PERANAN PEMBANTU PERUBATAN DALAM PROGRAM KAWALAN PENYAKIT BERJANGKIT

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PERANAN PEMBANTU PERUBATAN DALAM PROGRAM KAWALAN
PENYAKIT BERJANGKIT

• CAWANGAN PENYAKIT BERJANGKIT

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PROFESIONAL PRACTICE

• Able to work within the health service
• Appropriate use of regulatory framework to
  protect public health
• Consistently demonstrate commitment to evidence
  based public health practice

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HEALTH SECTOR MANAGEMENT

• Understand our health services (structure and
  functions)
• Able to identify the process associated with
  effective operation of health services
• Able to manage effective working teams at various
  level
• Able to manage projects/activities

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INFORMATION MANAGEMENT

• Able to utilize appropriate data sources to
  describe the health of the population
• Able to analyses data sources appropriately
• Able to prepare written reports that include the
  descriptive presentation of data

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COMMUNICATION

• Able to prepare reports, submissions and articles
  on public health issues to the standard
  acceptable for publication or appropriate
  decision maker
• Able to prepare and delivers presentations at
  public health forums
• Able to communicate with the relevant managers,
  authority, media public

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EPIDEMIOLOGY AND BIOSTATISTICS

• Able to applies epidemiological principles when
  designing studies, manages data collection and
  performs epidemiological analysis
• Able to applies epidemiological principles to
  establish/evaluate a surveillance system,
  screening programs, interventions
• Able to advises other health professionals on the
  use of epidemiological data and methods

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HEALTH POLICY

• Able to determine requirement for new policy or
  guideline to address specific public health
  issues
• Able to prepare a policy or guideline for
  submission or approval and implementation
• Able to evaluate the impact of a policy or
  guidelines

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HEALTH PROMOTION

• Able to manage an effective health promotion
  intervention
• Enable individual and community participation in
  action to promote health
• Able to influence the policy and practices of
  other organizations to promote, protect and
  support the health of the population
• Advocate for action to identify and solve public
  health problems

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HEALTH CARE EVALUATION

• Able to plan and implement the evaluation of
  health intervention using qualitative and
  quantitative evaluation techniques
• Able to involves clients in the evaluation of a
  health intervention
• Able to implements the results of an evaluation
  to improve public health policy or practice

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INFECTIOUS DISEASES

• Able to set up and evaluate a surveillance system
• Able to responds appropriately to outbreaks of
  infectious disease
• Able to liases with intrasectoral and
  intersectoral groups responsible for the control
  of infectious disease
• Able to describe environmental factors that
  govern important infectious diseases

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SURVEILLANCE, PREVENTION AND CONTROL OF DISEASES

• CORE FUNCTIONS
• Improving health status and the quality of life,
  reducing health inequalities and disease burden
  as well as safeguarding the publics health

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SURVEILLANCE, PREVENTION AND CONTROL OF DISEASES

• JOB DESCRIPTIONS
• Conduct sueveillance of diseases, injuries and
  exposure to environmental agents harmful to
  health
• Investigates disease outbreaks and injury
  patterns
• Undertake case finding, diagnosis and treatment
  of diseases of public health important

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SURVEILLANCE, PREVENTION AND CONTROL OF DISEASES

• JOB DESCRIPTIONS
• Access information and support
• Respond rapidly to outbreak and emerging health
  problems or risks
• Implement mechanism to improve surveillance and
  disease prevention and control

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PEGAWAI-PEGAWAI TERLIBAT DALAM PROGRAM KAWALAN
TIBI PERINGKAT KEBANGSAAN, NEGERI DAN DAERAH
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PASUKAN KAWALAN TIBI KEBANGSAAN

• Pengarah Bahagian Kawalan Penyakit
• Pengarah Institut Perubatan Respiratori
• Timbalan Pengarah Kawalan Penyakit Berjangkit
• Ketua Penolong Pengarah Kawalan Tibi/Kusta
• Penolong Pengarah Kawalan Tibi/KUsta
• Penolong Pegawai Kesihatan Persekitaran Kanan
• Pembantu Tadbir Rekod Perubatan

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PASUKAN KAWALAN TIBI NEGERI

• Pengarah Kesihatan Negeri
• Timbalan Pengarah Kesihatan Negeri (Keshatan
  Awam)
• Timbalan Pengarah Kesihatan Negeri (Perubatan)
• Pakar Perubatan Respiratori/Pakar Perubatan Y/M
  KLinik Dada
• Pengarah Hospital
• Pegawai Epidemilogi Negeri
• Pakar Patologi Negeri
• Pembantu Perubatan Kanan di Klinik Dada
• Juruteknologi Makmal Tibi

