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This thesis discusses about developing surveillance information system on VaccinePreventable Diseases (VPD) which are confirmed by laboratory examination andwhich are web based. Its background is that controlling communicable diseases isin important issue that has to be supported with appropriate structures. Therefore, acountry should develop, strengthen, and maintain its capacity to detect, asses andreport communicable disease events. An integrated web based surveillance systemcan support and strengthen the existing VPD surveillance activities.This research recognizes problems with a system approach. Its design is operationalresearch. Data are collected through deep interview, observation and documentreview, which are continued with content analysis. Research results show that thereis an information gap at the report hierarchy in the existing system, so that datareach the central level not in timely manner. Cascade reporting system takes a longtime. Developing integrated information system as prototype and strongcommitment from related parties can improve VPD surveillance with labconfirmation, so that case management can be performed immediately and furtherspread of the disease can be prevented.Keywords: VPD Information System, Surveillance, Lab Confirm.
Kabupaten Pidie dengan jumlah Puskesmas sebanyak ( 26 Euskesmas telah memiliki jumlah perawat puskesmas yang telah mengikuti pelatihan BC dan IC CMHN sebanyak 46 perawat dengan jumlah pasien gangguan jiwa 808 orang (0,16%) dari jumlah penduduk Kabupaten Pidie. Jumlah pasien yang telah dirawat oleh perawat CMHN di Puskesmas sebanyak 285 orang (35,3 %} dari jumlah pasien di Kabupaten Pidie. Masalah keperawatan pada pasien gangguan jiwa yang telah dirawat oleh Perawat CMHN di Kabupaten Pidie adaHl alusinasi Q2,6 %), Isolasi Sosial (12,3 %), Harga Diri Rendah (10,5 %), Waham (§,5 %' Defisit Perawatan Diri (17,9 %) dan Prilaku Kekerasan (17, 2 %). Adapun Diagnosa Medis ¥ang sering muncul pada pasien gangguan jiwa di puskesmas adalah gangguan mental organik (demensia, delirium), gangguan penggunaan napza (gangguan penggunaan zat, gangguan penggunaan pengetahuan masyarakat tentang masalah gangguan jiwa, masih adanya stigma masyarakat terhadap penderita gangguan jiwa dan tingginya angka kemiskinan di Kabupaten Pidie. Metodologi yang digunakan dalam tesis ini adalah metode incremental dan iterative melalui tahapan perencananalisis, perancangan, pengkodean dan uji coba sistem. Identifikasi dan analisis masalah sistem dilakukan dengan wawancara rnendalam, telaah dokumen dan observasi pafla unit kerja dinas kesehatan dan puskesmas serta beberapa informan yang terkait. Perancangan prototype dilakukan dengan menggunakan bahasa pemrograman PHP dan basis data mysql yang bersifat open source. Uji coba prototfpe dilakukan menggunakan data sampel di Laboratorium Komputer Fakultas Kesehatan Masayarakat Departemen Biostatistika: Universitas Indonesia. Sistem informasi kesehatan jiwa masyarakat yang dikembangkan ini akan memberikan informasi yang berkualitas yang dapat dapat digunakan sebagai pendukung keputusan bagi pengambil kebijakan di Dinas Kesehatan Kabupaten Pidie dalam pelaksanaan program penanggulangan masalah kesehatan jiwa masyafakat. Sebagai suatu decision support system, system infonnasi kesehatan jiwa masyarakat dapat memberikan dukungan sampai level empat yaitu estimate ded sion c nsequences. Pada level ini informasi yang dihasilkan memungkinkan.jajaran pimpinan dinas kesehatan melihat dampak-dampak yang timbul dari program yang telab. dilaksanakan. Hasil analisis ini juga da:P-at dipergusnebagai umpan balik. pada puskesmas. Hasil dari pengembangan sistem infonnasi ini adalah dihasilkan prototype.
Pidie regency, whith has 26 health centre, have 46 nurses who have been accompanied in BC and IC CMHN training this regen y has 808 mental illness people or 0.16% of the poJ?ulation there. The patients who has been care by CMHN nurses are 285 patient (35.3%} of all patient there The problems of these patient are hallucination (32.6%), social isolation (12.3%) low self esteem (10.5%), delusion (9,5%), self care deficit (17,9%) and violence (17.2%). Therefote medical diagnosis which often happened on mentally iUness patients re eranic mental (desorder, delirium), drugs abused, skizofrenia, psychotic cronic, psychotic acute, depresif, neurotic (fobic, panic and anxiety), anxiety and epression, adaptation disruption, mental retardation, mentally sick in children and adulesiont, behayior disruptioannd epilepi). The problems that should be solved by the government are first, the functions of department and local clinic and another related sources. Prototype planning is done by PHP programming language and database My SQL which is open source. Prototype trial is done by sample data in computer laboratory of Biostatistic Department of Public health faculty. This information system development will give a good information which can be used as a support of decision for policy maker in health department of Pidie regency in preventing mental health.problem program. As dicision support systeinformation system could give support to the fourth level which is estimate decision consequences. In this level, Ute information cou d make the channan of health department top at the effects of the programs done. The analysis results also could be used as a facder or clinic. The result of thts information system devel-opment is pmduced by the prototype of public mental health information system of health departmen in Pidie regency in 2008 which could be operated onlin o offline. To makes this information system wo9cs well and continuoysly, we need the commitment and supporting policy, include a fimds, human resources, feeder mechanism, monitoring and eval uation.