i

COLLABORATION

ii

FOREWORD BY THE SECRETARY GENERAL MINISTRY OF HEALTH Document : National Action Plan For Health Security

International Health Regulations (IHR) 2005 represents anagreement

of member states of the World Health Organization (WHO) to

enhance their capacity toprevent, detect, and respond quickly to any

potential public health threats that spread across countries based on

national surveillance systems and legislation that have already

existed in eachcountry.

The emerging and re-emerginginfectiousdiseasesas well as easier

and faster mobilization of the population from one country to another

may result in quicker spread of the disease epidemic which recognizes noboundaries. The

threats can be in the form of biological, chemical and nuclear agents that have impacts not

onlyon health,butal soon economy. Thus, the effort to deal with these threats requires a multi

sectoral approach, both nationally and internationally.

IHR (2005) mandates each member country to have core capacities, including: the

legislation and policies, coordination, surveillance, preparedness, response, risk

communication, human resources and laboratories. Indonesia has fully implemented the IHR

(2005) in 2014. Nevertheless, manyareas still need to beimproved. To evaluateand improve

thecountry's capacity in implementing IHR (2005), in November 2017, Indonesia took the

initiative to conduct the Joint External Evaluation (JEE) and has received further

recommendations to enhance its capacity in implementing IHR (2005).

The JEE is a voluntary, collaborative, multisectoral coordination to assess country's core

capacities to prevent, detect and respond quickly to public health threats. The JEE also

helps countries in identifying critical and emergency issues in the health system to determine

priorities in preparedness and response.

This National Action Plan for Health Security (NAPHS) was compiled as a recommendation of the JEE results,and representsan integral partofthe implementation of the Presidential Instruction Number 4 of 2019 concerning Capacity Enhancementin Preventing, Detecting and Responding to Outbreaks of Disease, Global Pandemic and Nuclear, Biological and Chemical Emergencies

iii

FOREWORD BY THE SECRETARY GENERAL MINISTRY OF HEALTH Document : National Action Plan For Health Security

International Health Regulations (IHR) 2005 represents anagreement

of member states of the World Health Organization (WHO) to

enhance their capacity toprevent, detect, and respond quickly to any

potential public health threats that spread across countries based on

national surveillance systems and legislation that have already

existed in eachcountry.

The emerging and re-emerginginfectiousdiseasesas well as easier

and faster mobilization of the population from one country to another

may result in quicker spread of the disease epidemic which recognizes noboundaries. The

threats can be in the form of biological, chemical and nuclear agents that have impacts not

onlyon health,butal soon economy. Thus, the effort to deal with these threats requires a multi

sectoral approach, both nationally and internationally.

IHR (2005) mandates each member country to have core capacities, including: the

legislation and policies, coordination, surveillance, preparedness, response, risk

communication, human resources and laboratories. Indonesia has fully implemented the IHR

(2005) in 2014. Nevertheless, manyareas still need to beimproved. To evaluateand improve

thecountry's capacity in implementing IHR (2005), in November 2017, Indonesia took the

initiative to conduct the Joint External Evaluation (JEE) and has received further

recommendations to enhance its capacity in implementing IHR (2005).

The JEE is a voluntary, collaborative, multisectoral coordination to assess country's core

capacities to prevent, detect and respond quickly to public health threats. The JEE also

helps countries in identifying critical and emergency issues in the health system to determine

priorities in preparedness and response.

This National Action Plan for Health Security (NAPHS) was compiled as a recommendation of the JEE results,and representsan integral partofthe implementation of the Presidential Instruction Number 4 of 2019 concerning Capacity Enhancementin Preventing, Detecting and Responding to Outbreaks of Disease, Global Pandemic and Nuclear, Biological and Chemical Emergencies

iv

The preparation for this National Action Plan for Health Security began in 2018, involving 22

Ministries/Institutions. This document contains guidelines for collaboration as well as

synergistic programs and activities to becarried out by all related Ministries/Institutions to

enhance national health resilience capacity. This document is also a living document and

provides an important strategy for immediate implementation. It should serve asa reference

for planning technical activities at the respective Ministries /Institutions, and for Governors,

Mayors and Regents to draw up their Regional Action Plans in accordance with the

Presidential Instruction Number 4 of 2019.

We would like to extend our highest gratitude and appreciation to all those who have

participated and supported the completion of this National Action Plan for Health Security

(NAPHS).

Secretary General Ministry of Health

drg. Oscar Primadi, MPH

FOREWORD BY THE MINISTER OF HEALTH Document: National Action Plan For HealthSecurity

Climate change has led to an increasedthreat of new-emerging

and re-emerging diseases that may develop into pandemic,

characterized by high risk of death and extremelyrapid spread of

disease. Globalization, which has resulted in the increased human

and animal mobility across countries and changes in human

lifestyles,hasalso contributed to accelerating the spread of disease

outbreaks that pose a threat to global health.

Since the outbreak of the Severe Acute Respiratory Syndrome

(SARS) in the Asian region in 2003, global health threats have continued to show an increasing

trend, among others, the outbreak of Avian Influenza (H5N1) in 2004. In May 2005, the

58thWorld Health Assembly (WHA) has agreed to the International Health Regulation (2005) to

be enforced in all WHO memberstatesstartingJune 15, 2007. The IHR (2005) mandates

countries to be able to detect the risk of public health emergencies, as well as assess, respond

and inform events in the region to the community, both at the national and international levels.

The World Health Organizationhas developed theJoint External Evaluation (JEE) tool, an

instrument to assist countries in strengthening their IHR (2005) implementation. Indonesia

assessed its capacities with this instrument in 2017, and one of the recommendations is to

develop the National Action Plan for Health Security (NAPHS). This NAPHS document was

prepared by the Ministry of Health in collaboration with other 21 Ministries / Institutions

involved during the JEE assessment.

With the enactment of Presidential Instruction number 4 of 2019 concerning Capacity Enhancement in Preventing, Detecting and Responding to Outbreaks of Disease, Global Pandemic and Nuclear, Biological and Chemical Emergencies, the Ministries and Institutionsinvolved, including Governors, Mayors and Regents, are expected to take necessary measures in a coordinated and integrated manner according to their respective duties, functions and authorities in the effort to enhance the country's capacity to prevent, detect and respond to epidemics, global pandemics, nuclear, biological and chemical emergencies, which can have national and global impacts.

v

membantu negara-negara mengidentifikasi hal-hal kritis dan emergency dalam sistem

kesehatan untuk menentukan prioritas dalam membuat suatu kesiapsiagaan dan respon.

National Action Plan for Health Security (NAPHS) ini disusun sebagai amanah rekomendasi

dalam pelaksanaan JEE dan sebagai upaya dalam implementasi Instruksi Presidennomor 4

tahun 2019 tentang Peningkatan Kemampuan dalam Mencegah, Mendeteksi, dan

MeresponsWabah Penyakit, Pandemi Global, dan Kedaruratan Nuklir, Biologi, dan Kimia

Proses penyusunan National Action Plan for Health Security(Rencana Aksi Nasional

Ketahanan Kesehatan) dimulai sejak tahun 2018 dengan melibatkan 22

Kementerian/Lembaga. Dokumen ini memuat panduan kolaborasi serta sinergi program

dan kegiatan yang dilakukan seluruh K/L terkait dalam peningkatan kapasitas ketahanan

kesehatan nasional. Dokumen ini juga bersifat sebagai living document dan merupakan

perihal yang penting dan strategis untuk segera diimplementasikan serta menjadi acauan

untuk menyusun kegiatan teknis di Kementerian/Lembaga masing-masing dan acuan bagi

Gubernur dan Walikota serta Bupati untuk menyusun Rencana Aksi Daerah sesuai dengan

amanah Instruksi Presidennomor 4 tahun 2019.

Kepada semua pihak yang telah berpartisipasi dan membantu sampai dapat

diselesaikannyaNational Action Plan for Health Security(NAPHS) ini,

kamisampaikanterimakasihdan penghargaanyangsetinggi-tingginya.

Sekretaris Jenderal

Kementerian Kesehatan

drg. Oscar Primadi, MPH

v

The preparation for this National Action Plan for Health Security began in 2018, involving 22

Ministries/Institutions. This document contains guidelines for collaboration as well as

synergistic programs and activities to becarried out by all related Ministries/Institutions to

enhance national health resilience capacity. This document is also a living document and

provides an important strategy for immediate implementation. It should serve asa reference

for planning technical activities at the respective Ministries /Institutions, and for Governors,

Mayors and Regents to draw up their Regional Action Plans in accordance with the

Presidential Instruction Number 4 of 2019.

We would like to extend our highest gratitude and appreciation to all those who have

participated and supported the completion of this National Action Plan for Health Security

(NAPHS).

Secretary General Ministry of Health

drg. Oscar Primadi, MPH

FOREWORD BY THE MINISTER OF HEALTH Document: National Action Plan For HealthSecurity

Climate change has led to an increasedthreat of new-emerging

and re-emerging diseases that may develop into pandemic,

characterized by high risk of death and extremelyrapid spread of

disease. Globalization, which has resulted in the increased human

and animal mobility across countries and changes in human

lifestyles,hasalso contributed to accelerating the spread of disease

outbreaks that pose a threat to global health.

