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PERANAN PEMBANTU PERUBATAN DALAM PROGRAM KAWALAN PENYAKIT BERJANGKIT CAWANGAN PENYAKIT BERJANGKIT PROFESIONAL PRACTICE Able to work within the health service Appropriate use of regulatory framework to protect public health

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Peranan pembantu perubatan dalam program kawalan penyakit berjangkit l.jpg

PERANAN PEMBANTU PERUBATAN DALAM PROGRAM KAWALAN PENYAKIT BERJANGKIT

CAWANGAN PENYAKIT BERJANGKIT


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PROFESIONAL PRACTICE BERJANGKIT

  • 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 BERJANGKIT

  • 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 BERJANGKIT

  • 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 BERJANGKIT

  • 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 BERJANGKIT

  • 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 BERJANGKIT

  • 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 BERJANGKIT

  • 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 BERJANGKIT

  • 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 BERJANGKIT

  • 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 BERJANGKIT

CORE FUNCTIONS

  • Improving health status and the quality of life, reducing health inequalities and disease burden as well as safeguarding the public’s health


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SURVEILLANCE, PREVENTION AND CONTROL OF DISEASES BERJANGKIT

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 BERJANGKIT

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 PERINGKAT KEBANGSAAN, NEGERI DAN DAERAH

  • 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 PERINGKAT KEBANGSAAN, NEGERI DAN DAERAH

  • 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 PERINGKAT KEBANGSAAN, NEGERI DAN DAERAH

  • Pengelola Rekod

  • Pengelola Rawatan

  • Pengelola Makmal

  • Pengelola BCG


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PASUKAN PENGELOLA TIBI NEGERI PERINGKAT KEBANGSAAN, NEGERI DAN DAERAH

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 PERINGKAT KEBANGSAAN, NEGERI DAN DAERAH

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 PERINGKAT KEBANGSAAN, NEGERI DAN DAERAH

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 PERINGKAT KEBANGSAAN, NEGERI DAN 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 PERINGKAT KEBANGSAAN, NEGERI DAN 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.. PERINGKAT KEBANGSAAN, NEGERI DAN DAERAHFive 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.. PERINGKAT KEBANGSAAN, NEGERI DAN DAERAHFive 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 PERINGKAT KEBANGSAAN, NEGERI DAN 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 PERINGKAT KEBANGSAAN, NEGERI DAN 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 PERINGKAT KEBANGSAAN, NEGERI DAN DAERAH

  • Team work

  • Where in the team?

  • Levels – National / State/ District/ H. Clinic

  • Program specific


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SUMMARY PERINGKAT KEBANGSAAN, NEGERI DAN DAERAH

  • 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 PERINGKAT KEBANGSAAN, NEGERI DAN DAERAH


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