PENCAPAIAN INDONESIA DALAM GHSA

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Disampaikan pada Seminar Sehari

Ketahanan Kesehatan Global dalam Prespektif Pertahanan Negara

Jakarta, 9 November 2017

PENCAPAIAN INDONESIA

DALAM GHSA

Dr. Jane Soepardi

Direktur Surveilans dan Karantina Kesehatan

Ditjen Pencegahan dan Pengendalian Penyakit

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OUTLINE

Overview GHSA

Implementasi

Pencapaian

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Ancaman Kesehatan

Masyarakat

Emergence &

spread of

new

pathogens

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Why Global Health Security?

6

• In today

’

s increasingly interconnected world we remain

vulnerable.

• No one nation can achieve Global Health Security on its own.

• The vitality of the global economy is only as secure as the

collective health of our people.

• 11 years ago SARS cost $30 billion in only 4

months.

• The anthrax attacks of 2001 infected 22 people,

killed 5, and cost more than $1 billion to clean up.

• The 2009 H1N1 influenza pandemic killed

284,000 people in its first year alone.

• AIDS spread silently for decades.

GHSA



Accelerate the implementation of WHO

’

s

International Health Regulations (2005), OIE

’

s

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7 Global Health Security Agenda Objectives

Prevent

Avoidable Epidemics

1. Prevent the emergence and spread of antimicrobial drug resistant organisms

and emerging zoonotic diseases and strengthen international regulatory

frameworks governing food safety.

2. Promote national biosafety and biosecurity systems.

3. Reduce the number and magnitude of infectious disease outbreaks.

Detect

Threats Early

4. Launch, strengthen and link global networks for real-time biosurveillance.

5. Strengthen the global norm of rapid, transparent reporting and sample sharing

in the event of health emergencies of international concern.

6. Develop and deploy novel diagnostics and strengthen laboratory systems.

7. Train and deploy an effective biosurveillance workforce.

Respond

Rapidly and Effectively

8. Develop an interconnected global network of Emergency Operations Centers

and multi-sectoral response to biological incidents.

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Overlap Between GHSA and IHR

• Legislation, Policy &

Financing

• Risk communication

• Coordination and NFP

Communication

• Points of Entry

• Food Safety

• Chemical Events

• Radiological

Emergencies

• Prevent AMR

• Vaccination

Programs

• Nosocomial infection

control

• Regional bio

surveillance hubs

• Sample sharing

• Novel diagnostics

• Sharing medical

countermeasures

• Zoonotic diseases

• Human Resources

GHSA

IHR

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Pencapaian Indonesia

1.Ketua Troika tahun 2016

2.Lead Country untuk Zoonosis Action

Package

3.Mendukung Pelaksanaan Joint External

Evaluation (JEE)

4.Mengupayahan Agenda Ketahanan

Kesehatan di semua fora

5.Menguatkan Koordinasi Antar Action

Package

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Pernyataan Bersama

Presiden RI dan Presiden AS



Kedua presiden memahami

pentingnya memperluas

kerjasama di bidang kesehatan

dan membangun kapasitas guna

mencegah, mendeteksi dan

menindaklanjuti tantangan

kesehatan global, termasuk

ancaman epidemi.



Melihat peningkatan kerjasama di bidang ini, kedua negara memiliki komitmen

untuk membuat perjanjian pada bidang kesehatan yang akan mampu memberikan

landasan dan arah di masa mendatang.

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GHS

KEMENKO

POLHUKAM

KEMENRIS

DIKTI

KEMLU

BNPB

KEMHAN

KEMTAN

KEMENKO

PMK

K/L

KEMKES

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Indonesia Future Commitments

1.Tetap sebagai Anggota Troika

dalam GHSA

2.Melaksanakan Penilaian JEE

pada 20-24 November 2017

3.Host 5

th

GHSA Ministerial

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1. Pendahuluan..

1 A. Latar Belakang

• SK Menkes No: HK.02.02/MENKES/273/2016 Tentang

Kelompok Kerja Ketahanan Kesehatan Global di Lingkungan

Kemenkes, maka terdapat 19 technical areas / bidang

• Pertimbangan:

–

Indonesia sebagai anggota PBB telah menyepakati untuk

melaksanakan IHR 2005.

