Lesson Learned Health Information System of Taiwan Leprosy Control Program for Indonesia Leprosy Control Program

Rachmani, Enny and Hsu, Chien-Yeh (2013) Lesson Learned Health Information System of Taiwan Leprosy Control Program for Indonesia Leprosy Control Program. FIKI 2013, 1 (1). ISSN 979-26-0263-1

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Abstract

Background of study: Indonesia is the three biggest endemic areas after India and Brazil. In 2010, had been reported 19.785 registered prevalence, 17.012 new cases and 1.822 the new case found with grade-2 disabilities [2]. Utilization of technology in Leprosy Control Program was not maximize in developing countries include Indonesia although there were many cases. It posed a lot of problem in that program such as Drop out MDT (Multi Drug Treatment) treatment because difficulties in monitoring, difficult to conduct active case finding, and difficult to make timely report. Taiwan is one of the areas which already had eradication in leprosy; all new cases came from foreigner from epidemic countries [3]. Taiwan also one of the best implementor of health information system in the world so it necessary to learn how leprosy control program and implementation of health information system in Taiwan to develop Indonesia leprosy control program and maximize computerize of Leprosy Control Program in Indonesia. Method: Data collections in this research through deep interview to 3 staff district leprosy supervisor in Disease Control Officer of Health Office of Pekalongan District and also 3 staff Control Disease Center (CDC) in Taipei. This research also made observation in information system of leprosy Control Program in Indonesia and Taipei Result: In Taiwan, there are a drug observer and a public health nurse to observe patient treatment. This system made simple to monitor complete of patient treatment, and beside that regulation in Taiwan can drive patient to finish their treatment. Indonesia also using drug observer system but just in TB Program called DOTS (Directly Observer Treatment, Short Course). Taiwan did not have difficulties in continuity and availability of leprosy data because they have been using information system to store data and reporting system. Indonesia still had that problem because of a rotation system in civil servants work environment. Taiwan Leprosy information system through National ID connected patient with their contact so it very easy to contact trace to block develop new case in Taiwan, Indonesia Leprosy electronic application have been implemented it was just registry patient to make report; it must be augment to optimize the effectiveness leprosy control program in Indonesia. From Taiwan experience in leprosy control systems, Indonesia can learned that drug observer and information system play important role to prevent develop new case through trace contact and monitoring MDT treatment. The recent of Indonesia Leprosy electronic application should be build up with database management system for easier retrieve information and keep the data safely and store in a long time.

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