Pemegang KJP perlu mendapat asupan gizi yang baik (era Ahok Djarot)

Oleh : Lydia Angelia Yanita

Pilot project subsidi bahan pangan anak usia sekolah ini dilaksanakan secara cashless  bersama PD Dharma Jaya dan Bank DKI menjelang hari raya Idul Fitri di tahun 2016, dan telah berhasil menyalurkan 102 ton daging sapi serta 55,000 ekor ayam dengan harga jual masing-masing Rp. 39.000/kg daging sapi dan Rp. 10.000/ekor ayam. Program subsidi pangan KJP ini akan ditingkatkan dengan target konsumsi pelajar sebesar 1.5kg protein per bulan, dan ke depannya akan melibatkan PD Food Station Tjipinang Jaya dan PD Pasar Jaya untuk pelebaran ke sembilan bahan pokok (sembako).

DKI Jual Daging Sapi Rp 35.000 Per Kg Khusus Pemegang KJP dan Anggota PPSU

Referensi :

https://ahokdjarot.id/program/ekonomi/pengendalian-harga-sembako-dan-daging

http://megapolitan.kompas.com/read/2016/12/07/13132261/dki.jual.daging.sapi.rp.35.000.per.kg.khusus.pemegang.kjp.dan.anggota.ppsu

 

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Converts your iPhone into a digital ophthalmoscope

Oleh : Lydia Angelia Yanita

The D-EYE imaging system attaches to a smartphone allowing the user to regularly check their eyes, as well as family members’ eyes, for signs of glaucoma. If the disease is detected early enough it can be successfully treated and vision loss largely prevented.

d-eye

Referensi :

https://www.mdtmag.com/news/2016/09/smartphone-based-device-could-detect-glaucoma

https://www.d-eyecare.com/en_ID/shop

PEEK RETINA: SMARTPHONE EYE EXAMS COULD REDUCE BLINDNESS BY 80%

Oleh : Lydia Angelia Yanita

Peek Retina smart phone adapter enables practitioners to perform exams anywhere in the world, without expensive equipment or complex operational requirements. All that is needed is a smartphone camera, which, when held to the eye in combination with the adapter, shows a high quality image of the retina.

There is no need to carry props like alphabet charts as symbols recognised cross-culturally are displayed directly on the screen of the smartphone. The capability to simulate the patient’s compromised vision and contrast it with normal, healthy vision also exists simply by using photos on the device.

Referensi :

https://designtoimprovelife.dk/peek-retina-smartphone-eye-exams-could-reduce-blindness-by-80/

E-Health : Pelayanan Kesehatan Online Pemerintah Kota Surabaya

Oleh : Lydia Angelia Yanita

Tinggal Sentuh Layar, Dapat Nomor Antrean

Dengan e-Health, suasana sumpek yang selama ini dialami pasien ketika antre di loket pendaftaran baik di Puskesmas maupun rumah sakit Pemerintah Kota Surabaya, akan tinggal kenangan. Warga kini bisa melakukan pendaftaran pengobatan secara online sehingga tak perlu ikut antri lama di loket pelayanan.

Lewat kios pelayanan publik yang bentuknya mirip Anjungan Tunai Mandiri (ATM) non tunai, warga Surabaya yang ingin mendapatkan nomor antrian, cukup menempelkan e-KTP pada scanner yang disediakan, kemudian memilih layanan yang diinginkan dengan menyentuh layar sentuh (touch screen) dan mengikuti petunjuk yang ada di dalam layar. Bila sudah selesai, secara otomatis anjungan ini akan mengeluarkan print nomor antrian sesuai dengan yang telah dipilih.

Untuk memudahkan pemahaman warga , di dalam layar disediakan 3 (tiga) bahasa, yakni bahasa Indonesia, Jawa dialek Surabaya, dan bahasa Madura. Fasilitas tiga bahasa ini sengaja dibuat agar warga yang berasal dari latar belakang berbeda-beda, tidak mengalami kesulitan ketika memanfaatkan kios pelayanan.ehealth

Referensi :

  1. http://m.beritajatim.com/advetorial/224498/tinggal_sentuh_layar,_dapat_nomor_antrean.html
  2. http://dinkes.surabaya.go.id/portal/berita/pengunjung-tertarik-aplikasi-e-health-milik-surabaya/
  3. http://ehealth.surabaya.go.id/pendaftaran/

A mobile eye unit for screening of diabetic retinopathy and follow-up of glaucoma in remote locations in northern Finland