–

Untuk bisa melaksanakan IHR harus memiliki kemampuan

dalam pencegahan, deteksi dini, dan respon cepat

terhadap munculnya penyakit atau kejadian kegawat

daruratan kesehatan yang meresahkan dunia (PHEIC).

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1. Pendahuluan..

2 B

.

Tujuan JEE

• Untuk melakukan penilaian kemampuan suatu

negara

untuk

mencegah,

mendeteksi,

dan

melakukan

respon

secara

cepat

secara

independen

terhadap

ancaman

kedaruratan

kesehatan masyarakat yang meresahkan dunia

(

Public

Health

Emergency

of

International

Concern

) yang dapat berupa kejadian penyakit

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JEE

Technical Area

PREVENT

1. National Legislation,

Policy and Financing

(Kapus ADK).

2. IHR Coordination,

Communication and

Advocacy

(Dir. SKK)

3. Anti-microbial

Resistance (AMR)

(Dir. Yanfar/Dir BUKR)

4. Zoonotic Disease

(Dir. P2PTVZ)

5. Food Safety

(Dr. Kesling/Dir SKK)

6. Biosafety and

Biosecurity

(Kapus. BDTK)

7. Immunization

(Dir. SKK)

DETECT

1. National Laboratory System

(Dir. Fasyankes/Dir SKK)

2. Real Time Surveillance

(Dir. P2MPL/Dir SKK)

3. Reporting

(Kapusdatin)

4. Workforce Development

(Kapus PSDMK/Dir SKK)

RESPOND

1. Preparedness

(Dir P2ML/Dir. SKK)

2. Emergency Operation Centres

(Ka PPKK/Dir SKK)

3. Linking PH and Security

Authorities

(Karo Hukor/Dir SKK)

4. Medical Countermeasures and

Personnel Deployment

(Dir. BUKR)

5. Risk Communication

(Karokoyanmas)

Other IHR related HAZARDs and

PoEs

1. Point of Entries (PoEs)

(Dirjen P2P/Dir SKK)

2. Chemical Events

(Dir. Kesling/KesjaOR)

3. Radiation Emergencies

(Dir. KesjaOR/Kesling)

INTRODUCTION

1.Health System

Kapus ADK

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PREVENT

Capacity Element Indicator Label Score

P.1

National Legislation, Policy, and Financing

Legislation, laws, regulations, administrative requirements, policies or other government instruments in place are sufficient for implementation of IHR.

P.1.1 3

The state can demonstrate that it has adjusted and aligned its domestic legislation, policies and administrative arrangements to enable compliance with the IHR (2005)

P.1.2 3

P.2

IHR Coordination, Communication and Advocacy

P.2.1 A functional mechanism is established for the coordination and integration of relevant sectors in the

implementation of IHR P.2.1 4

P.3

Antimicrobial Resistance (AMR)

Antimicrobial resistance (AMR) detection P.3.1 3

Surveillance of infections caused by AMR pathogens P.3.2 3

Healthcare associated infection (HCAI) prevention and control

programs P.3.3 4

Antimicrobial stewardship activities P.3.4 4

P.4

Zoonotic Disease

Surveillance systems in place for priority zoonotic diseases

/pathogens P.4.1 3

Veterinary or Animal Health Workforce P.4.2 3

Mechanisms for responding to infectious zoonoses and

potential zoonoses are established and functional P.4.3 3 P.5

Food Safety

Mechanisms are established and functioning for detecting and

responding to foodborne disease and food contamination. P.5.1 4 P.6

Biosafety and Biosecurity

Whole-of-government biosafety and biosecurity system is in

place for human, animal, and agriculture facilities P.6.1 3 Biosafety and biosecurity training and practices P.6.2 3

