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Background:The high cause of tuberculosis prevalence in Indonesia is the enough big of population number and the high density of Indonesian population especially in some of regions. The enough long treatment, 6 – 8 months cause many patients cannot settle their treatment completely. Beside that the discipline level of tuberculosis patient for drinking medicine is still low and tuberculosis attacked people with bad nutrient status and weak physical condition. While the system of recording and reporting of tuberculosis which were most complicated with registration form in number of 13 forms (TB 01 – 13) which was executed manually so that it is much possible that the mistake was happened at the time of filling and many found incomplete data. Incomplete data if it is processed, hence it will create improper information, so that said information cannot be used to prevent tuberculosis. Objective: The objective to be developed the former system becoming new system with automatic processing and calculation can give description of tuberculosis problem in East Jakarta Municipality. Methode: Method used in the development of information system of tuberculosis prevention is life cycle of system development consisting of pre analysis, planning and try out systems. Result: The result of system development is established information system prototype of tuberculosis prevention which can give description of tuberculosis condition in East Jakarta and give conducted description activity as well as help program manager in making work plan of annual program. The development of information system of tuberculosis prevention in East Jakarta for changing former system (TB electronic) represents one effort to handle tuberculosis problem in East Jakarta Municipality. With the establishment of this system, it will help in processing and analyzing tuberculosis data becoming information, such as percentage of new case invention, percentage of recovery, percentage of conversion, percentage of laboratory mistake, the path of new case distribution and drop out case and density population area and poor family (gakin) area, as well as give description of health center performance and health center distribution in servicing tuberculosis patient. Conclusion: Identification of the opportunity and feasibility for developing information system of tuberculosis prevention. Keyword: TBC, Information System of Tuberkulosis
Background: Leprosy is chronic disease cause by Mycobacterium Leprae infection and it is a contagious disease that generates very complex problems. At Cirebon district over last three years, until 2003, patient number reach 1.207 (Prevalence Rate 1,69/10.000 population), have not reach leprosy elimination, therefore disease contamination keep going. Leprosy elimination in Cirebon district to acquire and process of data using leprosy surveillances sentinel system, this system operational not yet maximum and yielded output only limited to regular report. Objective: The purpose of this system development is to develop an application of Leprosy System Information Program Based on Geography Information System for leprosy elimination acceleration program in Cirebon District Year 2005 Methods: System development done based on System Development Life Cycle method, by combining Data Base Management System concept and spatial data. Data and information needed were collecting by interview and document observation. Results: SIGEK designed for facilitating data input and automatic of its process mechanism into information. Yielded output is in form of regular report, tabulation, graphic, and area endemic mapping information with urban smallest observation unit. Epidemiologic interpretation leprosy case from this visual map can be identified case transmission diffusion model and health service range (Puskesmas) in leprosy elimination. Conclusion: This SIGEK application can be management application on leprosy elimination program, empowered ability on monitoring activity and surveillance. Yielded output could be made as information for decision making input on leprosy elimination acceleration program. SIGEK was hoped to be a device for program management and possible can be developed on other district. Keywords: Geography Information System, Elimination, Leprosy