Since the outbreak of the Severe Acute Respiratory Syndrome

(SARS) in the Asian region in 2003, global health threats have continued to show an increasing

trend, among others, the outbreak of Avian Influenza (H5N1) in 2004. In May 2005, the

58thWorld Health Assembly (WHA) has agreed to the International Health Regulation (2005) to

be enforced in all WHO memberstatesstartingJune 15, 2007. The IHR (2005) mandates

countries to be able to detect the risk of public health emergencies, as well as assess, respond

and inform events in the region to the community, both at the national and international levels.

The World Health Organizationhas developed theJoint External Evaluation (JEE) tool, an

instrument to assist countries in strengthening their IHR (2005) implementation. Indonesia

assessed its capacities with this instrument in 2017, and one of the recommendations is to

develop the National Action Plan for Health Security (NAPHS). This NAPHS document was

prepared by the Ministry of Health in collaboration with other 21 Ministries / Institutions

involved during the JEE assessment.

With the enactment of Presidential Instruction number 4 of 2019 concerning Capacity Enhancement in Preventing, Detecting and Responding to Outbreaks of Disease, Global Pandemic and Nuclear, Biological and Chemical Emergencies, the Ministries and Institutionsinvolved, including Governors, Mayors and Regents, are expected to take necessary measures in a coordinated and integrated manner according to their respective duties, functions and authorities in the effort to enhance the country's capacity to prevent, detect and respond to epidemics, global pandemics, nuclear, biological and chemical emergencies, which can have national and global impacts.

vi

We would like to extend our highest appreciation for the support of various take holders in

the preparation of this document, and it is our hope that our efforts to work closely together

in dealing with the global pandemic can come to fruition.

Minister of Health

Terawan Agus Putranto

vii

Dengan telah ditetapkannya Instruksi Presiden Nomor 4 Tahun 2019 tentang Peningkatan

Kemampuan dalam Mencegah, Mendeteksi, dan Merespons Wabah Penyakit, Pandemi

Global, dan Kedaruratan Nuklir, Biologi, dan Kimia. Kementerian dan Lembaga yang

terlibat, termasuk Gubernur dan Walikota/Bupati diharapkan dapat mengambil langkah-

langkah secara terkoordinasi dan terintegrasi sesuai tugas, fungsi, dan kewenangan

masing-masing sebagai upaya meningkatkan kemampuan negara untuk mencegah,

mendeteksi, dan merespons wabah penyakit, pandemi global, dan kedaruratan nuklir,

biologi, dan kimia, yang dapat berdampak nasional dan/atau global.

Kami memberikan apresiasi yang setinggi – tingginya atas dukungan berbagai pihak dalam

penyusunan dokumen ini, semoga upaya kita untuk bersinergi dalam rangka menghadapi

pandemik dunia dapat berjalan dengan baik.

11 Desember 2019 Menteri Kesehatan,

Letjen TNI (Pur.) Dr. dr. Terawan Agus Putranto, Sp.Rad (K) RI

vii

We would like to extend our highest appreciation for the support of various take holders in

the preparation of this document, and it is our hope that our efforts to work closely together

in dealing with the global pandemic can come to fruition.

Minister of Health

Terawan Agus Putranto

TABLE OF CONTENTSFOREWORD

ACKNOWLEDGEMENT

I. INTRODUCTION ------------------------------------------------------------------------------------1

II. VISION, MISSION, AND OBJECTIVES ----------------------------------------------------------2

III. SITUATION ANALYSIS

A. SOCIO-ECONOMIC DEVELOPMENT ------------------------------------------------------3

B. HEALTH SITUATION --------------------------------------------------------------------------3

C. HEALTH SECURITY ----------------------------------------------------------------------------6

IV. POLICY AND STRATEGY

A. LEGAL FRAMEWORK ---------------------------------------------------------------------- 13

B. NAPHS STRATEGY -------------------------------------------------------------------------- 13

V. NAPHS DEVELOPMENT AND IMPLEMENTATION

A. NAPHS DEVELOPMENT PROCESS ------------------------------------------------------ 14

B. NAPHS 2020 – 2024 ----------------------------------------------------------------------- 16

C. MONITORING AND EVALUATION ------------------------------------------------------ 42

VI. CONCLUSION ------------------------------------------------------------------------------------- 43

ANNEX ES

ANNEX 1 : ALLOCATION OF FUND

ANNEX 2 : PRIORITY ACTION PLAN BY TECHNICAL AREA

viii

1

I. INTRODUCTION In November 2017, the Government of Indonesia (GOI) voluntarily underwent Joint External Evaluation (JEE) conducted by WHO external team to assess the country’s core capacities to prevent, detect and respond to public health threats under the International Health Regulations (IHR) (2005). The Indonesia National Action Plan for Health Security (NAPHS) 2020 – 2024 was developed in response to JEE results. GOI engaged all relevant ministries, agencies and institutions involved in JEE 2017 to develop the NAPHS.

The NAPHS used the logic model proposed by Indonesia to the Global Health Security Agenda (GHSA). GHSA is a forum established by a number of countries to support WHO in implementing IHR (2005). This logic model harmonizes various priority activities that are considered to provide major contribution to achieving indicators and level of capacities related to those indicators for the 19 Technical Areas (TAs) in JEE tools. In addition, NAPHS also accommodated JEE external team recommendations for each Technical Area.

At the same time, the World Bank is in the process of conducting the country’s financing assessment for health security. A tool called the Health Security Financing Assessments Tool (HSFAT) is being field tested in Indonesia to calculate the budget for health security that had been allocated in the previous fiscal year. This information may be regarded as an indication of the supply side, while NAPHS denotes the demand side. Comparison between information produced by HSFAT and NAPHS will provide a gap analysis, whether a positive or negative one in carrying out activities related to health security.

The Presidential Instruction Number 4 of 2019 concerning “Improved Capacity in Preventing, Detecting, and Responding to Disease Outbreaks, Pandemic, and Nuclear, Biological, and Chemical Emergencies”was issued on June 17, 2019. This Presidential Instruction will be advocated among the relevant ministries, agencies and local governments to improve awareness and to be used as a reference in implementing health security.

Health security contributes not only to health development but also to national development. As part of the health development, strengthening of health system is indispensable for robust health security since these two entities interacts reciprocally. Besides, health security is an important component of national resilience. GOI will monitor and evaluate NAPHS implementation in accordance with the current practice adopted for the Annual Plan. Meanwhile Presidential Instruction Number 4 of 2019 necessitates each ministry/agency/institution to determine the appropriate indicators that are part of all indicators proposed in NAPHS.

It is worth noting that WHO HQ has established a web portal known as Strategic Partnership Portal (SPP). Member states that have undergone external evaluation on 19 Technical Areas are encouraged to upload their outcome. This will facilitate interested development partners to directly contact any country that they believeis worth assisting.

1

1

I. INTRODUCTION In November 2017, the Government of Indonesia (GOI) voluntarily underwent Joint External Evaluation (JEE) conducted by WHO external team to assess the country’s core capacities to prevent, detect and respond to public health threats under the International Health Regulations (IHR) (2005). The Indonesia National Action Plan for Health Security (NAPHS) 2020 – 2024 was developed in response to JEE results. GOI engaged all relevant ministries, agencies and institutions involved in JEE 2017 to develop the NAPHS.

The NAPHS used the logic model proposed by Indonesia to the Global Health Security Agenda (GHSA). GHSA is a forum established by a number of countries to support WHO in implementing IHR (2005). This logic model harmonizes various priority activities that are considered to provide major contribution to achieving indicators and level of capacities related to those indicators for the 19 Technical Areas (TAs) in JEE tools. In addition, NAPHS also accommodated JEE external team recommendations for each Technical Area.

At the same time, the World Bank is in the process of conducting the country’s financing assessment for health security. A tool called the Health Security Financing Assessments Tool (HSFAT) is being field tested in Indonesia to calculate the budget for health security that had been allocated in the previous fiscal year. This information may be regarded as an indication of the supply side, while NAPHS denotes the demand side. Comparison between information produced by HSFAT and NAPHS will provide a gap analysis, whether a positive or negative one in carrying out activities related to health security.

The Presidential Instruction Number 4 of 2019 concerning “Improved Capacity in Preventing, Detecting, and Responding to Disease Outbreaks, Pandemic, and Nuclear, Biological, and Chemical Emergencies”was issued on June 17, 2019. This Presidential Instruction will be advocated among the relevant ministries, agencies and local governments to improve awareness and to be used as a reference in implementing health security.

Health security contributes not only to health development but also to national development. As part of the health development, strengthening of health system is indispensable for robust health security since these two entities interacts reciprocally. Besides, health security is an important component of national resilience. GOI will monitor and evaluate NAPHS implementation in accordance with the current practice adopted for the Annual Plan. Meanwhile Presidential Instruction Number 4 of 2019 necessitates each ministry/agency/institution to determine the appropriate indicators that are part of all indicators proposed in NAPHS.

It is worth noting that WHO HQ has established a web portal known as Strategic Partnership Portal (SPP). Member states that have undergone external evaluation on 19 Technical Areas are encouraged to upload their outcome. This will facilitate interested development partners to directly contact any country that they believeis worth assisting.

