scholarly journals Acceptability and adoption of health-facility based NCD surveillance in Kulon Progo district, Yogyakarta

2018 ◽  
pp. 15
Author(s):  
Theodola Baning Rahayujati
Keyword(s):  
Health Facility ◽  
Surveillance System ◽  
Heart Diseases ◽  
Descriptive Analysis ◽  
Data Entry ◽  
Secondary Data ◽  
Surveillance Systems ◽  
Structured Interviews ◽  
District Health ◽  
Web Based

Background: Non-communicable diseases (NCD) have been recognized as the new disease pandemic to the developing world in recent years. In 2020, it is estimated that 70% of NCD-related deaths will occur in developing countries. The most prevalent NCD such as coronary heart diseases, cancer, respiratory diseases and diabetes mellitus. Since 2012 Indonesia MOH was established two main surveillance system i.e. health facility- and community-based surveillance systems. MOH report on 2015 showed those reporting from PHC less than 25%. The front-line of health facility-based surveillance is the primary health centers (PHC).  Data should undergo validity and quality check by the District and Provincial Health Office before being sent to the central reporting system.This study aim to evaluate the implementation of health-facility based NCD surveillance and develops recommendations for increasing coverage NCD surveillance in Kulon Progo District. Method: We used RE-AIM (only Reach and Adoption) framework for evaluating the surveillance system. The Reach variables are coverage, knowledge, acceptance, constraint, infrastructure and feasibility. 76 NCD team at PHC and District Health office included doctor, nurse, program manager and laboratory staffs were interviewed and observed using a standardize questionnaire and checked list. Secondary data on NCD surveillance reports were collected and reviewed. Qualitative study were conducted through semi structured interviews and FGDs to evaluate acceptance, constraints and barriers of implementation. Descriptive analysis was used to analyze quantitative data and content analysis was performed on the qualitative data. Result: This study found that most of the health officer involving in the non-communicable program was having fair knowledge on web based NCD surveillance, and only 5% of the respondent has a good understanding on it. There are 19 Puskesmas was assessed on the completeness of the data entry on web based NCD surveillance.

scholarly journals ANALISIS PENDAPATAN DAN PERSEPSI PETANI TERHADAP KEMITRAAN USAHA KAMPUNG KUCAI DI KABUPATEN BLITAR

2021 ◽  
Vol 15 (2) ◽  
pp. 58-67
Author(s):  
Lintar Brillian Pintakami ◽  
Eko Wahyu Budiman
Keyword(s):  
Sampling Method ◽  
Financial Institution ◽  
Descriptive Analysis ◽  
Secondary Data ◽  
Women Farmers ◽  
Structured Interviews ◽  
Partnership Agreement ◽  
Depth Interviews

This study aims to describe the agribusiness partnership process that takes place in Kampung Kucai, analyze the income of chives farming, and the perception of chives farmers on the partnership process in Garum District, Blitar Regency. This research uses a qualitative approach in the form of a case study. Informants in this study were partner chives farmers in Kampung Kucai. Determination of the sample of plasma partner farmers was carried out by purposive sampling method. Informants were selected based on secondary data from the core and information from farmers. So the sample used for Kucai Mitra farmers is 20 people. In addition, there are also 5 key informants. The methods of data collection carried out in this study are of several types, namely structured interviews, in-depth interviews, participatory observations, and documentation. The data analysis method used in this researchis descriptive analysis,  income analysis, and Likert analysis. The results showed that the type of partnership between the Financial Institution "Bank BRI" and the partner chives farmers was classified as a nucleus-plasma partnership pattern. In the mechanism of the partnership pattern of the Financial Institution "BRI Bank" with the Kucai Farmer Group, it is carried out based on a partnership agreement. The agreement letter contains the identities of the two partnering parties and the rules given by "Bank BRI" as well as the location or planting area. The total income from chives farming is Rp. 242,000, -. The income of chives farming can be taken by women farmers once a month at the monthly member meeting in the Women Farmers Group or can be saved in advance. If they are saved, usually the women farmers in the research location will take the income before the Eid al-Fitr. The perception of partner chives farmers on the planning of partnership implementation is 80% or very good, the perception of partner chives farmers on the partnership process is 78% or quite good, and the perception of the evaluation of the partnership is very good with 85% results. So that the results of the Likert analysis on the average perception of partner chives farmers on the partnership process with financial institutions "Bank BRI" have a very good category with a percentage of 80% where the total score is 483.