P.7

Immunization

Vaccine coverage (measles) as part of national program P.7.1 4

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DETECT

Capacity Element

Indicator

Label

Score

D.1 National Laboratory

System

Laboratory testing for detection of priority diseases

D.1.1

4 Specimen referral and transport system

D.1.2

5 Effective modern point of care and laboratory based

diagnostics

D.1.3

4 Laboratory Quality System

D.1.4

3

D.2 Real Time Surveillance

Indicator and event based surveillance systems

D.2.1

4 Interoperable, interconnected, electronic real-time

reporting system

D.2.2

3 Analysis of surveillance data

D.2.3

4 Syndromic surveillance systems

D.2.4

4

D.3 Reporting

System for efficient reporting to WHO, FAO and OIE

D.3.1

3 Reporting network and protocols in country

D.3.2

4

D.4 Workforce

development

Human resources are available to implement IHR core

capacity requirements

D.4.1

4 Applied epidemiology training program in place such as

FETP

D.4.2

4

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RESPOND

Capacity Element

Indicator

Label

Score

R.1 Preparedness

Multi-hazard national public health emergency

preparedness and response plan is developed and

implemented

R.1.1

4 Priority public health risks and resources are mapped and

utilized

R.1.2

4

R.2 Emergency Response

Operations

Capacity to Activate Emergency Operations

R.2.1

3 Emergency Operations Centre Operating Procedures and

Plans

R.2.2

2 Emergency Operations Program

R.2.3

3 Case management procedures are implemented for IHR

relevant hazards

R.2.4

4

R.3 Linking Public Health

and Security Authorities

Public Health and Security Authorities, (e.g. Law

Enforcement, Border Control, Customs) are linked during a

suspect or confirmed biological event

R.3.1

4

R.4 Medical

countermeasures and

Personnel Deployment

System is in place for sending and receiving medical

countermeasures during a public health emergency

R.4.1

5 System is in place for sending and receiving health

personnel during a public health emergency

R.4.2

5

R.5 Risk Communication

Risk Communication Systems (plans, mechanisms, etc.)

R.5.1

4 Internal and Partner Communication and Coordination

R.5.2

4 Public Communication

R.5.3

4 Communication Engagement with Affected Communities

R.5.4

4

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RESPOND

(Other IHR-related Hazards and PoE)

Capacity Element

Indicator

Label

Score

PoE

Points of Entry

Routine capacities are established at PoE.

PoE.1

4 Effective Public Health Response at Points of Entry

PoE.2

4 CE

Chemical Events

Mechanisms are established and functioning for detecting

and responding to chemical events or emergencies.

CE.1

3 Enabling environment is in place for management of

chemical Events

CE.2

3 RE

Radiation Emergencies

Mechanisms are established and functioning for detecting

and responding to radiological and nuclear emergencies.

RE.1

3 Enabling environment is in place for management of

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NAME

FROM

AREA TO ASSESS

C0-LEAD

DONE MISSION

BEFORE

Dr Karen Sliter

APHIS,

(US) Govt.

Team Lead



Linking PH & Security



Rajesh

yes

Dr Henk Ormel

FAO

(Netherlands)

Team Co-Lead



Food safety



Zhanat

yes

Dr Bardan J Rana

WHO, SEARO

(Nepal)



Immunization



Bibek

yes

Dr Thomas

Tolfvenstam

PH Sweden

(Sweden)



Laboratory System



Biosafety & Biosecurity



OIE



John

yes

Dr John Ridderhof

CDC

(US)



AMR



Emergency Response



Henk



Legislation



Karen

yes

Zhanat Carr

WHO, HQ

(Kazakhstan)



Radiation Emergencies



Chemical Events



John



Daren

yes

Daftar Tim Assessor

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NAME

FROM

AREA TO ASSESS

C0-LEAD

DONE MISSION

BEFORE

Dr Christophe

Bayer

(Germany)



Med

Countermeasure



Workforce

Develop



Michael



Maria

yes

Michael Adjabeng

(Ghana)



PoE



Rajesh

Yes

Dr Daren Hunt

(New Zealand)



Preparedness



Risk Com



Michael



Christophe

yes

Dr Bibek Lal

Sr. PH Admin

EDCD, (Nepal)



Coordination



Bardan

no

Ana Isabel Batalha OIE

( - )



Zoonotic

Diseases



Henk

yes

Maria Consorcia

Quizon

SEAFTYNET

(Philippines)



Real Time

Surveillance



Reporting



OIE



Thomas

no

Mark Nunn

(UK)



Report writing

Yes

Daftar Tim Assessor

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Thank You

Contact

Website :

ghsagenda.org

Email GHSA Secretariat :

ghsa.indonesia@gmail.com