The Sketch of Indonesia Medicine

8/18/2019 The Sketch of Indonesia Medicine

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The Sketch of The Sketch of

IndonesiaIndonesia

MedicineMedicine Sugma AP,MD,MARSSugma AP,MD,[email protected]@gmail.com


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Indonesia Characteristic

Located on the meetpoint of earth’s crust

Contain of thousand islan that separated by the s

Supermarket of disasters

ere are so many volcanoesMany Forests

imate change extremely

Access

Adeuate Transportati

!arthuakeLandslide

Tsunami


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Indonesia Characteristic

The "th rank of the most popcountry in the #orld

The inhabitant doesn’t spread ev

arious of socio%economical status

vs

Contain of many ethnics& religions& cultures


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Indonesia Health Condition

The Shift of the pattern of disease from infectious tdegenerative disease:

– Acute respiratory syndrome.

– Tuberculoses of lungs (the rd ran! in the "orld#. – S!in disease.

– $iarrhea.

– $iabetes mellitus. – Hypertension.


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The ma%or cause of death:

– &ascular disturbance (heart disease or stro!e#

– Tuberculoses

– 'espiratory infectious disease (pneumonia#

etc.



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The )aternal mortality rate is *+ per

,*****-b (#

The Infant mortality rate is /0 per ,***-b (# The 1nder five mortality rate is 2/ per ,***-b


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The Crude death rate +./ per ,***p (#

The increase of life age e3pectancy 22.4ys (5#

The malnutrition prevalence of under fivechildren is 40.67 (5#



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The Incidence rate of )alaria is still highespecially at the provinces outside of 8ava and9ali (the east of Indonesia#44. per ,***p

The cure rate of lung T9 "ith 9TA +*.47"ith ne" case finding +24*p.


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The HI& prevalence estimates ;0*****p AI$S"as reported as 04, cases in 4**0 (5#

The Incidence rate of $H< is about 24 per,*****p (5# (4**+#



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National Health System

Ministry of Health

Health ocial at !ro"ince le"el

Health ocial at district le"el

#unctional unit

Secondary $ Tertiary Healthcare

Primary HealthcareSubdistrict level

'istrict level


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The strategies are:The strategies are: Empowering the citizens to live in aEmpowering the citizens to live in a

healthy way and to give contributionhealthy way and to give contribution

for their health improvement.for their health improvement. Increasing the people access to theIncreasing the people access to the

high quality health provider.high quality health provider.

Upgrading the surveillance, monitoringUpgrading the surveillance, monitoringand health information system.and health information system. Increasing the health epense.Increasing the health epense.

National Health SystemNational Health System


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%Inha&itant

%Health &eha"ior%'n"ironment%Resources%!olicy

%Strategy

%Missions%(ealth programs%(ealth provider #ithuality improvementand good management

(ealthy)ndonesi

*+,-

National Health SystemNational Health System


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Health Resources

• Health worker

– General Physician 8 : 1!"

– #entist $ : 1!"

– S"ecialist % : 1!"


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– Nurse &' : 1!"

– Pharmacist % : 1!"

– (idwi)e $* : 1!" – Pu+lic health 1 : 1!"

– Sanitarian 1 : 1!"

– Nutritionist % : 1!"


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Health ,ducational InstitutionHealth ,ducational Institution

We have the Faculty of Medicine in state and privateWe have the Faculty of Medicine in state and privateuniversity.university.

The state Faculties of Medicine are mostly located at theThe state Faculties of Medicine are mostly located at thecapitals of province.capitals of province.

The private are usually located nearby the state ones.The private are usually located nearby the state ones. There are 45 state faculties of medicineThere are 45 state faculties of medicine that producedthat produced

about 5,000 doctors per year and specialist 1,700 per year.about 5,000 doctors per year and specialist 1,700 per year.


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We have ! "ealth polytechnics andWe have ! "ealth polytechnics and

5#$ health academy %state and5#$ health academy %state and

private& that produced about !,000private& that produced about !,000

nurses per year.nurses per year. They're mostly located at bi( cities.They're mostly located at bi( cities.


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esearch on Medicine

esearch on Medicine

In $&! -sia "aci)ic hadIn $&! -sia "aci)ic had

contri+uted to $./ o) totalcontri+uted to $./ o) total

scienti)ic "a"ers )rom all o0erscienti)ic "a"ers )rom all o0er

the world 234the world 234

In -S,-N! Indonesia is at theIn -S,-N! Indonesia is at the

&&thth "osition and has contri+uted"osition and has contri+uted

.581 "a"ers It is under.581 "a"ers It is underSin6a"ore "ositionSin6a"ore "osition

7a"an is on the to" "osition7a"an is on the to" "osition


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In $&! .$$ scienti)ic "a"ers o) IndonesianIn $&! .$$ scienti)ic "a"ers o) IndonesianResearcher had +een "u+lishedResearcher had +een "u+lished

,s"ecially in (edicine! it contri+uted . "a"ers to,s"ecially in (edicine! it contri+uted . "a"ers to

National 7ournal and less than . to InternationalNational 7ournal and less than . to International7ournal7ournal

Research on medical science e"ense is 9ust ./Research on medical science e"ense is 9ust ./)rom total Research and #e0elo"ment 2Go0ernment4)rom total Research and #e0elo"ment 2Go0ernment4

e"ensee"ense

esearch on Medicine

esearch on Medicine


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Health Ser"icesHealth Ser"ices

(ased on the kinds of ser"ice)(ased on the kinds of ser"ice)

* Primary healthcare.Primary healthcare.

