Re: General Indonesian News - 23 June 2008 +
[I'm just trying to figure out how we got to where we are in Indonesia. On September 7th 5 people were admitted to RS Sanglah Denpasar in Bali. Breathless & Fever. Lab results posted that day were negative. 2 suffered from pneumonia, 2 from asthma and one a minor repiratory tract infection. All were put on Tamiflu. Is Tamiflu the wonder drug for all ailments now?]
[same document as the previous post. Mei 2007].
Excerpt:
The government held medicine antiviral Oseltamivir (generic) and Tamiflu as well as distributed him down to level of the community health centre for early medical treatment against casualties that believed (suspect) bird flu. However, reporting and the monitoring obat antiviral this by the community health centre was not done. The community health centre not reported acceptance, the use, and the balance of medicine antiviral this in a manner supported to the higher level sampai with the Department of the Health. This resulted in Government Pusat dhi. The department of the Health did not have information that adequate against supplies/buffer stock and the number demand oseltamivir for the need of planning and the production of the policy.
-snip-
Considering increasingly expanded him the case of bird flu to humankind, the Department of the Health made an effort to prevent the occurrence death humankind resulting from bird flu through the appointment of medicine antiviral oseltamivir (generic) and tamiflu in the community health centre for early medical treatment regarding the suspect (suspect) bird flu. By bringing closer medicine mentioned to the health service of the community in the community health centre was hoped for possibly reduced the mortality rate and human pain resulting from the illness flu birds. In handling preparedness of the case of this bird flu, pada in 2006 the Department of the Health held medicine antiviral totalling. 10,743,050 capsules with a value of Rp.225.749.920.000,-. Medicine antiviral tersebut afterwards was distributed to 202 health services of the regency/the city, 7641 community health centres, the Kesehatan Service of the province, 100 hospitals rujukan the case of bird flu and ten Teknik Kesehatan Lingkungan halls (BTKL) all over Indonesia.
The department of the Health dismissed the Teknis Pengendalian Guidance of Bird Flu and the Oseltamivir Use in the Community Health Centre, that said that giving oseltamivir/tamiflu effective apabila was given slowest 48 hours after the sign emergence of early (ounce the set) the bird flu illness. Therefore, in the level of the community health centre precision of time and the diagnosis be based on anamnesa once contact with unggas was critical in reducing the pain figure and death resulting from bird flu. The mechanism of the distribution oseltamivir/tamiflu to every community health centre was handed over to the health service of the regency/the city, whereas buffer stock was kept in the health service of the regency/the city, the health service of the province, and BTKL. Based on results of observation, the interview, and the survey of the field to Dinas Kesehatan of the province and the regency/the city, the reconciliation hospital, the hospital the area, and several community health centres of non reconciliation that once handle the case of bird flu in the North Sumatran province, Lampung, Banten, DKI Jakarta, West Java, Central Java, and East Java still ditemukan several problems as follows:
1. The number of positive patients bird flu that in the sign of early (ounce the set) immediately took medicine to the community health centre was as many as 13 patients atau 15.85% from all over the patient confirm an amount 82 patients per tanggal on March 19 2007. From results of the inspection of 13 patients confirm this, was known that these patients not diberikan oseltamivir/tamiflu in the community health centre, that is totalling seven patients di the North Sumatran province, three patients in the Banten province, and tiga the patient in the East Java province. As for the reason not to give oseltamivir/tamiflu because of the doctor in the community health centre worried would result samping the use oseltamivir/tamiflu.
2. 2. Respectively the health service of the regency/the city did not have sistem and the mechanism pelaporan revenue and the issuing of medicine antiviral oseltamivir in each community health centre so as the position of supplies obat antiviral was not reported to the health service of the province. Apart from itu the health service of the province did not report to Departemen the Health in accordance with the Secretary's Circular Director General Bina of Kefarmasian No. YF.03.07.Ic.1060.4 on November 20 2006. With kondisi this the Department of Health did not have adequate information terhadap supplies/buffer stock and the number of requirements oseltamivir di the community health centre, RS reconciliation, BTKL and the health service to keperluan size planning of the number of procurements of the following year.