Background: Nutrition aspect is one of the most important factors on human resources development. On the other hand the prevalence of malnutrition in South Jakarta District in year 2003 was still very high, there were 2,250 (12.56 %) and 354 (1.98 %) under-five children at severe malnutrition condition. If we refer to those numbers it could assume that everyday there was malnutrition outbreak in that area. In its implementation, the nutrition surveillance (nutritional status monitoring) is supported by an information system called early warning system for food and nutrition problems (SKPG) which has already available in every health center in sub-district level in Jakarta Province. However up to now the system could not implement due to some constraints. Objective: The purpose of the study is to develop an information system for nutritional status monitoring among under-five children that prover, meet the requirement, and user friendly in Pesanggrahan Sub-District. Methodology: The study was conducted based on system development live cycle which consist of planning phase, analyses, and scheme of system tryout. Examination of system only conducted in laboratory by using data of sampel. Results: This research was resulted a prototype of information system to monitor the nutritional status among under-five children in Puskesmas Pesanggrahan (SIPSG). Conclution: SIPSG is expected to supply any needed information effectively. The system is designed to provide relevant, quick, precise and accurate data. Hopefully the system will be more useful in alleviating the nutrition problem through routine nutrition status monitoring in the area. Key words: SIPSG
Sumber Daya Manusia (SDM) merupakan salah satu sumber daya yang penting dalam suatu organisasi: juga penentu berhasil atau tidaknya pembangunan di suatu negara, baik dalam pembanguoan ekonomi dan: kesehatan. Undang-undang Kesehatan No. 23 tahun 1992 menyatakan bahwa tenaga kesehatan merupakan salah satu sumber daya kesehatan yang diperlukan sebagai pendukung Sehingga perlu dikembangkan suatu sistem informasi perencanaan kebutuhan SDM kesehatan di Puskesmas berdasarkan beban kerja. Dimana sistem yang akan dikembangkan ini diharapkan dapat membantu pengambil keputusan dan d.ijadikan bahan acuan dalam menentukan kebijakan dalam perencanaan, monitoring dan evaluasi terhadap perencanaan dan distribusi SDM. Sistem infonnasi ini disebut sistem pendukung keputusan. Metodologi yang dipakai adalah dengan menggunakan pendekatan Development Lift Cycle (SDLC) dengan cara wawancara mendalam dengan para informan. Permasalahan sistem yang ada sekarang adalah data yang ada masih terpisah-pisah dibagian yang berbeda, pengolahan masih dilakukan secara manual, sehingga bel diperolehnya informasi. Pengembangn sistem dimulai dari penetapan kebutuban sitepemodelan sistem serta penetapan sofeware dan hardware yang digunakan dengan harapan dapat penghasilan informasi yang dibutuhkan user dalam perencanaan kebutuhan SDM Kesehatan.
Software yang digunakan untuk aplikasi prototype ini adalah Fox pro, dengan spesifikasi minimum hardware adalah pentium ll 450 Mhz, kapasitas RAi\.1 128 MB, kapasitas hardisk 106 B. Human resource is one of the important resources in an organization, it is also a de derminant-factor on success or failure o development in a country, both of economic and health. The health legislation no. 23 in 1992 expressed that a health officer is one of important health resource as a supported health effort in order to existence of public health level optimally. To reach an efficacy of health development as expressed on legislation no. 23 in research used Development Life Cycle (SDLC) method by a deep interview to informant. The existing system problem is existing data still separated by different shares, processing is still conducted by manual, so the information is not obtained yet System development is started by determining of system requirement, system model and also determining of software and hardware which is used in order to get an important information for user on requirement of health human resources planning. Software used for the application of this prototype is Fox pro, 'Yioith a minimum specification of hardware is Pentium II 450 :Mhz, memory capacity is 128MB, hard disk capacity is 10 B. Almost all of required information by user are availaole on development of this system. On the next system, it is expected can result development of health human resources planning and also inventory of health facilities in Depok. By developing an information system o requirement of health human resources planning. it is expected can improve perfcnnance of program organizer-in managing and analyzing data quickly and efficient, so it can result a required information for user.
