Routine Disease Reporting and Case Management

Module 1 : Field Disease Reporting and Case Management

Overview

This is the first and most fundamental of the iSIKHNAS modules. Conducted over two days, the course introduces district level technical staff to the iSIKHNAS system, its philosophy and the key functions of the system. It concentrates on developing skills in the reporting of routine and priority disease events by veterinary field staff and Pelsa (village reporters), response reports, treatments, specimen submissions to the lab and outcome reports. It also includes many useful system queries for use in the field.

Field disease reporting is central to Indonesia's new animal health information system, iSIKHNAS where village reporters (Pelsa) and district field veterinary staff (Dinas) report cases of disease by sending simple coded messages from their mobile phones. Reports can either be for General Signs (Tanda Umum) using the U SMS message format or reports of suspected priority diseases using the P message - Priority Syndrome report (Sindrom Prioritas). The messages sent from the field ensure that the relevant veterinary staff are alerted and the data is also immediately included in the available for analysis by decision makers at every level.

Village reporters (Pelsa) assist in this vital reporting role and it is important for Dinas staff to be fully aware of the role and responsibilities and appreciate the work of the Pelsa in their area.

When Pelsa report health problems it is important for field staff to respond to these with either a phone call in the first instance, and a visit if the report is a Priority Syndrome report or seems important after talking to the Pelsa. A Response (R) message is sent to iSIKHNAS to give details of this follow-up by Dinas staff. Lab samples (LAB) might be taken and associated with the case. Treatments (OB) might be given and these too need to be recorded with the case ID. Eventually, details about the case outcome (PK) may be known and these can be recorded as well.

Training Materials

Introduction

SMS Messages

Scenarios

Video: Satu hari dalam kehidupan seorang paravet dinas

User Manual

Module 1 user manual

Field disease reports: Pelsa

Pelsa are the eyes and ears of the veterinary services and provide an important link between the community and animal health services. Dinas staff should liaise closely with pelsa, encourage their contribution and nurture the relationship. They should assist them when they need help and offer advice which will help them to offer a good service to their fellow farmers.

Pelsa are being recruited and trained in recognising and reporting general signs of disease as well as priority syndromes. They use a simpler version of the U and P messages which does not require the differential diagnosis required of Dinas staff. When Pelsa report disease from the field their message to iSIKHNAS prompts an automatic alert to the Dinas staff with responsibility for that area. Dinas staff must respond efficiently to these reports and then report the response (telephone call or visit) to iSIKHNAS. Failing to respond to these reports will threaten the strength of the system in your area.

While both Pelsa and Dinas staff can send U and P messages, there is one clear difference between the format of these two messages. Most Dinas field staff will be required to offer an opinion of what the problem is likely to be (differential diagnoses) and the message will not be accepted until this information is included.

So, the Pelsa format for a U (General Signs) alert looks like this

U [sign,sign...] [species] [number of animals] {location}

The Dinas format for a U (General Signs) alert looks like this

U [sign,sign...] [species] [number of animals] {location} {differential diagnosis,differential diagnosis...}

Routine general signs report

U [sign,sign...] [species] [number of animals] {location}

• Use CKT [name of sign] to look up a general sign codes.
• Use Kode SP to look up species codes.
• Use CKL [name of location] to look up the location code for a village.

Priority Syndrome report

P [syndrome] [species] [number of animals] {location}

• Use Kode SIN to look up a syndrome code
• Use Kode SP to look up species codes.
• Use CKL [name of location] to look up the location code for a village.

No priority syndromes sighted

PNEG

Pelsa are the only reporters to use this message.

Useful links

• Pelsa Training module
• Pelsa User Manual