scholarly journals Evaluation of surveillance system for pneumonia in children below five years, Tema Metropolis, Ghana, 2012 – 2016

2020 ◽  
Vol 54 (2) ◽  
pp. 11-17
Author(s):  
Dora Dadzie ◽  
Adolphina Addo-Lartey ◽  
Nana Peprah ◽  
Ernest Kenu
Keyword(s):  
Surveillance System ◽  
Laboratory Data ◽  
Case Fatality ◽  
Information Management System ◽  
Case Definition ◽  
Health Staff ◽  
Suspected Case ◽  
Surveillance Systems ◽  
District Health ◽  
Under Five

Background: We evaluated the pneumonia surveillance system in Tema Metropolis to determine whether it is meeting its objectives and to assess its attributes.Design: Descriptive primary and secondary data analysisData Source: We interviewed health staff on the system’s operation and resources. We also extracted 2012-2016 surveillance dataset for under-five pneumonia cases and deaths from the District Health Information Management System for review.Participants: Health staffIntervention: The Centers for Disease Control (CDC) updated guidelines for evaluating surveillance systems was used to assess system attributes. Main outcome measure: state of the pneumonia surveillance system in TemaResults: A suspected case was defined as fast breathing in any child < 5 years old. The case definition was easy to apply, even at the community level. From 2012 to 2016, a total of 3,337 cases and 54 deaths (case fatality rate 1.6%) was recorded from 13 (23.6%) of 55 health facilities. Two epidemics were missed by the district because data were not being analysed. There were no laboratory data on antimicrobial resistance. Although reporting timeliness increased from 28.1% in 2012 to 83% in 2016, data inconsistencies existed between reporting levels.Conclusion: The surveillance system for under-five pneumonia in Tema Metropolis is simple, stable, flexible, timely,but of low sensitivity and acceptability, and only partly meeting its objectives. Major shortcomings are lack of laboratory data, non-use of data and low representativeness.Keywords: Under-five Pneumonia, Surveillance System Evaluation, Tema, GhanaFunding: The study was supported by a grant to author DB by the President’s Malaria Initiative (PMI) -CDC CoAg 6NU2GGH001876

scholarly journals Evaluating Integrated Surveillance for Antimicrobial Use and Resistance in England: A Qualitative Study

2021 ◽  
Vol 8 ◽  
Author(s):  
Houda Bennani ◽  
Laura Cornelsen ◽  
Katharina D. C. Stärk ◽  
Barbara Häsler
Keyword(s):  
Data Collection ◽  
Qualitative Study ◽  
Surveillance System ◽  
Companion Animals ◽  
Mitigation Measures ◽  
Antimicrobial Use ◽  
Surveillance Systems ◽  
Structured Interviews ◽  
A Value ◽  
The Uk