Resulting from that emerged from the picture of the incident above was the aim the appointment and the use of medicine oseltamivir/tamiflu to medicating early in the community health centre fully was not yet reached. Moreover persediaan oseltamivir/tamiflu was not monitored by the Department of Health so as to be difficult to the need of procurement planning of the following year. This matter
This matter was caused: 1 Socialisation to the medical staff and medical about penggunaan medicine antiviral oseltamivir/tamiflu concerning because and gejala the bird flu illness in the community health centre was not yet effective. 2 managements of the calculation of supplies/buffer stock and jumlah the requirement oseltamivir/tamiflu for the community health centre, the hospital dan the Kesehatan Service by the Department of Health did not yet satisfy and not ada the mechanism of the registration/pelaporan to the Department of Health concerning posisi supplies oseltamivir/tamiflu in the community health centre, the hospital, and dinas the health. 3 socialisations and the level of the awareness of the community as well as the commitment pemda and the related side concerning the handling of the plague of the bird flu illness to humankind was still low.
On this problem the Department of the Health respond to that in strategic plan was named that the provisions of medicine antiviral number 0.5-1% from the total Indonesian inhabitant (1.1-2.2 million) where setiap the inhabitants needed 10 capsules so as to be needed 11 million s.d 22 million capsules. By way of prevented the occurrence of the death resulting from flu burung the community health centre as the tip of the spear in the health service community must be alerted by placing medicine antiviral for pengobatan early against the suspect in bird flu.
On this problem of BPK-RI suggested Minister Kesehatan so that:
1. Increased the socialisation to the medical staff about utilizing oseltamivir/tamiflu in accordance with the provisions as well as the socialisation to the community that co-operated with the side of the province regional government maupun the regency regional government/the city.
2. Monitored the number of medicine supplies antiviral oseltamivir in setiap the health service of the province and the city regency periodically.
[I'm just trying to figure out how we got to where we are in Indonesia. On September 7th 5 people were admitted to RS Sanglah Denpasar in Bali. Breathless & Fever. Lab results posted that day were negative. 2 suffered from pneumonia, 2 from asthma and one a minor repiratory tract infection. All were put on Tamiflu. Is Tamiflu the wonder drug for all ailments now?]
[same document as the previous post. Mei 2007].
Excerpt:
The government held medicine antiviral Oseltamivir (generic) and Tamiflu as well as distributed him down to level of the community health centre for early medical treatment against casualties that believed (suspect) bird flu. However, reporting and the monitoring obat antiviral this by the community health centre was not done. The community health centre not reported acceptance, the use, and the balance of medicine antiviral this in a manner supported to the higher level sampai with the Department of the Health. This resulted in Government Pusat dhi. The department of the Health did not have information that adequate against supplies/buffer stock and the number demand oseltamivir for the need of planning and the production of the policy.
-snip-
Considering increasingly expanded him the case of bird flu to humankind, the Department of the Health made an effort to prevent the occurrence death humankind resulting from bird flu through the appointment of medicine antiviral oseltamivir (generic) and tamiflu in the community health centre for early medical treatment regarding the suspect (suspect) bird flu. By bringing closer medicine mentioned to the health service of the community in the community health centre was hoped for possibly reduced the mortality rate and human pain resulting from the illness flu birds. In handling preparedness of the case of this bird flu, pada in 2006 the Department of the Health held medicine antiviral totalling. 10,743,050 capsules with a value of Rp.225.749.920.000,-. Medicine antiviral tersebut afterwards was distributed to 202 health services of the regency/the city, 7641 community health centres, the Kesehatan Service of the province, 100 hospitals rujukan the case of bird flu and ten Teknik Kesehatan Lingkungan halls (BTKL) all over Indonesia.
