Routine Disease Reporting and Case Management: Perbedaan revisi

(→‎Response action to Pelsa report)
 
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== Modul 1: Pelaporan Penyakit di Lapangan dan Manajemen Kasus == 
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== Module 1 : Field Disease Reporting and Case Management ==  
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=== Gambaran Ikhtisar===  
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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.
  
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===Overview===
 
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This is the first and most fundamental of the iSIKHNAS modules. It 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.
 
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.
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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.  
 
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.  
  
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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 (SLAB) 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. 
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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.
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{{example|
 
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=== Field disease reports: Pelsa ===
 
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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.
 
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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.
 
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{{hlbox|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.
 
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So, the Pelsa format for a U (General Signs) alert looks like this
 
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U [sign,sign...] [species] [number of animals] {location}
 
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The Dinas format for a U (General Signs) alert looks like this
 
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{{#apGetSMSFormat:u|2}}
 
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}}
 
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====Routine general signs report====
 
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U [sign,sign...] [species] [number of animals] {location}
 
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* Use '''CKT [name of sign]''' to look up a general sign codes.
 
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* Use '''Kode SP''' to look up species codes.
 
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* Use '''CKL [name of location]''' to look up the location code for a village.
 
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====Priority Syndrome report====
 
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P [syndrome] [species] [number of animals] {location}
 
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* Use '''Kode SIN''' to look up a syndrome code
 
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* Use '''Kode SP''' to look up species codes.
 
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* Use '''CKL [name of location]''' to look up the location code for a village.
 
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====No priority syndromes sighted ====
 
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PNEG
 
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Pelsa are the only reporters to use this message.}}
 
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====Useful links====
 
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*[[Pelsa|Pelsa Training unit]]
 
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*[[Manuals:Village Reporters|Pelsa User Manual]]
 
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=== Dinas field staff===
 
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Core activities:
 
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* Report new cases
 
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* Respond to Pelsa reports
 
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* Treat problems
 
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* Submit samples to the lab
 
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* Report case outcomes
 
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====Report a new case: Signs of general or routine disease====
 
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{{#apGetSMSFormat:u|2}}
 
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* Use '''CKT [name of sign]''' to look up a general sign codes.
 
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* Use '''Kode SP''' to look up species codes.
 
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* Use '''CKL [name of location]''' to look up the location code for a village.
 
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* Use '''CKP [name of disease]''' to look up the disease codes for the differential diagnoses.
 
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{{hlbox|'''Training Notes'''
 
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*2 ‘list’ style entries – tanda and diagnosa which need to be separated by a comma if multiple entries are required
 
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*Signs recognition practice may be necessary
 
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*General signs versus Priority syndrome awareness raising will be important
 
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*Differential diagnosis vs definitive diagnosis - discussion
 
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*Avoid using 'other signs', ‘tanda lain’
 
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*Repeating sequence (species, number of animals) for multiple species with similar signs
 
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*Codes for specific signs can be queried using CKT [nama tanda].  Sign codes can be found by CKT [freetext] query which allows users to query the code for signs which start with similar letters or match the freetext entry.  Eg CKT kembung returns kembung KBG and other options with similar letter configurations.
 
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*When to use optional location code – pelsa with several villages, dinas almost always
 
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*New location codes – imperfect at the moment but will gradually be updated locally
 
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*AH staff vs Pelsa reporters – different message formats - no diagnosis for pelsa.
 
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*U report from Dinas does not require an R report.  U report from Dinas is U and R together.
 
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*Diagnostic strengthening training for Dinas staff will be available in the near future
 
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*100% response rate should be the target – mostly by telephone perhaps.}}
 
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====Report a new case: Priority syndrome or important disease====
 
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{{#apGetSMSFormat:p|2}}
 
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* Use '''Kode SIN''' to look up the syndrom code.
 
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* Use '''Kode SP''' to look up species codes.
 
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* Use '''CKL [name of location]''' to look up the location code for a village.
 
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* Use '''CKP [name of disease]''' to look up the disease codes for the differential diagnoses.
 
