scholarly journals Profile of Maternal Referral Cases

2016 ◽  
pp. 64
Author(s):  
Junita Indarti ◽  
Dwiyana Ocviyanti ◽  
Reyhan Aditya
Keyword(s):  
Primary Healthcare ◽  
Monitoring And Evaluation ◽  
Healthcare Facility ◽  
Health Department ◽  
Referral System ◽  
Local Health ◽  
Cross Sectional ◽  
Healthcare Facilities ◽  
Tertiary Healthcare ◽  
Cross Sectional Design

Objective: To explore the demography of maternal referral cases in Dr. Cipto Mangunkusumo Hospital (RSCM) along with the accuracy of referral. We also aim to evaluate the types of referral, origin of referral, referring healthcare facility and quality of referring healthcare facility. Method: The design of this study was a cross sectional design which described the accuracy of obstetrics referred cases in Emergency Unit Dr. Cipto Mangunkusumo Hospital from 2013 to 2014. Result: The total referred obstetric cases in 2013 was 1,645 patients. It was consisted of 1,307 appropriate (79.5%) and 338 inappropriate (20.5%) referred cases. Primary healthcare and general hospital were the most often referring cases to RSCM during two consecutive years. The top three cases referred to RSCM in both 2013 and 2014 were preterm premature rupture of membrane (PPROM), continued by severe preeclampsia and preterm labor. Conclusion: The number of referral cases in Indonesia is considered high, particularly in RSCM as the tertiary healthcare facility. There are still a high number of inappropriate referrals originating from primary healthcare facilities, pointing to the fact that the referral system is not running according to design or plan. To improve the quality of referral system, proper monitoring and evaluation of referral should be performed by local health department. [Indones J Obstet Gynecol 2016; 4-2: 64-66] Keywords: maternal case, referral system

scholarly journals An Analysis of the Usage Patterns of Health Services Funded through Capitation and Non-Capitation in Government Owned Primary Healthcare Facilities in The District of Pandeglang

2017 ◽  
Vol 1 (2) ◽  
Author(s):  
Arovian Yuliardi ◽  
Amal Sjaaf
Keyword(s):  
Quality Control ◽  
Health Insurance ◽  
Health Status ◽  
Primary Healthcare ◽  
Analytical Study ◽  
Healthcare Facility ◽  
Cross Sectional ◽  
Healthcare Facilities ◽  
Usage Patterns ◽  
Cross Sectional Design

Abstract. The National Health Insurance (JKN) is basically a form of managed care, a technique that integrates health costing and service quality through cost control and quality control. In that concept, the Puskesmas acts as the government’s primary healthcare facility, its vanguard. The aim of this research is to discover and analyze the healthcare usage patterns funded by capitation and non-capitation in government primary healthcare facilities (FKTP). This was an analytical study utilizing a cross-sectional design. 615 patients visiting the government’s FKTP were involved in this research. The results indicated that 47.3% of patients utilizing the government’s FKTP at Pandeglang district were JKN funded, while 52.7% were not funded by the JKN. 66.7% were funded by capitation methods and 33.3% used non-capitation funding. More JKN recipients access non-capitation healthcare than non-recipients. The factors that are related with the type of healthcare accessed are the patient’s health status, JKN status, and ability to pay. Keywords: JKN, utilization, Pandeglang, capitation

scholarly journals Evaluation of the Accuracy of Implementation of Obstetric Referral Cases to the Emergency in the JKN Era

2019 ◽  
pp. 159-165
Author(s):  
Omo Abdul Madjid ◽  
Arietta R.D. Pusponegoro ◽  
Immanuel S Margatan
Keyword(s):  
Emergency Department ◽  
Monitoring And Evaluation ◽  
Cross Sectional Study ◽  
Referral System ◽  
Local Health ◽  
Cross Sectional ◽  
Primary Health ◽  
Obstetric Emergencies ◽  
Obstetric Referral

