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 Achievement in Asia Pacific
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 Achievement 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
Adang Bachtiar
POIN PENYAJIAN
Neglected Tropical Diseases (WHO)
•
Buruli Ulcer•
Chagas disease (American trypanosomiasis)•
Dengue/denguehaemorrhagic fever
•
Dracunculiasis (guinea-worm disease)•
Fascioliasis•
Human African trypanosomiasis•
Leishmaniasis•
Leprosy•
Lymphatic filariasis•
Neglected zoonotic diseases•
Onchocerciasis•
Schistosomiasis•
Soil transmitted helminthiasis•
TrachomaKelompok 10 Penyakit
Tropikal
KATEGORI-1
African Trypanosomiasis.
Dengue.
Leishmaniasis.
KATEGORI-2
Malaria.
Tuberculosis.
Schistosomiasis
KATEGORI-3
Onchocerciasis.
Leprosy.
Chagas disease.
Klasifkasi didasarkan kepada…
•
KATEGORI-1: Emerging or uncontrolled disease.•
KATEGORI-2: Control strategy available but disease burdenpersists.
•
KATEGORI-3: Control strategy proven effective, disease burdenProyeksi Angka Kematian Berdasarkan
Sebab & Pendapatan, 2004 to 2030
0 5 10 15 20 25 30
2004 2015 2030 2004 2015 2030 2004 2015 2030
D e a th s ( m ill io n s )
High income Middle income Low income
HIV, TB, malaria Other infectious
Maternal/perinatal/nutr
Cardiovascular dis. Cancers
Other NCD
Road traffic accidentsOther unintentional Intentional injuries
http://www.who.int/entity/healthinfo/global_burden_disease/
DEN-1 DEN-2
Dengue Virus
•
Causes dengue and dengue hemorrhagic fever•
Arbovirus•
Transmitted by mosquitoes•
Composed of single-stranded RNADengue Viruses
•
Each serotype provides specific lifetime immunity, and short-termcross-immunity
•
All serotypes can cause severe and fatal disease•
Genetic variation within serotypes•
Some genetic variants within each serotype appear to be moreSEAR countries WPR countries 2012 (WMR 2013) SEAR WPR Estimat ed # malaria cases 26.8 mio (21.7-32.5) 1.4 mio (1.2-1.7 mio) Estimat ed # malaria deaths 42 000 (25 000-60 000) 3 500 (2 100 – 5 200) Populat ion at risk (high and low transmi ssion areas) 1.6
billion million711
Malaria: Countries projected to achieve
>75% decrease in incidence of
microscopically confrmed cases by 2015
SEAR WPRWorld Malaria Report 2013
• India, Indonesia and Myanmar (SEAR), Papua New Guinea (WPR), Pakistan
(EMR) cannot be projected to achieve the 75% decrease by 2015
MASALAH DAN TANTANGAN
•
Investasi dan programming yang terhambat karena•
Pembiayaan tidak menentu•
Kekampuan pelaksanaan yang menurun•
Political will kemudian ikutan turun•
Gangguan wilayah karena industri•
Artemisinin resistance•
Disebabkan logistic obat yang tidak optimal, obat palsu dll•
Migrasi penduduk dan sulit terjangkau sehingga pengobatan tidak sempurnaTuberculosis:
Distribution of Prevalent TB Patients, by Region
Source: Global Tuberculosis Control 2013, WHO
22 22 Eastern Mediterranean 7.78% Americas 3.25% African Region 26.71%
Western Pacifc Region 18.58% South-East Asia Region 39.49% European Region 4.18%
2012 Estimates SEAR WPR
1.
Algoritme Dx kurang sensitive dalam deteksi dini TB;2.
TB terkonsentrasi pada populasi beresiko yang sulit terjangka;3.
Multi-drug resistant TB: hanya sebagian kecil dapat dijangkau (di Dx dan di Tx);4.
