Documente Academic
Documente Profesional
Documente Cultură
PERAN PROFESI
KESMAS
OPPORTUNITY FOR HEALTHY COMMUNITY MOVEMENT
Adang Bachtiar
Ketua Umum PP IAKMI 2007-2010; 2010-2013- 2013-2016
Adang Bachtiar
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
World Federation of Public Health Assocs (WFPHA) Panel on Oral Health Development, Expert Member
Committee on Hospital Research Ethics Premier Hospital Networks, Expert Panel
Committee on Hospital Research Ethics Premier Hospital Networks, Expert Panel
Komnas Penelitian & Pengkajian Penyakit Infeksi (PINERE) Litbangkes -Kemenkes, Expert Panel
Komnas Penelitian & Pengkajian Penyakit Infeksi (PINERE) Litbangkes -Kemenkes, Expert Panel
National Health Research Committee 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
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
medicine, dentistry, nursing, public health, regional planning, and social sciences
Year 2015 Recipient of APACPH Award for Public Health Achivement in Asia Pacific
Year 2015 Recipient of APACPH Award for Public Health Achivement in Asia Pacific
POIN PENYAJIAN
MEA Sebagai Konteks Pengembangan Profesi
Faktor Kontekstual Pembangunan Kesehatan di Indonesia
Strategi Dibutuhkan Untuk Pembangunan Kesehatan Yang Efektif
Pilar Glorekalisasi
Pilar Healthy Consumerism Pada Era SDG
Pilar Nakes Profesional
Pertumbuhan Perdagangan
Yang Atraktif
Sources: ASEAN Finance and Macroeconomic Surveillance Database and IMF-World Economic Outlook April 2010,
ASEAN Trade Statistics Database as of September 2010
Brunei
Darussalam
Land area
(sq km)
Population
(thousand)
Total Trade
(PPP$)
(US$ million)
5,765
406
26,486
49,411
9,568
Cambodia
181,035
14,958
693
1,801
8,887
Indonesia
1,860,360
231,370
2,364
4,180
213,339
Lao PDR
236,800
6,128
910
2,350
2,962
Malaysia
330,252
28,307
6,822
13,594
280,221
Myanmar
676,577
59,534
419
1,093
10,191
Philippines
300,000
92,227
1,750
3,525
83,869
Singapore
710
4,988
36,631
49,766
515,617
Thailand
513,120
66,903
3,951
8,072
286,267
Viet Nam
331,051
86,025
1,120
3,111
125,922
4,435,670
590,844
2,533
4,840
1,536,843
ASEAN
Source: Doing Business 2012: Doing Business in a More Transparent World, The World Bank, , published on Oct 20, 2011
Country
ranking
Brunei Darussalam
Cambodia
Indonesia
Malaysia
Philippines
Viet Nam
Lao PDR
Singapore
Thailand
Myanmar
2010
2012
48
35
127
120
45
39
35
29
68
51
74
68
168
168
12
17
Dialogue Partners
Australia
Canada
China
India
Japan
Korea
New Zealand
European Union (EEC)
Russia
USA
Other Groupings/Relations
UNDP
Pakistan
South Pacific Forum
Gulf Cooperation Council
Rio Group
SAARC
SADC
EFTA
Mercusor
NAFTA
Source: Thein
Swee.
8th Asia
Economic
Forum
Phnom Penh,
Cambodia.
March 18,
2012.
Thailand
Vietnam
Laos
Malaysia
Philippines
MyanmarSingapore
Cambodia
Indonesia
Kanchanachitra C, Lindelow M, Johnston T, Hanvoravongchai P, Lorenzo FM, Huong NL, Wilopo SA, Rosa JF. Human resources for health in
southeast Asia: shortages, distributional challenges, and international trade in health services. Lancet; 2011
Kanchanachitra C, Lindelow M, Johnston T, Hanvoravongchai P, Lorenzo FM, Huong NL, Wilopo SA, Rosa JF. Human resources
for health in southeast Asia: shortages, distributional challenges, and international trade in health services. Lancet; 2011
bertumbuh
Kegagalan Pola Uni-Eropa dijadikan Benchmark
Industri (termasuk kesehatan) berbasis TI menjadi kunci
Perkiraan 2030: ASEAN menjadi pusat pertumbuhan yang sangat atraktif
Pentingnya Harmonisasi