Integrated surveillance systems for antimicrobial use (AMU) and antimicrobial resistance (AMR) require regular evaluation to ensure the effectiveness and efficiency of the system. An important step in the evaluation is to choose an appropriate tool for the purpose of the evaluation. The “Integrated Surveillance System Evaluation” (ISSE) framework is a conceptual framework that was developed to evaluate One Health (OH) integration in surveillance system for AMU/AMR. This study aimed to evaluate the performance and value of integrated surveillance system for AMU/AMR in England by applying the ISSE framework, which was used to develop data collection protocols and define the study design. A qualitative study using semi-structured interviews was conducted to collect the data and analyse it thematically. Eighteen stakeholders from human, animal, food and environment sectors that are involved in AMU/AMR surveillance were interviewed. Four main themes emerged from the analysis: (1) Cross-sectoral integration in the surveillance system for AMU/AMR; (2) Production of OH outputs and outcomes; (3) Drivers and barriers to cross-sectoral collaboration; and 4) Need for more cross-sectoral collaboration. The findings showed that there were links between integrated surveillance information, decision making and interventions. However, there were only few OH examples, such as the UK AMR contingency plan, where the potential of cross-sectoral collaboration was fully exploited. A lot of the benefits described were related to the generation of information and increase in knowledge and understanding without links to how the information generated was used. While these intangible benefits have a value on their own, being able to link surveillance information and mitigation measures would help to enhance the value of integrated surveillance. In terms of improvement, the main areas identified were the development of more harmonised methods for data collection and analysis, provision of resources dedicated to cross-sectoral collaboration, improved coordination, and collection of surveillance data from the environment and from companion animals. By identifying links between OH surveillance information produced and various outputs and outcomes; this study helped to understand the wider benefits of integrated surveillance for AMU/AMR in England and provided insights on how the system could be improved and efficiency increased.

scholarly journals Pembangunan Database Destinasi Pariwisata Indonesia dan Implementasinya pada Sistem Berbasis Web

2013 ◽  
Vol 4 (2) ◽  
pp. 1206
Author(s):  
Yosafati Hulu
Keyword(s):  
Data Entry ◽  
Secondary Data ◽  
Complete Information ◽  
Structure Design ◽  
Tourism Industry ◽  
Web Based ◽  
Database Structure ◽  
Starting Point ◽  
Informal Information ◽  
Tourism Destinations

Regarding to: (1) the increasing region’s need in developing tourism destinations; (2) the needs of tourists in selecting appropriate attractions according to specified criteria; (3) the need of travel businesses to offer sights of interest in accordance with the needs of potential tourists, (4) the need to deepen and continue our previous research titled "Development of Tourism Destination Media Potential and Utilizing Local Resources in the Era of Autonomy and Regional Expansion ", we need to develop a complete database of tourism destinations in Indonesia that can facilitate those needs. We build a web-based database that is capable of storing complete information about Indonesian tourism destinations in thorough, systematic, and structured way. It is also able to classify a variety of attractions based on attributes such as: location (the name of the island, province, district), type/ tourism products, how to achieve the object, cost, and a variety of informal information, such as the ins and outs of the attraction area incorporated by the local or tourist experiences. The research will focus on deepening and refinement of the model and database structure design and implementation with the collection, processing, and data entry of primary and secondary data which amounts to approximately 140 tourism destinations in Indonesia. The research is arranged in stages as follows: (1) designing models and the database structure, (2) making a web-based program, (3) installation and hosting ; (4) data collection, (5) data processing and data entry, (6) evaluation and improvement/ refinement. Once developed, the database can be used as a starting point in the development of Data Warehouse, Decision Support System, and Expert System for Indonesian tourism industry.

scholarly journals Immunisation provider experiences with an automated short message service-based active surveillance system for monitoring adverse events following immunisation: A qualitative descriptive study

2021 ◽  
Vol 7 ◽  
pp. 205520762110381
Author(s):  
Gurkamal Singh ◽  
Rachel Nesaraj ◽  
Nicolas Bchara ◽  
Benjamin Kop ◽  
Alan Leeb ◽  
...  
Keyword(s):  
Adverse Events ◽  
Active Surveillance ◽  
Surveillance System ◽  
Community Pharmacies ◽  
Surveillance Systems ◽  
Short Message ◽  
Structured Interviews ◽  
Message Service ◽  
Australian Community

