inspirasi
| Kegiatan | Waktu | Dokumen |
| Identifikasi Kesenjangan dalam Kegiatan Surveilans Penyakit Berpotensi Wabah dan PHEOC di Indonesia |
20 November 2020 - |
link |
| Assesmen Interoperabilitas antara Aplikasi SKDR Kemenkes dengan Database P-care, V-claim BPJS Kesehatan |
15 Januari 2021 - |
link |
| Pengembangan Mockup Aplikasi SKDR Terintegrasi Data BPJS Kesehatan | 23 Juni 2021 - 23 September 2021 |
link 1 link 2 |
| Pertemuan Teknis Tata Laksana Implementasi Penguatan SKDR | 3 Agustus 2021 | link |
| Pertemuan Tindak Lanjut Rencana Pengesahan PKS Pertukaran Data Surveilans | 18 November 2021 | link 1 link 2 |
| Diskusi Integrasi Data Klaim JKN antara BPJS Kesehatan dengan Kemenkes untuk Memperkuat SKDR | 19 Januari 2022 | link |
|
Pertemuan Pemanfaatan Data E-Klaim untuk Mendukung Program Surveilans Penyakit Berpotensi KLB di Kemenkes |
5 Juli 2022 | link |
| Pengembangan Dashboard Analisis Data E-Klaim untuk Mendukung Kegiatan Surveilans Penyakit Infeksi Menular | 16 Agustus 2022 | |
| Pertemuan Evaluasi SKDR Nasional 2022: Pemanfaatan Kode ICD-10 sebagai dasar standarisasi klasifikasi pencatatan dan pelaporan | 28 September 2022 - 30 September 2022 |
link |
|
Audiensi Hasil Validasi Kode ICD-10 Untuk Mendukung Pelaporan Sistem Kewaspadaan Dini dan Respons di DI Yogyakarta Materi pertemuan: |
15 Oktober 2022 - 30 Desember 2022 |
link |
| Audiensi Hasil Uji Validasi Kode ICD-10 untuk Mendukung Kegiatan SKDR dengan Bidang P2P Dinas Kesehatan Provinsi DI Yogyakarta | 23 Februari 2022 | link 1 link 2 |
| Penguatan Sistem Kewaspadaan Dini dan Respon (SKDR) Rumah Sakit | 27 Februari 2022 | link |
|
Reportase Kegiatan Sosialisasi Kode ICD-10 Pelengkap Algoritma Kewaspadaan Dini dan Respons Penyakit Berpotensi Wabah/KLB
|
Mei 2023 | link |
| Diseminasi Cross-Sectional Survei Covid-19 Serosurvaillance in Four Provinces in Indonesia: As Part of The Inspirasi Program | 20 Juni 2023 | link |
|
Reportase Seminar Rabuan: Kode ICD-10 Sebagai Pelengkap Algoritma Penyakit yang Dipantau dalam Program Kewaspadaan Dini dan Respons Penyakit Infeksi Berpotensi Wabah |
21 Juni 2023 | link |
| Evaluation of the Application of ICD-10 Codes in the Early Warning Alert and Response System (EWARS) of Infectious Diseases with Potential Outbreaks | link |
A. INTRODUCTION
Based on the Ministry of Health act no 45 2014, Public health surveillance is a systematic activity and continous analysis of disease or health conditions that could affect the disease transmission. It is necessary to provide early warning for the potential outbreak event and measure to control it effectively and efficiently. Disease surveillance is regulated in Ministry of Health act no 1479 2003. Currently, 23 disease symptom had been regularly monitored using SKDR (Sistem Kewaspadaan Dini dan Respon ~ Early Warning Alert and Respons System (EWARS)) through routine message from 10232 primary health care (Puskesmas) in 34 provinces of Indonesia. Fast and accurate information could become a foundation the have a strategic regulation in national or provincial level.
Data interoperability were still an issue in Indonesia. This is due to the difficulties of the technical aspect, such as different application used in province, district or puskesmas. These application has different database or naming, that create a difficulties in combining together. Many puskesmas also still did not have a dedicated person who were specifically assigned to manage the disease surveillance.
International Health Regulation (IHR) had been proved able to counter the spread of H1N1 pandemic in 2009. Indonesia had also fully adopted IHR in 2014. The IHR external evaluation in 2017, mention that Indonesia capable to manage the future pandemic since we already have the regulation. However in 2020 during the COVID-19 pandemic, there still a hole in the Indonesia health system that cause an increase in number of COVID-19 patient.
For the first year activity, INSPIRASI will measure the gaps of Indonesia surveillance system and the preparedness to prevent the potential outbreak event. Together with the Ministry of Health we will improve the province / districts surveillance capacity to identify and respons to public health threat.
