MINISTRY OF HEALTH REPUBLIC OF INDONESIA
COUNTRY REPORT PRESENTATION INDONESIA ASEAN Disaster Medicine Workshop in Thailand “Strengthen Collaboration for Disaster Medicine in ASEAN”
Phuket, April 23-25, 2014
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Megadisaster in Indonesia Indonesia located on moving tectonic plates and ring of fire of 126 active volcanoes with an average of 5 earthquakes daily of more than 5 Richter Scale
1 ASEAN Disaster Medicine Workshop in Phuket Thailand
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3 April 23-25, 2014
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Health status • • • • •
HDI : 0,629 (moderate) Stunted under five : 17,9% IMR: 32/1.000 live birth (2012) MMR: 228/100.000 live birth (2007) Life expectancy at birth : 72 (2012)
Location: South East Asia. Land area : 1.922.570 km2 Area water : 3.257.483 km2 34 Provinces, 497 districts Population in 2012 is around 237.000.000 people
Ethnic Groups & Languages: Western & Central: Austronesian, Eastern Indonesia: Melanesian. About 300 distinct native ethnicities, 742 different languages and dialects Moslem 87%, Protestant 6%, Roman Catholic 3%, Hindu 2%, Buddhist 1%, Other 1%
ASEAN Disaster Medicine Workshop in Phuket Thailand
April 23-25, 2014
HEALTH CRISIS in 2013
4 118 120 100 80 60
55
52
47
40 40
20
32
29
25 10
8
6
5
2
2
2
2
0
ASEAN Disaster Medicine Workshop in Phuket Thailand
April 23-25, 2014
FIVE TYPE of DISASTER in INDONESIA 2009 - 2013
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No.
2009
Year 2011
2010
2012
2013
1
Flood
Flood
Flood
Fire
Flood
2
Landslide
Landslide
Landslide
Transportation Accident
Transportation Accident
3
Cyclone Tropic
Cyclone Tropic
Cyclone Tropic
Flood
Food Poison
4
Flash Flood
Flash Flood
Flash Flood
Conflict
Landslide
5
Earthquake
Conflict
Conflict
Cyclone Tropic
Cyclone Tropic
ASEAN Disaster Medicine Workshop in Phuket Thailand
April 23-25, 2014
ORGANIZATION 6
NBDM/ 8 Cluster CHCM-MoH/ WHO CC Cross Program/ Sector
INTERNATIONAL AHA CENTER
REGIONAL
PROV. DISTRICT
Community
GUIDELINE, SOP
Vision ASEAN Disaster Medicine Workshop in Phuket Thailand
Policy
Strategy April 23-25, 2014
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UN Coordination, Health Cluster Medical service
sub co. BUK-MoH, member : WHO
Disease control and environmental health
sub co. P2PL-MoH, member : WHO, Oxfam, Unicef
Clean water and sanitation
sub co. P2PL-MoH, member : WHO, Oxfam, Unicef
Nutrition Service
sub co. GKIA-MoH, member : WHO, Unicef, WFP
Emergency management and medical equipment
sub co. Binfar-MoH, member : WHO
Reproductive health during emergency
sub co. GKIA-MoH, member : WHO, UNFPA
Mental Health treatment
sub co. BUK-MoH, member : WHO, Unicef, Oxfam
Management of dead body
sub co. Police, member : WHO,
ASEAN Disaster Medicine Workshop in Phuket Thailand
April 23-25, 2014
CENTER FOR HEALTH CRISIS MANAGEMENT THE REGIONALS 8
Regional Crisis Center of Sumatera Utara (NAD, SUMUT, RIAU, KEPRI, SUMBAR) Regional Crisis Center of Sumatera Selatan (SUMSEL, JAMBI, BENGKULU, BABEL)
Regional Crisis Center of DKI Jakarta (JAKARTA, LAMPUNG, BANTEN, JABAR, KALBAR)
Regional Crisis Center of Jawa Tengah (JATENG, YOGYAKARTA) PPK Regional Jawa Timur (JAWA TIMUR)
ASEAN Disaster Medicine Workshop in Phuket Thailand
Regional Crisis Center of Bali (BALI, NTB, NTT)
Regional Crisis Center of Kalimantan Selatan (KALSEL, KALTENG, KALTIM)
Regional Crisis Center of Sulawesi Utara (SULUT, GORONTALO, MALUT) Regional Crisis Center of Sulawesi Selatan (SULSEL, SULTENG, SULTRA, SULBAR, MALUKU, PAPUA BARAT, PAPUA) April 23-25, 2014
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Role of Regional Crisis Center
Emergency Operational Units (Well Trained HR)
Hospitals
Universities
Public Health
Facilities
ASEAN Disaster Medicine Workshop in Phuket Thailand
specialist doctor, nurses, pharmacists, surveillance officer, sanitarian etc
Emergency Supplies/ Medicine & Logistics/Support Equip. Depot
Mobile Clinic Response, Ambulance Paramedic, Rubber Boat+Its Engine, Field Hospital+ 50 beds, Water Purifier, etc
Training Centers
Disaster Management, Contingency Plan, RHA, Communication Skills, ITC-DRR, etc
April 23-25, 2014
FIELD HOSPITAL 10
EMERGENCY ROOM
TREATMENT ROOM
ASEAN Disaster Medicine Workshop in Phuket Thailand
OPERATION ROOM
ICU
April 23-25, 2014
INTEGRATED HEALTH EMERGENCY & DISASTER SYSTEM 11
Human Resources Layman
Crew Ambulance
Doctor Nurse
Spesialist
Prevention COMMUNICATION/119
Quick Response TRANSPORTATION Community Preparedness
Patient
Ambulance
PHC
HospitalC
Hospital B/A
Intra Hosp Pra HOSP Public Safety Center (AGDT 118/119, 110/112,113) ASEAN Disaster Medicine Workshop in Phuket Thailand
RS
Intra Hosp
Inter ER Hosp 119
April 23-25, 2014
PROMOTIF & PREVENTIF
CURATIF
REHABILITATIF
PENGUATAN PERAN
NATIONAL PROVINCES 34
DISTRICTS INTERVENSI INOVASI
POLICY/REGULATION/GUIDENCE FACILITATION, COORDINATION, COLLABORATING MOBILIZATION, NETWORKING (NAT., INTERNAT’L) CAPACITY BUILDING, TOT, GLADI/SIMULATION MAPPING, RESEARCH & DEVELOP.