Pendanaan internasional semakin menciut.•
Pengabaian, tak ada political will
•
Pertumbuhan penduduk
•
Urbanisasi
•
Pemanfaatan lahan
•
Peternakan
•
Mobilitasi penduduk, mahluk hidup lain dan barang
•
Dinamika perilaku dan gaya hidup
•
Adaptasi mikroba termasuk karena perubahan iklim
•
Bencana termasuk dengan sengaja
FOKUS PD EKOLOGI
SDA dan Kapasitas Ekologis
FOKUS PD EKONOMI Sistem2 Ekonomi
FOKUS PD SOSIAL Modal Sosial & Tujuan Kesejahteraan
Memerlukan “HEALTH IN ALL DEVELOPMENT POLICY” untuk HEALTHY CONSUMERISM
TRANSISIONAL
(1)
Tata ruang destruktif unbalanced
Bahan material kehidupan menuju konsumtif boros
Energy poverty, inaccesible& tdk merata
Mobilitas penduduk ineffective & unsafe
Keamanan pangan terganggu akibat kerusakan ekologis tmsk climate change
Yankes non-comprehension ineffective1.Menuju tata-ruang sehat kearifan sosial 2.Recycling economy yg efisiensi
berdayakan
3.Sosial justice energy use
4.Mobilitas aman adaptif ekologis 5.Food safety yg efektif dlm healthy
biosphere
6.Healthy consumerism 5-level prevention
TRANSISIONAL
(2)
Pembelajaran lamban tidak merata
Sistem2 ekonomi pertahankan ketidak-seimbangan “Utara-Selatan”
Pembangunan sosial terabaikan
Daya dukung ekologis terdegradasi
Tata hubungan internasional eksplotatif1. Teknologi tinggi dg cultural competencies
2. Ekon low-carbon, low raw-material, ekologi
& persaingan sosial sehat & adil
3. Caring society yang inklusif
4. Menumbuhkan biodiversitas
5. Tata hub egaliter saling menguntungkan
yang berbudaya tinggi
P2M
Glorekalisasi
• IHR2005; GOARN
• BWC
Nakes
Profesional (Uji kompetensi; UU Nakes)
Efisiensi =
Berdaya & Transparansi
Mitigatif & Adaptif
International Health Regulations
2005
From three diseases to all public health threats
From passive to pro-active using real time surveillance/evidence
Operationalizing the IHR in the 21
stcentury:
partnership for global alert and response to
infectious diseases
Electronic Discussion sites Media NGOs Military Laboratory Networks WHO CollaboratingCentres/Laboratories Epidemiology and Surveillance Networks WHO Regional
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
DARI IHR2005 MENUJU GLOBAL
SECURITY
Individual Health Security:
Access of persons to health care and to medicines/vaccines and other health goods; removal of obstacles to good health
Public Health Security:
Activities required to minimize vulnerability to public health events that endanger the health of populations
Global Public Health Security:
IHR DAN BWC
•
International Health Regulations (IHR) of the World Health OrganizationGlobal 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
Tanpa Global Linkage-Regional
Collab-Local Empowerment
0 10 20 30 40 50 60 70 80 901 4 7 10 13 16 19 22 25 28 31 34 37 40 Delayed response Delayed response DAY C A S E S
Lost opportunity for control/ risk of international spread
0 10 20 30 40 50 60 70 80 90
1 4 7 10 13 16 19 22 25 28 31 34 37 40 Rapid response C A S E S Early
reporting Potential cases prevented/
international spread prevented
DAY
GER-MAS HIDUP SEHAT
Merupakan gerakan multisektor termasuk swasta dan masyarakat sebagai
subyek (bukan obyek) untuk kegiatan2 mitigatif dan adaptif bencana
Program terstruktur masing2 sector dengan indicator terutama kesehatan
keluarga
Mendorong nilai-kepercayaan dan budaya hidup sehat dan bugar
Mendorong best practices (keberhasilan) setiap sektor dengan branding
yang kuat terkait “Hidup sehat dan bugar”
Target komunikasi “reach out and touch them”
Menu kegiatan yang mencakup perubahan perilaku menuju hidup sehat
bagi individu – keluarga – masyarakat - kelembagaan
Menciptakan mekanisme penguatan (incentive system) agar masyarakat
terus menjaga kesehatan dan kebugarannya
Indikator Keluarga Sehat
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
GERMAS HIDUP SEHAT
PROPINSI SEHAT PROPINSI SEHAT
KOTA
SEHAT
KOTA
SEHAT
.