B. OBJECTIVES
- Identify Gaps in Indonesia Surveillance System, range from early detection procedures, surveillance registration, case reporting, analysis and dissemination of feedback on surveillance results to the public
- Assess the ability of PHEOC at the provincial level in dealing with an epidemic or pandemic
- Assess the routine immunization coverage activities by comparing service data for 2018 - 2020.
- The implementation of national academic discussions and work area distribution on infectious disease surveillance in Indonesia.
- Disseminate the results of gap study on disease surveillance in Indonesia.
- Training for province and districts surveillance and utilization of data surveillance for early outbreak detection.
- Conducting interoperability data surveillance improvement with PUSDATIN and MoH.
C. ACTIVITY TIMELINE
| Activity Description | Status at Time | |
| Strategi 1. | Strengthen Real-Time Surveillance and Reporting | |
| Objective 1.1 | Accurate assessment of indicator and event-based surveillace and reporting systems to detect public health threats | |
| 1.1.1 | Identify gaps in MOH surveillance response to public health threat | |
| 1.1.1.1 | Development of the interview guidelines | |
| 1.1.1.1.1 | Validate Focus Group Discussion and Indepth Interview question | Completed |
| 1.1.1.1.2 | Develop interview guideline | Completed |
| 1.1.1.1.3 | Interviewer training | Completed |
| 1.1.1.2 | Conduct Interview and data analysis | |
| 1.1.1.2.1 | Initial meeting with MoH | Completed |
| 1.1.1.2.2 | Interview and FGD with respondents | Completed |
| 1.1.1.2.3 | Quantitative data gathering from MoH and Public Report | Completed |
| 1.1.1.2.4 | Develop data analysis and verbatim | Completed |
| 1.1.1.2.5 | Results of assessment on surveillance & PHEOC gaps in Indonesia | Completed |
| Objective 1.2 | Improve interoperable, interconnected, electronic real-time | |
| 1.2.1 | Improve surveillance coordination and report on gaps in surveillance | |
| 1.2.1.1 | Kick off seminar and meeting | |
| 1.2.1.1.1 | Seminar for improving the quality of disease surveillance during a pandemic | 14 Februari 2021 |
| 1.2.1.1.2 | Meeting Coordination with MoH (P2P and Pusdatin) in Jakarta | 12, 13, 14 Januari 2021 |
| 1.2.2 | Integrate MOH data source from disease surveillance using web portal | |
| 1.2.2.1 |
Map and define data standards between the health information systems and SKDR |
|
| 1.2.2.1.1 | Discussion with DIY Province Health Office | 10 Februari 2021 |
| 1.2.2.1.2 | Discussion with BPJS Kesehatan | 4 Maret 2021 |
| 1.2.2.1.3 | Discussion with MoH (Pusdatin, Yankes, P2P/ Surveilance Unit, P2JK) | 1 Maret 2021 |
| 1.2.2.1.4 | Discussion with representative hospital and primary health care | 3 Maret 2021 dan 9 Maret 2021 |
| 1.2.2.1.5 | Data mapping based on the previous discussion (SKDR, P-Care and INA-CBGs database) [report ada di bagian 1.2.2.1] |
Completed |
| 1.2.2.1.6 | Identification coding used among information system, ie., ICD-10 codes, 23 code syndrome in EWARS [report ada di bagian 1.2.2.1] |
Completed |
| 1.2.2.1.7 | Identification of program languange from each information systems and databases, and Identification of opportunities and challenges to build data communication (bridging) among information systems. [report ada di bagian 1.2.2.1] |
Completed |
| 1.2.2.1.8 | Identification of algorithm to improve the early detection on SKDR website [report ada di bagian 1.2.2.1] |
Completed |
| 1.2.2.1.9 | Identification of data sharing needs among information system to strengthening the Indonesia's surveillance system, and to develop data sharing agreement [report ada di bagian 1.2.2.1] |
Completed |
| 1.2.2.1.10 | Technical consultation based on result needs analysis and surveillance data mapping [report ada di bagian 1.2.2.1] |
Completed |
| 1.2.2.2 | Development of interoperability architecture | |
| 1.2.2.2.1 | Identification of short-term, mid-term and long-term roadmap to build bridging mechanism among information system with several consideration, includes personal data protection | Completed |
| 1.2.2.2.2 | Gap analysis on FHIR resources with used information systems (P-Care, INA-CBGs, SKDR and HER) | Completed |
| 1.2.2.2.3 | Develop interoperability architecture among system with possible options to be implement or trial | Completed |