Oleh : Lydia Angelia Yanita

In order to improve the screening of diabetic retinopathy and the follow-up of glaucoma, we developed an alternative way of delivering services by constructing a mobile examination unit, called ‘EyeMo’ . The Ministry of Health and Social Welfare in Finland supported the financing of the unit. The goal was to produce a way of providing high-volume services (such as high-quality fundus images and visual field examinations) at low unit costs and to guarantee equal access to care. EyeMo is 10.5 m long and 2.5 m wide. It has two examination rooms, one for visual field testing (Humphrey Field Analyzer HFA-740i; Carl Zeiss Meditec, Inc., Dublin, CA, USA) and one for imaging (using a Canon CF-1 mydriatic fundus camera with a Canon 400 digital SLR camera), as well as a waiting area. Two experienced professionals, a nurse and an imaging technician, work in the unit. Since September 2006, over 7000 patients have been seen and about 7700 examinations conducted in EyeMo.eyemo

The mobile examination unit, designated EyeMo, is equipped with a waiting area and examination rooms for fundus imaging, visual field testing and measurement of intraocular pressure.

Referensi :

Hautala, N., Hyytinen, P., Saarela, V., Hägg, P., Kurikka, A., Runtti, M., & Tuulonen, A. (2009). A mobile eye unit for screening of diabetic retinopathy and follow‐up of glaucoma in remote locations in northern Finland. Acta ophthalmologica, 87(8), 912-913.

Screening for diabetic retinopathy with a mobile non-mydriatic digital fundus camera in southern Israel

Oleh : Lydia Angelia Yanita

METHODS:

Diabetic members of the largest health fund in southern Israel and over 18 years old were invited for non-mydriatic fundus examination between January and October 2009. Screening was performed by a trained photographer using the Topcon TRC NW-6S non-mydriatic camera in nine primary care centers.

RESULTS:

A total of 4318 diabetic patients were screened, of whom 53% were classified as normal. The incidence of diabetic retinopathy was 15.8% (1.2% had proliferative retinopathy and 2.4% had suspected macular edema and were referred for laser treatment). Other possible sight-threatening conditions were detected in 9.3%. Fundus pictures were inadequate for assessment in 16% of cases.

CONCLUSIONS:

Diabetic retinopathy screening with a mobile non-mydriatic fundus camera improved the quality of care for diabetic patients in southern Israel. This screening method identified patients requiring prompt referral to the ophthalmologist for further complete eye examination. Extending this screening program to other areas in the country should be considered.

 Referensi :

Levy, J., Lifshitz, T., Goldfarb, D., Knyazer, B., & Belfair, N. (2011). Screening for diabetic retinopathy with a mobile non-mydriatic digital fundus camera in southern Israel. IMAJ-Israel Medical Association Journal, 13(3), 137.

Memastikan layanan BPJS untuk warga Jakarta lebih baik lagi dibanding standar nasional pada era Ahok-Djarot

Oleh : Lydia Angelia Yanita

Untuk mewujudkan layanan maksimal di dalam sistem BPJS, Ahok-Djarot menandatangani nota kesepahaman dengan BPJS yang berisi:

  • Penghapusan masa aktivasi selama 14 hari saat pendaftaran BPJS PBI, sehingga warga yang mendaftar BPJS akan langsung aktif dan dapat langsung digunakan untuk berobat.

  • Bayi baru lahir dari peserta BPJS PBI akan langsung mendapatkan BPJS.

  • Peserta BPJS Mandiri yang menunggak lebih dari 3 bulan akan langsung dialihkan kepesertaannya menjadi BPJS PBI dan langsung aktif dan dapat digunakan, sehingga warga yang ingin berpindah dari BPJS mandiri ke PBI namun tidak mampu membayar hutang tunggakan iuran dapat tetap mendapatkan layanan kesehatan.

  • Mewajibkan Badan usaha untuk memberikan jaminan Kesehatan melalui BPJS Kesehatan dan Ketenagakerjaan bagi karyawannya.

Referensi :

https://ahokdjarot.id/program/kesehatan/pelayanan-bpjs

A novel approach to glaucoma screening and education in Nepal

Oleh : Lydia Angelia Yanita

Methods

A simple, age-based glaucoma screening algorithm was incorporated into three one-day cataract screening clinics. Using this algorithm, patients who were newly diagnosed with glaucoma were referred to TEC, where medication and surgery were provided free of charge through private donor funding. In addition, we describe two ongoing educational programs for increasing glaucoma awareness: an annual Glaucoma Awareness Week (which includes free screening, treatment, and counseling), and a repeating lecture series which generates new counselors.

Results

From 2004 to 2007 screening at the annual Glaucoma Awareness Week resulted in the diagnosis of 120 individuals with glaucoma, or 7.6% of total registrants. Attendance increased annually with a trend toward an increasing number of returning patients but a decreasing percentage of newly diagnosed patients, though the absolute numbers have remained relatively stable (range 21 to 38). Data from the three one-day screening clinics in 2006 show that approximately 2 to 4% of patients 50 years of age or older per clinic were newly diagnosed with POAG.