* Secondary healthcare.Secondary healthcare.

* Tertiary healthcare. Tertiary healthcare.

(ased on the o+ner(ased on the o+ner status)status)

* State !ro"ider.State !ro"ider.

* Pri"ate !ro"ider.Pri"ate !ro"ider.


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.rimary (ealthcare.rimary (ealthcare

/asic Seven .rogram%(ealth .romotion%Mother 0 Child (ealt%Contraception

%Communicabledisease controlling

%!nvironmentalhealth%1utrition%Treatment center

2curative3

Community (ealth Center


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.rimary (ealthcare.rimary (ealthcare

!xtended .rogram

%Methadone%(armreduction%4eriatric(ealthcare%$CT

%!tc5

Community (ealth Center


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PH ProgramPH Program

-e ha"e ,/01 ommunity Health enters-e ha"e ,/01 ommunity Health enters2Puskesmas3 +ith ratio /.45 !er 600,000! 26 H2Puskesmas3 +ith ratio /.45 !er 600,000! 26 Hfor 71,000!3.for 71,000!3.

(asic se"en !rogram is a health !rogram that is(asic se"en !rogram is a health !rogram that is

!ro"ided &y PH.!ro"ided &y PH. The !rogram is arranged &ased on community The !rogram is arranged &ased on community

health needs and it8s con"inced to &e a&le tohealth needs and it8s con"inced to &e a&le toele"ate the health status of Indonesian !eo!le.ele"ate the health status of Indonesian !eo!le.


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PH ProgramPH Program

'9tended !rogram is a !rogram that'9tended !rogram is a !rogram that

is arranged &ased on local healthis arranged &ased on local health

needs. #or e9am!le) In :akarta, theneeds. #or e9am!le) In :akarta, the

H has de"elo!ed ;T clinic forH has de"elo!ed ;T clinic forHI;


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Health PromotionHealth Promotion

'issemina tion o

f in forma tion fo

r s tu

Lea6ets and brochures

C ommunit y elucidat ion


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Community elucidation


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S!eci=c ProtectionS!eci=c Protection

7nder 8ve childrenimmuni9ation

%/C4%.olio%'.T%(epatitis /%Measles


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Pre"enti"e and urati"ePre"enti"e and urati"e

s Toxin for .regnancy #oman

Treatment

Laboratory


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ommunica&le Diseaseommunica&le Disease

ontrollingontrolling

/M> Action, e!idemiological in"estigation/M> Action, e!idemiological in"estigation

and fogging focus for DH# "ectorand fogging focus for DH# "ector

eradication.eradication.


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!mpo#ering local inhabitants for

participating health activities of .(C

Mother 0 Child (ealthcar

Posyandu 2Integrated ser"icePosyandu 2Integrated ser"ice

center3center3

immun i 9a t ion

:eigh t moni toring

7nder 8ve children;

1ut r it ion impr ov ement

)mplant contracept


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Mo&ile HMo&ile H

Car

/oat


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Mo&ile HMo&ile H

(ealth #orkers come to local resi to provide the health service


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Health Ser0ices

Secondary 0 Tertiary (ealthcare

It focuses on curative and rehabilitative

health services.

The preventive service is provided by theform of medical check up.

Hospital is the form of secondary and

tertiary healthcare.

In secondary level, the hospital has atleast 4 major of specializations (internist,

surgery, pediatric, obstetric.


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Hospital


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In tertiary level, besides the conditionat secondary level, the hospital shouldbe supported by sub!specializatione"perts.

There are three classes of the hospitalin Indonesia at general (#, $, %.

&e have ',') hospitals (state and

private *hich is used by people as+.-- for inpatient and +.4' foroutpatient.

Secondary 0 Tertiary (ealthcare


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International Hospital


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#acilities#acilities

% "%'imension 7S4%


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Ser"icesSer"ices


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Su!!ortSu!!ort


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S"ecialied Hos"ital

• Heart Center Hos"ital

• Sur6ery Hos"ital

• ;oman and Children Hos"ital

CryosurgeryCephal%cephalopagus separation surgery

Facelift surgery


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• ,ye Center Hos"ital

• (ental Health Hos"ital

• #ental Care Hos"ital

S"ecialied Hos"ital

sic technology


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% ?uclear medicine is used for diagnostic,thera!eutic, and research !ur!ose.

% This =eld de"elo!s fast and uses formany !ur!oses in community.

% ?o+adays, almost all of &ig cities in :a"a

island ha"e at least one hos!italeui!!ed &y nuclear medicine unit.

1uclear Medicine


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The Sketch of Indonesia Medicine

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