Kompetensi Profesi
The 12
(20th APEC Economic Leaders Declaration: Annex D Promoting Cross-Border Education Cooperation)
2005
2015
2007
1995
The ASEAN
Framework
Arrangement on
Services (AFAS) of
1995
Establishment of
AQRF Board
Sectoral
implementation
the ANNZFTA
Qualifications
Reference Framework
Forum held in late April
2011
2011
20122013
AQR
F
2014
2018
Referencing
Processes is
concluded
KONTEKSTUAL KESEHATAN(1)
Sistem2 Ekonomi
FOKUS PD
EKONOMI
FOKUS PD
SOSIAL
TRANSISIONAL(1)
DARI:
KEARAH:
konsumtif boros
Yankes
non-comprehension ineffective
berdayakan
4. Mobilitas aman adaptif ekologis
5. Food safety yg efektif dlm healthy
biosphere
6. Healthy consumerism 5-level prevention
TRANSISIONAL(2)
DARI:
KEARAH:
seimbangan Utara-Selatan
KONTEKSTUAL KESEHATAN(2)
Healthy Consumerism (Kartu Indonesia Sakti)
SISTEM RUJUKAN DI RS
Bisnis BPJS
UKP DI PUSKES/DLP
UKM DI PUSKES
FAKTOR KONTEKSTUAL(3)
Globalisasi
Faktor
Risiko
Oil and gas price spike
Retrenchment from globalization
Asset price collapse
SEVERITY IN US$
NCDs
Global Risk
Assessment 2009
World
Economic
Fiscal crisis
(Flu) pandemic
Food crisis
Infectious disease
LIKELIHOOD
GURITA
GURITA
TOBACCO INDUSTRY
TOBACCO INDUSTRY
GLOBAL
GLOBAL
IGNORANCY
IGNORANCY
WEAK
FRONT OF
TC EFFORTS
Melemah
krn intervensi
on-off tbts pendanaan
GLOREKALISASI TI
GLOREKALISASI TI
Efisiensi global
Efisiensi global
Kerjasama regional
Kerjasama regional
Exploit budaya lokal
Exploit budaya lokal
Cryptosporidiosis
Human Monkepox
E.coli O157
BSE
Lyme Borreliosis
E.coli O157
Venezuelan
Equine Encephalitis
E.coli non-O157
Malaria
Typhoid
nvCJD
Dengue
haemhorrhagic fever
Diphtheria
Echinococcosis
Buruli ulcer
Ebola
haemorrhagic
fever
Cholera
E.coli O157
Cholera 0139
RVF/VHF
Onyong-nyong
fever
Human
Monkeypox
Marburg
Cholera
haemorrhagic
fever
Nipah Virus
Reston Virus
Dengue
haemhorrhagic fever
Hendra virus
FAKTOR KONTEKSTUAL(4)
RENSTRA KEMKES KEDEPAN
Penguatan
primary health
care (UKP dan
UKM)
Continum of
care thru life
cycle
Intervensi
berbasis
health risk
SASARAN STRATEGIS/PROGRAM
PROGRAM GENERIK & TEKNIS KEMENTERIAN
ARAH KEBIJAKAN
& STRATEGI
NASIONAL (RPJMN
2015-2019)
Berkeadilan
MISI
KEMENKES
2015-2019
Meningkatnya Kesehatan
(1)
masyarakat
Meningkatnya (2)
Pengendalian Penyakit &
Karantina Kes
(6)
Meningkatnya
Sinergitas Antar K/L
Pusat & Daerah
(3)
(11)
Percepatan
Regulasi
Penyempurnaan Sistem JKN
KERANGKA
PENDANAAN:
Meningkatnya
Koordinasi &
Efektivitas
Litbangkes
(9)
(12)
Meningkatnya Sistem
Informasi Kes. Terintegrasi
KERANGKA
REGULASI:
Peningkatan
Pendanaan Preventif
& Promotif
Peningkatan
Efektivitas
Pembiayaan
Kesehatan
KERANGKA
KELEMBAGAAN:
Peningkatan
Efektivitas Organisasi
4-PILAR
Efisiensi
=
STRATEGI
Klien Berdaya & Transparansi
Glorekalisasi
(MEA; UU Pemda)
Yankes
Nakes yg
Sesuai &
Profesional
(Uji kompetensi;
UU Nakes)
Healthy
Consumerism
GLOREKALISA
SI
PILIHAN STRATEGI
KEDEPAN
Tinggi Strategi Global
Tinggi
Pertimbangan
Pertimbangan
ReduksiBiaya
Biaya
Reduksi
Standarisasi
Economies of scale
Cross-cultural learning
Contoh
PSO manajerial
PSO klinikal
Patient networks
Strategi Internasional
Rendah
Rendah
Strategi TransNasional
Pertukaran
sumberdaya
Economies of scale
Cross-cultural learning
Contoh:
Jar Global Yankes
Ex-Im dan
Lisensi
Kearifan lokal
Franchise, joint
ventures,
subsidiaries
Contoh
Med devices
effectivity
Contoh:
TCAMdalam yankes
Pengendalian risks
Pertimbangan Tingkat
Pertimbangan Tingkat
Responsif Lokal
Responsif Lokal
Tinggi
Tinggi
STRATEGI INTERNASIONALISASI
