Wiki Sumber Informasi iSIKHNAS

User Guide for Village Reporters (Pelsa)

Role of the Pelsa

You have been chosen to be a village reporter (pelsa) and contribute to improving the health of livestock in your area, ensuring health problems are reported quickly and helping veterinary staff to respond effectively.

Pelsa play a vital role in Indonesia's animal health system. You are the people closest to the community and closest to the livestock and their owners. You are the first point of assistance for your community and the first line of defence in protecting your community.

You provide the farmers with a much needed link to the veterinary services and make it easier for the technicians to respond efficiently.

Role and Responsibilities

Pelsa should be able to;

• Recognise signs of animal disease: Pelsa should be able to recognise when animals are showing signs that might mean they are suffering from disease, and be able to use a recognised vocabulary and their associated codes for describing these signs and syndromes.
• Report signs of animal disease: Pelsa send case reports of sick animals to the veterinary services by sending a special, short, coded SMS. This instantly alerts the local Dinas staff responsible for that area that there is an animal in that village that is showing possible signs of disease. The local Dinas vet or para-vet can then respond to that alert with a phone call to the Pelsa, ask further questions to establish if they should visit or whether they can advise treatment over the phone.
• Be a trusted link to the veterinary services: Some villagers may feel shy or uncomfortable about contacting their Dinas veterinary services staff directly. But as Pelsa are trusted members of their own communities, many villagers will feel much more comfortable talking to them. This may mean that many more cases of disease are reported in villages that have Pelsa, compared to villages without Pelsa. It does not of course mean that villages with pelsa have more disease, just more reported cases. As Pelsa become recognised and appreciated by their community for their work, there will be more people who will want to use the Pelsa’s services. This will ensure that the link between the community and the veterinary services stays strong and effective.
• Be a source of information for the community: As the local contact person for their village, Pelsa can provide information from the local Dinas to the community. This may include notifications of animal disease cases or outbreaks in their area, or details of an upcoming vaccination program. Pelsa may also be able to participate or assist in activities related to vaccination or surveillance programs, keep population figures up to date and report the outcomes of various cases including if an animal has recovered from a particular reported problem.

Field reports to iSIKHNAS

You may hear about a health problem in the animal population in your area in a variety of ways. Perhaps a farmer will contact you directly, perhaps you will hear about it indirectly through someone else in the village or the pelsa may come across the problem himself while walking around the village or during the course of a normal day's activity. As soon as you hear about a new case you should try to visit the farmer and the animal if possible. Talk to the farmer and ask him about the 'history' of the problem - when he noticed it first, if it has got worse, whether other animals are affected etc. These details will help you to answer questions the dinas staff may ask you after you report the problem. Look carefully at the animal and remember your training.

The next thing you need to do is to report the problem. You must decide if the problem is a 'General' problem (Tanda Umum) or a 'Priority Syndrome' (Sindrom Prioritas). This will require you to look for and discount the short list of Priority Syndromes. If you think the case meets any of the Priority Syndrome descriptions then you should send an SMS using the P message format. If you can discount these syndromes then you should send an SMS message to iSIKHNAS using the U message format including the main signs that you see.

General signs report

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

Priority syndrome report

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

Remember that the information you send in each new report is used in two ways for two different purposes.

1. to alert the veterinary services in your area there is a health problem
2. to add to the national data about all animal disease. Our decision makers need this data in order to help all the farmers in your area to improve the health of all livestock.

General signs report

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

The U report allows you to report the individual signs of disease that you see in the animal. You may see several signs and you should report the most significant of these signs. Pelsa are provided with training on how to look for and recognise a list of common, easily observable signs. Each sign on this list has been given an easy 2-letter code to make reporting easier. Use this list to report the signs you see as accurately as you can. Remember, the information is important and useful so try to be as accurate as you can. Don't be lazy and use "Tanda Lain"!

Remember that the information you send in each new report is used in two ways for two different purposes.

1. to alert the veterinary services in your area there is a health problem
2. to add to the national data about all animal disease. Our decision makers need this data in order to help all the farmers in your area to improve the health of all livestock.

Reports of General Signs of disease whilst important are much less likely to be disease of significance to the whole community. The veterinary staff will respond to these messages as soon as they can. Staff will likely call you to get more details and offer advice for treatment. Sometimes they will visit the animal to investigate further. P messages received by the iSIKHNAS system will receive a faster response by the veterinary services because they may be diseases which could be dangerous to humans, or which spread quickly or which IF they get into Indonesia could be economically catastrophic for the country. Most P reports will ensure a visit by veterinary staff.