Abstract Objective: To investigate the circumstances of the obstetric referral case at the emergency department of the Dr.Cipto Mangunkusumo Hospital as well as the accuracy of the referral implementation. Method: We used cross-sectional study. Medical records of obstetric patients at Emergency department in RSCM in January 2013-July 2014 were obtained, then information about patients and their characteristic were collected. The accuracy of referral cases is based on emergency obstetric criteria by BPJS rules. Results: Primary Health Care became the leading referrer. Inappropriate diagnostic referral cases amounted to 21.2%when JKN first began to be implemented in 2014. Cases with improper diagnoses were more referred when JKN was implemented which amounted to 16.8% and non-emergency referral cases of 6.9% in 2014. Conclusion: Referral implementation has not been efficient and effective, the number of obstetric referral cases to emergency department of RSCM that can actually be handled in the secondary advanced health services after the application of JKN is still high. Monitoring and evaluation is needed by the Local Health Office to improve the quality of the referral system that applied in the newly JKN era.   Keywords:accuracy of referrals,BPJS, JKN, obstetric emergencies, referral system.   Abstrak Tujuan: Mengetahui gambaran kasus rujukan obstetri di IGD RSCM dan ketepatan pelaksanaan rujukan.  Metode: Deskriptif desain studi potong lintang. Data diambil dari rekam medis pasien obstetri di IGD RSCMpada bulan Januari 2013 hingga Desember 2014, kemudian informasi mengenai data dan karakteristik pasien dikumpulkan. Ketepatan pelaksanaan rujukan kasus gaat daraurat obstetri berdasarkan Krietria gawatdarurat bagian kebidanan menurut ketentuan BPJS Kesehatan. Hasil: Perujuk terbanyak adalah Puskesmas (FKTP). Kasus rujukan dengan ketidaksesuaian diagnosa lebih banyakjumlahnya pada saat JKN mulai diterapkan pada tahun 2014 sebesar 21.2%. Kasus dengan diagnosa yang tidak tepat rujuk lebih banyak pada saat JKN di laksanakan yaitu sebesar 16.8% dan kasus rujukan yang bukan gawatdarurat sebesar 6.9% pada tahun 2014. Kesimpulan: Pelaksanaan rujukan belum efisien dan efektif, jumlah rujukan obstetri ke IGD RSCM yangsebenarnya dapat ditangani di fasilitas kesehatan tingkat lanjutan sekunder setelah penerapan JKN masih tinggi. Dibutuhkan monitoring dan evaluasi oleh Dinas Kesehatan setempat untuk meningkatkan kualitas sistem rujukan yang berlaku di era JKN yang baru diterapkan. Kata kunci :  BPJS, gawat darurat obstetri, JKN, ketepatan rujukan, sistem rujukan.

scholarly journals Personal protective equipment compliance among laundry workers in secondary and tertiary health facilities in Nigeria

2019 ◽  
Vol 6 (3) ◽  
pp. 936
Author(s):  
Emmanuel N. Omoijiade ◽  
Lucky Evbuomwan
Keyword(s):  
Personal Protective Equipment ◽  
Healthcare Facility ◽  
Cross Sectional Study ◽  
Protective Equipment ◽  
Cross Sectional ◽  
Healthcare Facilities ◽  
Benin City ◽  
Occupational Risks ◽  
Tertiary Healthcare ◽  
Recommended Level

Background: Generally, personal protective equipment (PPE) should be used by healthcare workers, as they provide a physical barrier between hazards and the wearer. Exposure to occupational hazards in the laundry can be limited by the use of PPE such as barrier gowns, gloves, eyewear, foot coverings and face masks. This study provides information on the PPE compliance of the workers at the laundry, as this would prove useful in order to establish appropriate interventions to minimize occupational risks of workers in the healthcare laundries.Methods: This study was a comparative cross-sectional study. It was conducted in six hospitals with a laundry department in Benin-city, composed of one available tertiary healthcare facility and five secondary healthcare facilities. Questionnaire was administered to the workers concerning the availability and use of PPE.Results: The common PPE used were nose masks (7.9%), hand gloves (39.5%), safety boots (3.6%) and coveralls (84.5%). Respondents revealed that eye goggles or face shields and ear plugs or muffs were never provided for them.Conclusions: Compliance of respondents to PPE was not at an optimally recommended level. It is recommended that efforts be made to ensure that workers comply with PPE use, while providing all necessary protective equipment, which should first be assessed before selection and use.

scholarly journals Awareness Regarding Primary Eye Care Among Primary Healthcare Workers of Pakistan: a Way to Revitalize Health for All!

