PRESENTATION: Evolution of health situation in Papua and East Indonesia

7/24/2019 PRESENTATION: Evolution of health situation in Papua and East Indonesia

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Session 6 :

Impact of climate change on dynamic of diseases I

Evolution of health situation inPapua and East Indonesia

Dr. dr. Hermanus Suhartono, SpOG(K)

Divisi Fertility , Endocrine and Reproductive

Dept. Obsteri-gynaecologi, Faculty of Medicine,

UNIVERSITY CENDRAWASIH / RSUD JAYAPURA PAPUA

I N D O N E S I A

Tri-National scientific meeting, Bogor-Indonesia, 28-29 October 2015


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Indonesia's republican form of government includes an

elected legislature and president. Indonesia has 34

provinces, of which five have Special Administrative

status. Indonesia consists of hundreds of distinct native ethni

and linguistic groups.

According to the 2010 national census, the population

of Indonesia is 237.6 million with high population

growth at 1.9%. 58% of the population lives in Java, thworld's most populous island.Indonesia's population is

expected to grow to around 269 million by 2020 and

321 million by 2050.

https://en.wikipedia.org/wiki/Provinces_of_Indonesiahttps://en.wikipedia.org/wiki/Provinces_of_Indonesiahttps://en.wikipedia.org/wiki/Provinces_of_Indonesiahttps://en.wikipedia.org/wiki/Ethnic_groups_in_Indonesiahttps://en.wikipedia.org/wiki/Ethnic_groups_in_Indonesiahttps://en.wikipedia.org/wiki/Languages_of_Indonesiahttps://en.wikipedia.org/wiki/Languages_of_Indonesiahttps://en.wikipedia.org/wiki/Demographics_of_Indonesiahttps://en.wikipedia.org/wiki/Demographics_of_Indonesiahttps://en.wikipedia.org/wiki/Demographics_of_Indonesiahttps://en.wikipedia.org/wiki/Javahttps://en.wikipedia.org/wiki/Javahttps://en.wikipedia.org/wiki/Javahttps://en.wikipedia.org/wiki/Javahttps://en.wikipedia.org/wiki/Javahttps://en.wikipedia.org/wiki/Javahttps://en.wikipedia.org/wiki/Javahttps://en.wikipedia.org/wiki/Javahttps://en.wikipedia.org/wiki/Javahttps://en.wikipedia.org/wiki/Javahttps://en.wikipedia.org/wiki/Javahttps://en.wikipedia.org/wiki/Javahttps://en.wikipedia.org/wiki/Javahttps://en.wikipedia.org/wiki/Javahttps://en.wikipedia.org/wiki/Javahttps://en.wikipedia.org/wiki/Javahttps://en.wikipedia.org/wiki/Demographics_of_Indonesiahttps://en.wikipedia.org/wiki/Demographics_of_Indonesiahttps://en.wikipedia.org/wiki/Demographics_of_Indonesiahttps://en.wikipedia.org/wiki/Demographics_of_Indonesiahttps://en.wikipedia.org/wiki/Demographics_of_Indonesiahttps://en.wikipedia.org/wiki/Demographics_of_Indonesiahttps://en.wikipedia.org/wiki/Demographics_of_Indonesiahttps://en.wikipedia.org/wiki/Languages_of_Indonesiahttps://en.wikipedia.org/wiki/Languages_of_Indonesiahttps://en.wikipedia.org/wiki/Languages_of_Indonesiahttps://en.wikipedia.org/wiki/Languages_of_Indonesiahttps://en.wikipedia.org/wiki/Ethnic_groups_in_Indonesiahttps://en.wikipedia.org/wiki/Ethnic_groups_in_Indonesiahttps://en.wikipedia.org/wiki/Provinces_of_Indonesiahttps://en.wikipedia.org/wiki/Provinces_of_Indonesiahttps://en.wikipedia.org/wiki/Provinces_of_Indonesiahttps://en.wikipedia.org/wiki/Provinces_of_Indonesia


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There are around 300 distinct native ethnic

groups in Indonesia, and 742 different

languages and dialects. Most Indonesians

are descended from. Austronesian-speakingpeoples whose languages can be traced to

Proto-Austronesian, which possibly

originated in Taiwan.

