SUSTAINABLE DEVELOPMENT GOALS
PUBLIC HEALTH SEMINAR
[email protected]
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 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
A Complex Relationship
ECOSYSTEM FOR LIVING
ECOSYSTEM FOR LIVING
ECOSYSTEM FOR LIVING Berantas Kemiskinan Menuju Sejahtera
Infrastruktur bagi kesejahteraan Sehat-Sejahtera Human Modal social yg efektif Rasa aman Well-being Demokrasi berbangsa
Faktor Pendorong Tdk-Langsung Faktor demografi Ekonomi global-regional-nasional yang sehat Indirect Tata kelola pemerintahan yg efektif Drivers Pengembangan IPTEK Bangsa yang berbudaya & religius
Faktor Pendorong Langsung
Ekosistem Bagi Manusia
Pemanfaatan lahan yang efektif Pengembangan Biodiversitas seimbang TeknologiDirect tepat guna Pembangunan ekosistem (missal irigasi) Drivers Konsumsi sumberdaya yang arif Perubahan iklim Sumberdaya alam yang tersedia
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
AGENDA FOR SUSTAINBLE DEVELOPMENT Focus on Ecology
Natural resources & Ecosystem
Economic Devt
Focus on Economy
Social Welfare And Health
Focus on Social
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)
Efficiency is
Empowered & Transparancies
Glorecalization Healthcare
Profesionalism
Healthy consumerism
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 WHO Regional & Country Offices
WHO Collaborating Centres/Laboratories
Countries/National Disease Control Centres
Epidemiology and Surveillance Networks
Military Laboratory Networks
UN Sister Agencies
GPHIN NGOs Media
Electronic Discussion sites
FORMAL INFORMAL
Global Outbreak Alert and Response Network: Regional Collaboration APEC
Mekong Basin Disease Surveillance (MBDS)
SEAMIC SEANET
GPHIN Pacific Public Health Surveillance Network (PPHSN)
Flu Net
ASEAN EIDIOR + Red Cross, other NGOs
IHR DAN BWC International Health Regulations (IHR) of the World Health Organization
The Biological Weapons Convention (BWC)
Alert & Response Ops
Coordination
• IHR Contact Point
• Monitoring • Reporting • Resource mobilisation • Administration
IHR Bodies & Procedures
• Intelligence
• Verification • Risk assessment •Risk communication
• IHR Focal Points
• Notification
• Roster of experts • Emergency Committee
• Review Committee • National legislation
Project Management
WHO Alert, Preparedness, and Response Operations
National Core Capacity Points of Entry • Ports • Airports
• Ground crossings
• influenza • polio • smallpox •Chemical/Radionuclear
• information
• advocacy
Specific threats
• SARS
IHR Communication • education
• Response
• others
Country Alert & Response • IHR NFP Operations •National ARO • Laboratory training / support
• Epidemiology training / support • National system assessment •Response preparedness -Social mobilization -Case management
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 1
Program Gizi, Kesehatan Ibu & Anak: Keluarga mengikuti KB
2
Ibu bersalin di faskes
3
Bayi mendapat imunisasi dasar lengkap
4
Bayi diberi ASI eksklusif selama 6 bulan
5 B 6
Pertumbuhan balita dipantau tiap bulan Pengendalian Peny. Menular & Tidak Menular: 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
IAKMI ROLES
PH Educational System (AIPTKMI)
Professional Educ CREDENTIALING Licensing Certification
PH Professional Ethics & conduct PH workers Utiliz & Empowerment
PROFESIONALISM
National Board for PH Competency Exams
Universities Accreditation
Health Contexts Dynamics Health Need & Demand (Local & Abroad)
Health Technology
Scope of Works for PH workers
PH workers Dynamics 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
Need to Change,,,,(3) Curative-Adaptive
Mitigation & Prevention
Need to Change,,,,(4) Efficient for least cost services
Appropriateness
Need to Change,,,,(5) Static Services
Mobile to Reach
Need to Change,,,,(6)
“Just numbers”
Need base
Need to Change,,,,(7) “Healthcare” is wait for a visit
Healthcare is communitarian
Need to Change,,,,(9)
Skills is premiere
Trust is the key
HEALTHCARE ASSURANCE
VIRTUAL-NETWORK
MIRACLE
Competencies
QUALITY OF CARE
GLORECALIZATION
HEALTHY LIFE PARADIGM
M I R A C L E
MANAGER= MENGELOLA KEBIJAKAN DAN PROGRAM HIDUP SEHAT INNOVATOR= INOVASI SEBAGAI KUNCI DAN PARADIGMA DALAM YANKES BERMUTU UTK KEL SEHAT RESEARCHER= REAL TIME DATA UNTUK MEMBANGUN KEPUTUSAN2 YANKES APPRENTICER= MENJADI PEMBELAJAR UTK YANG TERBAIK UNTUK DESA MEMBANGUN COMMUNITARIAN= MEMAHAMI DAN MELAYANI SELURUH KEBUTUHAN PEMANGKU KEPENTINGAN UTK HIDUP SEHAT LEADER= MEMIMPIN MENUJU BUDAYA KELUARGA SEHAT MELALUI JEJARING KERJA EFEKTIF EDUCATOR= EDUKASI SEMUA UNTUK MAMPU MANDIRI CAPAI KELUARGA SEHAT
*Elit tenaga kesehatan masyarakat yang mampu menjamin hak kesehatan setiap individu
Curabitur elit sanitati iurum humanorum*