2021 ◽  
Vol 37 (2) ◽  
Author(s):  
Noor Ur Rehman ◽  
Hina Sharif
Keyword(s):  
Primary Healthcare ◽  
Healthcare Workers ◽  
Cross Sectional Study ◽  
Eye Care ◽  
Chi Square ◽  
Correct Treatment ◽  
Cross Sectional ◽  
Healthcare Facilities ◽  
Primary Eye Care ◽  
Tertiary Healthcare

Purpose:  To assess awareness regarding Primary Eye Care among (primary healthcare workers) PHCWs and also intended to identify its determinants. Study Design: Descriptive cross-sectional study. Place and Duration of Study:  All primary healthcare facilities of Tehsil Kallar Syedan, from October 2019 to December 2019. Methods:  The calculated sample size was 115. Data was collected from primary health care workers (PHCWs). Data was collected through a structured questionnaire with both open-ended and close-ended questions. Questions were made using simple language and were also translated in Urdu. Questionnaire was adapted from two articles and some questions were made after reading the components of National Programme for Prevention and Control of Blindness (Punjab, Pakistan).Chi-square test of independence was used for finding associations. Results:  Fifty-four percent PHCWs had poor awareness regarding primary eye care. Majority of the PHCWs, N = 64 (55.7%) identified just the names of common eye diseases. Cataract was identified with correct treatment by 88% primary healthcare workers. Age, education, designation were significantly associated with awareness of PHCWs. Conclusion:  The study concluded that more than half of PHCWs had low awareness regarding PEC. All of them mentioned that there was a need of improving and refreshing their knowledge related to primary eye care. This will definitely help to reduce pressure on secondary and tertiary healthcare workers. Key Words:  Primary eye care, Primary healthcare workers, Primary healthcare facilities, Pakistan.

scholarly journals Penerapan UKS dengan PHBS di Wilayah Kerja Puskesmas Pancur Batu Kabupaten Deli Serdang

2018 ◽  
Vol 17 (1) ◽  
pp. 16
Author(s):  
Pomarida Simbolon ◽  
Lindawati Simorangkir
Keyword(s):  
Health Center ◽  
School Health ◽  
Health Department ◽  
Health Problems ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Basic Sanitation ◽  
Cross Sectional Design ◽  
Relationship Of

Latar belakang: Anak usia sekolah merupakan masa keemasan untuk menanamkan nilai-nilai Hidup Bersih dan Sehat (PHBS) dan mempromosikannya dalam sekolah, keluarga maupun masyarakat. Masalah kesehatan anak sekolah merupakan masalah yang berkaitan dengan PHBS, seperti kecacingan, diare, karies gigi/gigi berlobang, masalah yang berkaitan dengan faktor berisiko, masalah gizi serta gangguan kesehatan yang berkaitan dengan sanitasi dasar yang kurang memenuhi syarat kesehatan. PHBS harus dilakukan dengan baik, bila tidak dilakukan dengan baik akan menimbulkan dampak yang tidak diinginkan dan penerapannya melalui pembinaan Usaha Kesehatan Sekolah (UKS).Persentase UKS 56% belum diterapkan di sekolah wilayah kerja Puskesmas Hamparan Perak. Penelitian ini bertujuan untuk menganalisis hubungan penerapan UKS dengan PHBS di Wilayah Kerja Puskesmas Pancur BatuMetode:Penelitian ini merupakan observasional analitik dengan desain cross sectional. Pupulasi penelitian adalah seluruh sekolah yang ada di wilayah kerja Puskesmas Pancur Batu sebanyak 34 sekolah dengan total sampling. Pengumpulan data menggunakan kuesioner dengan uji chi-square.Hasil: Hasil penelitian menunjukkan bahwa 64,7% UKS tidak diterapkan dan 52,9% pelaksanaan PHBS kurang. Hasil uji statistik menunjukkan ada hubungan signifikan antara penerapan UKS dengan pelaksanaan PHBS di wilayah kerja Puskesmas Pancur Batu (p value = 0,04).Simpulan: Disarankan adanya kebijakan dari dinas kesehatan dan UPT Dinas Pendidikan  bekerja sama dengan kepala sekolah untuk mengaktifkan kembali UKS.ABSTRACTTitle: Aplication UKS with PHBS in Pancur Batu Health Center Working Area Deli Serdang DistrictBackground: School children are a golden age to instill the values of Clean and Healthy Life (PHBS) and promotions in schools, family and community. Health problems from children are issues about PHBS, such as worm infections, diarrhea, dental caries / teeth, problems associated with risk factors, nutritional problems and health problems associated with basic sanitation that not complited about health requirements.PHBS should be done well, if they are not do it so getting an unwanted impact and its application through the development of School Health Units (UKS). The percentage of UKS 56% has not been implemented in primary school Pancur batu health center Working Area. This research aims to analyze the relationship of aplication UKS with implementation PHBS in Pancur Batu health center Working Area.Method:This research was an analytic observational with cross sectional design. Pupulation of research was all schools that exist in Pancur batu health center Working Area as many as 34 schools with total sampling. Data were collected using questionnaires with chi-square testResult:The results showed that 64.7% of UKS were not implemented and 52.9% of PHBS implementation was lacking. The result of the statistic shows that there was a correlation between the application of UKS with implementation of PHBS in the working area of Pancur Batu  Health Center of Deli Serdang districtConclusion: Suggestion that policy from health department and UPT of Education Office cooperation with headmaster to reactivate UKS.