2

2

II. VISION, MISSION AND OBJECTIVES A. VISION AND MISSION Vision

Contribute actively to global efforts in preventing, detecting and responding to potential pandemics attributed to biological, chemical and radio-nuclear agents.

Missions

1. Strengthen national capacity in preventing, detecting and responding to public health emergency of international concern/PHEIC

2. Collaborate with international/UN agencies and civil society in dealing with PHEIC

B. OBJECTIVES The objective of NAPHS 2020 – 2024 is to support the achievement of the above vision and to strengthen the implementation of the missions, by:

1. Advocating common understanding among all stakeholders in dealing with efforts to prevent, detect and respond to public health emergency

2. Developinga comprehensive National Action Plan for Health Security (NAPHS) document

3. Working closely with WHO, FAO, OIE, WB and GHSA

3

III. SITUATION ANALYSIS A. SOCIO-ECONOMIC DEVELOPMENT Indonesia is the largest archipelagic country in the world, located geographically between two continents (Asia and Australia) and two oceans (the Indian and the Pacific Ocean), with over 250 million population across an estimated total of 6,000 inhabited islands out of 17,504 islands. This diverse country is home to numerous ethnic, cultural and linguistic communities, with more than 700 local dialects. Despite being hit hard by economic and political crisis in 1998, Indonesia has emerged as an economically strong and politically stable nation.

Indonesia is a republic and in accordance with the 1945 Constitution, the government consisted of three governing bodies: the executive, judicial and legislative bodies. The Government of Indonesia is led by a President and Vice-President who are elected through general elections for a five-year term. The President is both the head of state and the head of government, and in carrying out his duties is assisted by a cabinet formed by the President. In June 2019, Joko Widodo (Jokowi) won his second term for presidency.

Indonesia, as the world’s fourth most populous country, isreckoned as a rising power both in the Association of Southeast Asian Nations (ASEAN) and the world. The Government of Indonesia is putting a lot of effortinto becoming a high-income country by 2036, and determined to be ranked among the world's fifth largest Gross Domestic Product (GDP) in 2045.To achieve this target, Indonesia's GDP must grow by 5.7 percent per year and be out of the Middle-Income trap in 2036, and reach USD 23,199 GDP in 2045. In addition, Indonesia also plans to achieve the 10th rank in the Ease of Doing Business (EoDB) and puts special emphasis on economic growth that is evenly distributed throughout the decile of income, such that Indonesia's poverty rate in 2045 could be reduced to zero or 0.02 percent, with extreme poverty at zero by 20401.

B. HEALTH SITUATION With the increasing connectivity and interdependence between countries nowadays, people, goods, services and transportation can be easily transported between countries. Nations around the world must be able to respond, control and prevent, and effectively address threats to public health2. Indonesia's political and social landscape has been undergoing several changes, such as the transition from authoritarianism to democracy and decentralized reform. This macro transition simultaneously influences the epidemiologic transition in which non-communicable diseases (NCDs) are becoming

1Head of the National Development Planning AgencyBambangBrodjonegoro presentation: Visi Indonesia 2045, KBRI Singapura, 10 November 2018 2Strengthening global health security by embedding the International Health Regulations requirements into national health system.Hans Kluge,1 Jose Maria Martín-Moreno,2 Nedret Emiroglu,3 Guenael Rodier,4Edward Kelley,5 Melitta Vujnovic,6 GovinPermanand, 2018

3

2

II. VISION, MISSION AND OBJECTIVES A. VISION AND MISSION Vision

Contribute actively to global efforts in preventing, detecting and responding to potential pandemics attributed to biological, chemical and radio-nuclear agents.

Missions

1. Strengthen national capacity in preventing, detecting and responding to public health emergency of international concern/PHEIC

2. Collaborate with international/UN agencies and civil society in dealing with PHEIC

B. OBJECTIVES The objective of NAPHS 2020 – 2024 is to support the achievement of the above vision and to strengthen the implementation of the missions, by:

1. Advocating common understanding among all stakeholders in dealing with efforts to prevent, detect and respond to public health emergency

2. Developinga comprehensive National Action Plan for Health Security (NAPHS) document

3. Working closely with WHO, FAO, OIE, WB and GHSA

3

III. SITUATION ANALYSIS A. SOCIO-ECONOMIC DEVELOPMENT Indonesia is the largest archipelagic country in the world, located geographically between two continents (Asia and Australia) and two oceans (the Indian and the Pacific Ocean), with over 250 million population across an estimated total of 6,000 inhabited islands out of 17,504 islands. This diverse country is home to numerous ethnic, cultural and linguistic communities, with more than 700 local dialects. Despite being hit hard by economic and political crisis in 1998, Indonesia has emerged as an economically strong and politically stable nation.

Indonesia is a republic and in accordance with the 1945 Constitution, the government consisted of three governing bodies: the executive, judicial and legislative bodies. The Government of Indonesia is led by a President and Vice-President who are elected through general elections for a five-year term. The President is both the head of state and the head of government, and in carrying out his duties is assisted by a cabinet formed by the President. In June 2019, Joko Widodo (Jokowi) won his second term for presidency.

Indonesia, as the world’s fourth most populous country, isreckoned as a rising power both in the Association of Southeast Asian Nations (ASEAN) and the world. The Government of Indonesia is putting a lot of effortinto becoming a high-income country by 2036, and determined to be ranked among the world's fifth largest Gross Domestic Product (GDP) in 2045.To achieve this target, Indonesia's GDP must grow by 5.7 percent per year and be out of the Middle-Income trap in 2036, and reach USD 23,199 GDP in 2045. In addition, Indonesia also plans to achieve the 10th rank in the Ease of Doing Business (EoDB) and puts special emphasis on economic growth that is evenly distributed throughout the decile of income, such that Indonesia's poverty rate in 2045 could be reduced to zero or 0.02 percent, with extreme poverty at zero by 20401.

B. HEALTH SITUATION With the increasing connectivity and interdependence between countries nowadays, people, goods, services and transportation can be easily transported between countries. Nations around the world must be able to respond, control and prevent, and effectively address threats to public health2. Indonesia's political and social landscape has been undergoing several changes, such as the transition from authoritarianism to democracy and decentralized reform. This macro transition simultaneously influences the epidemiologic transition in which non-communicable diseases (NCDs) are becoming

1Head of the National Development Planning AgencyBambangBrodjonegoro presentation: Visi Indonesia 2045, KBRI Singapura, 10 November 2018 2Strengthening global health security by embedding the International Health Regulations requirements into national health system.Hans Kluge,1 Jose Maria Martín-Moreno,2 Nedret Emiroglu,3 Guenael Rodier,4Edward Kelley,5 Melitta Vujnovic,6 GovinPermanand, 2018

4

4

increasingly important, while infectious diseases remain an important part of the burden. Indonesia currently has a double burden of health problems: the unfinished agenda of infectious diseases and the emergence ofNCDs. Infectious diseases consist of new emerging and re-emerging diseases. Indonesia is one of the three countries with the highest prevalence of tuberculosis (TB) in the world. In addition, Indonesia has to overcomethe risk factors forNCDs, such as high blood pressure, high cholesterol and smoking asunhealthy life style. In 1990, 56% of the burden of the disease was caused by infectious diseases, 37% by NCDs and 7% by injuries. In 2015, there was an increasedincidence of high blood and cholesterol caused by unhealthy diets, an increase in overweight population, and tobacco use. As a result, the burden of NCDs increased to 66%, while infectious diseases declined to 27%3. The increasingly complex epidemiological pattern of diseases andvarious macro transitions pose major challenges for Indonesia’s health development as a nation.

Indonesia's health status indicators have increased significantly in the past few decades. Life expectancy at birth, which is one of the key health indicators, has shown a significant improvement from 64.40 years in 1996 to 71.06 years in 2017. Total fertility decreased significantly from 5.61 in 1971 to 2.27 per womanin 2000 and remained at 2.4per woman in 20154. The aging population of 65 years and over is expected to increase sharply from 2015 and projected to reach 10% of the population by 2030.

Infant and child mortality (IMR) have shown significant reductions. IMR was 68/1000 in 1991, 34/1000 in 2007 and 25.5/1000 in 2016. Under-five mortality rate has shown a steady decline from 97/1000 in 1991, to 44/1000 in 2007, and 27/1000 in 20155. However, key challenges remain, especially with regard to maternal health andmalnutrition. Maternal Mortality Rate (MMR) is still high. In 2015, MMR was305/100,000 live births6. This number is still far from the MDG target of 102/100,000 live births by the end of 2015 and the SDG target of 70/100,000 live births by 2030. In addition, Indonesia has a high prevalence of stunted children. Basic Health Research 2018 noted that the national stunting prevalence had reached 30.8% for children under five and 29.9% for children under two years of age. The Indonesian government has committed itself to prevent childhood stunting and reduce under-two stunting to 28% by 2019. Indonesia has been dealing with the rising occurrence of overweight and obesity in children and adults. Between 2007 and 2010, the prevalence of overweight increased from 12 to 14% in children under five and 19 to 22% in adults7. The "double burden of malnutrition" in the form of mal- and over-nutrition appears simultaneously in the same

3Institute of Health Metrics and Evaluation database (IHME) 2015 4 Statistics Indonesia (BPS) 5 Statistics Indonesia (BPS) 6 Statistics Indonesia (BPS) 7 Basic Health Research, 2010

5

community, whichresults ina significant increase in non-communicable diseases (NCDs) such as diabetes, stroke and heart diseases.

