARS implementation.

Difteri merupakan salah satu kasus penyakit menular yang ada di Provinsi Jawa Timur. Kasus difteri di Provinsi Jawa Timur paling tertinggi terdapat di Kota Surabaya dengan jumlah kasus sebesar 80 Kasus. Studi ini bertujuan untuk menganalisis hubungan status imunisasi terhadap kejadian difteri di Kota Surabaya. Studi ini merupakan studi kuantitatif dengan desain studi cross sectional. Variabel dalam studi ini yaitu status imunisasi serta kejadian difteri. Data yang digunakan yaitu data sekunder yang didapat dari pencatatan serta pelaporan kasus difteri di seksi surveilans dan imunisasi Dinas Kesehatan Kota Surabaya tahun 2018. Hasil studi diperoleh bahwa status imunisasi responden paling banyak yakni status imunisasi lengkap sebesar 51,2%. Kejadian difteri konfirmasi pada responden sebanyak 8,8%. Responden yang mengalami difteri konfirmasi 85,7% mempunyai status imunisasi tidak lengkap serta tidak melaksanakan imunisasi. Hasil analisis memakai uji Fisher’ s Exact Test menampilkan kalau tidak ada hubungan yang signifikan antara status imunisasi terhadap kasus difteri( P-value = 0,054). Cakupan Imunisasi DPT perlu ditingkatkan di Kota Surabaya untuk mengendalikan dan mengeleminasi kejadian difteri di Kota Surabaya.