GAMBARAN PENGGUNAAN APLIKASI SIHEPI DI DINAS KESEHATAN DAERAH KOTA TOMOHON

Abstrak

Introduction: Diarrheal disease remains a significant public health problem in Indonesia, including North Sulawesi which recorded 11,532 cases in 2024. The Hepatitis and Digestive Tract Infection Information System (SIHEPI) was developed to support national recording and reporting of diarrhea cases. This study aims to describe the use of the SIHEPI application for diarrhea control at the Tomohon City Health Office. Methods: A descriptive qualitative study with an observational approach was conducted from November 17-28, 2025 at the Tomohon City Health Office. Subjects were surveillance officers and administrative staff in the Disease Prevention and Control division. Data were collected through direct observation, informal interviews, and document review. Analysis used the Problem Solving Cycle and 5 Why Analysis to identify root causes. Results: The use of SIHEPI in Tomohon still faces problems of delayed data entry and incomplete reporting variables. Fishbone analysis identified human resources, procedures, facilities, management, and work environment factors. The 5 Why Analysis revealed root causes: absence of structured standard operating procedures (SOP), lack of designated surveillance person in charge, irregular supervision, and dynamic program priorities. Priority solutions include SOP development, assignment of a surveillance PIC, technical training, and regular supervision. Conclusion: SIHEPI plays an important role in diarrhea surveillance but its implementation is not yet optimal. Improvement recommendations focus on strengthening reporting governance and personnel capacity.