Conclusion

This multi-faceted approach appears to successfully identify individuals with glaucoma and provide treatment to those who would otherwise not be able to afford it. While more data is needed to validate this model, specifically regarding the effectiveness of educational activities, long-term visual outcomes, and medication compliance, it may serve as a useful framework for other developing countries with similarly limited resources.

Referensi :

Thapa, S. S., Kelley, K. H., Rens, G. V., Paudyal, I., & Chang, L. (2008). A novel approach to glaucoma screening and education in Nepal. BMC ophthalmology, 8(1), 1.

Ambulans Gawat Darurat (AGD) di Masa Kepemimpinan Ahok-Djarot

Oleh : Lydia Angelia Yanita

Di bawah kepemimpinan Ahok-Djarot, layanan AGD berevolusi menjadi layanan ambulans terintegrasi, disertai dengan tenaga medis terlatih dan peralatan yang lengkap. Tenaga medis yang menangani di ambulans telah tersertifikasi Bantuan Hidup Dasar dan Bantuan Hidup Lanjut (Basic Trauma and Cardiac Life Support, First Aid Advance, dan First Aid Basic).

Masyarakat cukup menelpon AGD di 112 tanpa dikenai pulsa, dan tanpa biaya. Adapun, waktu untuk menunggu AGD semakin berkurang di era Ahok-Djarot. Pada tahun 2016, tercatat waktu tunggu ambulans adalah 31 menit, yaitu 10 menit lebih cepat dibandingkan dengan di awal kepemimpinan Ahok-Djarot.

Referensi :

https://ahokdjarot.id/program/ambulans-gawat-darurat-agd-di-masa-kepemimpinan-ahok-djarot

Imunisasi HPV pada anak kelas 5 dan 6 SD pada era Ahok Djarot

Oleh : Lydia Angelia Yanita

Pelaksanaan Imunisasi HPV di Indonesia
Pemerintah merencanakan penambahan vaksin baru ke dalam program imunisasi nasional yaitu vaksin HPV dengan pemberian imunisasi HPV kepada siswi perempuan kelas 5 (dosis pertama) dan 6 (dosis kedua) SD/MI dan sederajat baik negeri maupun swasta melalui program Bulan Imunisasi Anak Sekolah (BIAS).
Kegiatan pemberian imunisasi HPV melalui program BIAS ini diawali dengan pemberian imunisasi di lokasi percontohan yang memiliki angka prevalensi kanker serviks yang tinggi dan dipandang memiliki kesiapan dalam melaksanakan imunisasi HPV, yaitu provinsi DKI Jakarta mulai bulan Oktober 2016 dan akan dilanjutkan pada tahun depan di dua kabupaten di provinsi DIY yaitu kabupaten Kulonprogo dan Gunung Kidul.
Pelaksanaan imunisasi HPV dalam Kegiatan Bulan Imunisasi Anak Sekolah (BIAS) di DKI Jakarta sudah mendapatkan rekomendasi dari Komite Penasihat Ahli Imunisasi Nasional (Indonesian Technical Advisory Group on Immunization).

http://dinkes.jakarta.go.id/berita/kendalikan-kanker-servix-sejak-dini-dengan-imunisasi/

Ketuk Pintu Layani Dengan Hati (KPLDH) merupakan program baru yang diinisiasi pada masa kepemimpinan Ahok-Djarot.

Oleh Lydia Angelia Yanita

Ketuk Pintu Layani Dengan Hati (KPLDH) merupakan program baru yang diinisiasi pada masa kepemimpinan Ahok-Djarot. Tim KPLDH yang terdiri dari 5 tenaga kesehatan seperti dokter, perawat dan bidan, ditempatkan di setiap puskesmas di DKI Jakarta. Tugas utama tim KPLDH adalah mengunjungi rumah warga untuk mendapatkan data kesehatan masyarakat sehingga dapat dilakukan upaya promotif, preventif dan kuratif pada saat itu juga. Metode pendataan dilakukan dengan menggunakan tablet, sehingga data yang diinput akan langsung terekam di dalam arsip Dinas Kesehatan DKI Jakarta.

AHOK-DJAROT TELAH:

  • Membentuk tim KPLDH yang terdiri dari dokter, perawat dan bidan di setiap Puskesmas.

  • Melakukan pelayanan KPLDH pada 60.000 warga DKI Jakarta. 

  • Mengembangkan aplikasi digital untuk pendataan kesehatan masyarakat. 

  • Mengintegrasikan laporan kesehatan dengan aplikasi Qlue. 