..
1.GOAL:MIRACLE
Germas Sehat
1.GOAL:MIRACLE
Germas Sehat
3. KESAMAAN KEPENTINGA N DALAM 4. MENYUS UN RENCAN A AKSI 5. KOMUNIK ASI & KERJASA MA 2.SINERGI & BAGI PERAN MASING2PARADIGMA SEHAT (HiAP)
PARADIGMA SEHAT (HiAP)
M
U
T
U
Y
A
N
K
E
S
M
U
T
U
Y
A
N
K
E
S
JA
M
IN
A
N
K
E
S
E
H
A
T
A
N
JA
M
IN
A
N
K
E
S
E
H
A
T
A
N
Softskills-Softskills
Leadin g Inspire and develop people §ors for healthy consume rism Leadin g Inspire and develop people &
Nakes
PH workers Utiliz & Empowerment
PH workers Utiliz & Empowerment
PH Professional Ethics & conduct PH Professional Ethics & conduct
Health Need & Demand (Local &
Abroad)
Health Need & Demand (Local &
Abroad)
CREDENTIALING CREDENTIALING Licensing
Licensing CertificationCertification
PROFESIONALISM
PROFESIONALISM
Professional Educ Professional Educ
IAKMI ROLES PH Educational
BERUBAH,,,,
(1)
Individual care
providers
Individual care
BERUBAH,,,,
(2)
Treating individuals
when they get sick
Treating individuals
Emphasizing
adaptation
Emphasizing
adaptation
Emphasizing
mitigation with
adapatation
Emphasizing
mitigation with
adapatation
Maximizing the use of resources & assets
Maximizing the use of resources & assets
Applying appropriate levels of care at the
right place
Applying appropriate levels of care at the
right place
Offering care at centralized facilities
Offering care at centralized facilities
Offering care at sites convenient to patients
Offering care at sites convenient to patients
BERUBAH,,,,
(6)
Treating all patients the same
Treating all patients the same
Customizing
healthcare for each patients
Customizing
BERUBAH,,,,
(7)
Avoiding the sickest chronic patients
Avoiding the sickest chronic patients
Creating venues to provide special
chronic care services
Creating venues to provide special
Being responsible for those who seek our services
Being responsible for those who seek our services
Being responsible for the needs of the
community
Being responsible for the needs of the
community
Best efforts
Best efforts
High reliabilityprovider
High reliability provider
JAMINAN KESEHATAN
YANKESMAS BERMUTU
PARADIGMA SEHAT
VIRTUALISASI
HARMONISASI
GLOBALISASI
KOMPETENSI
SOFTSKILLS – SOFTSKILS –
SOFTSKILLS(1)
•
1. Bekerja dengan hati.
If you can’t be passionate about the work itself, be passionate about the reason you do it.
•
2. Ajak keluarga dalam keputusan2 kerja.
Be passionate in your choice to do right by your family while also taking steps to find a role you do love.
•
3. Carilah teman dengan enersi positif optimistik.
SOFTSKILLS – SOFTSKILS –
SOFTSKILLS(2)
•
4. Berikan waktu yg luas utk talenta yg dimiliki.
If you spend most of your time using your talents and doing things you are good at, you’re more likely to be happy.