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PASUKAN PENGELOLA TIBI NEGERI

• Pengelola Rekod
• Pengelola Rawatan
• Pengelola Makmal
• Pengelola BCG

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PASUKAN PENGELOLA TIBI NEGERI

• Pengelola Rawatan
• Membuat penyeliaan rawatan ke semua pusat rawatan
  dalam negeri bagi memastikan regim rawatan
  diikuti
• Menentukan semua kes bersimptomatik menjalani
  ujian kahak sekurang-kurangnya 3 kali
• Memastikan sistem rawatan susulan pesakit dan
  pengesanan kes engkar rawatan dan lalai (missed)
  rawatan diselenggarakan

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PASUKAN PENGELOLA TIBI NEGERI

• Pengelola Rawatan
• Memastikan pesakit Tibi yang berpindah pusat
  rawatan mendapat rawatan seterusnya di pusat
  rawatan baru
• Memberi dan menerima maklumbalas dari pusat
  rawatan dan rujukan kes dalam masa satu minggu
  pada bulan yang sama
• Mengumpul dan mengemaskini data rawatan Tibi dan
  menghantarnya kepada Pengelola Rekod
• Memastikan semua kes dalam rawatan didaftarkan
  dan semua kes didaftar menerima rawatan

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PASUKAN PENGELOLA TIBI NEGERI

• Pengelola Rawatan
• Memastikan semua kes kahak positif diperiksa 2
  bulan selepas dimulakan rawatan
• Mengurus latihan setempat untuk kakitangan dan
  membantu latihan diperingkat negeri.
• Merupkan pegawai pemantauan untuk strategi DOTS
  bersama anggota kesihatan lain
• Memastikan pesakit Tibi yang berpindah pusat
  rawatan mendapat rawatan

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PASUKAN PENGELOLA TIBI DAERAH

• Pegawai Kesihatan Daerah
• Pengarah Hospital Daerah
• Pegwai Perubatan Y/M KLinik Dada Hospital Daerah
• Pegawai Perubatan dan Kesihatan
• Inspektor Kesihatan Y/M Kawalan Penyakit
  Berjangkit
• Pembantu Perubatan Pusat Rawatan
• Jururawat Terlatih Kesihatan (BCG)

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PASUKAN PENGELOLA TIBI DAERAH

• Pembantu Perubatan Pusat Rawatan
• Mengendalikan strategi DOTS
• Memastikan semua rekod dan buku pendaftaran Tibi
  dikemaskinikan
• Memastikan semua kes Tibi kahak positif dibuat
  pemeriksaan selepas 2 bulan rawatan untuk
  dianalisa sputum conversion rate

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DOTS Strategy.. Five key elements.

• 1. Government commitment to sustained TB control
  activities.
• 2. Case detection by sputum smear microscopy
• 3. Standardized treatment regimen of six - eight
  months for at least all confirmed PTB sputum
  smear ve cases, with directly observed treatment
  (DOT) supervision for at least the intensive phase

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DOTS Strategy.. Five key elements.

• 4. A regular, uninterrupted supply of all
  essential anti TB drugs.
• 5. A standardized recording and reporting system
  that allows assessment of treatment outcomes of
  each patient and of the TB control programme
  overall.

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PASUKAN PENGELOLA TIBI DAERAH

• Pembantu Perubatan Pusat Rawatan
• Membuat pemeriksaan pesakit Tibi dan merujuk kes
  komplikasi ke Pegawai Perubatan
• Memastikan kes bersimtomatik diperiksa untuk
  penyakit Tibi
• Menentukan penghantaran contoh kahak dan
  keputusan berjalan lancar supaya pengesanan kes
  dapat dibuat secepat mungkin

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PASUKAN PENGELOLA TIBI DAERAH

• Pembantu Perubatan Pusat Rawatan
• Melaporkan semua kes lalai sebelum engkar rawatan
  ke Pejabat Kesihatan Daerah terdekat supaya
  pengesanan kes dapat dibuat dengan segera
• Memastikan kes-kes Tibi yang disahkan dilaporkan
  ke Pejabat Kesihatan Daerah dalam masa 1 minggu
  dari tarikh mula disahkan kes

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SUMMARY

• Team work
• Where in the team?
• Levels National / State/ District/ H. Clinic
• Program specific

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SUMMARY

• Patients care primary care
• Surveillance notification, early warning system
  incl. rumour etc
• Outbreak field Ix, Rx and Mx - compliment
• Interventions 5 level of prevention
• Capacity building
• Research

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THANK YOU