Embed Size (px)
Citation preview
World Federation of Public Health Assocs (WFPHA) Panel on Oral Health Development, Expert Member
Committee on Hospital Research Ethics – Premier Hospital Networks, Expert Panel
Komnas Penelitian & Pengkajian Penyakit Infeksi (PINERE) Litbangkes -Kemenkes, Expert Panel
National Health Research Committee – Kemenkes, Expert Panel
Dept of Health Policy & Administration, UI, Past Chairman; Advice & examnine more than 200 PhD dissertations in
medicine, dentistry, nursing, public health, regional planning, and social sciences
Year 2015 Recipient of APACPH Award for Public Health Achivement in Asia Pacific
Dokter (Dr.) from UNIVERSITAS INDONESIA
Master of Public Health (MPH): HARVARD-USA
Doctor of Science (DSc): JOHNS HOPKINS-USA
Post Doctoral in Statistics: UNIV of MICHIGAN-USA
Current Activities: Indonesian Public Health Association, President, for 3rd period consecutive
National Expert Panel on TB, Health Policy Spesialist
Health Professions Coalition for Anti Smoking (KPK-AR), Chairman
A Complex Relationship
ECOSYSTEM FOR LIVING
ECOSYSTEM FOR LIVING
Direct
Drivers
Indirect
Drivers
Ekosistem Bagi
Manusia
Human
Well-being
Faktor Pendorong Langsung Pemanfaatan lahan yang efektif Pengembangan Biodiversitas seimbang Teknologi tepat guna Pembangunan ekosistem (missal irigasi) Konsumsi sumberdaya yang arif Perubahan iklim Sumberdaya alam yang tersedia
Faktor Pendorong Tdk-Langsung Faktor demografi Ekonomi global-regional-nasional yang
sehat Tata kelola pemerintahan yg efektif Pengembangan IPTEK Bangsa yang berbudaya & religius
Berantas Kemiskinan Menuju
Sejahtera Infrastruktur bagi kesejahteraan Sehat-Sejahtera Modal social yg efektif Rasa aman Demokrasi berbangsa
ECOSYSTEM FOR LIVING
FROM MDG TO SDG
Learn from mistakes of partial and segmented paradigms
Consolidating:
Sustainable development within healthy biosphere
Long term vision up to 2050
Basis for HRH Professional Development
Focus on
Ecology
Natural resources &
Ecosystem
Focus on
Economy
Economic Devt
Focus on
Social
Social Welfare
And Health
AGENDA FOR SUSTAINBLE DEVELOPMENT
Public Health is Politics
“The health of the people is really the
foundation upon which all their happiness
and powers as a state depends.” (Benjamin Disraeli)
Healthcare Glorecalization
Efficiency is Empowered & Transparancies
Healthy consumerism
Profesionalism
International Health Regulations
2005
From three diseases to all public health threats
From passive to pro-active using real time surveillance/evidence
From control at borders to detection and containment at source
Operationalizing the IHR in the 21st Century: Partnership for Global Alert and Response to Infectious Diseases
Electronic
Discussion sites Media
NGOs
Military
Laboratory
Networks
WHO Collaborating
Centres/Laboratories Epidemiology and
Surveillance Networks
WHO Regional
& Country Offices
Countries/National
Disease Control
Centres
UN
Sister Agencies
FORMAL
GPHIN
INFORMAL
Global Outbreak Alert and Response Network:
Regional Collaboration
ASEAN
APEC
SEAMIC
SEANET
EIDIOR
Flu Net
GPHIN
Pacific Public
Health
Surveillance
Network
(PPHSN)
+ Red Cross,
other NGOs
Mekong Basin
Disease
Surveillance
(MBDS)
IHR DAN BWC International
Health Regulations (IHR)
of the World Health
Organization
The Biological Weapons
Convention (BWC)
Coordination • Monitoring
• Reporting
• Resource mobilisation
• Administration IHR Bodies & Procedures