Objective Currently, active surveillance systems to monitor adverse events following immunisation are limited to hospitals, and medical and immunisation clinics. Globally, community pharmacies represent a significant destination for immunisation services. However, until recently, pharmacies lacked active surveillance systems. We therefore wished to explore pharmacists’ experiences with SmartVax: an active surveillance system that has recently been integrated for use in Australian community pharmacies. Specifically, we wished to explore pharmacists’ perceived (1) benefits of using SmartVax, (2) areas for improvement in the system, and (3) issues with future/ongoing access to the system. Methods The present study forms the qualitative arm of a convergent mixed-methods pilot study. In the present study, we performed semi-structured interviews with pharmacist immunisers after a 21- to 22-week trial period with SmartVax. Thematic analysis of interview transcripts was performed independently by two researchers in QSR NVivo 12, using the framework method. Results Fifteen participants completed the semi-structured interviews. A broad range of perceived benefits were cited by participants, including the usability of SmartVax, the ease of patient follow-up facilitated by the system, and enhancement to the patient–pharmacist relationship. Participants voiced a desire for the system to have more granularity and a faster response time in the report generated for pharmacies. When asked about issues with future/ongoing access to SmartVax, cost concerns of the system were the prevailing theme. Conclusions The present study suggests that, among pharmacist immuniser end-users of SmartVax, the system is perceived to be easy-to-use, facilitates patient follow-up, and enhances the patient–pharmacist relationship.

scholarly journals Evaluation of the Western Australian population based data linkage Intellectual Disability Exploring Answers (IDEA) surveillance system

2018 ◽  
Vol 3 (4) ◽  
Author(s):  
Natalie Strobel ◽  
Jenny Bourke ◽  
Helen Leonard ◽  
Alice Richardson ◽  
Karen Edmond ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Intellectual Disability ◽  
Surveillance System ◽  
Data Linkage ◽  
Population Based ◽  
Mandatory Reporting ◽  
Surveillance Systems ◽  
Structured Interviews ◽  
Policy And Practice ◽  
Indigenous Status

IntroductionThe IDEA system is a population-based data linkage system for intellectual disability (ID), which combines data from two government departments. Due to recent policy changes the future of the IDEA system is unknown. Understanding the IDEA system's strengths and limitations will provide data custodians with the opportunity to re-design the system. Objectives and ApproachAn evaluation of the IDEA surveillance system was undertaken to assess the quality, efficiency and usefulness of the system. The primary objectives were to evaluate systematically and objectively the attributes of the system and provide recommendations to data custodians and stakeholders to strengthen the surveillance system. The evaluation was based on the methods from the 2001 U.S. Centers for Disease Control and Prevention guidelines on evaluation of public health surveillance systems. We assessed the following system attributes: usefulness, simplicity, flexibility, data quality, acceptability, representativeness, timeliness, and stability. This was completed by process observation, semi-structured interviews and data analysis. ResultsOur results found the IDEA system was flexible, acceptable, representative, timely and stable. Given data linkage process and maintaining confidentiality the data linkage process was considered relatively simple. We compared individuals in the IDEA surveillance system to a sub-group of individuals, cerebral palsy with ID, to the mandatory reporting surveillance system WARDA-CP. There were 582 individuals identified in the WARDA-CP surveillance system as having cerebral palsy and ID. Of those identified 501 (86.1%) were also in the IDEA database and 81 (13.9%) were not. There were little differences in WARDA-CP cases that were not identified in the IDEA system between Indigenous status, sex and place of residence. Conclusion/ImplicationsThe IDEA system has successfully been used to understand prevalence rates and inform resource allocation. Advocacy organisations could play an important role in the sustainability of the system. Additional variables or enhanced surveillance for functional capacity could strengthen the system and provide important information to inform policy and practice.