Geographically, Indonesia indeed, lies on high-risk natural disaster, like earthquake, tsunami, landslide, flood, typhoon, drainage and epidemic diseases. Besides, there are other disasters might happen due to the awareness and failure in managing natural resources and environment, such as, haze, environment pollution, traffic accident and technology failure. One of disasters that often occurred in some region is social riot, caused by poverty, culture conflict, injustice in natural resources distribution, social economic gap, different ethnic, religion and races or the intervention of other countries. Health crisis response caused by those stated disasters can be handled quickly and accurately if it is supported by quick, accurate and exact information. In order to gain the quick, accurate and exact information above, it is necessary to develop information system that can be applied as the base of the appropriate decision making in conducting the intervention. The aim of the development of system is to form disaster information system to make an appropriate decision in responding to health crisis. The system development methodology applied is the approach System Development Life Cycle which consists of planning system and visible analysis, analysis toward system, system design and system implementation. Information system is conducted by identifying the opportunity of system development. Based on the analysis of economic visibility, techniques and organization Information System for Health Crisis Response Consequence of Disaster in Ministry of Health, Republic of Indonesia, may still be further developed. Designing system is organized by data based design output design in table and input design in report form. Some advantages of system developed are the use of form and data base management in data entry, use automatic will be more structured and quick process in data processing, report can be directly printed and data developed in table. Meanwhile, the constraint from the developing system is it is still needed to be further developed and has not been justified in implementation stage in Health Provincial Office and Health District Office. It is advisable that there is a supporting policy in regulating the implementation Information System for Health Crisis Response Consequence of Disaster, both in province and district, including feedback mechanism and sustainable control so that the reporting process of health crisis response of disaster can be operated well. Key words : SIB-PMK
Bencana selalu memberikan arti merugikan. Bencana adalah suaru pcristiwa yang terjadi sccam mendadak atau tidak terencana atau secara pcrlahan tetapi bcrlanjut yang menimbulkan dampak terhadap pola kehidupan normal atau kerusakan ekosistem. Bencana seringkali menimbulkan korban masal dalam jmnlah yang relatif banyak dan perlu mendapatkan pertolongan keschatan segera dengan menggunakan sarana, fasilitas dan tenaga yang lebih dari yang tersedia sehari-hari. Secara geografis wilayah Kabupaten Bandung terletak pada wilayah yang rawan terhadap bcncana banjir. Banjir yang tejadi setiap tahunnya berpotensi memicu te1jadinya Kejadian Luar Biasa (KLB) penyakit menular karena terganggunya layanan kesehatan masyarakat dasar dan memburuknya semua kondisi kehidupan. Frekucnsi banjir pada tahun 2004 8 kali dengan jumlah korban scbanyak 1.542 orang, tahun 2005 I0 kali dengan jumlah korban sebanyak 1.231 orang dan 2 orang diantaranya meninggal dunia. Tahun 2006 telah terjadi 3 kali bencana banjir dengan jumlah korban scbanyak 5.429 orang. Dan disertai dengan peningkatan kasus Penyakit Diarc, ISPA dan Dermatitis. Penanggulangan banjir dilakukan dengan pembcrian bantuan untuk mencegah teljadinya krisis kesehatan dengan dasar hasil pendataan yang dilakukan segera setelah informasi awal diterima mcnggunakan metode Rapid Health Assessment (RH/1), operasional mctode ini belum berjaian optimum dan output yang dihasilkan sebatas laporan kejadian banjir dan KLB penyakit. Pengembangan sistem yang dilakukan berdasarkan metode Decision Support Syszems (DSS), yaitu perencanaan, analisis sistem, perancangan sistem, uji coba protozype dan implementasi sistem, dengan memadukan konsep Data Base Management Sysrem dan aplikasi program Visual Basic menjadi kekuatan dalam Sistem Informasi Penanggulangan Krisis Kesehatan Akibat Banjir (SI BANJIR). Hasil analisis sistem dapat mengidentifikasi bcsamya masaiah kesehatan yang ditimbulkan, kebutuhan untuk mengatasi masalah krisis kesehatan dan kemampuan merespon untuk penangulangan kxisis kesehatan akibat banjir. SI BANJIR didesain untuk kemudahan input data dan otomasi proses pengolahannya menj adi informasi. Output yang dihasilkan berupa peta ranggap bencana, laporan sumary kejadian bencana, tabulasi kebutuhan dan kemampuan mercspon, gmfik perkembangan korban, kerusakan sarana kesehatan lingkungan, pengungsi dan kasus penyakit. Aplikasi Sl BANJIR ini dapat menjadi alat manajcmen dalam program penanggulangan banjir, menguatkan kemampuan pada kegiatan perencanaan dan surveilans. Output yang dihasilkan dapat diiadikan informasi untuk masukan pada pengambil keputusan dalam program penamggulangan krisis kcschatan akibat banjir. SI BANJIR ini diharapkan dapat dijadikan alat bagi pengelola program dan dimungkinkan dapat dikembangkan di tempat rawan bencana lainnya.
