Penyakit malaria sampai saat ini masih merupakan masalah kesehatan masyarakat yang penting di Indonesia, khususnya di luar Pulau Jawa dan Bali. Di Indonesia, lebih dari 6 juta penderita malaria klinis dengan 700 kematian yang dilaporkan melalui unit pelayanan kesehatan setiap tahun. Propinsi Lampung termasuk daerah yang endemis terhadap penyakit malaria. Salah satu Kabupaten/Kota yang masih banyak terdapat kasus malaria di Propinsi Lampung adalah Kota Bandar Lampung. Sejak tahun 1999 terjadi peningkatan kasus malaria di Kota Bandar Lampung. Upaya pencegahan terhadap masalah malaria belum dapat dilaksanakan secara optimal. Sistem surveilans yang ada di Kota Bandar Lampung belum menghasilkan informasi yang dapat mendukung program dalam rangka penanggulangan masalah malaria. Penelitian ini bertujuan untuk mengembangkan basis data surveilans malaria yang bermanfaat sebagai alat bantu dalam menghasilkan inforrnasi yang dapat dijadikan acuan dalam menentukan kebijakan, perencanaan, monitoring dan evaluasi program dalam rangka penanggulangan masalah malaria di Kota Bandar Lampung dengan ruang lingkup di Dinkes Kota Bandar Lampung khususnya seksi pemberantasan penyakit bersumber binatang. Metodologi yang digunakan adalah dengan menggunakan metode pendekatan System Development Life Cycle (SDLC) dengan cara observasi dan wawancara mendalam dengan para informan. Permasalahan sistem yang ada sekarang adalah kelengkapan dan ketepatan waktu pelaporan dari Puskesmas, permasalahan pengolahan dan analisis data serta permasalahan kurangnya informasi yang dihasilkan saat ini termasuk mekanisme umpan balik terhadap Puskesmas. Pengembangan sistem dimulai dari penetapan kebutuhan sistem, pemodelan sistem serta penetapan software dan hardware yang digunakan dengan harapan dapat menghasilkan informasi yang dibutuhkan user dalam menyusun perencanaan, monitoring serta evaluasi program pemberantasan malaria. Software yang digunakan untuk aplikasi prototype ini adalah kombinasi microsoft acces, crystal report dan arc.view 3.3 dengan spesifikasi minimum hardware adalah Pentium II 450 Mhz, kapasitas RAM 128 MB, kapasitas Hardisk 10 GB. Hampir seluruh informasi yang dibutuhkan user dapat terpenuhi antara lain informasi kebutuhan obat malaria, monitoring KLB malaria, stratifikasi malaria, pola penularan, slide positive rate malaria penilaian laporan Puskesmas dan proporsi CFR malaria.Pengembangan sistem berikutnya diharapkan dapat menghasilkan penilaian kinerja Puskesmas dan pengembangan sistem dengan input data individual. Dengan dikembangkannya basis data surveilans malaria ini diharapkan dapat meningkatkan kinerja pengelola program dalam mengolah dan menganalisis data secara cepat dan efisien untuk menghasilkan informasi yang dibutuhkan user. Daftar bacaan : 26 (1991-2002)

The Development of Malaria Surveillance Database in Bandar Lampung 2004 Until now, malaria is still becoming an important problem for the public's health in Indonesia, especially outside Java and Bali. Every year, the health services receive reports for more than 6 million people suffered clinical malaria, with 700 numbers of death. Lampung province is included to the area that is endemic for malaria. One of the cities in the Lampung province that is still found a lot of malaria cases is Bandar Lampung. Since 1999, there has been an increase number of cases of malaria in Bandar lampung. The efforts to combat malaria are not optimally brought into realization. The surveillance system in Bandar Lampung is not giving enough information to support programs in order to combat malaria. The arm of this research is to develop a malaria surveillance database, which can be useful as a helping device in giving information that can be used as a reference to determine policies, planning, monitoring, and program evaluations in order to combat malaria. The scope of the research is in the District Health Service of Bandar Lampung, especially in the animal sourced diseases prevention section. The method of the research is using a System Development Life Cycle (SDLC) approach by doing observations and deep interviews with the informants. There are found several systematic problems now which the problem related to the reports completion and time from the