hasil evaluasi sistem surveilans hiv aids di kabupaten bantul

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!