•
5. Bisa frustasi urusi kekuarangan diri. Waspada.
If you spend most of your time struggling to improve your weaknesses, you’re likely to be frustrated.
•
6. Berlatihlah utk penyempurnaan. Yang sabar dalam hal baru.
SOFTSKILLS – SOFTSKILS –
SOFTSKILLS(3)
•
7. Bosan karena tak mau hal baru.
The only way to stay fresh is to keep learning new things.
•
8. Hal baru pasti lewati kesalahan2. Ikuti tahapannya.
To learn new things means being a beginner, and that means making having a ‘beginner mind’ and making mistakes.
•
9. Nikmati setiap kesalahan dg ihlas.
SOFTSKILLS – SOFTSKILS –
SOFTSKILLS(4)
•
10. Jadilah pembaharu didepan.
If you think something needs changing, be the one to lead the change.
•
11. Mulai yg sederhana.
Start small and build from there.
•
12. Petik tujuan yg terjangkau dulu kmd yg sukar.
SOFTSKILLS – SOFTSKILS –
SOFTSKILLS(5)
•
13. Faham disemua aspek dlm organisasi tmsk hal teknis
smp kepemimpinan
.Always try to get better at your craft from the technical aspects to your leadership skills.
•
14. Memutuskan adalah har tersukar. Biasakanlah.
SOFTSKILLS – SOFTSKILS –
SOFTSKILLS(6)
•
15. Gila kali ya berharap lebih dg cara sama.
The definition of crazy is to do the same thing the same way and expect a different result. If the result isn’t good, change something and then try
again.
•
16. Bekerjasamalah. Begitulah Allah menciptakan.
No one succeeds alone.
•
17. Tanya kalau ga ngerti dan bersyukur abiss telah
dibantu.
SOFTSKILLS – SOFTSKILS –
SOFTSKILLS(7)
•
18. Setiap kita punya pandangan. Hargailah.
People experience the world differently. Don’t fight that. Use it.
•
19. Manfaatkan kelebihan org lain. Keberagaman itu PENTING.
Embrace diversity. The best way to compensate for your own weaknesses is to pick teammates who have different strengths.
•
20. Hargai orang lain dg cara terbaikmu.
SOFTSKILLS – SOFTSKILS –
SOFTSKILLS(8)
•
21. Jangan memaksa kehendakmu.
Don’t “should” all over someone, and don’t let someone else “should” all over you.
•
22. Diatas gunung ada gunung lain.
No matter what you do or how much you achieve, there are always people who have more.
•
23. Lihat kebawah utk bersyukur.
SOFTSKILLS – SOFTSKILS –
SOFTSKILLS(9)
•
24. Sumberdaya itu milikNya ingat itu.
You will never have all the resources (time, money, people, etc.) that you want for your project or company.
•
25. UjianNya dalam susah justru rahmat utk kreatif.
A lack of resources isn’t an excuse. It’s a blessing in disguise. You’ll have to get creative.
•
26. Belajar cara baru utk pekerjaan yang sama itu kreatifitas
namanya.
SOFTSKILLS – SOFTSKILS – SOFTSKILLS(10)
•
27. Belajar absorbsi apa saja di awal dan tapis banyak hal bila
sudah pengalaman.
In the early stages of a company, career, or project, you’ll have to say “yes” to a lot of things. In the later stages, you’ll have to say “no.”
•
28. Kritik miring itu perlu. Ariflah
Negative feedback is necessary. Don’t automatically reject it. Examine it for the nuggets of truth, and then disregard the rest.
•
29. Pujian hhm.. waspada aja deh.
SOFTSKILLS – SOFTSKILS – SOFTSKILLS(11)
•
30. Opini barangkali ada mutiara didalamnya.
Don’t automatically accept it (or reject it). Examine it for the nuggets of truth.
•
31. Memberi kritisi itu ke obyek bukan ke subyek.
When delivering criticism, talk about the work, not the person.