scholarly journals Factors Associated with Migration in Individuals Affected by Leprosy, Maranhão, Brazil: An Exploratory Cross-Sectional Study

2013 ◽  
Vol 2013 ◽  
pp. 1-10 ◽  
Author(s):  
C. Murto ◽  
C. Kaplan ◽  
L. Ariza ◽  
K. Schwarz ◽  
C. H. Alencar ◽  
...  
Keyword(s):  
Alcohol Consumption ◽  
Health Sector ◽  
Healthcare Facility ◽  
Cross Sectional Study ◽  
Future Research ◽  
Newly Diagnosed ◽  
Sectional Study ◽  
Cross Sectional ◽  
Healthcare Facilities ◽  
Factors Associated

In Brazil, leprosy is endemic and concentrated in high-risk clusters. Internal migration is common in the country and may influence leprosy transmission and hamper control efforts. We performed a cross-sectional study with two separate analyses evaluating factors associated with migration in Brazil’s Northeast: one among individuals newly diagnosed with leprosy and the other among a clinically unapparent population with no symptoms of leprosy for comparison. We included 394 individuals newly diagnosed with leprosy and 391 from the clinically unapparent population. Of those with leprosy, 258 (65.5%) were birth migrants, 105 (26.6%) were past five-year migrants, and 43 (10.9%) were circular migrants. In multivariate logistic regression, three independent factors were found to be significantly associated with migration among those with leprosy: (1) alcohol consumption, (2) separation from family/friends, and (3) difficulty reaching the healthcare facility. Separation from family/friends was also associated with migration in the clinically unapparent population. The health sector may consider adapting services to meet the needs of migrating populations. Future research is needed to explore risks associated with leprosy susceptibility from life stressors, such as separation from family and friends, access to healthcare facilities, and alcohol consumption to establish causal relationships.

scholarly journals Publicly funded interfacility ambulance transfers for surgical and obstetrical conditions: A cross sectional analysis in an urban middle-income country setting

PLoS ONE ◽  
2020 ◽  
Vol 15 (11) ◽  
pp. e0241553
Author(s):  
Paul Truche ◽  
Rachel E. NeMoyer ◽  
Sara Patiño-Franco ◽  
Juan P. Herrera-Escobar ◽  
Myerlandi Torres ◽  
...  
Keyword(s):  
Surgical Care ◽  
Healthcare Facility ◽  
Public Hospitals ◽  
Public Healthcare ◽  
Publicly Funded ◽  
Cross Sectional ◽  
Middle Income ◽  
Healthcare Facilities ◽  
Timely Access ◽  
Surgical Conditions