Indonesia has 34 provinces, 514 districts/cities, and 72,000 villages with 9,825 primary health center (Puskesmas), 55.517 auxiliary Puskesmas8 and private primary health clinics. Public and private secondary/tertiary care facilities consist of 68 type A hospitals, 402 type B hospitals, 1,380 type C hospitals, 730 type D hospitals, 237 unclassified hospitals, and 582 specialty hospitals9. There are also 289,635 community-managed mother and child health (MCH) center and integrated health center (Posyandu).

Indonesia has 0.45 physicians, 1.84 nurses and 1.73 midwives per 1,000 population10.To improve healthcare worker distribution, the Government of Indonesia appoints contracted physicians and midwives, deploys healthcare worker teams to remote areas (Nusantara Sehat Team), performs cross-training and task shifting, and assigns internship for fresh graduates of physicians or healthcare specialists to more remote locations (4 months at Puskesmas and 8 months at public hospitals).

Although there has been a substantial increase in health expenditure at the national level, health spending as a proportion of gross domestic product (GDP) remains below the average among middle-to-low income countries. In 2009, government health expenditure amounted to IDR 2.7 trillion or 2.7% of government expenditure. This number increased to IDR 104 Trillion or 5% of government expenditure in 201711. The findings of several assessments of the capacity of global response to health crises indicate the need for integration between healthcare system, strengthening activities and healthcare security efforts for prevention, warning and prompt response. A country's ability to detect, report and respond to health threats requires strong relationships between, for example, clinical laboratories and healthcare information systems and medical technology, and between the emergency personnel and training of public healthcare personnel. In addition, emergency responses to health threats heavily involve coordination, financing, incident management systems, public awareness and community involvement supported by strong government commitments and resources.

There is no special Budget Execution (Allotment) Document (DIPA) to accommodate the needs for HS resource,hence close collaboration among related stakeholders is mandatory from the planning, implementation and monitoring of HS programs.

8 Ministry of Health, 2017 9 Ministry of Health, April 2018, http://sirs.yankes.kemkes.go.id/rsonline/report/ 10 Ministry of Health, 2016 11Ministry of Finance ,2017

5

4

increasingly important, while infectious diseases remain an important part of the burden. Indonesia currently has a double burden of health problems: the unfinished agenda of infectious diseases and the emergence ofNCDs. Infectious diseases consist of new emerging and re-emerging diseases. Indonesia is one of the three countries with the highest prevalence of tuberculosis (TB) in the world. In addition, Indonesia has to overcomethe risk factors forNCDs, such as high blood pressure, high cholesterol and smoking asunhealthy life style. In 1990, 56% of the burden of the disease was caused by infectious diseases, 37% by NCDs and 7% by injuries. In 2015, there was an increasedincidence of high blood and cholesterol caused by unhealthy diets, an increase in overweight population, and tobacco use. As a result, the burden of NCDs increased to 66%, while infectious diseases declined to 27%3. The increasingly complex epidemiological pattern of diseases andvarious macro transitions pose major challenges for Indonesia’s health development as a nation.

Indonesia's health status indicators have increased significantly in the past few decades. Life expectancy at birth, which is one of the key health indicators, has shown a significant improvement from 64.40 years in 1996 to 71.06 years in 2017. Total fertility decreased significantly from 5.61 in 1971 to 2.27 per womanin 2000 and remained at 2.4per woman in 20154. The aging population of 65 years and over is expected to increase sharply from 2015 and projected to reach 10% of the population by 2030.

Infant and child mortality (IMR) have shown significant reductions. IMR was 68/1000 in 1991, 34/1000 in 2007 and 25.5/1000 in 2016. Under-five mortality rate has shown a steady decline from 97/1000 in 1991, to 44/1000 in 2007, and 27/1000 in 20155. However, key challenges remain, especially with regard to maternal health andmalnutrition. Maternal Mortality Rate (MMR) is still high. In 2015, MMR was305/100,000 live births6. This number is still far from the MDG target of 102/100,000 live births by the end of 2015 and the SDG target of 70/100,000 live births by 2030. In addition, Indonesia has a high prevalence of stunted children. Basic Health Research 2018 noted that the national stunting prevalence had reached 30.8% for children under five and 29.9% for children under two years of age. The Indonesian government has committed itself to prevent childhood stunting and reduce under-two stunting to 28% by 2019. Indonesia has been dealing with the rising occurrence of overweight and obesity in children and adults. Between 2007 and 2010, the prevalence of overweight increased from 12 to 14% in children under five and 19 to 22% in adults7. The "double burden of malnutrition" in the form of mal- and over-nutrition appears simultaneously in the same

3Institute of Health Metrics and Evaluation database (IHME) 2015 4 Statistics Indonesia (BPS) 5 Statistics Indonesia (BPS) 6 Statistics Indonesia (BPS) 7 Basic Health Research, 2010

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community, whichresults ina significant increase in non-communicable diseases (NCDs) such as diabetes, stroke and heart diseases.

Indonesia has 34 provinces, 514 districts/cities, and 72,000 villages with 9,825 primary health center (Puskesmas), 55.517 auxiliary Puskesmas8 and private primary health clinics. Public and private secondary/tertiary care facilities consist of 68 type A hospitals, 402 type B hospitals, 1,380 type C hospitals, 730 type D hospitals, 237 unclassified hospitals, and 582 specialty hospitals9. There are also 289,635 community-managed mother and child health (MCH) center and integrated health center (Posyandu).

Indonesia has 0.45 physicians, 1.84 nurses and 1.73 midwives per 1,000 population10.To improve healthcare worker distribution, the Government of Indonesia appoints contracted physicians and midwives, deploys healthcare worker teams to remote areas (Nusantara Sehat Team), performs cross-training and task shifting, and assigns internship for fresh graduates of physicians or healthcare specialists to more remote locations (4 months at Puskesmas and 8 months at public hospitals).

Although there has been a substantial increase in health expenditure at the national level, health spending as a proportion of gross domestic product (GDP) remains below the average among middle-to-low income countries. In 2009, government health expenditure amounted to IDR 2.7 trillion or 2.7% of government expenditure. This number increased to IDR 104 Trillion or 5% of government expenditure in 201711. The findings of several assessments of the capacity of global response to health crises indicate the need for integration between healthcare system, strengthening activities and healthcare security efforts for prevention, warning and prompt response. A country's ability to detect, report and respond to health threats requires strong relationships between, for example, clinical laboratories and healthcare information systems and medical technology, and between the emergency personnel and training of public healthcare personnel. In addition, emergency responses to health threats heavily involve coordination, financing, incident management systems, public awareness and community involvement supported by strong government commitments and resources.

There is no special Budget Execution (Allotment) Document (DIPA) to accommodate the needs for HS resource,hence close collaboration among related stakeholders is mandatory from the planning, implementation and monitoring of HS programs.

8 Ministry of Health, 2017 9 Ministry of Health, April 2018, http://sirs.yankes.kemkes.go.id/rsonline/report/ 10 Ministry of Health, 2016 11Ministry of Finance ,2017

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6

C. HEALTH SECURITY In the last five decades, public health emergencies have been marked by the spread of infectious diseases and/or events caused by nuclear radiation, biological pollution, chemical contamination, bioterrorism and food that pose health hazards, and have the potential to spread across regions or countries. Various emerging infectious diseases have resulted in the Public Health Emergency of International Concern (PHEIC), including Ebola (2019 and 2014), Poliomyelitis (2018),Zika Virus Disease (2016), Influenza A (H1N1)(2009), Severe Acute Respiratory Syndrome (SARS)(2002-2003), as well as the Nuclear Blast in Hiroshima which resulted in the emergence of certain diseases.

Since 2005-2018, there have been 200 Avian Influenza (AI)cases with 168 deaths (CFR 84%) in Indonesia. Ever since the outbreak in 2005, Indonesia has carried out various efforts in preventing and controlling AI, including: strengthening surveillance, communication and collaboration amongst related sectors, and comprehensive pandemic influenza preparedness program (such as developing guidelines, contingency plan, and carrying out table top exercise and field simulations).

In 2018, Indonesia reported 1 case of cVDPV1 and 2 contacts of positive cases of cVDPV1 that occurred in Papua. As this case originated from Papua New Guinea (PNG), in addition to implementing sub-National Immunization Weekand increasing routine immunization, Indonesia also strengthens surveillance at ground crossing and develops a Memorandum of Understanding (MOU) between the Indonesian and PNG government.

MERS is one of the diseases that have the potential to cause public health emergencies in Indonesia. The cumulative number of suspected MERS cases in Indonesia from 2013 to the 30th week of 2019 are 553 cases (546 cases with negative laboratory results and 7 cases where thesample specimens could not be taken). Until now there has been no confirmedMERS case in Indonesia.

