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Evaluasi surveilans epidemiologi
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dr. Maftuhah Nurbeti Dept. IKM FK UII
Karyasiswa S2 Epidemiologi Lapangan FK UGM
Fungsi Pokok Pelaksana
Deteksi kasus Petugas UPT
Registrasi Petugas UPT
Konfirmasi Dinkes, Lab
Pelaporan UPS
Analisis dan
interpretasi
UPS
Respons segera Dinkes
Respons terencana Dinkes
Feedback UPS
Pengumpulan Data
Kompilasi Data
Analisis & interpretasi
data
Pelaporan Umpan balik
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 PERSENTASE
Peran dalam sistem
Surveilans
Dokter koordinator
P2M
68,0
Tugas Fungsional Dokter 68,0
Lama Tugas yang
Berhubungan
dengan Surveilans
1-5 tahun 73,9
Masa kerja di puskesmas
1-5 tahun 68,0
Jenis Kelamin Perempuan 60,0 Pendidikan S1 76,0 Rangkap jabatan Ya 88,0
1. Ketenagaan
KETENAGAAN
Total number of personnel is adequate 58.3
Had attended HIV-AIDS training 32.0
Needs training 100.0
Do Not Understand about HIV
Surveillance System 100.0
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
100.0 96.0
80.0
72.0
36.0 32.0
0.0
20.0
40.0
60.0
80.0
100.0
120.0
Computer
Telephone
Motorcycle
Car
Internet
Facsimile
VARIABLE CATEGORY PERCENTAGE Type of monitored Tuberculosis Patients 70.0
population High risk groups 68.0
Health center
patients 52.0
Community 24.0
Data Source
Community Health
Center 100.0
Public Hospital 52.9
Private Hospital 23.5
Private Clinic 11.8
Laboratories 11.8
Doctor/midwife in
private practice 11.8
Health Office 11.8
VARIABLE CATEGORY PERCENTAGE Adequacy of Data
Source Not enough 88.2
Type of data
collected
Clinical status 82.4
Age 82.4
Address 82.4
Risk Factor 47.1
Social Economy 47.1
The number and type of data source are
not enough 64.7
Time of data
collection
Right after the
finding of
case/suspect 82.4
System unable to detect an increase in the
number of cases 64.0
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
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
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
report
Telephone 64.3
Letter 28.6
Direct verbal 21.4
Routine report 7.1
Report form 7.1
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
VARIABLE CATEGORY PERCENTAGE
Frequency and
time of reporting
Everytime
cases/suspects
found 92.9
Once a month 7.1
Absence of
reporting form 100.0
The existence of quality control
system 0.0
Reported cases are incomplete 84.0
VARIABLE CATEGORY PERCENTAGE
Existence of
response There are
response 78.6
No response 21.4
Format of
response
VCT
implementation 60.0
Visits/Request
more information 30.0
Other response 20.0
Further
Investigation 10.0
VARIABLE CATEGORY PERCENTAGE Existence of
feedback Yes 40.0
No 60.0
Format of feedback
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
A published newsletter on
epidemiological studies Exist
Frequency of epidemiology
newsletter publishing
Once in 3
months
A published surveillance profile Exist
Frequency of surveillance
profile publishing Once a month
Atribute Penilaian
Flexibility Not flexible
Acceptance Diterima
Sensitivity Belum sensitif
Representativeness Belum
representatif
Timeliness Tepat waktu
Time of onset Delayed
Time of diagnosis Delayed
Time of Data Collection On time
Time of Report On time
Time of control activities On time
ANY QUESTION...???
Any Comment!