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Kesehatan reproduksi adalah “keadaan sejahtera fisik, mental dan sosial secara utuh (tidak semata-mata bebas dari penyakit atau kecacatan) dalam semua hal yang berkaitan dengan sistem reproduksi, serta fungsi dan prosesnya”. Masa remaja menjadi sangat penting dalam kesehatan reproduksi karena masa remaja (10-19 tahun) merupakan saat dimana organ reproduksi manusia mengalami pematangan atau pubertas, terjadi perubahan fisik secara cepat yang tidak seimbang dengan perubahan kejiwaan. Jika perubahan-perubahan ini tidak disertai dengan perhatian dan bimbingan yang tepat pada remaja maka akan membawa pada masalah-masalah yang dapat merugikan masa depan remaja sendiri. Masalah-masalah tersebut seperti hubungan seks pra nikah, kehamilan tidak diinginkan, PMS, anemia. Penelitian di Sumatera Selatan, Jawa Barat bagian timur, Kalimantan Barat, dan Nusa Tenggara Timur menunjukkan bahwa sebesar 4,7% remaja laki-laki pernah melakukan hubungan seks sebelum menikah dan pada remaja perempuan sebesar 3,2%. Prilaku beresiko lainnya seperti merokok, minum alkohol, dan penggunaan obat terlarang. Masalah kesehatan reproduksi seperti yang telah diuraikan diatas dapat disebabkan oleh beberapa hal diantaranya kurangnya pengetahuan remaja tentang masalah tersebut yang disebabkan oleh kurangnya informasi tentang kesehatan reproduksi remaja. Salah satu pemberian informasi kepada remaja dapat dilakukan melalui internet. Internet merupakan media elektronik yang sudah memasyarakat yang dapat digunakan dan penting dalam bertukar informasi salah satunya informasi kesehatan. Minat remaja untuk mencari informasi lewat situs yang menyajikan informasi mengenai dunia remaja cukup tinggi. Namun situs-situs yang menyediakan informasi bagi remaja khususnya kesehatan reproduksi masih kurang dibandingkan dengan situs-situs lainnya, karena itu perlu dibangun suatu jaringan terintegrasi yang memberikan informasi kesehatan reproduksi remaja melalui internet. Membangun jaringan terintegrasi untuk informasi kesehatan reproduksi remaja ini dilakukan di Dinas Kesehatan Kota Bogor dengan ruang lingkup pada pelaksanaan program Kesehatan Reproduksi Remaja di Klinik Konsultasi Remaja Puskesmas Bogor Timur serta pemanfaatan internet sebagai media informasi kesehatan reproduksi remaja. Metode yang digunakan dalam membangun jaringan terintegrasi tentang Kesehatan Reproduksi Remaja ini adalah dengan metode incremental dengan tahaptahap analisis, perancangan, pengkodean dan uji coba prototipe. Jaringan terintegrasi yang terbentuk adalah website Informasi Kesehatan Reproduksi Remaja yang memberikan informasi kesehatan reproduksi remaja yang mencakup proses reproduksi sehat yang bertanggung jawab, organ reproduksi dan fungsinya, menstruasi, kehamilan, metode kontrasepsi, penyakit menular seksual termasuk HIV/AIDS, dan gizi remaja. Daftar Pustaka : 52 (1999 – 2007)
Reproductive health is “a state of complete physical, mental and social wellbeing and not merely the absence of disease or infirmity, in all matters relating to the reproductive system and to its functions and processes”. Meanwhile, adolescence is known as a crucial period of time on its reproductive health. Since adolescence (10-19 years old) is also the time when human reproductive system is going to be matured (puberty) and the development of rapid changes physically (growth spurt), are occurred. In which sometimes the changes are imbalance with its psychological changes. When the changes are not properly led and guided, it can be lead to problems that can ruin their own futures, such as pre-marital sex, unwanted pregnancy, STD, and anemia. Data shows that 4.7% of boys and 3.2% of girls in Sumatera Selatan, Jawa Barat bagian timur, Kalimantan Barat, dan Nusa Tenggara Timur has have experience in pre-marital sex. Another risk behavior which adolescents used to engage are smoking, drinking, and drug abuses. Problems in reproductive health that have mentioned above are mostly due to lack of knowledge regarding to reproductive matters because they have less or no exposures on the information of adolescent reproductive health. One of approaches of information to reach the adolescent is through internet. Since is have known that internet is an electronic media that broadly known and used well for searching and exchanging information, as well as information on health. There is a quite high figure on adolescent who looking for the sites providing information about youth matters. However, there are only few internet sites which provides information on adolescent reproductive health compare to other information. Therefore, there is a need to develop an integrated networking on providing information on reproductive health toward adolescent through the internet. The Health Authority Office of Kota Bogor is carrying out the developing of the integrated networking as part of the implementation of the program on the adolescent reproductive health at the Consultation Clinic for Adolescent of Puskesmas Bogor Timur with its internet utilization as the media of the information on the adolescent reproductive health. The incremental method is used in developing the networking which has the stages on analysis, designing, coding, and prototype testing. The integrated networking that established is a website on the Information of the Adolescent Reproductive Health that provide any information regarding to the adolescent reproductive health, namely reproductive organs and function, menstruation, pregnancy process, contraception, sexually transmitted diseases include HIV/AIDS, and nutrition problems in youth.. Reference: 52 (1999-2007)