Zoonoses diseases have becomeboth a national and a global concern. There is an increased threat of new infectious diseases, most of which are from zoonotic diseases. Zoonotic prevention and control must be carried out by means of communication, collaboration and cross-sectoral coordination within the framework of "One Health" which wasadoptedglobally since 2011. Someembryonic activities based on One Health approach have been implemented in Indonesia since 1972 with various cooperations and joint degrees between Ministry of Health (MOH) and Ministry of Agriculture (MOA), followed by Presidential Regulations on National Commission of Bird Flu and Pandemic Preparedness in 2006 and Zoonoses Control in 2011. The development of One Health in Indonesia has improved and become more harmonious across sectors, especially between the MOH, MOA and the Ministry of Environment and Forestry (MOEF).

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HISTORY OF IHR IMPLEMENTATION IN INDONESIA The International Health Regulations(IHR) (2005), agreed upon by 196 WHO member countries including Indonesia, was intended to be a reference for international cooperation to achieve global health security. IHR (2005) aims to prevent, protect, control and respond to public health threats through increased surveillance, as well as reporting and information-sharing between nations. At present, IHR (2005) is an instrument that unites 196 WHO member countries. Nonetheless, compliance with the implementation of IHR (2005) at the global level remains to bechallengingand needs to be improved.

IHR (2005) requires resources at designated airports, ports, and ground crossings or 'Points of Entry' (PoEs) which are able to respond to Public Health Emergency of International Concerns (PHEICs) at any time, limit the spread of public health risks at the international level, and prevent unnecessary restrictions of travel and trades. However, there is more and more evidence showing that effort for controlling the spread of PHEICs at ports and ground crossings are becoming less effective and less efficient. Containment at source by implementing real-time surveillance and strengthening health system hasproven to be more effective. Screening of incoming travelers is less important than screening of outgoing travelers.

Indonesia started implementing IHR (2005) in 2007 and conducted self-assessment on its eight core capacities. The first assessment in 2007 showed that Indonesia lacked capacities and resources in Surveillance, Response, Laboratory and Infection Control, hence it needed to strengthen the capacities through multi sectoral approach, and to emphasize the importance at point of entries (PoE). In 2009, Indonesia developed the IHR strategic plan and conducted self-assessment in 2010 and 2011, whose results showed that surveillance and PoE had not met the requirements yet. To emphasizeIndonesia’s commitment to accelerate core capacities fulfillment, a National Committee representing multi sectoral agencies was established in 2011.

In 2012, Indonesia conducted a self-assessment using WHO tools 2010-2012 and the result showed that capacities in surveillance, response, preparedness, coordination and point of entry were not optimal. Finally, in 2014, Indonesia conducted the last self- assessment using WHO tools 2013 and the result was encouraging. The result showed that Indonesia had an optimal and functioning IHR implementation in all eight core capacities.

7

6

C. HEALTH SECURITY In the last five decades, public health emergencies have been marked by the spread of infectious diseases and/or events caused by nuclear radiation, biological pollution, chemical contamination, bioterrorism and food that pose health hazards, and have the potential to spread across regions or countries. Various emerging infectious diseases have resulted in the Public Health Emergency of International Concern (PHEIC), including Ebola (2019 and 2014), Poliomyelitis (2018),Zika Virus Disease (2016), Influenza A (H1N1)(2009), Severe Acute Respiratory Syndrome (SARS)(2002-2003), as well as the Nuclear Blast in Hiroshima which resulted in the emergence of certain diseases.

Since 2005-2018, there have been 200 Avian Influenza (AI)cases with 168 deaths (CFR 84%) in Indonesia. Ever since the outbreak in 2005, Indonesia has carried out various efforts in preventing and controlling AI, including: strengthening surveillance, communication and collaboration amongst related sectors, and comprehensive pandemic influenza preparedness program (such as developing guidelines, contingency plan, and carrying out table top exercise and field simulations).

In 2018, Indonesia reported 1 case of cVDPV1 and 2 contacts of positive cases of cVDPV1 that occurred in Papua. As this case originated from Papua New Guinea (PNG), in addition to implementing sub-National Immunization Weekand increasing routine immunization, Indonesia also strengthens surveillance at ground crossing and develops a Memorandum of Understanding (MOU) between the Indonesian and PNG government.

MERS is one of the diseases that have the potential to cause public health emergencies in Indonesia. The cumulative number of suspected MERS cases in Indonesia from 2013 to the 30th week of 2019 are 553 cases (546 cases with negative laboratory results and 7 cases where thesample specimens could not be taken). Until now there has been no confirmedMERS case in Indonesia.

Zoonoses diseases have becomeboth a national and a global concern. There is an increased threat of new infectious diseases, most of which are from zoonotic diseases. Zoonotic prevention and control must be carried out by means of communication, collaboration and cross-sectoral coordination within the framework of "One Health" which wasadoptedglobally since 2011. Someembryonic activities based on One Health approach have been implemented in Indonesia since 1972 with various cooperations and joint degrees between Ministry of Health (MOH) and Ministry of Agriculture (MOA), followed by Presidential Regulations on National Commission of Bird Flu and Pandemic Preparedness in 2006 and Zoonoses Control in 2011. The development of One Health in Indonesia has improved and become more harmonious across sectors, especially between the MOH, MOA and the Ministry of Environment and Forestry (MOEF).

7

HISTORY OF IHR IMPLEMENTATION IN INDONESIA The International Health Regulations(IHR) (2005), agreed upon by 196 WHO member countries including Indonesia, was intended to be a reference for international cooperation to achieve global health security. IHR (2005) aims to prevent, protect, control and respond to public health threats through increased surveillance, as well as reporting and information-sharing between nations. At present, IHR (2005) is an instrument that unites 196 WHO member countries. Nonetheless, compliance with the implementation of IHR (2005) at the global level remains to bechallengingand needs to be improved.

IHR (2005) requires resources at designated airports, ports, and ground crossings or 'Points of Entry' (PoEs) which are able to respond to Public Health Emergency of International Concerns (PHEICs) at any time, limit the spread of public health risks at the international level, and prevent unnecessary restrictions of travel and trades. However, there is more and more evidence showing that effort for controlling the spread of PHEICs at ports and ground crossings are becoming less effective and less efficient. Containment at source by implementing real-time surveillance and strengthening health system hasproven to be more effective. Screening of incoming travelers is less important than screening of outgoing travelers.

Indonesia started implementing IHR (2005) in 2007 and conducted self-assessment on its eight core capacities. The first assessment in 2007 showed that Indonesia lacked capacities and resources in Surveillance, Response, Laboratory and Infection Control, hence it needed to strengthen the capacities through multi sectoral approach, and to emphasize the importance at point of entries (PoE). In 2009, Indonesia developed the IHR strategic plan and conducted self-assessment in 2010 and 2011, whose results showed that surveillance and PoE had not met the requirements yet. To emphasizeIndonesia’s commitment to accelerate core capacities fulfillment, a National Committee representing multi sectoral agencies was established in 2011.

In 2012, Indonesia conducted a self-assessment using WHO tools 2010-2012 and the result showed that capacities in surveillance, response, preparedness, coordination and point of entry were not optimal. Finally, in 2014, Indonesia conducted the last self- assessment using WHO tools 2013 and the result was encouraging. The result showed that Indonesia had an optimal and functioning IHR implementation in all eight core capacities.

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8

THE JOINT EXTERNAL EVALUATION

The JointExternal Evaluation (JEE) - IHR (2005) is intended to assess the country's ability to prevent, detect, and respond quickly to public health threats independently, regardless of whether the threats occur naturally, intentionally, or accidentally. The JEE reviewed the country’s preparedness and response-readiness in facing PHEICs for 19 Technical Areas and the extent of multisectoral coordination and collaboration. The JEE tools comprise4 aspects: Prevent, Detect, Respond and Others (PoE, Chemical Events and Radiation Emergencies). Each Technical Area is associated with a target statement, one or more indicators, and a rank-ordered scoring system for each indicator. To facilitate a fair comparison between countries, the assessments are conducted using a standard template provided in the JEE tool.

For the implementation of JEE, the Indonesian Ministry of Health has issued a Ministerial Decree No. HK.02.02/MENKES/273/2016 appointing the coordinators for each category of Prevent, Detect, Respond and Others as well as the responsible focal points for each technical area within the MOH to implement this internal and external evaluation in collaboration and coordination with other related ministries. The Government of Indonesia invited the Joint External Evaluation (JEE) team on November 20-24, 2017. The reports from the JEE assessments are made publicly available. Countries undergoing an assessment are urged to develop a National Action Plan for Health Security (NAPHS) for strengthening IHR (2005) core capacities based on the findings of the assessment.

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JEE Result12

The JEE process is of particular importance to a nation facing such a complex array of challenges and provide an opportunity for Indonesia to identify strengths, address challenges and demonstrate further leadership. Indonesia’s geographically disparate territory imposes a requirement for high level national coordination and monitoring to ensure progress in national core capacities under the IHR (2005). This was demonstrated through the findings of Indonesia’s JEE self-assessment exercise and confirmed by the work of the JEE expert team and its Indonesian colleagues during the evaluation week.