PP81 Engagement Of Healthcare Professionals In Health Technology Assessment With Negative Results

2018 ◽  
Vol 34 (S1) ◽  
pp. 97-97
Author(s):  
Luciana Gallo ◽  
Flavia Elias ◽  
Ana Carolina Pereira ◽  
Wildo Araujo
Keyword(s):  
Surveillance System ◽  
Healthcare Professionals ◽  
Homeless People ◽  
Secondary Data ◽  
Control Program ◽  
Federal District ◽  
Health Technology ◽  
Professional Staff ◽  
Homeless Population ◽  
Structured Interviews

Introduction:We conducted health technology assessments (HTAs) of the interventions used between 2012 and 2014 to improve the treatment of homeless people with pulmonary tuberculosis in the Federal District of Brazil. The HTA, which was not ordered by policymakers, was based on the evidence-based national theoretical model compared with local interventions indicated in focus groups, semi-structured interviews, and secondary data produced by the Health Secretariat. The results demonstrated that the implementation of the interventions was unsatisfactory. Our objective was to present the feedback process for policymakers and the Health Secretariat, particularly its challenges.Methods:The feedback was categorized as: (i) an executive abstract with key messages (i.e. underreporting of cases in the surveillance system, lack of primary care, and underestimation of the health problem) reported to policymakers involved in the surveillance and healthcare systems; and (ii) oral presentations in eight meetings organized by the research group and local policymakers.Results:Between 2016 and 2017 we conducted eight feedback meetings. All of the professionals (n = 8) involved in the Tuberculosis Surveillance and Control Program were present in at least one of the meetings, but healthcare professionals and the Secretary of Health did not participate. The barriers presented by the professionals were: (i) lack of material resources (i.e. cars and gas, phones, diagnostic tests, medications); (ii) lack of human resources (i.e. suboptimal professional staff); and (iii) feeling insecure when performing extramural activities due to the potentially unsafe work environment.Conclusions:Gathering feedback on a HTA that was not ordered by policy makers can be a challenge. Mainly we demonstrated a negative result on research done in a vulnerable population with a neglected disease, in this case tuberculosis. However, this provided an opportunity for professionals in the surveillance system to discuss the challenges of implementing tuberculosis control among the homeless population.

scholarly journals Costing electronic private sector malaria surveillance in the Greater Mekong Subregion

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Ann Levin ◽  
Rebecca Potter ◽  
Kemi Tesfazghi ◽  
Saysana Phanalangsy ◽  
Phally Keo ◽  
...  
Keyword(s):  
Private Sector ◽  
Surveillance System ◽  
Lao Pdr ◽  
Mobile App ◽  
Private Provider ◽  
Surveillance Systems ◽  
Electronic Surveillance ◽  
Economic Costs ◽  
District Health ◽  
The Cost

Abstract Background Private sector malaria programmes contribute to government-led malaria elimination strategies in Cambodia, Lao PDR, and Myanmar by increasing access to quality malaria services and surveillance data. However, reporting from private sector providers remains suboptimal in many settings. To support surveillance strengthening for elimination, a key programme strategy is to introduce electronic surveillance tools and systems to integrate private sector data with national systems, and enhance the use of data for decision-making. During 2013–2017, an electronic surveillance system based on open source software, District Health Information System 2 (DHIS2), was implemented as part of a private sector malaria case management and surveillance programme. The electronic surveillance system covered 16,000 private providers in Myanmar (electronic reporting conducted by 200 field officers with tablets), 710 in Cambodia (585 providers reporting through mobile app), and 432 in Laos (250 providers reporting through mobile app). Methods The purpose of the study was to document the costs of introducing electronic surveillance systems and mobile reporting solutions in Cambodia, Lao PDR, and Myanmar, comparing the cost in different operational settings, the cost of introduction and maintenance over time, and assessing the affordability and financial sustainability of electronic surveillance. The data collection methods included extracting data from PSI’s financial and operational records, collecting data on prices and quantities of resources used, and interviewing key informants in each setting. The costing study used an ingredients-based approach and estimated both financial and economic costs. Results Annual economic costs of electronic surveillance systems were $152,805 in Laos, $263,224 in Cambodia, and $1,310,912 in Myanmar. The annual economic cost per private provider surveilled was $82 in Myanmar, $371 in Cambodia, and $354 in Laos. Cost drivers varied depending on operational settings and number of private sector outlets covered in each country; whether purchased or personal mobile devices were used; and whether electronic (mobile) reporting was introduced at provider level or among field officers who support multiple providers for case reporting. Conclusion The study found that electronic surveillance comprises about 0.5–1.5% of national malaria strategic plan cost and 7–21% of surveillance budgets and deemed to be affordable and financially sustainable.

