PERAN PEMUDA pada PENANGGULANGAN KRISIS KESEHATAN saat BENCANA FK USU Medan, 4 Mei 2014
KEBIJAKAN PENANGGULANGAN KRISIS 2 Lebih menitikberatkan kepada upaya sebelum terjadi krisis kesehatan dengan tetap melaksanakan upaya saat dan pasca krisis kesehatan Pemerataan kemampuan sumber daya penanggulangan krisis kesehatan Peningkatan keterpaduan melalui jejaring lintas program, lintas sektor dan masyarakat Peningkatan peran regional dalam penanggulangan krisis kesehatan Penyediaan informasi krisis kesehatan yang cepat, tepat dan akurat SDM Kes Pusat Reg/SubR 80% Keberhasilan Program Tergantung SDM ?
PEDOMAN, SPGDT ? 119? Budaya Lokal SITUASI SAAT INI BNPB PPKK KEMKES- WHO CC LINPROG-LINSEK REGIONAL Provinsi & Kab./Kota Masyarakat Let us start with the third part of my keynote speech that is on the Changes in Strategy and Policy on Disaster Health Management. Following Aceh tsunami 2004, in 2007 the Indonesian National Agency for Disaster Management was established to replace the National Disaster Management Coordinating Board, after the promulgation of Law number 24 of 2007 on Disaster Management. The agency’s responsibility is to coordinate cross sectoral, provincial to district levels actions in the management prior, during and after disasters. By having this agency, the disaster management efforts are expected to become better planned and coordinated and more cohesive. The agency is also expected to encourage community to become more resilience. PEDOMAN, SPGDT ? 119? Budaya Lokal Visi Kebijakan Strategi
TARGET RENSTRA PPKK 2010-2014 Sasaran Indikator Kinerja Target (Kumulatif) Strategis 2010 2011 2012 2013 2014 Meningkatnya penanggulangan krisis kesehatan secara cepat Jumlah kab/kota yang mempunyai kemampuan tanggap darurat dalam penanganan bencana 105 150 200 250 300
ANALISA SITUASI BENCANA ALAM BENCANA NON ALAM BENCANA SOSIAL 5 BENCANA ALAM BENCANA NON ALAM BENCANA SOSIAL Gempa bumi, tsunami, gunung meletus, banjir, kekeringan, angin topan, tanah longsor dll Gagal teknologi, kebakaran, epidemi dll Konflik, Teror, Bom, dll Jenis2 bencana dan contohnya bdasarkan UU 24 serta pengertiannya/definisinya KEGAWATDARURATAN SEHARI-HARI Kecelakaan Lalin, laut, udara Tawuran, Demo Kegawatdaruratan kesehatan, dll Sumber: Antara
DAMPAK PERMASALAHAN KESEHATAN 6 Korban luka Korban meninggal Faskes rusak Pengungsi In the health sector in Indonesia, we are facing many challenges such as: managing dead bodies, treating injured person, rebuilding damaged houses and infrastructures as well as providing shelter for the Internally displaced persons. These things really need serious attention in terms of coordination management. Obat dan bahan habis pakai, Alat kesehatan Alat transportasi (Ambulans, Mobil klinik, perahu karet, motor URC, kendaraan ops.) Alat komunikasi dan informasi Tenda/RS lapangan dan SDM Kes trampil (Manajemen Bencana, ATLS, dll) Alat dan bahan sanitasi (water purifier, PAC, insektisida, dll) Sarana penunjang lain (gen set, rompi+atribut, kantong jenazah dll) 6
HEALTH CRISIS in 2013 7
FIVE TYPE of DISASTER in INDONESIA 2009 - 2013 8 No. Year 2009 2010 2011 2012 2013 1 Flood Fire 2 Landslide Transportation Accident 3 Cyclone Tropic Food Poison 4 Flash Flood Conflict 5 Earthquake
Role of Regional Crisis Center 9 Hospitals Public Health Facilities Universities Emergency Operational Units (Well Trained HR) 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
INTEGRATED HEALTH EMERGENCY & DISASTER SYSTEM 10 Human Resources Layman Crew Ambulance Doctor Nurse Spesialist Prevention COMMUNICATION/119 Quick Response TRANSPORTATION Community Preparedness PHC Patient Ambulance HospitalC Hospital B/A Intra Hosp Intra Hosp RS Pra HOSP Public Safety Center (AGDT 118/119, 110/112,113) Inter ER Hosp 119
Collaborating Program (ABG for CE) PROMOTIF & PREVENTIF CURATIF REHABILITATIF PENGUATAN PERAN 11 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 NATIONAL PROVINCES 34 POLICY/REGULATION/GUIDENCE FACILITATION, COORDINATION, MOBILIZATION NETWORKING (PROVINCE, REGIONAL) TRAINING, TOT, MAPPING REFERRAL SYSTEM in PROV. REFERRAL SYSTEM on DISTRICT LEVEL POLICY/REGULATION/GUIDENCE COORDINATION, COLLABORAT, IMPLEMENTATION NETWORKING (DISTRICT, SUBDISTRICT) TRAINING DISTRICTS MODEL IMPLEMENTATION HUMAN RESOURCES INTERVENSI INOVASI G A GUIDELINE B MODEL Collaborating Program (ABG for CE) COMMUNITY EMPOWERMENT (SAFE COMMUNITY) COMPREHENSIF PRA HOSPITAL HOSPITAL
KOORDINASI and KOLABORASI PROMOTIF and PREVENTIF AKADEMISI LSM LINTAS PROGRAM TNI/POLRI LINTAS SEKTOR ORGANISASI PROFESI SARANA PRASARANA PEMBIAYAAN PROGRAM SASARAN SDM MEDIA SWASTA
MODEL IMPLEMENTASI-CONTOH PROVINSI KAB/ KOTA PERMASALAHAN KESEHATAN INSTITUSI PENDIDIKAN KESEHATAN UPAYA YANG DILAKUKAN KETERANGAN JABAR Kab. Garut Jumlah orang miskin (2011, BPS): 330.900 orang/13,47% 2 SMK Kes. 1 STIKES 1 AkBid 2 AkPer Melakukan Penilaian Cepat Kesehatan Membagi KK Binaan/Kel Miskin Melakukan Promotif dan Preventif untuk merubah perilaku sesuai tools dan jadwal Pengumpulan data dasar, evaluasi Mendukung program pem. Melatih ketrampilan siswa menyuluh Mempunyai data untuk bahan kajian.
TERIMA KASIH CENTER FOR HEALTH CRISIS MANAGEMENT Ministry of Health of Republic of Indonesia 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 : ppkdepkes@yahoo.com Website : www.penanggulangankrisis.depkes.go.id TERIMA KASIH Ladies and Gentlemen, I hope that our experience in disaster management can give you better perspectives about how to deal with emergencies and disasters in our region. I also hope that you enjoy my keynote speech. Let me conclude my keynote speech by calling the audience and all governments in Asia and the Pacific to work together and strengthen their cooperation in emergency and disaster medicine - in order to prevent casualties and human sufferings caused by disasters in our region. Finally, by asking the grace of God The Almighty hereby I declare The 11th Asia Pacific Conference on Emergency and Disaster Medicine. Thank you.