public health center, the data processing and data analysis problems and the problem which is the lack of information produced in this time, including the feed back mechanism to the public health center. The system development starts from determining the system need, system modeling and the software & hardware that is used, which hopefully can produce the information needed by the user in constructing the planning, monitoring, and program evaluation of combating malaria. The software application used in this prototype is a combination of Microsoft access, crystal report and arc. view 3.3 with minimize specification of the hardware is Pentium II 450 MHz, with 128 MB RAM capacity and 10 GB hardies capacity. Almost all information that the user needed can be fulfilled, which among others are the information of the needs of medicine for malaria, monitoring the malaria early warning system confirmation, the infection season patterns of malaria, slide positive rate malaria, evaluation reporting of public health center and case fatality rate malaria. The development of next system hopefully can give information on the evaluation of the work of public health and evaluation of the work of public health center officers and development system with individual record. With the development of this malaria surveillance database is hopefully that it can increase the work of program manager in processing and analyzing data quickly and efficiently to produce the information that is needed by the user. References: 26 (1991-2002)

Tuberkulosis merupakan penyakit infeksi yang masih menjadi masalah kesehatan di Indonesia. Tingginya prevalensi TB dan belum berhasilnya pelaksanaan program pemberantasan TB, menempatkan penyakit ini sebagai penyebab kematian nomor satu dari kelompok penyakit infeksi. Salah satu komponen penting dalam program pemberantasan TB adalah adanya monitoring dan evaluasi program. Kegiatan tersebut dapat berjalan secara efektif jika pengelola program TB memiliki data dan informasi yang dapat diakses secara mudah, cepat, valid dan tepat waktu. Dalam rangka memenuhi kebutuhan data dan informasi maka dibutuhkan sebuah sistem informasi yang tertata dan dapat dioperasionalkan dengan baik serta dapat menjawab kebutuhan program pemberantasan TB. Kajian penelitian ini berjudul "Pengembangan Sistem Informasi Program Pemberantasan TB Paru Dinas Kesehatan Kota Bandar Lampung". Sedangkan tujuan yang hendak dicapai adalah Terciptanya pengembangan aplikasi sistem informasi program pemberantasan TB di Dinas Kesehatan Kota Bandar Lampung. Penelitian dilakukan secara kualitatif dengan pengumpulan data dilakukan melalui wawancara mendalain dan telaah dokumen. Pengembangan sistem informasi ini dilakukan di Seksi P2TB Dinas Kesehatan Kota Bandar Lampung, dengan data input berasal dari Puskesmas, Balai Labkes dan BPS, sementara pengguna output sistem adalah Kepala Subdin P2P, Kepala Dinkcs Kota dan Propinsi. Sedangkan Feedback akan diberikan kepada Puskesmas. Dari hasil penelitian didapatkan bahwa sistem pencatatan dan pelaporan yang berjalan saat ini masih dilakukan secara manual, sehingga dalam proses akses data, pembuatan laporan dan analisis indikator masih banyak ditemui kendala, baik dari segi waktu, tenaga maupun tingkat kesalahan yang terjadi. Kelebihan dari hasil pengembangan sistem informasi TB berupa report/laporan dan indikator program dapat diperoleh secara otomatis berdasarkan entri data yang dilakukan. Report yang dihasilkan antara lain TB 03, TB 06, TB 07, TB 08, TB 11, TB 12, Laporan efektivitas status pelaksana PM() terhadap hasil akhir pengobatan, Laporan Kedaluwarsa Reagensia ZN dan OAT. Sedangkan indikator yang dihasilkan berupa: proporsi suspek, angka konversi, angka kesembuhan, error rate, CDR dan CNR. Dinas Kesehatan Kota Bandar Lampung secara organisasi, SDM, sarana dan prasarana serta dana dinilai memiliki kesiapan dalam penerapan sistem informasi ini. Berdasarkan kemudahan dalam operasional dan output yang dihasilkan, sistem ini cukup aplikatif. Report dan indikator yang dihasilkan sistem dapat menjadi acuan dan sumber data bagi pengelola program TB dalam melakukan perencanaan, monitoring dan evaluasi pelaksanaan program pernberantasan TB di Dinas Kesehatan Kota Bandar Lampung.

