dr. Maftuhah Nurbeti Dept. IKM FK UII Karyasiswa S2 Epidemiologi Lapangan FK UGM

Transkripsi

1 dr. Maftuhah Nurbeti Dept. IKM FK UII Karyasiswa S2 Epidemiologi Lapangan FK UGM

2 Fungsi Pokok Deteksi kasus Registrasi Konfirmasi Pelaporan Analisis dan interpretasi Respons segera Respons terencana Feedback Pelaksana Petugas UPT Petugas UPT Dinkes, Lab UPS UPS Dinkes Dinkes UPS

3 Pelaporan Umpan balik Pengumpulan Data Kompilasi Data Analisis & interpretasi data Keputusan/ penentu Investigasi Tindak lanjut

4 Mendeteksi tren Mendeteksi KLB Memperkirakan besarnya morbiditas dan mortalitas Mengidentifikasi kelompok risiko tinggi Mengidentifikasi faktor risiko Menilai tindakan kontrol Meningkatkan praktek klinik Merangsang penelitian epidemiologi

5 Jenis: deskriptif eksploratif Metode pengumpulan data: indepth interview Subyek: penanggung jawab surveilans HIV AIDS di semua puskesmas

6

7 VARIABEL KATEGORI PERSENTASE Peran dalam sistem Surveilans Dokter koordinator P2M 68,0 Tugas Fungsional Dokter 68,0 Lama Tugas yang Berhubungan dengan Surveilans Masa kerja di puskesmas 1-5 tahun 73,9 1-5 tahun 68,0 Jenis Kelamin Perempuan 60,0 Pendidikan S1 76,0 Rangkap jabatan Ya 88,0

8 1. Ketenagaan

9 KETENAGAAN Total number of personnel is adequate 58.3 Had attended HIV-AIDS training 32.0 Needs training Do Not Understand about HIV Surveillance System Accept HIV-AIDS Surveillance System 52.0 Know about HIV AIDS Surveillance System Objectives 80.0 FINANCING SYSTEM No specific Budget for HIV AIDS surveillance system 84.0

10 Computer Telephone 60.0 Motorcycle Car Internet Facsimile

11 VARIABLE CATEGORY PERCENTAGE Type of monitored Tuberculosis Patients 70.0 population High risk groups 68.0 Health center patients 52.0 Data Source Community 24.0 Community Health Center Public Hospital 52.9 Private Hospital 23.5 Private Clinic 11.8 Laboratories 11.8 Doctor/midwife in private practice 11.8

12 VARIABLE CATEGORY PERCENTAGE Adequacy of Data Source Not enough 88.2 Clinical status 82.4 Age 82.4 Address 82.4 Type of data collected Risk Factor Social Economy The number and type of data source are not enough 64.7 Right after the Time of data finding of collection case/suspect 82.4 System unable to detect an increase in the

13 VARIABLE CATEGORY PERCENTAGE Data Collector Surveillance Officer 52.9 HIV Programmer 17.6 TB Programmer 17.6 Coordinator of disease control (Doctor) 11.8 Health center doctor 11.8 Form for data collection Exist 0.0

14 VARIABLE CATEGORY PERCENTAGE The element of confidentiality Run 94.1 Form of data storage Paper non form 41.2 Paper form 29.4 Computer data 11.8 Internal Data Analysis before data been reported 50.0 Simplicity of computerization Yes 72.0 Simpler system if computerization improved (Yes answer) 76.0

15 VARIABLE CATEGORY PERCENTAGE Ever reported cases/suspects (from all Health Center) 56.0 Ever reported cases/suspects Yes 82.4 (from Health Center that has cases/suspects) No 17.6 Report receiver Health Office 92.4 AIDS Control Commission 14.3 Other 7.1 Ways and means to Telephone 64.3 report Letter 28.6 Direct verbal 21.4 Routine report 7.1

16 VARIABLE CATEGORY PERCENTAGE Methods of distributing report is not enough 52.9 Contents of the report Notification of cases 78.6 Request for follow up 35.7 What has done by health center 28.6 Other information 28.6 Has done referral 14.3 High risk group 14.3 The format of report is not effective 64.3

17 VARIABLE CATEGORY PERCENTAGE Frequency and time of reporting Everytime cases/suspects found 92.9 Once a month 7.1 Absence of reporting form The existence of quality control system 0.0 Reported cases are incomplete 84.0

18 VARIABLE CATEGORY PERCENTAGE Existence of response Format of response There are response 78.6 No response 21.4 VCT implementation 60.0 Visits/Request more information 30.0 Other response 20.0 Further Investigation 10.0

19 VARIABLE CATEGORY PERCENTAGE Existence of feedback Yes 40.0 Format of feedback No 60.0 Progress Report of HIV AIDS cases in Bantul 50.0 Notice that there is positive cass 50.0 Notice about the importance of reporting cases 16.7 Other feedback 0.0

20 A published newsletter on epidemiological studies Frequency of epidemiology newsletter publishing A published surveillance profile Frequency of surveillance profile publishing Exist Once in 3 months Exist Once a month

21 Atribute Flexibility Acceptance Sensitivity Representativeness Timeliness Time of onset Time of diagnosis Time of Data Collection Time of Report Penilaian Not flexible Diterima Belum sensitif Belum representatif Tepat waktu Delayed Delayed On time On time

22

23 ANY QUESTION...??? Any Comment!