scholarly journals Tuberculosis surveillance system evaluation: case of Ga West municipality, Ghana, 2011 to 2016

2020 ◽  
Vol 54 (2) ◽  
pp. 3-10
Author(s):  
Adomako Boakye-Yiadom ◽  
Nana Peprah ◽  
Kezia Malm ◽  
Samuel Sackey ◽  
Donne Ameme ◽  
...  
Keyword(s):  
Surveillance System ◽  
Descriptive Analysis ◽  
World Health Organisation ◽  
Subsequent Treatment ◽  
World Health ◽  
Surveillance Systems ◽  
Control And Prevention ◽  
Health Organization ◽  
University Of Ghana ◽  
Laboratory Training

Background: Evaluate the Tuberculosis (TB) surveillance system in the Ga West Municipality to determine if it is achieving its objectives, and to assess its attributes and usefulness.Design: Descriptive analysis of primary and secondary dataData source: Stakeholder interviews and record reviews on the objectives and operation of the surveillance system at all levels of the system.Intervention: We evaluated the system’s operation from 2011-2015 using the Centers for Disease Control and Prevention (CDC) updated guidelines for evaluating public health surveillance systems and the World Health Organisation (WHO) TB surveillance checklist for assessing the performance of national surveillance systems.Results: The TB surveillance system in the municipality was functional and operated at all levels for timely detection of cases, accurate diagnosis, and case management. The system improved management of TB/HIV co-infections. The average time taken to confirm a suspected TB case was one day. The registration of a confirmed case and subsequent treatment happen immediately after confirmation. The municipality detected 109 of 727 TB cases in 2015 (case detection rate=15%). The positive predictive value (PPV) was 6.4%. There was one diagnostic centre in the municipality. Private facilities involvement in TB surveillance activities was low (1/15).Conclusion: The Tuberculosis surveillance system in the Ga West Municipality is well structured but partially meeting its objectives. The system is timely, stable and acceptable by most stakeholders and useful at all levels. It has no major data quality issues. Private health facilities in the municipality should be well incorporated into TB surveillance.Keywords: tuberculosis, evaluation, surveillance system, system attributes, Ga WestFunding: This work was supported by Ghana Field Epidemiology and Laboratory Training Program (GFELTP), University of Ghana through the support of the West Africa Health Organization (Ref.: Prog/A17IEpidemSurveillN°57212014/mcrt) to B-YA

On Piloting Web-Based Rabies Surveillance System for Humans and Animals

2016 ◽  
pp. 418-436
Author(s):  
Maulilio J. Kipanyula ◽  
Camilius Aloyce Sanga ◽  
Anna M. Geofrey ◽  
Kadeghe G. Fue
Keyword(s):  
Surveillance System ◽  
Disease Surveillance ◽  
Web Gis ◽  
Human Rabies ◽  
Surveillance Systems ◽  
Web Based ◽  
Timely Response ◽  
High Prevalence ◽  
Information Adoption ◽  
Different Parts

Rabies is a neurodegerative viral zoonotic disease that affects all warm blooded animals. It is estimated that about 99% of human rabies cases are caused by dog bites. High prevalence of rabies has been reported in different parts of Tanzania. The disease has continued to cause public health threat to the communities due to weak passive and active surveillance systems. The data piloted in this study was based on the information gathered from Kilosa district. The geo information collected was used to develop a geospatial based system that can easily show the hotspots of rabies. The use of WEB GIS is likely to strengthen disease surveillance in Kilosa and other Districts of Tanzania. This approach offers a model for sharing both human and animal diseases surveillance information. Adoption of this approach is likely to increase awareness and timely response to rabies incidences.

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