Another major grouping are Melanesians,

who inhabit eastern Indonesia.

Melanesians have 240 etnic and different

languages in Papua

https://en.wikipedia.org/wiki/Austronesianhttps://en.wikipedia.org/wiki/Austronesianhttps://en.wikipedia.org/wiki/Austronesianhttps://en.wikipedia.org/wiki/Austronesianhttps://en.wikipedia.org/wiki/Taiwanhttps://en.wikipedia.org/wiki/Taiwanhttps://en.wikipedia.org/wiki/Melanesianshttps://en.wikipedia.org/wiki/Melanesianshttps://en.wikipedia.org/wiki/Melanesianshttps://en.wikipedia.org/wiki/Melanesianshttps://en.wikipedia.org/wiki/Melanesianshttps://en.wikipedia.org/wiki/Taiwanhttps://en.wikipedia.org/wiki/Taiwanhttps://en.wikipedia.org/wiki/Taiwanhttps://en.wikipedia.org/wiki/Taiwanhttps://en.wikipedia.org/wiki/Taiwanhttps://en.wikipedia.org/wiki/Austronesianhttps://en.wikipedia.org/wiki/Austronesianhttps://en.wikipedia.org/wiki/Austronesianhttps://en.wikipedia.org/wiki/Austronesianhttps://en.wikipedia.org/wiki/Austronesianhttps://en.wikipedia.org/wiki/Austronesianhttps://en.wikipedia.org/wiki/Austronesianhttps://en.wikipedia.org/wiki/Austronesian


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East Indonesia



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In October 2010, the Ministry of Health (MoH) of the

Republic of Indonesia issued a new decree providing

general guidelines on the development of Desa Siaga

Aktif, a programme designed to promote Active Alert

Villages. These were defined as villages capable of providing basic

health care services and safe water and basic sanitation

services, undertaking community-based disease

surveillance, encouraging healthy lifestyles and using

community empowerment to respond to health

emergencies and natural disasters (MoH 2010).

The MoH has set itself a target of 80% of its current 75 410

villages achieving Desa Siaga Aktif status by 2015 (MoH

2010)



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Indonesian healthcare has traditionally beenfragmented: private insurance schemes for those whocould afford it, basic state provision for the verypoorest, and NGOs in specialised areas providingsupport in between.

However, in January last year, Indonesias governmentlaunched an ambitious project: to establish acompulsory national health insurance system with theaim of making basic care available to all by 2019. Thescheme,Jaminan Kesehatan Nasional (JKN), wasimplemented by the newly-formed social securityagency Badan Penyelenggara Jaminan Sosial

Kesehatan (BPJS). It sought to improve the situationfor citizensstuck in the middle of healthcareprovision too poor to afford health insurance butdeemed not poor enough for government help.