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{{hlbox|'''Training Notes'''
 
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*Priority codes and definitions – There are six defined syndromes but should also be referred to as a tool for reporting ''important'' disease, not just listed ''priority diseases''
 
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*There is one additional undefined Priority syndrome where signs don’t fit into the syndrome description but reporter feels urgent response is required (if suspected to be zoonotic, highly contagious, high mortality etc)
 
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*Positive Consequences - Those who report P should be thanked for staying alert, even if their report turns out to be false alarm, as it will in many cases, at least it shows reporter is alert and conscious of importance of distinguishing important from routine disease
 
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*Differential diagnosis vs definitive diagnosis
 
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*100% should be visited quickly after a telephone call to ask for further details
 
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*Repeating sequence (species, number of animals) for multiple species with similar syndrome
 
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*Location code will be required for reports by Dinas staff
 
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*List style entry for differential diagnoses – multiple diseases should be separated by a comma
 
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*Disease codes can be found by using CKP [nama penyakit]
 
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*Additional Priority Syndrome has been added which allows Pelsa to report urgent looking case (zoonosis, high morbidity/mortality or contagious) without having a clear syndrome is an alert for unknown or exotic disease.}}
 
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====Response action to Pelsa report====
 
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{{#apGetSMSFormat:r|2}}
 
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* Use the '''Case ID''' from the alert SMS you are responding to.
 
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* Use '''CKP [name of disease]''' to look up the disease codes for the differential diagnoses.
 
  
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{{hlbox|'''Training Notes'''
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===Jadwal Pelatihan Yang Disarankan===
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*Dinas - What questions to ask the pelsa to get a clearer picture of the case - communication activity
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{| class="wikitable"
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*Friendly, efficient response is important.
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|-
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*An R report is equivalent to a DINAS U or DINAS P
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! '''Hari''' !! '''Waktu''' !! '''Sesi''' !! '''Kegiatan'''
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*List sytle entry for diagnoses – multiple entries are separated by a comma
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|-
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*Disease codes can be found by CKP [nama penyakit]
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| 1 || 08.00-08.15 || Sesi 0 || Pembukaan
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*‘diagnosa lain’ is optional and for freetext diagnosis if code not found in disease list
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*Is the case important? Priority? Zoonosis? High morbidity/mortality? New/Unknown? If yes then FULL INVESTIGATION - forms for investigation exist in various departments these have been integrated into iSIKHNAS system.  See '''Priority Disease Investigation and Response module'''}}
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|  || 08.15-09.00|| Sesi 1 || [[Media:Sesi 1 pengenalan_iSIKHNAS.pptx|Pengenalan iSIKHNAS]]
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|-
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|  || 09.00-12.00 || Sesi 2 || [[Media:Sesi 2 pengenalan modul 1.pptx|iSIKHNAS Modul 1]]
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|-
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|  || 12.00-13.00 || ISHOMA ||
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|-
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| || 13.00-15.00 || || [[Media:Modul 1 kab skenario plus jawaban.docx|Latihan SMS skenario]]
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|-
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| || 15.00-15.15|| Coffee break ||
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|-
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| || 15.15-16.00 || || Latihan SMS skenario lanjutan
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|-
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| || 16.00-17.00||  || Evaluasi
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|-
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| 2 || 08.00-09.00 ||  || Review Sesi 2
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|-
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|  || 9.00-9.15 || Coffee break ||
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|-
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| || 9.15-12.00|| Sesi 3 || [[Media:Sesi 3 pengenalan modul 1.pptx|iSIKHNAS Module 1 lanjutan]]
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|-
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|  || 12.00-13.00 || ISHOMA ||
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|-
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| || 13.00-16.00 ||  || Latihan SMS skenario
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|-
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| || 16.00-17.00|| Sesi 4 || [[Media:Sesi 4 penutup.pptx|Evaluasi dan Kesimpulan]]
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|}
  
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====Treatments====  
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===Materi Pelatihan===  
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{{#apGetSMSFormat:ob|2}}
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[[File:Open-Folder-Full256.png|60px|left]]
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*[[Media:Modul 1 Petugas Dinas Kabupaten.zip|Download file ZIP dengan semua dokumen]]
  
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* Use the '''Case ID''' from the alert SMS you are responding to.
 
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* Use '''CKO [name of drug]''' to look up the drug codes.
 
  
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{{hlbox|'''Training Notes'''
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===Bahan Tambahan===
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*Drug codes can be found by using SMS kode search (CKO)
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[[File:Link.svg|50px|left]]
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*Number of animals,
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*[[Training_and_Facilitation_Guide:SMS_Message_Training_points#Pelsa_and_Dinas_disease_reports|Pesan SMS - Catatan pelatih]]
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*Dose per animal
 
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*Repeated sequence possible for multiple treatments
 
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*Traditional treatments can be reported at the discretion of kabupaten policy.}}
 
  
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=====Specimen submission to laboratory=====
 
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{{#apGetSMSFormat:slab|2}}
 
  
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* Use '''CKJS [specimen type]''' to look for a specimen type code.
 
