COUNTRY REPORT PRESENTATION INDONESIA

ASEAN Disaster Medicine Workshop in Thailand “Strengthen Collaboration for Disaster Medicine in ASEAN”

Phuket, April 23-25, 2014

MINISTRY OF HEALTH

REPUBLIC OF INDONESIA

Megadisaster in Indonesia 2

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 2 3

April 23-25, 2014 ASEAN Disaster Medicine Workshop in Phuket Thailand

2

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%

• 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)

Health status

3

April 23-25, 2014 ASEAN Disaster Medicine Workshop in Phuket Thailand

HEALTH CRISIS in 2013 4

April 23-25, 2014 ASEAN Disaster Medicine Workshop in Phuket Thailand

0

20

40

60

80

100

120118

55 52 47

40 32 29

25

10 8 6 5 2 2 2 2

FIVE TYPE of DISASTER in INDONESIA

2009 - 2013

No. Year

2009 2010 2011 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

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April 23-25, 2014 ASEAN Disaster Medicine Workshop in Phuket Thailand

ORGANIZATION

Cross Program/

Sector

REGIONAL PROV.

DISTRICT Community

GUIDELINE, SOP

NBDM/

8 Cluster

CHCM-MoH/

WHO CC

Vision Policy Strategy

April 23-25, 2014 ASEAN Disaster Medicine Workshop in Phuket Thailand

INTERNATIONAL

AHA CENTER

6

UN Coordination, Health Cluster

Medical service

Disease control and environmental health

Mental Health treatment

Clean water and sanitation

Emergency management and medical equipment

Nutrition Service

Reproductive health during emergency

Management of dead body

sub co. BUK-MoH, member : WHO, Unicef, Oxfam

sub co. BUK-MoH, member : WHO

sub co. P2PL-MoH, member : WHO, Oxfam, Unicef

sub co. P2PL-MoH, member : WHO, Oxfam, Unicef

sub co. Binfar-MoH, member : WHO

sub co. GKIA-MoH, member : WHO, Unicef, WFP

sub co. GKIA-MoH, member : WHO, UNFPA

sub co. Police, member : WHO,

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April 23-25, 2014 ASEAN Disaster Medicine Workshop in Phuket Thailand

CENTER FOR HEALTH CRISIS MANAGEMENT

THE REGIONALS

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)

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)

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April 23-25, 2014 ASEAN Disaster Medicine Workshop in Phuket Thailand

Role of Regional Crisis Center

Hospitals

Public Health

Facilities

Universities

Emergency Operational Units (Well Trained HR)

Emergency Supplies/

Medicine &

Logistics/Support Equip.

Depot

Training Centers

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specialist doctor, nurses,

pharmacists, surveillance

officer, sanitarian etc

Mobile Clinic Response,

Ambulance Paramedic,

Rubber Boat+Its Engine,

Field Hospital+ 50 beds,

Water Purifier, etc

Disaster Management,

Contingency Plan, RHA,

Communication Skills,

ITC-DRR, etc

EMERGENCY ROOM TREATMENT ROOM OPERATION ROOM I C U

FIELD HOSPITAL

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Patient

Prevention

Community

Preparedness

Human Resources

HospitalC Hospital

B/A

COMMUNICATION/119

TRANSPORTATION

Ambulance PHC

Pra HOSP RS

Public Safety Center (AGDT 118/119, 110/112,113)

Intra Hosp Intra Hosp

Quick Response

Spesialist

INTEGRATED HEALTH EMERGENCY & DISASTER SYSTEM

Inter ER Hosp 119

Crew

Ambulance Doctor

Nurse

Layman

April 23-25, 2014 ASEAN Disaster Medicine Workshop in Phuket Thailand

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HU

MA

N R

ES

OU

RC

ES

REHABILITATIF PROMOTIF & PREVENTIF

A

B

G

Collaborating Program (ABG for CE)

MODEL

GUIDELINE

NATIONAL

PROVINCES

34

DISTRICTS

(SAFE COMMUNITY)

PENGUATAN PERAN

INTERVENSI

INOVASI

COMMUNITY

EMPOWERMENT

CURATIF

COMPREHENSIF

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.

REFERRAL SYSTEM on DISTRICT

LEVEL

PRA HOSPITAL HOSPITAL

POLICY/REGULATION/GUIDENCE

COORDINATION, COLLABORAT, IMPLEMENTATION

NETWORKING (DISTRICT, SUBDISTRICT)

TRAINING

MO

DE

L I

MP

LE

ME

NTA

TIO

N

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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)

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Matrix “Pilot Project & ABG for CE” 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 Bangli Belum ditetapkan RSUD Bangli Universitas Udayana Telkomsel

South Sulawesi Bone Ds. Kampoti RSU Tenriawaru Universitas Hasanuddin Bosowa

North Sulawesi Minahasa Belum ditetapkan RSUD Noongan Universitas Sam Ratulangi Belum ditetapkan

South Kalimantan Tanah laut Belum ditetapkan RSU H. Boejasin Pelaihari Universitas Lambung Mangkurat

Hasnur Grup

Papua Biak Belum ditetapkan RSUD Biak Universitas Cenderawasih Pertamina dan Bank Papua

West Sumatera Kab. Agam Ds. Candung RSU Lubuk Basung Universitas Andalas Semen Padang

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April 23-25, 2014 ASEAN Disaster Medicine Workshop in Phuket Thailand

INCREASE CAPACITY INCREASE

COORDINATION & COLLABORATION

COMMUNICATION & INFORMATION

FMT

HYOGO

IHR

GLOBAL

WHO CC

SAFE COMMUNITY

GOAL

MOVING FORWARD 15

April 23-25, 2014 ASEAN Disaster Medicine Workshop in Phuket Thailand

THANK YOU

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