AHOK-DJAROT AKAN:

  • Menyediakan satu orang dokter untuk setiap 5.000 warga DKI Jakarta. Dokter yang akan disediakan untuk warga melalui program KPLDH akan bersifat seperti dokter pribadi, sehingga kesehatan warga dapat terus terpantau oleh tim ahli. Ahok-Djarot akan mengupayakan tersedianya satu orang dokter, satu orang perawat dan satu orang bidan untuk melayani 5.000 warga di rumah masing-masing.

Referensi :

https://ahokdjarot.id/program/kesehatan/program-pencegahan-dan-preventif-kesehatan

iPad Screenings Effective for Detecting Early Signs of Glaucoma in Underserved, High-Risk Populations

Oleh : Lydia Angelia Yanita

Nepal study shows tablet-based test could lead to earlier intervention and improved eye health outcomes in low-resource communities

CHICAGO — Using a tablet screening app could prove to be an effective method to aid in the effort to reduce the incidence of avoidable blindness in populations at high-risk for glaucoma with limited access to health care, according to a study released today at AAO 2014, the 118th annual meeting of the American Academy of Ophthalmology. In this study, researchers from the University of Iowa, the University of Maryland, Johns Hopkins University, the University of Michigan and the Tilganga Eye Institute in Nepal used a free peripheral vision assessment app to screen approximately 200 patients in Nepal for glaucoma using an iPad®. The results show promise for screening populations that have limited or no access to traditional eye care and certain ethnic groups that have a high risk of developing the disease.

Glaucoma is the second leading cause of blindness worldwide, affecting more than 60.5 million people.[i] The disease can be effectively treated; however, it generally does not present symptoms in its early stages, resulting in many patients being unaware that they suffer from the condition until it progresses to later stages. Early diagnosis can easily be achieved through a routine examination from an ophthalmologist – a medical doctor specializing in the diagnosis, medical and surgical treatment of eye diseases and conditions – or an optometrist. While it is relatively easy for patients with access to regular health care in developed nations to be screened for glaucoma during a routine eye examination, remote and underserved communities have limited or no access to such services, increasing their risk for glaucoma-related blindness.

In order to determine if a screening test using mobile technology could be effectively administered to communities outside of a traditional clinical setting, the research team used theVisual Fields Easy app, which simulates a visual field test on an iPad 1st Generation, to screen more than 400 eyes for glaucoma.

Approximately half of the eyes screened were healthy “control” eyes and the other half were eyes with glaucoma. The researchers compared the screening results to those from the traditional industry standard visual field test, known as the Humphrey SITA Standard 24-2, and found that the two tests agreed between 51-79 percent of the time.

The best agreement was in patients with moderate and advanced visual field loss, while there was less agreement in patients with mild visual field loss. The researchers believe this was due to a high false positive rate for normal controls. While the agreement rate and cost-benefit ratio of the results were not strong enough to support using the method for screening general populations, the researchers believe that conducting screenings using a tablet can be an effective initial screening tool for high-risk groups, such as people of African or Hispanic ancestry, the elderly and people with limited or no access to traditional eye and health care. In addition, the screenings lasted an average of 3 minutes and 18 seconds – less than half the average time needed for the Humphrey SITA Standard test.

“Visual field testing equipment is neither portable nor affordable to some populations around the world, limiting entire regions from accessing health and eye care,” said lead researcher Chris A. Johnson, Ph.D., director of the Visual Field Reading Center at the University of Iowa. “Although not perfect, the tablet glaucoma screening method could make a significant difference in remote locations where populations would not otherwise receive screening at all.”

Use of an iPad to Perform Visual Field Screening in Nepal PO412 is being presented today atAAO 2014, the 118th annual meeting of the American Academy of Ophthalmology which is in session October 17-21 at McCormick Place in Chicago. More than 25,000 attendees and 620 companies from 123 countries gather each year to showcase the latest in ophthalmic education, research and technology. To learn more about the place Where All of Ophthalmology Meets, visit www.aao.org.

About the American Academy of Ophthalmology
The American Academy of Ophthalmology, headquartered in San Francisco, is the world’s largest association of eye physicians and surgeons, serving more than 32,000 members worldwide.  The Academy’s mission is to advance the lifelong learning and professional interests of ophthalmologists to ensure that the public can obtain the best possible eye care. For more information, visit www.aao.org.

The Academy is also a leading provider of eye care information to the public. The Academy’s EyeSmart® program educates the public about the importance of eye health and empowers them to preserve healthy vision. EyeSmart provides the most trusted and medically accurate information about eye diseases, conditions and injuries. OjosSanos™ is the Spanish-language version of the program. Visit EyeSmart or OjosSanos to learn more.


[i] http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1856963/