TB Paru is disease of infection which still became the problem of health in Indonesia. Still height of prevalence disease of TB and not yet succeeded him various program eradication of TB, placing-this disease as cause of death of first one of faction disease of infection. One of cause still lower him efficacy of program eradication of TB is record-keeping system and reporting which uniform net yet each every unit service of health Affect from not yet good of record-keeping system him and reporting for example, organizer of program do not have instrument to conduct planning, program evaluation and monitoring. Without supported by good data source, hence big of problem which in fact difficult also in order to be known. Thereby the existence of information system able to be accessed easily, valid, on schedule and can give the image of program indicator is a requirement for organizer of TB program in the Health District of Bandar Lampung City. Target of this research is creation development of application of system information in Health District of Bandar Lampung City. Information System Program Eradication of TB Paru is a designed application program by automatic. This application program aim to give amenity for organizer of TB Program in Health District of Bandar Lampung City in making of report and calculation of indicators, is which during the time conducted by manual. Research conducted qualitative, while data collecting through interview and document study. Circumstantial interview isn't it to Kasubdin P3P, Kasie P2ML and Staff/Vice Supervisor of program of TB Paru in the Health District of Bandar Lampung City. Development of scheme of information system of TB Paru in the Health District Bandar Lampung City through some phases, for example pre study analyses with activity form identify problem and opportunity of system development. In this phase in after is systems analysis in the form of system model, instrument model and conversion -between old with new system. The stage of system design is to yield device of logic, system organization and procedure. The Health District of Bandar Lampung City pursuant to study which have been conducted to readiness of SDM, material, organizational, expense and-also-technology, owning opportunity for the applying of this TB Paru information system. Pursuant to data of entry at form which have been designing, -application program of TB Paru can give indicator and report automatically. Report yielded by system other : summarize TB 03, TB06, TB 08, TB-i-I; TB--I-2; the effectiveness of PMD and also important indicator which needed by organizer of Program TB Paru in the Health District of Bandar Lampung; City. Limitation of this information system, for example do not be yielded by report form him of TB Health Centre, analyses OAT which still globally and also there is no medium him watch medium condition and availability related to Program Eradication of TB Paru.

Program Eliminasi Tetanus Neonatorum (ETN) merupakan komitmen global hasil Konferensi Tingkat Tinggi Anak tahun 1990 di New York. Tujuan ETN yaitu menekan serendah mungkin angka kesakitan tetanus neonatorum sampai tidak menjadi masalah kesehatan masyarakat lagi. Di perkirakan di seluruh dunia tak kurang dari 350.000 neonatus setiap tahunnya meninggal akibat tetanus neonatorurn. Di Indonesia tetanus neonatorum merupakan penyebab utama ke empat kematian neonatal yaitu sebesar 7,9 %. Angka kejadian tetanus neonatorum tahun 1997- 2000 berkisar 1,6 - 1,8 per 10.000 kelahiran hidup (fenomena gunung es). Jawa Barat merupakan provinsi dengan laporan kasus tetanus neonatorum terbesar di Indonesia, angka kejadian tetanus neonatorum periode 1997-2000 berkisar 1,2 - 1,6 per 10.000 kelahiran hidup dengan CFR berkisar 34,2 % - 47,1 %, Upaya pencapaian eliminasi tetanus neonatorum di lakukan melalui pendekatan risiko secara terpadu, sedikitnya melibatkan tiga program yaitu program imunisasi, KIA dan surveilans. Program imunisasi berperan meningkatkan eakupan imunisasi TT hamil, imunisasi wanita usia subur (WUS). Program KIA berupaya meningkatkan cakupan pelayanan antenatal, cakupan kunjungan neonatus, pembinaan dukun bayi dan meningkatkan pertolongan persalinan oleh tenaga kesehatan. Program surveilans berperan dalam penyelidikan epidemiologi untuk mengidentifikasi faktor risiko dan daerah risiko serta ikut memantau dan menilai keberhasilan dampak program. Meskipun ETN teiah dilaksanakan sejak tahun 1995 namun program surveilans belum mampu memberikan informasi yang harus di tindak lanjuti secara rutin, baik oleh pimpinan maupun oleh program KIA dan imunisasi. Pengolahan data hasil penyelidikan epidemiologi belum didukung oleh suatu sistem informasi yang memadai dan belum mengakomodir keterpaduan program ETN. Dalam melakukan pengembangan sistem informasi surveilans tetanus neonatorum di Dinas Kesehatan Propinsi Jawa Barat, dilakukan observasi dan wawancara dengan petugas. Tujuannya adalah mempelajari permasalahan sistem yang ada saat ini, serta melakukan rancangan sistem informasi yang sesuai dengan kebutuhan program. Permasalahan dalam sistem informasi yang ada saat ini adalah rendahnya