List of general signs for the U (Tanda Umum) report

Code	Sign
OBT	Obstipasi
NSA	Mual
TL	tanda lain
AU	Anuria
PU	Poliuria
DVU	Distensi VU
EPT	Epistaxis
PA	Kelainan perilaku
GG	gila galak
LP	lumpuh
LMH	Lemah
LTA	Lethargy
MN	Mata bernanah
MPC	Mata peka cahaya
MBA	Mata berair
RDT	Radang Telinga
OTA	Telinga berair
AL	Liur berlebihan
KRM	Keropeng mulut
PFA	Polifagia
MTH	Muntah
PBS	Perut Busung
MC	mencret
GT	gatal
LB	luka berdarah
KBE	Kulit Berketombe
KBA	Kulit Berkerak
PC	pincang
SB	sendi bengkak
LK	luka pada kaki
BT	batuk
HB	hidung beringus
BSN	Bersin
PLU	Pollakiuria
PDA	Polidipsia
SU	Stranguria
PR	prolaps rahim
KG	keguguran
DK	kesulitan lahir
KP	Kematian Pedet
KLP	Kelainan Pedet
AES	anestrus
KBR	Kawin Berulang
BRT	Berahi tenang
AZO	Azotemia
MT	mati mendadak
SM	sakit akut
PK	peningkatan kematian
DM	demam
RB	rahang bawah bengkak
BP	busung papan pada dada

Priority syndrome report

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

P messages do not use the General Signs codes. P messages use only the SINDROM PRIORITAS 3-letter codes which represent descriptions of syndromes which look similar to important or priority disease. Syndromes are used to describe a specific set of signs which if seen together in particular species could be one of these important diseases. You are not being asked to diagnose a case but to simply be on the alert to the possibility of these priority diseases being present in your area every time you see a sick animal. It is better to be alert and on the lookout in order to protect your community from the consequences of a serious outbreak which could have been prevented early.

P messages received by the iSIKHNAS system will receive a faster response by the veterinary services because they may be diseases which could be dangerous to humans, or which spread quickly or which IF they get into Indonesia could be economically catastrophic for the country. Most P reports will ensure a visit by veterinary staff. General signs reports are very important too of course but much less likely to be disease of significance to the whole community. The veterinary staff will respond to these messages as soon as they can. Staff will likely call you to get more details and offer advice for treatment. Sometimes they will visit the animal to investigate further.

List of Priority Syndrome codes for the P (Sindrom Prioritas) report

Kode	Nama	Description	Spesies
BBK	Benjol Benjol Kulit	digunakan untuk melaporkan kecurigaan terhadap penyakit Lumpy Skin Disease	sapi, kerbau
DMB	Demam pada babi	Demam tinggi, konjungtivitas dan peningkatan kematian pada babi	babi, Babi Liar
GGA	Gila galak	Perubahan tingkah laku menjadi lebih agresif atau depresif,dan hipersalivasi	Anjing, Kucing, kuda, Ruminan, Primate, Musang
IDK	Ingusan dan Diare pada Kambing	Leleran hidung dan diare pada ruminansia kecil	ruminan kecil
KBS	Keringat Berdarah Sapi	keringat berdarah, kehilangan nafsu makan, demam, lethargi, diare pada sapi bali	sapi bali
KGS	Keguguran atau sendi membengkak	Keguguran pada trimester ke 3 atau sendi membengkak	Ruminan
MBG	Sempoyongan (Mubeng)	digunakan untuk laporan kecurigaan terhadap penyakit Surra	equine, ruminan besar
MBK	Mata Merah dan Bengkak	Digunakan untuk melaporkan kecurigaan terhadap African Horse Sickness	kuda
MMU	Mati meningkat pada unggas	Kematian meningkat pada ayam kampung dan unggas lain. Burung:kematian mendadak dalam waktu 2 hari dengan atau tanpa gejala klinis layer:kematian diatas 1% dalam waktu 2 hari berturut-turut.	ayam, itik, puyuh, entog, Belibis, angsa, Burung Pipit, Bebek, Bebek Peking
MTD	Mati mendadak	Kematian mendadak dan keluar darah pada lubang kumlah	Ruminan, babi, kuda
NGK	Ngorok	Sindrom untuk pelaporan kecurigaan SE	sapi, kerbau
PLB	Penyakit luar biasa	Penyakit yang sangat menular (cepat menyebar) norbiditas mortalitas tinggi tanda-tanda penyakit yang tidak biasa zoonosis	Ruminan, Burung, Monogastric
PLL	Pincang, air liur dan lepuh	Pincang, air liur berlebihan, dan lepuh pada mulut / kaki / puting	Ruminan, babi

Weekly report: No other priority syndromes sighted

PNEG 

Some of the Priority Syndromes are quite rare in most parts of Indonesia fortunately so you will probably not have to send P reports very often. Each week every Pelsa will have to send a message to iSIKHNAS to confirm that they have not seen any Priority Syndromes in their area. This simple PNEG message sent to the system weekly tells us that;

• you have been alert and on the lookout for the Priorty Syndromes
• that you have not seen any Priority Syndromes, or if you have reported one that week, it means you have not seen any of the other syndromes other than the one you reported.