Introduction Interfacility transfers may reflect a time delay of definitive surgical care, but few studies have examined the prevalence of interfacility transfers in the urban low- and middle-income (LMIC) setting. The aim of this study was to determine the number of interfacility transfers required for surgical and obstetric conditions in an urban MIC setting to better understand access to definitive surgical care among LMIC patients. Methods A retrospective analysis of public interfacility transfer records was conducted from April 2015 to April 2016 in Cali, Colombia. Data were obtained from the single municipal ambulance agency providing publicly funded ambulance transfers in the city. Interfacility transfers were defined as any patient transfer between two healthcare facilities. We identified the number of transfers for patients with surgical conditions and categorized transfers based on patient ICD-9-CM codes. We compared surgical transfers from public vs. private healthcare facilities by condition type (surgical, obstetric, nonsurgical), transferring physician specialty, and transfer acuity (code blue, emergent, urgent and nonurgent) using logistic regression. Results 31,659 patient transports occurred over the 13-month study period. 22250 (70.2%) of all transfers were interfacility transfers and 7777 (35%) of transfers were for patients with surgical conditions with an additional 2,244 (10.3%) for obstetric conditions. 49% (8660/17675) of interfacility transfers from public hospitals were for surgical and obstetric conditions vs 32% (1466/4580) for private facilities (P<0.001). The most common surgical conditions requiring interfacility transfer were fractures (1,227, 5.4%), appendicitis (913, 4.1%), wounds (871, 3.9%), abdominal pain (818, 3.6%), trauma (652, 2.9%), and acute abdomen (271, 1.2%). Conclusion Surgical and obstetric conditions account for nearly half of all urban interfacility ambulance transfers. The most common reasons for transfer are basic surgical conditions with public healthcare facilities transferring a greater proportion of patient with surgical conditions than private facilities. Timely access to an initial healthcare facility may not be a reliable surrogate of definitive surgical care given the substantial need for interfacility transfers.

scholarly journals Role of Computed Tomography in Predicting Severity of Acute Pancreatitis

2020 ◽  
Vol 11 (3) ◽  
pp. 4039-4046
Author(s):  
Kapil P. Sawarkar ◽  
Pramod Shah
Keyword(s):  
Computed Tomography ◽  
Severity Index ◽  
Healthcare Facility ◽  
Study Data ◽  
Radiology Department ◽  
Cross Sectional ◽  
Surgical Interventions ◽  
Pancreatic Fluid ◽  
Necrotic Pancreatitis ◽  
Tertiary Healthcare

The current study was based on Computed Tomography (CT) findings and results. We found 63% of patients with acute interstitial edematous pancreatitis, and we found 37% of patients with acute necrotic pancreatitis in 46 cases. Based on our findings, we observed bulky pancreas among 26 cases (56.52%), 17 cases (36.95%) of pancreatic necrosis, 9 cases of pancreatic atrophy, 11 cases of pseudocyst, and 9 cases of peri-pancreatic fluid. When we evaluated the Modified CT Severity index among the study cases, we observed that 19.56% cases have mild index, the majority (56.52% cases) have moderate index while 23.91% have severe index. We also found that majority of the cases were clinically cured and discharged, i.e., 47.82%. 19.56% of the total study subjects reported recurrence of episodes of pancreatitis, while 30.43% of the total patients turned into chronic pancreatitis. This study presents a cross-sectional hospital-based analytical study carried out among 46 cases of AP referred to under the radiology department for further diagnostic evaluation, in a tertiary healthcare facility in Maharashtra. The present study Data Source included all the AP patients referred to the radiological department in a tertiary health research center. They met the standards for inclusiveness, which assented to the analysis. Type of study is Hospital analytical based study. The study duration is 18 months. Data collection was done through semi-structured, pre-designed, and pre-validated proformas in patients meeting inclusion requirements that included disease history, clinical outcomes, investigative records, and descriptions of surgical interventions.

scholarly journals Gambaran karakteristik gagal jantung pada anak di RSUP Prof. Dr. R. D. Kandou Manado

e-CliniC ◽  
2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Agnes A. Anthonius ◽  
Erling D. Kaunang ◽  
Ari L. Runtunuwu
Keyword(s):  
Heart Failure ◽  
Signs And Symptoms ◽  
Health Department ◽  
The Body ◽  
Shortness Of Breath ◽  
Design Data ◽  
Cross Sectional ◽  
Patients With Heart Failure ◽  
Characteristic Features ◽  
Cross Sectional Design