REFERRAL SYSTEM: NATIONAL & INT’L with SPECIFICATION
POLICY/REGULATION/GUIDENCE FACILITATION, COORDINATION, MOBILIZATION NETWORKING (PROVINCE, REGIONAL) TRAINING, TOT, MAPPING
REFERRAL SYSTEM in PROV.
POLICY/REGULATION/GUIDENCE COORDINATION, COLLABORAT, IMPLEMENTATION NETWORKING (DISTRICT, SUBDISTRICT) TRAINING
GUIDELINE
HUMAN RESOURCES
MODEL IMPLEMENTATION
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REFERRAL SYSTEM on DISTRICT LEVEL
G
A
B
MODEL Collaborating Program (ABG for CE)
(SAFE COMMUNITY)
COMMUNITY EMPOWERMENT
COMPREHENSIF PRA HOSPITAL ASEAN Disaster Medicine Workshop in Phuket Thailand
HOSPITAL April 23-25, 2014
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Experience Iran, Baam earthquake China, Earthquake in Sichuan Province (2008). Team member : 20 (surgeon, anesthesia, orthopedic, physician, paramedic) Myanmar, Cyclone Nargis (2008). Team member : 28 (surgeon, anesthesia, orthopedic, physician, apoteker, surveillance, sanitation, paramedic) + field hospital
Pakistan, DHF Outbreak (2011)
Matrix “Pilot Project & ABG for CE”
14 CHCM REGIONAL/ SUBREGIONAL
DISTRICT
VILLAGE
HOSPITAL
UNIVERSITY
PRIVATE SECTOR
North Sumatera
Sibolga
Belum ditetapkan RSUD Sibolga
Universitas Sumatera Utara
PTPN II dan III
South Sumaetra
Kota Palembang
Belum ditetapkan RSU Palembang Bari
Universitas Sriwijaya
Pertamina dan Pusri
DKI Jakarta
Garut
Belum ditetapkan RSU Dr Slamet
Universitas Indonesia
Telkomsel
Central Java
Magelang
Belum ditetapkan RSU Muntilan
Universitas Diponegoro
Belum ditetapkan
East Java
Bojonegoro
Belum ditetapkan RSU Dr. Djatikoesoemo
Universitas Airlangga
Belum ditetapkan
Bali South Sulawesi
Bangli Bone
Belum ditetapkan RSUD Bangli Ds. Kampoti RSU Tenriawaru
Universitas Udayana Universitas Hasanuddin
Telkomsel Bosowa
North Sulawesi
Minahasa
Belum ditetapkan RSUD Noongan
Universitas Sam Ratulangi
Belum ditetapkan
South Kalimantan
Tanah laut
Belum ditetapkan RSU H. Boejasin Pelaihari
Hasnur Grup
Papua
Biak
Belum ditetapkan RSUD Biak
Universitas Lambung Mangkurat Universitas Cenderawasih
West Sumatera
Kab. Agam
Ds. Candung
Universitas Andalas
ASEAN Disaster Medicine Workshop in Phuket Thailand
RSU Lubuk Basung
Pertamina dan Bank Papua Semen Padang April 23-25, 2014
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MOVING FORWARD FMT HYOGO IHR GLOBAL
INCREASE CAPACITY
INCREASE COORDINATION & COLLABORATION
GOAL COMMUNICATION & INFORMATION
SAFE COMMUNITY
WHO CC
ASEAN Disaster Medicine Workshop in Phuket Thailand
April 23-25, 2014
CENTER FOR HEALTH CRISIS MANAGEMENT Ministry of Health of Republic of Indonesia
THANK YOU
Phone. 021-5265043, 5210411, 5210420, 5210394 Fax. 021-5271111, 5210395 Call Center : 081212123119/02150141119 SMS Gateway : 081210000170 Radio Freq collaboration with RAPI Frequency HF : 11.415 MHZ Frequency 2m FHV : 143.333 MHZ Frequency ITKP : 143.000 MHZ E-mail :
[email protected] Website : www.penanggulangankrisis.depkes.go.id