Pertimbangan Reduksi Biaya
Pertimbangan Reduksi Biaya
Tinggi
Tinggi
Rendah
Rendah
Strategi
Strategi
Internasionalisasi
Internasionalisasi
Ex-Import dan lisensi
Ex-Import dan lisensi
produk
produk
Contoh:
Contoh:
Medical devices
effectivity
Medical
devices
Intervensi Hidup effectivity
Sehat
Intervensi
Hidup
TCAM Sehat
TCAM
GGtotoGG
PPtotoPP
etc
etc
Tinggi
Tinggi
Tinggi
Tinggi
Strategi Global
Standarisasi prosedur
Economies of scale
Cross-cultural learning
Contoh:
PSO manajerial
PSO klinikal
Patient Networks
Global Health Security
Strategi Internasional
Ex-Im dan
Lisensi
Contoh
Hi-tech med
devices
Rendah
Rendah Pertimbangan Tingkat Responsif Lokal
Pertimbangan
Tingkat
Responsif
(Desentralisasi
dekatkan
klien) Lokal
(Desentralisasi dekatkan klien)
Tinggi
Tinggi
Tinggi
Tinggi
Strategi Global
Standarisasi
Economies of scale
Cross-cultural learning
Strategi
Multi Domestik
Strategi Internasional
Rendah
Rendah Pertimbangan Tingkat Responsif Lokal
Pertimbangan
Tingkat
Responsif
(Desentralisasi
dekatkan
klien) Lokal
(Desentralisasi dekatkan klien)
Tinggi
Tinggi
Tinggi
Tinggi
Strategi Global
Standarisasi
Economies of scale
Cross-cultural learning
Strategi
Transnasional
Pertukaran sumberdaya
tmsk knwoledge
Economies of scale
Strategilearning
Multi Domestik
Cross-cultural
Strategi Internasional
Contoh
Diagnostik lanjut
Terapi Kanker Spesifik
Terapi gen
Contoh
Jaringan Global Yankes
Contoh:
Contoh
Hi-tech med devices
TCAMdalam kanker
Lingkungan dan Kanker
Rendah
Rendah Pertimbangan Tingkat Responsif Lokal
Pertimbangan
Tingkat
Responsif
(Desentralisasi
dekatkan
klien) Lokal
Tinggi
Tinggi
Healthy
Consumerism
GERAKAN MASYARAKAT
HIDUP SEHAT
2.SINERGI
& BAGI
PERAN
MASING2
SDG
1.GOAL:
MIRACLE
for SDG
5.
KOMUNIK
ASI &
KERJASA
MA
4.
MENYUS
UN
RENCAN
A AKSI
MUTU PENDIDIKAN
TINGGI
3.
KESAMAAN
KEPENTINGA
N DALAM
Managi
Managi
ng
ng
Educat
ing
Showing
Showing
paths
paths for
for
healthy
healthy
life
life styles
styles
Leadin
g
Inspire
Inspire
and
and
develop
develop
people
people &
&
sectors
sectors
for
for
healthy
healthy
consume
consume
rism
rism
Use
Use
process
process
excellenc
excellenc
e
e to
to
fulffill
fulffill
Health
Health
Needs
Needs &
&
Satisfy
Satisfy
Communi
Communi
ty
ty
SoftskillsSoftskillsSoftskills
Communi
Communi
tarian
tarian
Live
Live with;
with;
for
for benefit
benefit
of
of and
and
establish
establish
self
self reliance
reliance
community
community
Innovat
ing
new PH
ideas and
develop
capabiliti
es to
make
them a
reality
Apprenti
Apprenti
cing
cing
for
for
perfection
perfection
PH
PH values
values
and
and norms
norms
Researc
Researc
hing
hing
for
for
rational
rational
PH
PH
decision
decision ss
&
& new
new
technolgy
technolgy
BLISS Principles of
MIRACLE
Resourcefu
l
Accountabl
e
Client-
Passionate
Curious
Innovator
Researche
Teamwork
Committed
Communitari
an Leader
Open
Energize
d
Educator
Nakes
Profesional
IAKMI ROLES
PH Educational
System
Professional Educ
CREDENTIALING
Licensing Certification
PH Professional
Ethics & conduct
PH workers Utiliz &
Empowerment
PROFESIONALISM
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
Efisiensi
SisKes
VIRTUALISASI
KOMPETENSI
Strategi &
Proses Kesmas
Bangsa
MIRACLE
HARMONISASI
GLOBALISASI
MIRACLE
.
Kemampuan softskills
dan hardskills
keprofesian yang
menggerakkan SEMUA
UNSUR untuk
menyehatkan bangsa
Dibutuhkan
kepemimpinan kesmas
untuk capai pekerjaan
keprofesian yang bermutu
Health in
All Policies
.
.
Asses
.
.
Develop
.
Manage
Professionalism
Gerakan Masyarakat
Untuk Hidup Sehat