dr. Maftuhah Nurbeti Dept. IKM FK UII Karyasiswa S2 Epidemiologi Lapangan FK UGM
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
Pelaporan
Pengumpulan Data
Kompilasi Data
Umpan balik
Analisis & interpretasi data
Keputusan/ penentu
Investigasi
Tindak lanjut
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
Jenis:
deskriptif eksploratif Metode pengumpulan data: indepth interview Subyek: penanggung jawab surveilans HIV AIDS di semua puskesmas
VARIABEL KATEGORI Peran dalam sistem Dokter koordinator Surveilans P2M Tugas Fungsional Dokter Lama Tugas yang 1-5 tahun Berhubungan dengan Surveilans Masa kerja di 1-5 tahun puskesmas Jenis Kelamin Perempuan Pendidikan
Rangkap jabatan
S1 Ya
PERSENTASE 68,0 68,0
73,9
68,0 60,0 76,0 88,0
1. Ketenagaan
KETENAGAAN Total number of personnel is adequate Had attended HIV-AIDS training Needs training Do Not Understand about HIV Surveillance System Accept HIV-AIDS Surveillance System Know about HIV AIDS Surveillance System Objectives FINANCING SYSTEM No specific Budget for HIV AIDS surveillance system
58.3 32.0 100.0 100.0 52.0
80.0
84.0
120.0
100.0
80.0
100.0
96.0
80.0 Computer
72.0
Telephone Motorcycle
60.0
Car Internet
40.0
20.0
0.0
36.0
Facsimile 32.0
VARIABLE Type of monitored population
Data Source
CATEGORY Tuberculosis Patients High risk groups Health center patients Community Community Health Center Public Hospital Private Hospital Private Clinic Laboratories Doctor/midwife in private practice
PERCENTAGE 70.0 68.0 52.0 24.0 100.0 52.9 23.5 11.8 11.8 11.8
VARIABLE Adequacy of Data Source
CATEGORY
PERCENTAGE
Not enough Clinical status
88.2 82.4
Age Address
82.4 82.4
Type of data Risk Factor collected Social Economy The number and type of data source are not enough Right after the Time of data finding of collection case/suspect System unable to detect an increase in the
47.1 47.1 64.7
82.4
VARIABLE Data Collector
Form for data collection
CATEGORY
PERCENTAGE
Surveillance Officer HIV Programmer TB Programmer Coordinator of disease control (Doctor)
52.9 17.6 17.6
Health center doctor
11.8
Exist
11.8
0.0
VARIABLE
CATEGORY
The element of confidentiality Run Form of data storage Paper non form
Paper form Computer data Internal Data Analysis before data been reported Simplicity of computerization Yes Simpler system if computerization improved (Yes answer)
PERCENTAGE 94.1 41.2 29.4 11.8 50.0 72.0 76.0
VARIABLE
CATEGORY
Ever reported cases/suspects (from all Health Center) Ever reported cases/suspects Yes (from Health Center that has cases/suspects) No Report receiver Health Office AIDS Control Commission Other Telephone Ways and means to report Letter Direct verbal Routine report
PERCENTAGE 56.0 82.4 17.6 92.4 14.3 7.1 64.3 28.6 21.4 7.1
VARIABLE
CATEGORY
Methods of distributing report is not enough Contents of the report Notification of cases Request for follow up What has done by health center Other information Has done referral High risk group The format of report is not effective
PERCENTAGE 52.9 78.6 35.7 28.6 28.6 14.3 14.3 64.3
VARIABLE
CATEGORY Everytime Frequency and cases/suspects time of reporting found Once a month Absence of reporting form The existence of quality control system Reported cases are incomplete
PERCENTAGE
92.9 7.1 100.0 0.0 84.0
VARIABLE
Existence of response Format of response
CATEGORY
There are response No response VCT implementation Visits/Request more information Other response Further Investigation
PERCENTAGE 78.6 21.4 60.0 30.0 20.0
10.0
VARIABLE Existence of feedback
Format of feedback
CATEGORY Yes No Progress Report of HIV AIDS cases in Bantul Notice that there is positive cass Notice about the importance of reporting cases Other feedback
PERCENTAGE 40.0 60.0
50.0 50.0
16.7 0.0
A published newsletter on epidemiological studies
Exist
Frequency of epidemiology newsletter publishing
Once in 3 months
A published surveillance profile Frequency of surveillance profile publishing
Exist Once a month
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
ANY QUESTION...??? Any Comment!