Campak dan Rubela merupakan penyakit menular berpotensi wabah yang dapat menimbulkan komplikasi serius bahkan kematian, terutama pada anak-anak. Namun keduanya dapat dicegah melalui pemberian imunisasi. Trend cakupan imunisasi yang menurun, terutama paska pandemi COVID-19, telah menyebabkan peningkatan Kejadian Luar Biasa (KLB) salah satunya Campak-Rubela, sehingga diperlukan respon cepat melalui pemberian imunisasi tambahan berupa Outbreak Response Immunization (ORI). Pelaksanaan ORI di sebagian besar wilayah terdampak KLB masih belum optimal, terutama dari sisi ketepatan waktu respon. Kementerian Kesehatan telah menyediakan alat bantu untuk mendukung proses pra-pelaksanaan ORI, namun penginputan masih bersifat manual dan sistem ini belum terintegrasi dengan sistem informasi lain, serta belum memiliki mekanisme verifikasi dan monitoring oleh tingkat administrasi yang lebih tinggi. Oleh karena itu, dibutuhkan suatu inovasi yang dapat memperbaiki sistem yang ada saat ini. Penelitian ini bertujuan untuk mengembangkan prototipe sistem informasi terintegrasi guna meningkatkan ketepatan waktu pelaksanaan ORI di tingkat puskesmas dalam rangka penanggulangan KLB Campak-Rubela.
Metode yang digunakan adalah Pendekatan Rapid Evolutionary Prototyping yang memungkinkan pengembangan dilakukan bertahap berdasarkan masukan yang diperoleh selama proses implementasi dengan cakupan terbatas. Sistem dikembangkan melalui tahapan analisis kebutuhan, identifikasi masalah, desain (logis serta fisik) dan implementasi. Penelitian ini menghasilkan prototipe yang terintegrasi dengan sistem SKDR dan SMILE dilengkapi beberapa menu utama yaitu notifikasi status, penginputan data kajian epidemiologi, perhitungan kebutuhan vaksin dan pelaporan ORI secara real time. Hasil pengujian yang melibatkan informan dari Dinas Kesehatan Kota Depok, Puskesmas Pengasinan dan Depok Jaya menunjukkan bahwa prototipe Sistem Informasi Outbreak Response Immunization (SIORI) efektif dan efisien dalam mendukung penyelenggaraan ORI. Kesimpulannya, prototipe SIORI memiliki potensi memperbaiki sistem yang ada saat ini dalam meningkatkan ketepatan waktu penyelenggaraan ORI KLB Campak-Rubela.
Measles and Rubella are highly contagious infectious diseases that can lead to serious complications and even death, especially in children. These diseases could cause outbreaks, however, can be prevented through immunization. The declining trend in immunization coverage, particularly after the COVID-19 pandemic, has led to an increase in outbreaks, including Measles-Rubella, thus requiring a prompt response through supplementary immunization activities known as Outbreak Response Immunization (ORI). The implementation of ORI in most outbreak-affected areas remains suboptimal, particularly in terms of response timeliness. Although the Ministry of Health has provided supporting excel based tools to support the pre-implementation process of ORI, data entry is still manual, the system is not yet integrated with other relevant information systems and is not complemented with verification and monitoring mechanisms from higher administrative levels. Therefore, an innovation is needed to improve the current system. This study aims to improve the timeliness of ORI implementation at the primary health care level in response to Measles-Rubella outbreaks through development of an integrated information system prototype. The Rapid Evolutionary Prototyping approach was used as the system development model, which allows for incremental development based on feedback collected during implementation assessment. The system was developed through the stages of needs analysis, problem identification, logical and physical design, and implementation. This study resulted in the development of a prototype information system named SIORI, designed to improve the timeliness of ORI implementation. The system includes several key features including outbreak status notification that is integrated with the Early Warning Alert and Response System (SKDR), input for epidemiological assessment data, vaccine stock data obtained from the Electronic Immunization and Logistics Monitoring System (SMILE), vaccine needs calculation, and reporting functions covering response timeliness and immunization service data input. Implementation test involving informants from Depok City Health Office and selected health centers (Puskesmas Pengasinan and Depok Jaya) showed that SIORI is more effective and efficient in supporting ORI implementation. The conclusion is that prototype SIORI has potentials to improve the current system in to accelerating ORI implementation timeliness.