Abstract: Heart failure is the inability of the heart to pump adequate blood that fulfils the metabolic demands of the body, including growth. In Indonesia, it is still difficult to find the prevalence and incidence of heart failure in children. This study was aimed to determine the characteristic features of heart failure in children at Prof. Dr. R. D. Kandou Hospital Manado. This was a retrospective descriptive study with a cross-sectional design. Data were obtained from the medical records of pediatric patients with heart failure within the period of January 2013 to August 2016 in the Child Health Department at Prof. Dr. R. D. Kandou Hospital. The results showed that there were 69 children with heart failure; the most common were females and age 12-18 years. The most common signs and symptoms were shortness of breath, fever, and cough. Heart murmurs and gallop were frequently found. Hepatomegaly, splenomegaly, ascites and edema of the legs were not commonly found. The electrocardiogram results were mostly sinus rhythm. The echocardiography results were mostly mitral regurgitation. The most common comorbid disease was rheumatic heart disease. Conclusion: At Prof. Dr. R. D. Kandou Hospital, heart failure in children was mostly found among females and age of 12-18 years. Most of the children showed shortness of breath, fever, and cough.Keywords: heart failure, child, characteristic features Abstrak: Gagal jantung merupakan ketidakmampuan jantung sebagai pompa darah untuk memenuhi secara adekuat kebutuhan metabolisme tubuh termasuk pertumbuhan. Di Indonesia sendiri masih sulit menemukan data prevalensi dan insiden gagal jantung pada anak. Penelitian ini bertujuan mengetahui gambaran karakteristik gagal jantung pada anak di RSUP Prof. Dr. R. D. Kandou Manado. Jenis penelitian ialah deksriptif retrospektif dengan desain potong lintang. Data penelitian diambil dari rekam medik pasien anak dengan gagal jantung periode Januari 2013 sampai Agustus 2016 di Bagian Ilmu Kesehatan Anak RSUP Prof. Dr. R. D. Kandou Manado. Hasil penelitian mendapatkan 69 anak, terbanyak pada usia 12-18 tahun dan jenis kelamin perempuan. Tanda dan gejala terbanyak ialah sesak napas, demam, dan batuk. Bising jantung dan galop banyak ditemukan. Hepatomegali, splenomegali, ascites dan edema tungkai tidak banyak ditemukan. Hasil elektrokardiogram terbanyak ditemukan ialah irama sinus. Hasil ekokardiografi terbanyak ditemukan ialah regurgitasi mitral. Penyakit penyerta terbanyak ialah penyakit jantung rematik. Simpulan: Gagal jantung anak di RSUP Prof. Dr. R. D. Kandou Manado terbanyak pada usia 12-18 tahun, jenis kelamin perempuan, dengan gejala klinik sesak napas, demam, dan batuk. Kata kunci: gagal jantung, anak, gambaran karakteristik

scholarly journals EPIDEMIOLOGY OF DIPHTERIA IN PURWAKARTA REGENCY INDONESIA

2019 ◽  
Vol 1 (1) ◽  
pp. 9
Author(s):  
Siwi Pramatama Mars Wijayanti ◽  
Alfianti Nur Fadillah
Keyword(s):  
Adult Population ◽  
Descriptive Analysis ◽  
Descriptive Study ◽  
Community Leader ◽  
Local Health ◽  
Cross Sectional ◽  
Vaccination Programs ◽  
Preventive Effort ◽  
Infected Adult ◽  
Cross Sectional Design

Background: Diphtheria is considered as a neglected disease since it was successfully eliminated in many countries. However, there were several sporadic re-emergence cases of Diphtheria and the peak was outbreak in Indonesia in 2017.  This research was a descriptive study aimed to explore epidemiology of diphtheria by person, time and place in one of diphtheria endemic area.Methods: This was a descriptive study with cross sectional design in Purwakarta Regency, West Java, Indonesia in 2018. Several data were collected in this study such as diphtheria cases by age, time of occurrence, gender, place and immunization status. The data was collected from Purwakarta Health Office. It was the data from the year of 2015-2017. The data was analysed by using descriptive analysis with percentages displayed in graphs and tables.Results: This study reveals that Purwakarta regency is an endemic area of diphtheria with fluctuated cases since 2015-2017. More cases of diphtheria occurred from September to December in rainy season. More cases suffered by children in 5-9 years old, however, this disease also infected adult population. The area with high diphtheria cases in this study also areas with high population densities which is conducive for C diphteriae transmission. Low coverage of immunization is highlighted in the result of this study, which could explain why diphtheria cases occurred continuously in this area.Conclusions: High number of diphtherias in this area should be an awareness for local health officer to do an effective preventive effort such as increasing the coverage of vaccination. Furthermore, optimizing the role of religious and community leader should be made to support diphtheria vaccination programs.

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