PUBLIC HEALTH

SURVEILLANCE

dr.Siswanto,MSc
FK UNIBRAW
 PROSEDUR DIAGNOSA
Suatu prosedur yang dilaksanakan dengan
cara yang sistimatik untuk menegakkan
suatu permasalahan/diagnosa/hipotesis
melalui kegiatan pengumpulan,analisa dan
intepretasi suatu data dan menetapkan
jalan pemecahan masalahnya
 PERBEDAAN CLINICIAN DAN
HEALTH MANAGEMENT
Clinician : kegiatan melalui
anamnesa, physical examination,
laboratory, special tests, therapy
Health management : kegiatan
routine health information, special
surveys, why the disease exists and
how it can be prevented
 COMPARISON OF CLINICAL MEDICINE AND
COMMUNITY HEALTH PROGRAMMES

CLINICAL MEDICINE COMMUNITY HEALTH

PROG.
1. Objective Cure patient of Improve health status of
disease community
2. Information Clinical history, Population data, health
required physical examination, problems, disease patterns,
etc availability of health services,
laboratory investigations
3. Diagnosis Differential diagnosis Community diagnosis and
and probable priorities for action
diagnosis
4. Action plan Treatment and Community health
rehabilitation programmes
5. Evaluation Follow-up and Evaluation of changes in
assessment health status
 CLINICAL DIAGNOSIS AND COMMUNITY
DIAGNOSIS COMPARED

Clinical Diagnosis Community Diagnosis

1. History 1. Talk with community

2. Examination 2. Records
3. Tests 3. Surveys
4. Patient diagnosis 4. Community diagnosis
DEFINITION :
Is the ongoing systematic collection,
analysis, interpretation, and
dissemination of health data.

Penggunaan PH Surveylance :
1.Mendiskripsikan dan monitor masalah
kesehatan
2. Menentukan prioritas intervensi dan
program.
 3.Perencanaan, implementasi dan evaluasi dari
program
Information loop involving health care providers,
public health agencies, and the public
Public

Summaries
Interpretations
Reports
Recommendations
Health Care
Providers

Health
Agencies
Analysis
 LANGKAH-LANGKAH
PENYELIDAKAN KLB
PERUMUSAN &
KONFIRMASI KLB

UPAYA
PENGUMPULAN DATA
PENGENDALIAN

ALTERNATIF
DESKRIPSI
PEMECAHAN
EPIDEMIOLOGI

KESIMPULAN PERUMUSAN &

HIPOTESIS

UJI
HIPOTESIS
 Public Health Action
Surveillance Priority setting
Collection Ana-
lysis Planning,
implementing, and
Interpretation evaluating disease
Dissemination * investigation
* control
* prevention
The purpose for conducting PH
surveillance is to learn the ongoing
pattern of disease occurrence and the
potential for disease in a population so
that we can be effective in investigating,
controlling,and preventing disease in that
population
Monitoring health events
For the following purposes:
To detect sudden changes in disease
occurrence and distribution.
To identify changes in agents and host
factors.
To detect changes in health care practice
To follow secular ( long-term) trends and
pattern of disease.
Link to Public Health Action
Investigation and control
Planning
Generating hypotheses and testing
hyphotheses
Evaluating prevention and control
measures
 Sources of data
Mortality report
Morbidity report
Reports of laboratory utilization ( including
laboratory test result )
Special surveys ( eg., hospital admission,
disease registers, and serologic surveys)
Information on animal reservoirs and vector
Demographic and environmental data
 LANGKAH-LANGKAH
PENYELIDAKAN KLB
PERUMUSAN &
KONFIRMASI KLB

UPAYA
PENGUMPULAN DATA
PENGENDALIAN

ALTERNATIF
DESKRIPSI
PEMECAHAN
EPIDEMIOLOGI

KESIMPULAN PERUMUSAN &

HIPOTESIS

UJI
HIPOTESIS
Langkah langkah investigasi outbreak

1. Establishing the existense of an outbreak

2. Verifying the diagnosis
3. Rumusan batasan kasus
Definite,probable and possible case
4.PENGKAJIAN EPIDEMIOLOGI
DESKRIPTIF
- waktu,orang,tempat
- Kajian menggunakan konsep Blum,
- Multiple causation,
- Epidemiologi triangel,
- La Londe
5.RUMUSAN HIPOTESIS
6.UJI HIPOTESIS
7. KESIMPULAN
8. ALTERNATIF PEMECAHAN
Apa usul mengatasi KLB (ingat prevensi
primer,skunder dan tersier dan konsep
terjadinya sakit)
9. UPAYA PENGENDALIAN KLB
Plan of action
Implementasi dan evaluasi Laporan
9. Communicating the finding
a. oral briefing
to describe what you did, what you found, what you think
should be done about it and you should be able to defend
your conclusions and recommendations
b. Written report ( Scientific format)
Introduction, background, methods, result, discussion and
recommendations