Background: Efforts made by the reduction of MMR and IMR with equalization ofmidwife health worker and continuing education. Continuing education will improvethe competence and quality of midwife health personnel. In ensuring the quality ofhealth personnel, the government requires midwife health personnel to followcompetency test. Percentage of graduation Competency Test Diploma of Midwifery72% by 2015. The Association of Indonesian Midwifery Education Institutions(AIPKIND) as the stakeholder of midwifery education has a role in developing andfostering the Midwifery Education Institution in order to meet the standards. In supportof AIPKIND's role, it is necessary to have accurate data and information from itsmembers, so that it is necessary to build the design of Database Information SystemMidwifery Institution in AIPKIND. Method: Development of database system in thisresearch using System Development Life Cycle (SDLC) approach by using Prototypingmethod. Results: Design prototype database system based on client-server and web-based so that clients can access using a web browser on all communication devicesconnected to the internet. Presentation of data and information in the form of graphs andtables. Conclusions: Prototype of Database Information System of Online MidwiferyInstitution provides accurate and timely data and information of AIPKIND members.AIPKIND may monitor and evaluate profiles, educators and learners present inmidwifery education institutions.Key words: information system; prototype;Database; AIPKIND.
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.
Penelitian ini bertujuan untuk lmunisasi merupakan upaya yang efektif dan diperlukan oleb semua daerah untuk menurunkan angka kematian. kesakitan dan kecacatan bayi dan Balita. Program imunisasi memperkenalkan PWS sebagai alat pantau cakupan. PWS secara nyata sangat berguna untuk memantau kecenderungan pencapaian cakupan program dalam periode tertentu dan segera dilakukan koreksi serta. ditindakJanjuti. Cakupan imuniss.si bayi di Aceh Utara dari tahun 2004 sampai dengan tahun 2006 cenderung rnengalami peningkatan kecuati irnunisasi Hepatitis B. Namun cakupan imunisasi Kabupaten Aceh Utara Tahun 2006 masih rendab dibandingkan dengan cakupan Provinsl Nanggoe Aceh Darussa1am. Dampak masih rendahnya cakupan ini yaitu masih tingginya angka kesakitan dan kematian yang disebabkan o!eh penyakit yang dapat dicegah dengan imunisasi (PD3l), Pennasalahan pada sistem informasi berpengaruh terhadap perencanaan. Penelitian pengembangan ini menggunakan metode incremental iteratif dari model prototype, melalui beberapa tahapan yaitu analisis, penmeangan, pengkodean dan ujicoba. Identifikasi dan analisis masalah sistem dilakukan dengan wawancara mendalam, telaah dokumen dan observasi pada dinas kesehatan dan Puskesmas. Hasil analisis sistem dapat mengidentifikasi pennasaiahan yang ada pada sistem yang sedang berjalan serta beberapa alternatif solusi pada input, proses dan output. Output yang dihasilkan berupa laporan bulanan, berisi informasi monitoring vaksin, logistik vaksin, laporan PD3I, kulkas vaksin, drop out. target cakupan imunisasi, kebutuhan vaksin, alat suntik, safety box dan desa UCI. Perancangan prototype dilakukan dengan monggunakan bahasa pomrograman PHP dan basis data mysqi yang bersifat open source. Prototype ini masih mempunyai keterbatasan sehingga dibutuhkan pengembangan lebih lanjut. Pengembangan Prototype yang bersifat a.plikatlf dapat menjadi alat manajemen untuk peningkatan program imunisasi dengan penguatan perencanaan, monitoring dan evaluasi. Output yang dihasilkan dapat dijadikan informasi untuk mendukung pengambilan keputusan dalam penanggulangan penyakit yang dapat dicegah dengan imunisasi.
immunization is an effective way and needed by all of districts to decrease infant and under five children mortality, morbidity and disability rates. Immunization program introduces PWS as a coverage monitoring tool. PWS is clearly useful in monitoring the trend of program coverage achievement in given period, so the correction and follow up can be done immediately. Infant immunization coverage tends to increase in Aceh Utara from 2004 to 2006, except for Hepatitis B. However, immunization coverage in Aceh Utara District in 2006 was still lower compared to Nanggroe Aceh Darussalam Province. Consequences of this lower coverage are mortality and morbidity rates due to immunization preventable disease (PD31) are still high. Issues in information system have an impact on planning, implementation, monitoring and evaluation of the program. Processing and analyzing of immunization PWS data were performed in a simple way through immunization and analysis of system problem were conducted by depth interviewdocument study, and observation in health district office and heaJth center. The result of system analysis can identifY the existing issue in the world system and some solution alternatives in input, process and output. The output is in monthly reporting form, consisting vaccine monitoring information, vaccine logistic, PD3I report, vaccine refrigerator, drop out, immunization coverage target, vaccine requirement, injection tool. safety box and UCI village. Prototype design is performed by using PHP programming language and open source mysql data base, This prototype still has limitations so that further development is needed. Applicable prototype development can be a management tool to improve immunization program by reinforce the planning, monitoring and evaluation. Output resulted from this development can be used as an information to support decision making in immunization preventable disease prevention.