A PNEG report is much more useful to the system than just assuming that if we receive no P reports then there must be no disease. No reports does not mean no disease.... it just means no reports. A PNEG report says "I have been looking but have not seen any Priority Syndromes". That is a very powerful message of reassurance to our veterinary staff, decision makers, trading partners and others in the international community.

So, once a week, say on Friday afternoon, you should send iSIKHNAS a simple PNEG message from your mobile phone. The system will remind you if you forget - it's that important to us!!

Query messages

You will be given a pocket guide to the messages you should send to report disease. This will help you while you get used to using the system. If you lose this paper, do not panic!! because the system can help you to send messages and use the correct codes.

List all system codes

KODE {code type}

Here is the answer you will receive from the system

isikhnas: Format: KODE {jenis kode}. Jenis kode: SP (spesies), RP (rumah potong), JHRP (jenis hewan RPH), 
POP (jenis hewan populasi), TAN (tanda), AH (akhir hewan), JP (jenis pengguna), PK (perkembangan kasus), 
SL (seksi lab ), BS (bentuk spesimen), SIN(sindrom prioritas)

So, now you can use the Code Type code to find out the list of codes for species (SP), signs (TAN) or sindrom prioritas (SIN).

List species codes

KODE SP

isikhnas: AY ayam; IT itik; EG entog; MP merpati; PY puyuh; SP sapi; KR kerbau; KB kambing; DB domba; KD kuda; 
KL kelinci; AJ anjing; AG angsa; UL unggas lain; KC kucing; BB babi; MY monyet; RUS Rusa; SI simian; KK kalkun; 
BLB belibis; ON onta; OU orang utan; UD udang; SIP siput; NYA nyamuk; LEB lebah

List syndrome codes

KODE SIN

List sign codes

KODE TAN

The list of signs is quite long so if you already have an idea of the sign you would like the code for then you can use the system to search for this particular sign and its code by using CKT - Search for a sign code.

Search for a sign code

CKT [sign]

You can use the first 4 or 5 letters of the sign you need the code for. For example, you forget the code for Lumpuh so you send the following;

CKT lump

The system will reply with a list of the signs closest to 'lump';

isikhnas: lumpuh LP; luka penis LPE; luka berdarah LB; liar LI; luka pada kaki LK

These system query messages will be very useful to you.... soon you won't need your paper pocket guide!

Freetext question to the system

From time to time you might want to ask a question about some aspect of your role or the system or make a suggestion about how it could be improved. You can send a freetext message to iSIKHNAS and the veterinary staff will try to answer your question. Just start your message with Q...

Freetext question

Q [question]

The system will send you an automatic response to confirm receipt of your message.

isikhnas: Terima kasih. Pertanyaan Anda telah dikirim ke koordinator iSIKHNAS.

Your comment will be noted or a member of staff will contact you if they are able to help to answer your question.

Important things to remember about iSIKHNAS

• When you register to use the system you are registered to your unique mobile phone. Every report you send must be sent from this mobile phone number. The system recognises who you are by the phone number it receives sms messages from. Contact your coordinator immediately if you lose your phone or need to change your phone number.

• When you register to use the system your location is also registered. Every report you send will assume that you are reporting about events in that location. You must include a different location code in the reports you make from locations which are different from your normal, registered place. Your coodinator will help you if you have an area of responsibility larger than one, single village.

• Every different piece of information in a message must be separated by a space, except in the General Signs (U) message which accepts more than one sign. You must separate each sign with a comma.

• Whenever you send a message, you will ALWAYS receive a response confirming that the message has been received and correctly interpreted, or advising you of a mistake in the message. Please read the response from iSIKHNAS to check that the data you entered was indeed correct.

• If you do not receive this response within 5 minutes then there is probably a problem. The mobile network may not be working, the iSIKHNAS system may be malfunctioning or your phone is not working properly. Wait for 5 minutes and try to send the message again. If the problem continues, contact your local iSIKHNAS coordinator.