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* Use '''KODE BS''' to find the specimen form code.
 
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* Use '''KODE SL''' to find the lab section code.
 
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* Use '''CKI LAB [location code]''' to find the laboratory code.
 
  
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{{hlbox|'''Training Notes'''
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[[File:Nuvola apps kpager.png|60px|left]]
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*Separate messages using the same Case ID if samples are to be sent to different locations
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*[[Media:ISIKHNAS pengenalan v2.pptx|Pengenalan]]
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*Lab section code is optional
 
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*Repeating sequence possible for multiple specimens going to the same lab
 
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*Separate messages required (using the same Case ID) for specimens being sent to different labs.
 
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*Must remind staff to label specimens properly with the Case ID so that this is entered in the LabInfo system and the connection between the two systems can begin.}}
 
  
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=====Case outcome report=====
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*[[Media:ISIKHNAS Module 1.pptx|Format Pesan]]
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{{#apGetSMSFormat:pk|2}}
 
  
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* Use the '''Case ID''' from the original case report.
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*[[Media:Module_1_Skenario_Kasus.pdf|Skenario]]
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* Use '''Kode PK''' to find the outcome code.
 
  
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{{hlbox|'''Training Notes'''
 
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*If unknown, Case ID can be found out by LAPD usually
 
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*Helps to ‘close’ a case.
 
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*May come in response to questioning of pelsa/farmer during visit (with perhaps the help of LAPD) or someone volunteering the information in a passing manner.
 
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*Repeating sequence: ([outcome code] [number of animals])
 
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*Pelsa may also use this at the discretion of the Kabupaten.  This will need to be set through the user permissions management section on the website.
 
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*Collects data to help with monitoring treatments, diagnoses and follow up rates.
 
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*Not really interested in whether the animal has been sold. 
 
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**SB = Recovered
 
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**MS = Still sick
 
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**MT = Dead due to the disease or slaughtered due to the disease.}}
 
  
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=====Case comments=====  
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====Video====
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{{#apGetSMSFormat:kom|2}}
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[[File:Nuvola apps kaboodle.png|60px|left]]
  
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* Use the '''Case ID''' from the original alert.
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{{#ev:youtube|v=XAS8kA5M_ak||center|''Satu hari dalam kehidupan seorang paravet dinas''}}
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* Freetext entry for comments.
 
  
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{{hlbox|'''Training Notes'''
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===Panduan Pengguna===
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* Add freetext notes that cannot be included in the case file by any coded means using few and only commonly used abbreviations.}}
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[[File:Nuvola apps bookcase.png|60px|left]]
 +
*[[Module 1 user manual|Modul 1 Panduan Pengguna]]

Revisi terkini pada 4 Mei 2015 10.19

Modul 1: Pelaporan Penyakit di Lapangan dan Manajemen Kasus

Gambaran Ikhtisar

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.

Jadwal Pelatihan Yang Disarankan

Hari Waktu Sesi Kegiatan
1 08.00-08.15 Sesi 0 Pembukaan
08.15-09.00 Sesi 1 Pengenalan iSIKHNAS
09.00-12.00 Sesi 2 iSIKHNAS Modul 1
12.00-13.00 ISHOMA
13.00-15.00 Latihan SMS skenario
15.00-15.15 Coffee break
15.15-16.00 Latihan SMS skenario lanjutan
16.00-17.00 Evaluasi
2 08.00-09.00 Review Sesi 2
9.00-9.15 Coffee break
9.15-12.00 Sesi 3 iSIKHNAS Module 1 lanjutan
12.00-13.00 ISHOMA
13.00-16.00 Latihan SMS skenario
16.00-17.00 Sesi 4 Evaluasi dan Kesimpulan

Materi Pelatihan

Open-Folder-Full256.png


Bahan Tambahan

Link.svg


Nuvola apps kpager.png


Video

Nuvola apps kaboodle.png
Satu hari dalam kehidupan seorang paravet dinas

Panduan Pengguna

Nuvola apps bookcase.png
Diperoleh dari "http://wiki.isikhnas.com/index.php?title=Routine_Disease_Reporting_and_Case_Management&oldid=35364"