kuantitas dan kualitas informasi yang di hasilkan surveilans, belum terstrukturnya pengolahan data surveilans, sebagian proses pengolahan data manual, pengolahan data sangat tergantung kepada petugas tertentu serta belum terpadunya sistem informasi ETN. Pengembangan sistem informasi surveilans tetanus neonatorum terdiri dari rancangan output, rancangan input, rancangan basis data dan rancangan teknologi yang menghasilkan suatu prototipe program aplikasi. Kelebihan dari sistem informasi surveilans tetanus neonatorum adalah proses pengolahan menjadi terstruktur, proses lebih cepat, proses lebih teliti, proses konsisten, mudah di akses dengan tampilan menarik, hasil up to date serta mengakomodir kebutuhan program ETN. Mengingat prototipe aplikasi sistem informasi surveilans tetanus neonatorum secara teknis telah berhasil di ujicoba di laboratorium, dan sumber daya di unit surveilans Dinas Kesehatan Propinsi Jawa Barat memadai, maka perlu kiranya dilakukan implementasi sistem pada kegiatan surveilans yang sebenarnya. Proses implementasi secara manajerial harus di dukung komitmen kuat pimpinan dan pengelola program. Daftar Bacaan : 28 (1981- 2003)

The Development of Surveillance Information System on Tetanus Neonatorum in The Health Authority of West Java Province ? 2003The Tetanus Neonatorum Elimination (TNE) Program is a result from global commitment at the Summit Conference for Children in New York in 1999. The aims of the TNE Program is to decreased as low as possible the morbidity of the tetanus neonatorum, until it's not any longer to be the public health problem. It is estimated that there were 350,000 newborns die every year in the world due to tetanus neonatorum. in Indonesia tetanus neonatorum is the fourth major cause of death on newborn, at 7.9%. Its prevalence in 1997 - 2000 is around 1.6 - 1.8 per 10,000 life birth, but this figure is beliefs to be a tip of the iceberg phenomenon. West Java is a province which reported to be having the highest cases of tetanus neonatorum in Indonesia in 1997 - 2000, as high as 1.2 - 1.6 per I0,000 life birth, with its case fatality rate (CFR) at 34.2 to 47.1%. An integrated risk approach is accomplished in order to try to eliminate the tetanus neonatorum, which at least involving three programs at the ministry of health (MOH), i.e. the immunization program, the maternal and child health (MCH), and surveillance. The immunization program has a role on increasing the coverage on TT immunization on pregnant mothers, and immunization on women at reproductive age (15 - 39 years old). The MCH program is try to increasing the coverage of antenatal care (ANC) services, coverage on newborn visit by health personnel, train and aide the traditional birth attendant, and increasing the delivery attendant by health personnel. And the surveillance program is responsible on carried out an epidemiology investigation in order to identify any risk factors and risk areas, as well as to monitor and evaluate the impact of a succeed achievement of a program. Although the TNE program has been conducted since 1995, but so far, its surveillance program is unable to provide information that should be routinely followed up, whether by the decision makers or by MCH or immunization program. Moreover, there is no adequate information system to support the data management of the result of the epidemiology investigation, as well as to accommodate the integrity of TNE program. in order to develop the surveillance information system of tetanus neonatorum in West Java, an observation and interview toward the officer of the Health Authority of West Java Province is being conducted. The study has an aim on finding out any recent problem that exist on the system, and try to design a proper information system regarded to the need of the program. Some findings on the recent problems on the existing system are: poor information quantity and quality, unstructured data management on the result of surveillance, some data management process is prepared manually, the process is solely depend on particular officer, and the information system of the TNE program has not been integrated yet. The development of the information system of tetanus neonatorum surveillance is comprises of several stages, which are: an output design, an input design, a data-base design, and a technology design resulting on a prototype of an application program. The advantages of the information system of tetanus neonatorum surveillance are: the management data processing is more organize, faster, more precise, more consistent, easy to access with a good appearance, an up to date result, and put together the main three TNE program organizer. As laboratory try-out of the prototype of the information system of tetanus neonatorum surveillance is technically succeeded, and its human resources at the surveillance unit of Health Authority of West Java Province is sufficient, it is suggested that the system can be implemented for the factual surveillance activities. And its implementation process should be supported by strong commitment from the decision makers and its program organizer. Reference: 28 (1981 - 2003)