•
32. Mimpilah setingginya.
SOFTSKILLS – SOFTSKILS – SOFTSKILLS(12)
•
33. Mimpi itu artinya pelan2 dicapai.
Treat your dream as an ultimate road map.
•
34. Mimpi gede itu banyak protes. Sabar dan putuskan
If you think big, you will hear “no” more than you hear “yes.” They don’t get to decide. You do.
•
35. Dibalik sukses ada peluang emas. Siapkan diri.
SOFTSKILLS – SOFTSKILS – SOFTSKILLS(13)
•
36. Ini rahasia sukses: diskusi dg siapa saja.
Communicate your plans with other people and keep communicating those plans in every way possible.
•
37. Jejaring itu PENTING.
Grow your network. Make an effort to meet new people and to keep in contact with those you know.
•
38. Apapun pekerjaannya itu karena SDM. Hargai mereka.
SOFTSKILLS – SOFTSKILS – SOFTSKILLS(14)
•
39. Dibalik sukses itu kegagalan.
No matter how successful you get, you can still fail and fail big.
•
40. Gagal itu bukan hal buruk.
Failure isn’t a bad thing. It’s part of the process.
•
41. Lakukan perhitungan setiap risiko.
Take risks. Not wild risks. Calculated ones.
•
42. Kegagalan itu terencana.
SOFTSKILLS – SOFTSKILS – SOFTSKILLS(15)
•
43. Hidup itu penuh risiko. Kuatkan hati.
No one can tell you when to do anything. If you feel strongly enough, Bismillah.
•
44. Hargai siapa saja walau saat menolak.
Learn how to respectfully, but firmly, say “no.”
•
45. Sanggupi segala hal. NTT, Nanti Tuhan Tolong.
Say “yes” as much as you can.
•
46. Sanggupi tapi jelas batasannya.
SOFTSKILLS – SOFTSKILS – SOFTSKILLS(16)
•
47.Bahagia itu bukan karena sukses tp syukuri keberadaan,
apapun.
Happiness is the art of being satisfied with what you already have.
•
48. Teman kerja pasti ada yg bikin BeTe. Sabar hargai dan
tetap fokus.
Working with difficult personalities will be a part of every job. Be respectful, do your job well, and cheerfully don’t let the difficult person derail your
SOFTSKILLS – SOFTSKILS – SOFTSKILLS(17)
•
49. Fokus pada tujuan.
Focus on what you want, not on what you don’t want.
•
50. Mau mengubah dunia? Jaga amanah dg mulai diri sendiri
berubah.
If you truly want to change the world, you’ve got to earn a position of
JATI DIRI “MIRACLE”
M
MENGELOLA KEBIJAKAN DAN PROGRAM KESEHATANI
INOVASI SEBAGAI KUNCI DAN PARADIGMA SEHATR
REAL TIME DATA UNTUK MEMBANGUN KEPUTUSAN2 BANGKESA
APPRENTICING, MENJADI PEMBELAJAR UTK YANG TERBAIKC
COMMUNITARIAN, MEMAHAMI DAN MELAYANI SELURUH KEBUTUHANPEMANGKU KEPENTINGAN
L
LEADING, MEMIMPIN MENUJU BUDAYA KELUARGA SEHAT MELALUI JEJARINGKERJA EFEKTIF
Health in
All Policies
MIRACLE
.
.
. .
.
.
Asses Develop
Manage Professionalism
Dibutuhkan
kepemimpinan kesmas untuk capai pekerjaan
keprofesian yang bermutu REVOLUSI MENTAL
menggerakkan SEMUA UNSUR untuk menyehatkan bangsa
KKNI Kesmas Untuk Profesi
MIRACLE
MIRACLE
identity
MIRACLE
identity
Karir Profesi
6-Ahli KM Pratama
7-AKM Muda
8-AKM Madya
Curabitur elit sanitati iurum humanorum*
*Elit tenaga kesehatan
masyarakat yang mampu menjamin