Belowis a summary of the JEE scores for the Republic of Indonesia:

TECHNICAL AREAS INDICATORS SCORE PREVENT

National legislation, policy and financing

P.1.1 Legislation, laws, regulations, administrative requirements, policies or other government instruments in place are sufficient for implementation of IHR (2005)

3

P.1.2 The State can demonstrate that it has adjusted and aligned its domestic legislation, policies and administrative arrangements to enable compliance with IHR (2005)

3

IHR coordination, communication and advocacy

P.2.1 A functional mechanism is established for the coordination and integration of relevant sectors in the implementation of IHR

3

Antimicrobial resistance

P.3.1 Antimicrobial resistance detection 2 P.3.2 Surveillance of infections caused by antimicrobial-resistant pathogens

2

P.3.3 Health care-associated infection (HCAI) prevention and control programs

3

P.3.4 Antimicrobial stewardship activities 3

Zoonotic diseases

P.4.1 Surveillance systems are in place for priority zoonotic diseases/pathogens

3

P.4.2 Veterinary or animal health workforce 3 P.4.3 Mechanisms for responding to infectious and potential zoonotic diseases are established and functional

2

Food safety P.5.1 Mechanisms for multisectoral collaboration are established to ensure rapid response to food safety emergencies and outbreaks of foodborne diseases

3

Biosafety and biosecurity

P.6.1 Whole-of-government biosafety and biosecurity system is in place for human, animal and agriculture facilities

3

12Joint external evaluation of the Republic of Indonesia report, November 20-24, 2017

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8

THE JOINT EXTERNAL EVALUATION

The JointExternal Evaluation (JEE) - IHR (2005) is intended to assess the country's ability to prevent, detect, and respond quickly to public health threats independently, regardless of whether the threats occur naturally, intentionally, or accidentally. The JEE reviewed the country’s preparedness and response-readiness in facing PHEICs for 19 Technical Areas and the extent of multisectoral coordination and collaboration. The JEE tools comprise4 aspects: Prevent, Detect, Respond and Others (PoE, Chemical Events and Radiation Emergencies). Each Technical Area is associated with a target statement, one or more indicators, and a rank-ordered scoring system for each indicator. To facilitate a fair comparison between countries, the assessments are conducted using a standard template provided in the JEE tool.

For the implementation of JEE, the Indonesian Ministry of Health has issued a Ministerial Decree No. HK.02.02/MENKES/273/2016 appointing the coordinators for each category of Prevent, Detect, Respond and Others as well as the responsible focal points for each technical area within the MOH to implement this internal and external evaluation in collaboration and coordination with other related ministries. The Government of Indonesia invited the Joint External Evaluation (JEE) team on November 20-24, 2017. The reports from the JEE assessments are made publicly available. Countries undergoing an assessment are urged to develop a National Action Plan for Health Security (NAPHS) for strengthening IHR (2005) core capacities based on the findings of the assessment.

9

JEE Result12

The JEE process is of particular importance to a nation facing such a complex array of challenges and provide an opportunity for Indonesia to identify strengths, address challenges and demonstrate further leadership. Indonesia’s geographically disparate territory imposes a requirement for high level national coordination and monitoring to ensure progress in national core capacities under the IHR (2005). This was demonstrated through the findings of Indonesia’s JEE self-assessment exercise and confirmed by the work of the JEE expert team and its Indonesian colleagues during the evaluation week.

Belowis a summary of the JEE scores for the Republic of Indonesia:

TECHNICAL AREAS INDICATORS SCORE PREVENT

National legislation, policy and financing

P.1.1 Legislation, laws, regulations, administrative requirements, policies or other government instruments in place are sufficient for implementation of IHR (2005)

3

P.1.2 The State can demonstrate that it has adjusted and aligned its domestic legislation, policies and administrative arrangements to enable compliance with IHR (2005)

3

IHR coordination, communication and advocacy

P.2.1 A functional mechanism is established for the coordination and integration of relevant sectors in the implementation of IHR

3

Antimicrobial resistance

P.3.1 Antimicrobial resistance detection 2 P.3.2 Surveillance of infections caused by antimicrobial-resistant pathogens

2

P.3.3 Health care-associated infection (HCAI) prevention and control programs

3

P.3.4 Antimicrobial stewardship activities 3

Zoonotic diseases

P.4.1 Surveillance systems are in place for priority zoonotic diseases/pathogens

3

P.4.2 Veterinary or animal health workforce 3 P.4.3 Mechanisms for responding to infectious and potential zoonotic diseases are established and functional

2

Food safety P.5.1 Mechanisms for multisectoral collaboration are established to ensure rapid response to food safety emergencies and outbreaks of foodborne diseases

3

Biosafety and biosecurity

P.6.1 Whole-of-government biosafety and biosecurity system is in place for human, animal and agriculture facilities

3

12Joint external evaluation of the Republic of Indonesia report, November 20-24, 2017

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10

TECHNICAL AREAS INDICATORS SCORE P.6.2 Biosafety and biosecurity training and practices 3

Immunization P.7.1 Vaccine coverage (measles) as part of national programme

4

P.7.2 National vaccine access and delivery 4 DETECT

National laboratory system

D.1.1 Laboratory testing for detection of priority diseases 4 D.1.2 Specimen referral and transport system 4 D.1.3 Effective modern point-of-care and laboratory-based diagnostics

3

D.1.4 Laboratory quality system 3

Real-time surveillance

D.2.1 Indicator- and event-based surveillance systems 3 D.2.2 Interoperable, interconnected, electronic real-time reporting system

3

D.2.3 Integration and analysis of surveillance data 2 D.2.4 Syndromic surveillance systems 4

Reporting D.3.1 System for efficient reporting to FAO, OIE and WHO 3 D.3.2 Reporting network and protocols in country 3

Workforce development

D.4.1 Human resources available to implement IHR core capacity requirements

3

D.4.2 FETP13 or other applied epidemiology training programme in place

4

D.4.3 Workforce strategy 3 RESPONSE

Preparedness

R.1.1 National multi-hazard public health emergency preparedness and response plan is developed and implemented

3

R.1.2 Priority public health risks and resources are mapped and utilized

2

Emergency response operations

R.2.1 Capacity to activate emergency operations 3 R.2.2 EOC operating procedures and plans 2 R.2.3 Emergency operations programme 3 R.2.4 Case management procedures implemented for IHR relevant hazards.

3

Linking public health and security authorities

R.3.1 Public health and security authorities (e.g. law enforcement, border control, customs) are linked during a suspect or confirmed biological event

4

Medical countermeasures

R.4.1 System in place for sending and receiving medical countermeasures during a public health emergency

4

13FETP: Field epidemiology training programme

11

TECHNICAL AREAS INDICATORS SCORE and personnel deployment

R.4.2 System in place for sending and receiving health personnel during a public health emergency

4

Risk communication

R.5.1 Risk communication systems (plans, mechanisms, etc.)

3

R.5.2 Internal and partner communication and coordination

3

R.5.3 Public communication 4 R.5.4 Communication engagement with affected communities

4

R.5.5 Dynamic listening and rumour management 4

OTHER IHR HAZARDS AND POE

Points of entry PoE.1 Routine capacities established at points of entry 4 PoE.2 Effective public health response at points of entry 4

Chemical events

CE.1 Mechanisms established and functioning for detecting and responding to chemical events or emergencies

2

CE.2 Enabling environment in place for management of chemical events

3

Radiation emergencies

RE.1 Mechanisms established and functioning for detecting and responding to radiological and nuclear emergencies

3

RE.2 Enabling environment in place for management of radiation emergencies

3

Indonesia JEE Final Result

Final Score: 63%

INDICATOR STATUS 0 RED (˂40%) 34 YELLOW (40-70%) 14 GREEN (˃70%)

11

10

TECHNICAL AREAS INDICATORS SCORE P.6.2 Biosafety and biosecurity training and practices 3

Immunization P.7.1 Vaccine coverage (measles) as part of national programme

4

P.7.2 National vaccine access and delivery 4 DETECT

National laboratory system

D.1.1 Laboratory testing for detection of priority diseases 4 D.1.2 Specimen referral and transport system 4 D.1.3 Effective modern point-of-care and laboratory-based diagnostics

3

D.1.4 Laboratory quality system 3

Real-time surveillance

D.2.1 Indicator- and event-based surveillance systems 3 D.2.2 Interoperable, interconnected, electronic real-time reporting system

3

D.2.3 Integration and analysis of surveillance data 2 D.2.4 Syndromic surveillance systems 4

Reporting D.3.1 System for efficient reporting to FAO, OIE and WHO 3 D.3.2 Reporting network and protocols in country 3

Workforce development

D.4.1 Human resources available to implement IHR core capacity requirements

3

D.4.2 FETP13 or other applied epidemiology training programme in place

4

D.4.3 Workforce strategy 3 RESPONSE

Preparedness

R.1.1 National multi-hazard public health emergency preparedness and response plan is developed and implemented

3

R.1.2 Priority public health risks and resources are mapped and utilized

2

Emergency response operations

R.2.1 Capacity to activate emergency operations 3 R.2.2 EOC operating procedures and plans 2 R.2.3 Emergency operations programme 3 R.2.4 Case management procedures implemented for IHR relevant hazards.

3

Linking public health and security authorities

R.3.1 Public health and security authorities (e.g. law enforcement, border control, customs) are linked during a suspect or confirmed biological event

4

Medical countermeasures

R.4.1 System in place for sending and receiving medical countermeasures during a public health emergency

4

13FETP: Field epidemiology training programme

11

TECHNICAL AREAS INDICATORS SCORE and personnel deployment

R.4.2 System in place for sending and receiving health personnel during a public health emergency

4

Risk communication

R.5.1 Risk communication systems (plans, mechanisms, etc.)