The department of the Health dismissed the Teknis Pengendalian Guidance of Bird Flu and the Oseltamivir Use in the Community Health Centre, that said that giving oseltamivir/tamiflu effective apabila was given slowest 48 hours after the sign emergence of early (ounce the set) the bird flu illness. Therefore, in the level of the community health centre precision of time and the diagnosis be based on anamnesa once contact with unggas was critical in reducing the pain figure and death resulting from bird flu. The mechanism of the distribution oseltamivir/tamiflu to every community health centre was handed over to the health service of the regency/the city, whereas buffer stock was kept in the health service of the regency/the city, the health service of the province, and BTKL. Based on results of observation, the interview, and the survey of the field to Dinas Kesehatan of the province and the regency/the city, the reconciliation hospital, the hospital the area, and several community health centres of non reconciliation that once handle the case of bird flu in the North Sumatran province, Lampung, Banten, DKI Jakarta, West Java, Central Java, and East Java still ditemukan several problems as follows:
1. The number of positive patients bird flu that in the sign of early (ounce the set) immediately took medicine to the community health centre was as many as 13 patients atau 15.85% from all over the patient confirm an amount 82 patients per tanggal on March 19 2007. From results of the inspection of 13 patients confirm this, was known that these patients not diberikan oseltamivir/tamiflu in the community health centre, that is totalling seven patients di the North Sumatran province, three patients in the Banten province, and tiga the patient in the East Java province. As for the reason not to give oseltamivir/tamiflu because of the doctor in the community health centre worried would result samping the use oseltamivir/tamiflu.
2. 2. Respectively the health service of the regency/the city did not have sistem and the mechanism pelaporan revenue and the issuing of medicine antiviral oseltamivir in each community health centre so as the position of supplies obat antiviral was not reported to the health service of the province. Apart from itu the health service of the province did not report to Departemen the Health in accordance with the Secretary's Circular Director General Bina of Kefarmasian No. YF.03.07.Ic.1060.4 on November 20 2006. With kondisi this the Department of Health did not have adequate information terhadap supplies/buffer stock and the number of requirements oseltamivir di the community health centre, RS reconciliation, BTKL and the health service to keperluan size planning of the number of procurements of the following year.
Resulting from that emerged from the picture of the incident above was the aim the appointment and the use of medicine oseltamivir/tamiflu to medicating early in the community health centre fully was not yet reached. Moreover persediaan oseltamivir/tamiflu was not monitored by the Department of Health so as to be difficult to the need of procurement planning of the following year. This matter
This matter was caused: 1 Socialisation to the medical staff and medical about penggunaan medicine antiviral oseltamivir/tamiflu concerning because and gejala the bird flu illness in the community health centre was not yet effective. 2 managements of the calculation of supplies/buffer stock and jumlah the requirement oseltamivir/tamiflu for the community health centre, the hospital dan the Kesehatan Service by the Department of Health did not yet satisfy and not ada the mechanism of the registration/pelaporan to the Department of Health concerning posisi supplies oseltamivir/tamiflu in the community health centre, the hospital, and dinas the health. 3 socialisations and the level of the awareness of the community as well as the commitment pemda and the related side concerning the handling of the plague of the bird flu illness to humankind was still low.
On this problem the Department of the Health respond to that in strategic plan was named that the provisions of medicine antiviral number 0.5-1% from the total Indonesian inhabitant (1.1-2.2 million) where setiap the inhabitants needed 10 capsules so as to be needed 11 million s.d 22 million capsules. By way of prevented the occurrence of the death resulting from flu burung the community health centre as the tip of the spear in the health service community must be alerted by placing medicine antiviral for pengobatan early against the suspect in bird flu.
On this problem of BPK-RI suggested Minister Kesehatan so that:
1. Increased the socialisation to the medical staff about utilizing oseltamivir/tamiflu in accordance with the provisions as well as the socialisation to the community that co-operated with the side of the province regional government maupun the regency regional government/the city.
2. Monitored the number of medicine supplies antiviral oseltamivir in setiap the health service of the province and the city regency periodically.


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