Penyakit tuberkulosis (TB) adalah penyakit menular yang disebabkan oleh Mycobacterium tuberculosis dan merupakan penyakit menular yang masih menjadi masalah kesehatan di masyarakat. jumlah penderita TB paru BTA positif di Kabupaten Subang Tahun 2006 sebanyak 1.095 kasus (Insidene rate 107/100.000 penduduk). Di Kabupaten Subang selama lima tahun terakhir sampai tahun 2006 angka penemuan penderita baru. TB paru BTA positif dan angka penemuan penderita seluruh tipe meningkat, keadaan itu menunjukkan bahwa penyakit TB masih menjadi masalah kesehatan di masyarakat. Program Penanggulangan Tuberkulosis di Kabupaten Subang untuk pengumpulan data menggunakan sistem jemput bola pada saat petugas kabupaten melakukan supervisi. Sistem ini mengakibatkan data yang terkumpul pada akhir triwulan tidak sama dengan angka yang sebenarnya ada di puskesmas apabila supervisi dilakukan pada awal atau pertengahan triwulan. Pengembangan sistem yang dilakukan berdasarkan metode System Development Life Cycle, yaitu planning analysis system, design, implementation, maintenance dan evaluation system dengan memadukan konsep Data Base Management System dan terintegrasi dengan data spasial sehingga menambah keunggulan dalarn Sistem Informasi P2TB berbasis wilayah (SIG) di 1Cabupaten Subang. Hasil. analisis system dapat mengidentifikasi permasalahan manajemen sistem informasi penanggulangan penyakit TB serta altematif solusi pada tahap input, proses dan output. SIP2TB berbasis wilayah dirancang nntuk kemudahan input data dan otomasi proses pengolahannya menjadi informasi. Output yang dihasilkan berupa laporan reguler, tabulasi indikator program, grafik indikator program dan informasi pemetaan endemisitas wilayah dengan unit pengamatan terkecil desa. Interpretasi epidemiologis kasus TB pada visual peta ini dapat mengetahui jangkauan pelayanan kesehatan (Puskesmas) dalam penanggulangan TB dari kepadatan penduduk dengan sebaran kasus TB. Aplikasi SIP2TB ini dapat menjadi alat manajemen dalam program penanggulangan TB, menguatkan kemarnpuan pada kegiatan monitoring dan evaluasi. Output yang dihasilkan dapat dijadikan informasi untuk masukan pada pengambil keputusan dalam program Penanggulangan TB. SIP2TB ini diharapkan dapat dijadikan alat bagi pengelola program dan bila memungkinkan dapat dikembangkan di puskesmas sarta menjadi model bagi kabupaten lain.
Tuberculosis (TB) is a communicable disease caused by Mycobacterium tuberculosis that it is still beeing a public health problem in the community. Number of detected new smear positive pulmonary TB were 1,095 cases in Subang district by the year 2006 referred to the national incidencerate, 107/100,000. Over the last five year there were an increased number of detected all type TB cases in Subang district. This showed that TB still becomes a public health problem in the community. TB Control Program in Subang has been carrying out "ball pick up" for TB data colection in district level. It means that district TB supervisor (wasor) goes to health services unit to pick up data or registry when quarterly supervisory visit. This system might cause the data differences between the real existing data at health service unit (UPK) and collected data by wasor at the same period of time if the wasor visit UPK at the begining or in the middle of the quarter. System Development was done on the basis of System Development Life Cycle method, including planning analysis system, design, implementation, maintenance and evaluation system. Through combining the concept of Data Base Management System and integrated with spatial data able to increased an advances of TB Control Program Geographical Information System in Subang district. Result system analysis was able to identify the management information system of TB control program as well as alternative solution on input phase, process phase and output phase. The GISTB was designed to make input data and data processing to be information becoming easier. The output is a regular report, tables, graphs of the program indicators as well as information mapping of TB case distribution in village level as an investigation unit. Epidemilogy Interpretation of TB case on the visual map shows the level of health center coverage in relation to TB services. It also shows the population density and case distribution. The GISTB application will be able become as a management tool of TB control program for strengthening monitoring and evaluation system. Therefore a decision making for TB control program in Subang based on valid, acurate and reliable data as an output of the system. This system also is expected to be able to be adopted as a wasor tools and expanded to health service unit level as well as being a model in other districts.