• IHR Focal Points
• Roster of experts
• Emergency Committee
• Review Committee
• National legislation
Alert & Response Ops
• IHR Contact Point
• Intelligence
• Verification
• Risk assessment
•Risk communication
• Notification
• Response
Country Alert & Response
• IHR NFP Operations
•National ARO
• Laboratory training / support
• Epidemiology training / support
• National system assessment
•Response preparedness
-Social mobilization
-Case management
IHR Communication
• information
• education
• advocacy
Points of Entry
• Ports
• Airports
• Ground crossings
Specific threats
• influenza
• polio
• smallpox
• SARS
•Chemical/Radionuclear
• others
Project
Management
National Core
Capacity
WHO Alert,
Preparedness,
and Response
Operations
Public Health is Empowerment
Healthy Life Movement
INCLUSIVE
Multisectors including the community as the subject
Each sector has role and responsibilities with KPIs
Social engineering for healthy culture
Family Health Indexes A Program Gizi, Kesehatan Ibu & Anak:
1 Keluarga mengikuti KB
2 Ibu bersalin di faskes
3 Bayi mendapat imunisasi dasar lengkap
4 Bayi diberi ASI eksklusif selama 6 bulan
5 Pertumbuhan balita dipantau tiap bulan
B Pengendalian Peny. Menular & Tidak Menular:
6 Penderita TB Paru berobat sesuai standar
7 Penderita hipertensi berobat teratur
8 Gangguan jiwa berat yang diobati / tidak ditelantarkan
C Perilaku dan kesehatan lingkungan:
9 Tidak ada anggota keluarga yang merokok
10 Keluarga memiliki/memakai air bersih
11 Keluarga memiliki/memkai jamban sehat
12 Sekeluarga menjadi anggota JKN/askes
MITIGATIF-ADAPTIF
GERMAS HIDUP SEHAT Self
Reliance
Healthy Cities
Healthy Family
PH workers Utiliz &
Empowerment
PH Professional
Ethics & conduct
Health Need &
Demand (Local &
Abroad) CREDENTIALING
Licensing Certification
PROFESIONALISM
Professional Educ
IAKMI ROLES PH Educational
System (AIPTKMI)
Health Contexts
Dynamics
Health
Technology
Scope of
Works for
PH workers
PH workers
Dynamics
National Board
for PH
Competency
Exams
Universities
Accreditation
Bachtiar 2008
WHO, Everybody’s Business: Strengthening Health Systems to Improve Health
Outcomes, WHO’s Framework for Action (2007)
Need to Change,,,,(1)
Mono-discipline Teamwork for
Healthy Life
Need to Change,,,,(2)
Passive-Reactive Proactive for Healthy Life
Curative-Adaptive Mitigation &
Prevention
Need to Change,,,,(3)
Efficient for least cost
services
Appropriateness
Need to Change,,,,(4)
Static Services Mobile to Reach
Need to Change,,,,(5)
Need to Change,,,,(6)
“Just numbers” Need base
“Healthcare” is wait for a visit
Healthcare is
communitarian
Need to Change,,,,(7)
Skills is premiere Trust is the key
Need to Change,,,,(9)
HEALTHCARE
ASSURANCE
QUALITY OF
CARE
HEALTHY LIFE
PARADIGM
VIRTUAL-NETWORK GLORECALIZATION
MIRACLE Competencies
M MANAGER= MENGELOLA KEBIJAKAN DAN PROGRAM HIDUP SEHAT
I INNOVATOR= INOVASI SEBAGAI KUNCI DAN PARADIGMA DALAM YANKES BERMUTU UTK
KEL SEHAT
R RESEARCHER= REAL TIME DATA UNTUK MEMBANGUN KEPUTUSAN2 YANKES
A APPRENTICER= MENJADI PEMBELAJAR UTK YANG TERBAIK UNTUK DESA MEMBANGUN
C COMMUNITARIAN= MEMAHAMI DAN MELAYANI SELURUH KEBUTUHAN PEMANGKU
KEPENTINGAN UTK HIDUP SEHAT
L LEADER= MEMIMPIN MENUJU BUDAYA KELUARGA SEHAT MELALUI JEJARING KERJA
EFEKTIF
E EDUCATOR= EDUKASI SEMUA UNTUK MAMPU MANDIRI CAPAI KELUARGA SEHAT
Curabitur elit sanitati iurum humanorum*
*Elit tenaga kesehatan masyarakat yang mampu menjamin hak kesehatan
setiap individu
