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

Umpan balik

Pengumpulan Data

Kompilasi Data

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

PERSENTASE 68,0 68,0

73,9

68,0 60,0 76,0 88,0

Rangkap jabatan

S1 Ya

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

100.0

96.0

80.0

80.0

72.0

Computer Telephone Motorcycle Car Internet

60.0

40.0

36.0

Facsimile 32.0

20.0

0.0

VARIABLE
Type of monitored population

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

Data Source

VARIABLE
Adequacy of Data Source

CATEGORY
Not enough Clinical status Age Address

PERCENTAGE
88.2 82.4 82.4 82.4 47.1 47.1 64.7

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

82.4

VARIABLE
Data Collector

CATEGORY
Surveillance Officer HIV Programmer TB Programmer Coordinator of disease control (Doctor)
Health center doctor

PERCENTAGE
52.9 17.6 17.6

11.8 11.8 0.0

Form for data collection

Exist

VARIABLE

CATEGORY

PERCENTAGE
94.1 41.2 29.4 11.8 50.0
72.0 76.0

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)

VARIABLE

CATEGORY

PERCENTAGE
56.0 82.4 17.6 92.4 14.3 7.1 64.3 28.6 21.4 7.1

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

VARIABLE

CATEGORY

PERCENTAGE
52.9
78.6 35.7 28.6 28.6 14.3 14.3 64.3

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

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

VARIABLE

PERCENTAGE

92.9 7.1 100.0 0.0 84.0

VARIABLE

CATEGORY

PERCENTAGE 78.6 21.4 60.0 30.0 20.0

Existence of response
Format of response

There are response No response VCT implementation Visits/Request more information

Other response Further Investigation

10.0

VARIABLE
Existence 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

Format of feedback

50.0 50.0

16.7 0.0

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

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!