3

R.5.2 Internal and partner communication and coordination

3

R.5.3 Public communication 4 R.5.4 Communication engagement with affected communities

4

R.5.5 Dynamic listening and rumour management 4

OTHER IHR HAZARDS AND POE

Points of entry PoE.1 Routine capacities established at points of entry 4 PoE.2 Effective public health response at points of entry 4

Chemical events

CE.1 Mechanisms established and functioning for detecting and responding to chemical events or emergencies

2

CE.2 Enabling environment in place for management of chemical events

3

Radiation emergencies

RE.1 Mechanisms established and functioning for detecting and responding to radiological and nuclear emergencies

3

RE.2 Enabling environment in place for management of radiation emergencies

3

Indonesia JEE Final Result

Final Score: 63%

INDICATOR STATUS 0 RED (˂40%) 34 YELLOW (40-70%) 14 GREEN (˃70%)

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JEE Recommendations

Three overarching recommendations emerged from the evaluation week, which are intended to address challenges affecting Indonesia’s capacities in a number of technical areas, as follows:

1. Develop and implement a fully integrated, multisectoral National Action Plan for IHR implementation, facilitated by a legal decree at the highest level.

2. Establish a mechanism to coordinate the IHR and global health security work of all relevant ministries, agencies and institutions.

3. Evaluate and improve decision making structures and delegation of authority and responsibility to act, not only between the national and sub-national levels, but also at the national level.

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IV. POLICY AND STRATEGY A. LEGAL FRAMEWORK In strengthening health security, the Minister of Health has issued Ministerial Decree no. Hk.02.02 / Menkes / 273/2016 on“the Global Health Resilience Working Group in the Ministry of Health”to coordinate various aspects from detect, prevent, and respond in the health sector.

Presidential Instruction Number 4 of 2019 concerning “Improved Capacity in Preventing, Detecting, and Responding to Disease Outbreaks, Pandemic, and Nuclear, Biological, and Chemical Emergencies” came into force on June 17, 2019. This Presidential Instruction mandates the duties and responsibilities of each relevant ministry / institution in the technical and management aspects for the prevention and control of public health emergencies, outbreaks and epidemic. Various laws and regulations refer to Law No. 4 of 1984 on“Communicable Diseases Epidemic”for the prevention and control of outbreaks / epidemic. The Law No. 4/ 1984 is currently under revision to adjust to the development of national and global situations. In addition, Law No. 6/ 2018 on“Health Quarantine” has just been issued, which regulates various aspects of health quarantine and covers aspects of detect, prevent, and respond from various diseases and health problems related to biological, chemical and nuclear agents that have the potential to cause public health emergencies.

B. STRATEGY FOR NAPHS IMPLEMENTATION Implementation strategyfor NAPHS are:

1. To mobilize road shows to advocate NAPHS among related ministries/bodies/agencies

2. To work closely with the World Bank (WB) team in finalizing the HSFAT/Health Security Financing Assessment Tool and its implementation

3. To strengthen the role of local governments in the implementation of IHR and NAPHS 4. To monitor and evaluate NAPHS regularly

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12

JEE Recommendations

Three overarching recommendations emerged from the evaluation week, which are intended to address challenges affecting Indonesia’s capacities in a number of technical areas, as follows:

1. Develop and implement a fully integrated, multisectoral National Action Plan for IHR implementation, facilitated by a legal decree at the highest level.

2. Establish a mechanism to coordinate the IHR and global health security work of all relevant ministries, agencies and institutions.

3. Evaluate and improve decision making structures and delegation of authority and responsibility to act, not only between the national and sub-national levels, but also at the national level.

13

IV. POLICY AND STRATEGY A. LEGAL FRAMEWORK In strengthening health security, the Minister of Health has issued Ministerial Decree no. Hk.02.02 / Menkes / 273/2016 on“the Global Health Resilience Working Group in the Ministry of Health”to coordinate various aspects from detect, prevent, and respond in the health sector.

Presidential Instruction Number 4 of 2019 concerning “Improved Capacity in Preventing, Detecting, and Responding to Disease Outbreaks, Pandemic, and Nuclear, Biological, and Chemical Emergencies” came into force on June 17, 2019. This Presidential Instruction mandates the duties and responsibilities of each relevant ministry / institution in the technical and management aspects for the prevention and control of public health emergencies, outbreaks and epidemic. Various laws and regulations refer to Law No. 4 of 1984 on“Communicable Diseases Epidemic”for the prevention and control of outbreaks / epidemic. The Law No. 4/ 1984 is currently under revision to adjust to the development of national and global situations. In addition, Law No. 6/ 2018 on“Health Quarantine” has just been issued, which regulates various aspects of health quarantine and covers aspects of detect, prevent, and respond from various diseases and health problems related to biological, chemical and nuclear agents that have the potential to cause public health emergencies.

B. STRATEGY FOR NAPHS IMPLEMENTATION Implementation strategyfor NAPHS are:

1. To mobilize road shows to advocate NAPHS among related ministries/bodies/agencies

2. To work closely with the World Bank (WB) team in finalizing the HSFAT/Health Security Financing Assessment Tool and its implementation

3. To strengthen the role of local governments in the implementation of IHR and NAPHS 4. To monitor and evaluate NAPHS regularly

14

14

V. NAPHS DEVELOPMENT AND IMPLEMENTATION A. NAPHS DEVELOPMENT PROCESS In accordance with the recommendations of the IHR Committee at the 68th WHA, evaluation of progress and capacity building of IHR (2005) should begin with exclusive self-evaluation, followed by approaches that combine self-evaluation, peer assessment and voluntary external evaluation involving a combination of domestic and independent experts. Indonesia has implemented Joint External Evaluation (JEE) in November 2017 using the same approach.

NAPHS Methodology

1. Engage stakeholders’ commitment and participation in implementing activities and achieving higher core capacity level in 19 TAs to meet IHR (2005) capacities by facilitating legal decree from the Coordinating Ministry and regular meetings

2. Use Indonesia’s Logic Model to plan the NAPHS. Indonesia’s logic model harmonized key milestones planned in GHSA Action Package Roadmap with Indicators described in JEE tool for each Technical Area, while statement for Level of Capacity for each indicator in JEE tools is used for short, medium and long term in GHSA Outcomes.

Indonesia’s Logic Model

The WHO General Guidelines to develop NAPHS have been used in the process together with the Logic Model that Indonesia has proposed to GHSA Steering Committee which harmonizes GHSA template and JEE tool. WHO guideline on developing NAPHS can be modified to accommodate the use of Indonesia’s proposed logic model.

As the Indicators and level of capabilities in the JEE tools is standard, this harmonization will easily and quickly allow national and international partners/donors/agencies to understand the current and target level of capabilities, activities planned, and opportunities to fund certain activities in Indonesia for Health Security initiatives. (see example of Indonesia’s Logic Model below)

Indonesia has conducted many initiatives to implement IHR (2005), therefore the development of NAPHS were focused on priority activities only. Moreover, the priority activities were harmonized with existing national work plan. This harmonization ensures that the priority activities are implemented. Gaps were identified by comparing the existing activities with JEE recommendations and capacity level, while source of funding was identified for filling the gaps.

To facilitate the development of NAPHS, Ministry of Health of Indonesia has continued its efforts to actively engage all relevant ministries, agencies and institutions which were involved during the JEE process in November 2017 and hence same technical working groups for respective 19 TAs have worked on the development of the National Action

15

Plan for Health Security by translating priorities identified during the JEE and other assessments into actionable activities using the planning matrix provided by WHO.

World Bank has initiated the development of Health Security Financing Assessments Tool (HSFAT) in 2016. HSFAT will assess the expenditure related to health security. Hence, it expresses the supply of funds from all ministries, partners/ donors, agencies and institutions for health security in the last one year. Meanwhile, NAPHS measures the needs or demand for executing national health security. Matching the supplies and demands for health security will provide an estimate of the gaps in financing. Unfortunately, there are some delays in conducting the assessment through surveys using the said tools.

After priority activities were determined, calculation of the costing using Indonesia’s standard cost - based on Ministry of Finance Regulation – are done for each technical area. Several activities were organized to submit these costing into WHO Costing Tools, as follows:

1. Planning and costing workshop, Jakarta, 24 – 27 July 2018

The Ministry of Health convened a multi-sector workshop to review the NAPHS draft by all sectors involved. It allowed technical activities proposed by each relevant TA within the MOH to be introduced to relevant sectors through this multi sectoral workshop to explore additional valued inputs and activities from other sectors and experts. As a result of the workshop, 12 out of 19 TAs completed drafting activities and costing them using WHO costing tool.

2. NAPHS finalization meeting, Jakarta, 25-26 October 2018

The finalization meeting with multi sectoral participation including partners ensures the mapping out of all planned and budgeted activities for all 19 TAs for health security and IHR implementation. This meeting yielded an overview of fund allocation and priority action plan for five years. The result is shown in Annex 1 and Annex 2 as illustration on NAPHS priority activities development and budgeting.

3. Technical Meeting for Finalization of NAPHS Document Indonesia , Jakarta, 16-17 July 2019

In this meeting, all 19 TAs update their priority action plan that has been developed in 2018 and finalize them in the form of logic model.