http://www.gbgindonesia.com/en/finance/article/2012/an_overview_of_indonesia_s_health_insurance_sector.phphttp://www.gbgindonesia.com/en/finance/article/2012/an_overview_of_indonesia_s_health_insurance_sector.phphttp://www.gbgindonesia.com/en/finance/article/2012/an_overview_of_indonesia_s_health_insurance_sector.phphttp://www.gbgindonesia.com/en/finance/article/2012/an_overview_of_indonesia_s_health_insurance_sector.phphttp://www.gbgindonesia.com/en/finance/article/2012/an_overview_of_indonesia_s_health_insurance_sector.phphttp://www.jkn.kemkes.go.id/http://www.jkn.kemkes.go.id/http://www.jkn.kemkes.go.id/http://www.jkn.kemkes.go.id/http://www.jkn.kemkes.go.id/http://www.establishmentpost.com/indonesia-health-insurance-inadequate-funding/http://www.establishmentpost.com/indonesia-health-insurance-inadequate-funding/http://www.establishmentpost.com/indonesia-health-insurance-inadequate-funding/http://www.establishmentpost.com/indonesia-health-insurance-inadequate-funding/http://www.establishmentpost.com/indonesia-health-insurance-inadequate-funding/http://www.establishmentpost.com/indonesia-health-insurance-inadequate-funding/http://www.establishmentpost.com/indonesia-health-insurance-inadequate-funding/http://www.establishmentpost.com/indonesia-health-insurance-inadequate-funding/http://www.jkn.kemkes.go.id/http://www.jkn.kemkes.go.id/http://www.jkn.kemkes.go.id/http://www.jkn.kemkes.go.id/http://www.jkn.kemkes.go.id/http://www.jkn.kemkes.go.id/http://www.jkn.kemkes.go.id/http://www.jkn.kemkes.go.id/http://www.jkn.kemkes.go.id/http://www.jkn.kemkes.go.id/http://www.jkn.kemkes.go.id/http://www.gbgindonesia.com/en/finance/article/2012/an_overview_of_indonesia_s_health_insurance_sector.phphttp://www.gbgindonesia.com/en/finance/article/2012/an_overview_of_indonesia_s_health_insurance_sector.phphttp://www.gbgindonesia.com/en/finance/article/2012/an_overview_of_indonesia_s_health_insurance_sector.phphttp://www.gbgindonesia.com/en/finance/article/2012/an_overview_of_indonesia_s_health_insurance_sector.phphttp://www.gbgindonesia.com/en/finance/article/2012/an_overview_of_indonesia_s_health_insurance_sector.phphttp://www.gbgindonesia.com/en/finance/article/2012/an_overview_of_indonesia_s_health_insurance_sector.php


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Papua



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As more people sign up for health insurance

offered to indigenous people in Indonesia's

Papua province, a public health system

already struggling with too few healthworkers and substandard services is coming

under greater strain.

KPS ( Kartu Papua Sehat / Health Papua

Card) is the insurance for Papua Comunity



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Papua is the largest province in Indonesia locatedto the eastern side of the archipelago.

It has the highest rate of poverty in Indonesia withthe lowest income per capita for health andeducation.

36.8% of the population in Papua Province livesbelow the poverty line.

In 2006 UNICEF estimated that IMR in Papua wasbetween 60 100 per 1000 live births, and MMRreached 1000 per 100,000 living birth.



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The number population of Papua in 2007

are 2.1 millions people. The number of

origin people are 1,75 million.

In 2012 Papua had a ratio of two doctorsand 17 nurses per 10,000 people, above

the national average of 1.4 doctors and

five nurses, but Health Ministry data

show that health personnel are not

evenly distributed.

Some Papuan districts have less than

one doctor and five nurses per 10,000

people



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About 30% of children under age 5 suffer

from malnutrition.

17% of people live in poverty, in Papua, it isestimated that at least 30% of residents are

poor.



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Papua Province is one of the

most alarming parts of

Indonesia, especially inmaternal health.

Papua Province maternal

mortality ratio isdisconcertingly higher than

the national average.

http://worldreliefresponds.com/papuahealthindonesia/listening-2/


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There are many remote, outlying villages

which have no access to health services,

health centres nor clinics.

http://worldreliefresponds.com/papuahealthindonesia/img_7426-2/


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Pneumonia accounts for 26% of infantdeath, diarrhoea 19%, and malaria 11%.

According to an international church NGO,

the major underlying cause is clearlymalnutrition with over 20% of thepopulation.

The percentage of immunised children is40.8, below the national average of 60.3.

Papua has the lowest life expectancy of allIndonesian provinces, particularly forwomen, who have a life expectancy of 50.3years compared to the national average of62.7.



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Access to clean water is a

problem for 75 percent of

the rural population.

Low income levels makemedical financing very

difficult; affordability and

availability of medicines.

Prominent causes for limitedsuccess in maternal health

care were both in the

demand and supply sides of

the health system.Tri-National scientific meeting, Bogor-Indonesia, 28-29 October 2015


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As a developing country, the

Indonesian nations overall

levels of health and

development are less thanideal.

The physical health crisis theynow face is the consequence

and personification of this

process.



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Conclusions.

PAPUA have many problems :

TopographyEducation

Health

Socio-economi

EnviromentLifestyles

Infrastructur



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THANK YOU


PRESENTATION: Evolution of health situation in Papua and East Indonesia

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