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 disease Improve health status of

community
2. Information Clinical history, physical Population data, health problems,
required examination, etc disease patterns, availability of
health services, laboratory
investigations
3. Diagnosis Differential diagnosis Community diagnosis and priorities
and probable diagnosis for action
4. Action plan Treatment and Community health programmes
rehabilitation

5. Evaluation Follow-up and Evaluation of changes in health

assessment 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 SURVEILLANCE:
Is the ongoing systematic collection,
analysis, interpretation, and
dissemination of health data.

Penggunaan PH Surveillance :
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 DX
KOMUNITAS
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,
Interpret implementing, and
ation
Dissemina evaluating disease
tion * 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