Rachmani Enny, Kurniadi Arif, Hsu Chien Yeh
Faculty of Health Science, Dian Nuswantoro University, Semarang, Central Java, Indonesia.
Stud Health Technol Inform. 2013;192:1096.
After India and Brazil, Indonesia has the third highest incidence/prevalence of leprosy in the world. Every year thousands of new cases and case with grade-2 disability are reported and, while the recovery rate lingers only 80-90 %. Therefore, more than 10 % of leprosy patients drop out of treatment and can be a source of new infections in the community. Our research was aimed at determining apparent difficulties in the leprosy control program as well as how a health information system (HIS) could assist the Indonesian leprosy control program. We used qualitative method with deep interview and observation of document. One of the difficulties which the Indonesian leprosy control program faces is discontinuity of patient's data due to rotating staff as well as the treatment monitoring and queries patients which should be monitored after treatment has ceased. Technology implementation is feasible through short message service (sms) reminders and web base applications. The leprosy control program urgently needs to implement continuous monitoring and recording of patients because of the particular characteristics of this contagious disease.
在印度和巴西之后,印度尼西亚是世界上麻风病发病率/患病率第三高的国家。每年都有成千上万的新病例和二级残疾病例被报告,而治愈率仅徘徊在80%至90%。因此,超过10%的麻风病患者退出治疗,可能成为社区新感染的源头。我们的研究旨在确定麻风病控制项目中明显存在的困难,以及健康信息系统(HIS)如何协助印度尼西亚的麻风病控制项目。我们采用了深度访谈和文件观察的定性方法。印度尼西亚麻风病控制项目面临的困难之一是,由于工作人员轮岗,患者数据出现间断,以及治疗监测和对治疗停止后应监测的患者的查询。通过短信提醒和基于网络的应用程序来实施技术是可行的。由于这种传染病的特殊性质,麻风病控制项目迫切需要对患者进行持续监测和记录。