| 1.2.2.2.4 | Developing FHIR Profile for interoperability surveillance information system | Completed |
| 1.2.2.2.5 | Developing FHIR server for interoperability trial among systems (P-Care, INA-CBGs and SKDR) | Completed |
| 1.2.2.3 | Development of data sharing agreements and protocols in line with the existing system from local to national level | |
| 1.2.2.3.1 | Audience with MoH (Pusdatin, Yankes, P2P/ Surveilance Unit, P2JK) | Completed |
| 1.2.2.3.2 | Audience with BPJS Kesehatan | Completed |
| 1.2.2.3.3 | Audience with Province and District Health Office and Health Care Facilities (Primary Health care and Hospital) | Completed |
| 1.2.2.3.4 |
Kick-off stakeholders meeting for signing data sharing agreement and protocols
|
Completed |
| 1.2.2.4 | Development of SKDR website with MoH | |
| 1.2.2.4.1 | Technical Discussion with SKDR website developer | Completed |
| 1.2.2.4.2 | Develop a sample website of data Integration between BPJS data and SKDR | Completed |
| 1.2.2.4.3 | Finalization development of SKDR website | Completed |
| Objective 1.3 | Increase capacity of Indicator based surveillance and event system | |
| 1.3.1 | Conduct training of staff on COVID-19 and other priority disease data analysis and data communication | |
| 1.3.1.1 | Strengthen capacity of Province and District Health Office on the Surveillance for COVID-19 and other priority disease | |
| 1.3.1.1.1 |
Finalize the modules and curriculum of Surveillance for COVID-19 training |
Completed |
| 1.3.1.1.3 | Web-based accredited training for Early Warning and Response (SKDR) Training for surveillance staff in District Health Office | Completed |
| 1.3.1.1.4 | Report and dissemination of results | Completed |
| 1.3.2 | HR Capacity Building in data analysis (national and sub-national) | |
| 1.3.2.1 | Development of interactive dashboard to improve alert and response of SKDR (Android or web based) | |
| 1.3.2.1.1 | Development of an interactive dashboard to support the alert system in the SKDR | Completed |
| 1.3.2.2 | Evaluation of training and implementation of the system development in Sulawesi Selatan | |
| 1.3.2.2.2 | Report and dissemination of results | Completed |
| 2. | Strengthen Real-Time Surveillance and Reporting | |
| 2.1 | Capacity to activate emergency operations | |
| 2.1.1 | Established or strengthen provincial PHEOC in South Sulawesi | |
| 2.1.1.1 | ||
| 2.1.1.1.1 | 1 April 2021 | |
| 2.1.1.1.2 | Assessment by on site visit | 6-9 April 2021 |
| 2.1.1.1.3 | Completed | |
| 2.1.1.2 | Peningkatan Kapasitas PHEOC Daerah Provinsi Sulawesi Selatan, Kota Makassar dan Kabupaten Maros | |
| 2.1.1.2.1 | Workshop to develop PHEOC Steering committee | Completed |
| 2.1.1.2.2 | Define Scope of Works of each entity in PHEOC | Completed |
| 2.1.1.2.3 | Develop a workshop for PHEOC operational structure | Completed |
| 2.1.1.2.4 | Reports and dissemination the results | Completed |
| 2.1.2 | Capacity building of Province PHEOC staff to improve accurate and timely | |
| 2.1.2.1 | PHEOC Training (web learning) | Completed |
| 2.1.2.1.1 | Preparation of curriculum, modules, and training methods (Workshop emergency management system; Logistics during emergency; Workforce mobilization and coordination; etc) | Completed |
| 2.1.2.1.2 | Finalize curriculum, modules and training methods | Completed |
| 2.1.2.1.3 | 2,3,8, dan 10 Juni 2021 | |
| 2.1.2.2 | Evaluation of competency improvement and preparation of further plans in developing PHEOC capacity | |
| 2.1.2.2.1 | Evaluation by on site visit | Completed |
| 2.1.2.2.2 |
Reports and dissemination of evaluation results
|
Completed |
| 2.3.1 | Development of surveillance for health care worker morbidity and mortality for COVID - 19 | |
| 2.3.1.1 | Development of surveillance for health care worker morbidity and mortality for COVID - 19 | |
| 2.3.1.1.1 | Discussions with the IDI Mitigation Team and MoH | Completed |
| 2.3.1.1.2 |
|
Completed |
| 2.3.1.1.3 | Development of an integrated system for collecting and reporting data on morbidity and mortality for health workers | Completed |
| 3. | Others | |
| 3.1 | Writing a Scientific articles | |
| 3.1.1 | Gaps assessment in the surveillance system of Indonesia | Completed |
| 3.1.2 | The potential usage of National Health Insurance Claim as the complementary data for EWARS in Indonesia | Not Started |