15

14

V. NAPHS DEVELOPMENT AND IMPLEMENTATION A. NAPHS DEVELOPMENT PROCESS In accordance with the recommendations of the IHR Committee at the 68th WHA, evaluation of progress and capacity building of IHR (2005) should begin with exclusive self-evaluation, followed by approaches that combine self-evaluation, peer assessment and voluntary external evaluation involving a combination of domestic and independent experts. Indonesia has implemented Joint External Evaluation (JEE) in November 2017 using the same approach.

NAPHS Methodology

1. Engage stakeholders’ commitment and participation in implementing activities and achieving higher core capacity level in 19 TAs to meet IHR (2005) capacities by facilitating legal decree from the Coordinating Ministry and regular meetings

2. Use Indonesia’s Logic Model to plan the NAPHS. Indonesia’s logic model harmonized key milestones planned in GHSA Action Package Roadmap with Indicators described in JEE tool for each Technical Area, while statement for Level of Capacity for each indicator in JEE tools is used for short, medium and long term in GHSA Outcomes.

Indonesia’s Logic Model

The WHO General Guidelines to develop NAPHS have been used in the process together with the Logic Model that Indonesia has proposed to GHSA Steering Committee which harmonizes GHSA template and JEE tool. WHO guideline on developing NAPHS can be modified to accommodate the use of Indonesia’s proposed logic model.

As the Indicators and level of capabilities in the JEE tools is standard, this harmonization will easily and quickly allow national and international partners/donors/agencies to understand the current and target level of capabilities, activities planned, and opportunities to fund certain activities in Indonesia for Health Security initiatives. (see example of Indonesia’s Logic Model below)

Indonesia has conducted many initiatives to implement IHR (2005), therefore the development of NAPHS were focused on priority activities only. Moreover, the priority activities were harmonized with existing national work plan. This harmonization ensures that the priority activities are implemented. Gaps were identified by comparing the existing activities with JEE recommendations and capacity level, while source of funding was identified for filling the gaps.

To facilitate the development of NAPHS, Ministry of Health of Indonesia has continued its efforts to actively engage all relevant ministries, agencies and institutions which were involved during the JEE process in November 2017 and hence same technical working groups for respective 19 TAs have worked on the development of the National Action

15

Plan for Health Security by translating priorities identified during the JEE and other assessments into actionable activities using the planning matrix provided by WHO.

World Bank has initiated the development of Health Security Financing Assessments Tool (HSFAT) in 2016. HSFAT will assess the expenditure related to health security. Hence, it expresses the supply of funds from all ministries, partners/ donors, agencies and institutions for health security in the last one year. Meanwhile, NAPHS measures the needs or demand for executing national health security. Matching the supplies and demands for health security will provide an estimate of the gaps in financing. Unfortunately, there are some delays in conducting the assessment through surveys using the said tools.

After priority activities were determined, calculation of the costing using Indonesia’s standard cost - based on Ministry of Finance Regulation – are done for each technical area. Several activities were organized to submit these costing into WHO Costing Tools, as follows:

1. Planning and costing workshop, Jakarta, 24 – 27 July 2018

The Ministry of Health convened a multi-sector workshop to review the NAPHS draft by all sectors involved. It allowed technical activities proposed by each relevant TA within the MOH to be introduced to relevant sectors through this multi sectoral workshop to explore additional valued inputs and activities from other sectors and experts. As a result of the workshop, 12 out of 19 TAs completed drafting activities and costing them using WHO costing tool.

2. NAPHS finalization meeting, Jakarta, 25-26 October 2018

The finalization meeting with multi sectoral participation including partners ensures the mapping out of all planned and budgeted activities for all 19 TAs for health security and IHR implementation. This meeting yielded an overview of fund allocation and priority action plan for five years. The result is shown in Annex 1 and Annex 2 as illustration on NAPHS priority activities development and budgeting.

3. Technical Meeting for Finalization of NAPHS Document Indonesia , Jakarta, 16-17 July 2019

In this meeting, all 19 TAs update their priority action plan that has been developed in 2018 and finalize them in the form of logic model.

16

16

B. NAPHS 2020 – 2024 Indonesia has responded comprehensively on JEE overarching recommendations, as follow: JEE Recommendation Activity 1 Develop and implement a fully

integrated, multisectoral National Action Plan for IHR implementation, facilitated by a legal decree at the highest level.

NAPHS developed and finalized in December 2018

2 Establish a mechanism to coordinate the IHR and global health security work of all relevant ministries, agencies and institutions.

Presidential Instruction Number 4 of 2019concerning “Improved Capacity in Preventing, Detecting, and Responding to Disease Outbreaks, Pandemic, and Nuclear, Biological, and Chemical Emergencies”

3 Evaluate and improve decision making structures and delegation of authority and responsibility to act, not only between the national and sub-national levels, but also at the national level.

All 19 TAs also plan priority activities in each indicator to achieve higher level of capacity as shown in the logic model below:

17

TA N

ATIO

NAL L

EGIS

LATI

ON, P

OLIC

Y AN

D FI

NANC

ING

Leve

l 4:

The

coun

try

can

dem

onst

rate

the

exist

ence

and

use

of

rele

vant

law

s and

po

licie

s in

the

vario

us se

ctor

s in

volv

ed in

the

impl

emen

tatio

n of

the

IHR

Advo

cate

the

impl

emen

tatio

n of

Pre

siden

t Ins

truc

tion

Num

ber 4

/201

9 1.

Diss

emin

atio

n 2.

Gui

delin

e de

velo

pmen

ts fo

r Dist

rict H

ead

3. C

oord

inat

ion

mee

ting

for p

repa

re A

dvoc

atio

n St

rate

gic.

4.

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ocat

e re

late

d in

stitu

tions

to d

evel

op M

inist

er A

ct co

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of t

he co

ordi

natio

n in

impl

emen

ting t

he P

resid

ent I

nstr

uctio

n w

ithin

inte

rnal

min

istry

/inst

itutio

n.

n an

d Re

spon

se fo

r Pub

lic H

ealth

Em

erge

ncy

Cont

ainm

ent T

rain

ing

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OE fo

r Por

t Hea

lth O

ffice

r.

2. F

light

Sur

geon

and

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ht N

urse

Tra

inin

g fo

r Por

t Hea

lth O

ffice

r 3.

Tra

inin

g fo

r Hea

lth Q

uara

ntin

e Ca

pacit

y

Inpu

ts

Leve

l 4:

Polic

ies t

o fa

cilita

te IH

R NF

P co

re a

nd

expa

nded

fu

nctio

ns a

nd to

st

reng

then

core

ca

pacit

ies

Man

M

oney

M

etho

d Pa

rtne

r

Leve

l 4:

Polic

ies t

o fa

cilita

te IH

R NF

P co

re a

nd

expa

nded

fu

nctio

ns a

nd

to st

reng

then

co

re

capa

citie

s

Mon

itorin

g a

nd E

valu

atio

n 1.

Pre

para

tion

Mee

ting

for M

onito

ring

and

Eval

uatio

n In

stru

men

ts

2. M

onito

ring

3.

Mid

term

Eva

luat

ion

4. E

ndte

rm E

valu

atio

n 5.

End

Ter

m E

valu

atio

n

Legi

slatio

n, la

ws,

regu

latio

ns, a

dmin

istra

tive

requ

irem

ents

, pol

icies

or o

ther

gov

ernm

ent

inst

rum

ents

in p

lace

are

suffi

cient

for i

mpl

emen

tatio

ns o

f IHR

The

Stat

e ca

n De

mon

stra

te th

at it

has

adj

uste

d an

d al

igned

its d

omes

tic

legi

slatio

n, p

olici

es, a

nd a

dmin

istra

tive

to e

nabl

e co

mpl

ianc

e w

ith IH

R (2

005)

Diss

emin

atio

n of

Pro

vinc

ial &

Dist

rict A

ctio

n Pl

an H

ealth

Sec

urity

(reg

iona

l) 1.

Coo

rdin

atio

n M

eetin

g

Tech

nica

l Ass

istan

ce fo

r the

Pre

para

tion

of P

rovi

ncia

l & D

istric

t Act

ion

Plan

Hea

lth S

ecur

ity –

34

Prov

ince

s.

1. M

odul

e De

velo

pmen

t 2.

Tra

inin

g of

Tra

iner

(nat

iona

l) 3.

Tra

inin

g of

Tra

iner

(pro

vinc

e)

4. T

echn

ical A

ssita

nce

(pro

vinc

e)

Prio

rity

Activ

ities

/ Mile

ston

e

Activ

ities

and

Out

puts

*

Shor

t-ter

m O

utco

mes

(1

-3ye

ars)

In

term

edia

te

Outc

omes

(4-5

year

s)

Long

-term

Ou

tcom

es(5

+yea

rs)

Harm

oniza

tion

of re

gion

al p

olici

es w

ith th

e In

done

sia N

atio

nal A

ctio

n Pl

an fo

r Hea

lth S

ecur

ity.

1. C

oord

inat

ion

mee

ting

to id

entif

y lo

cal p

olicy

and

NAP

HS (

2020

) 2.

Tec

hnica

l Ass

issta

nce

in a

djus

tmen

t of l

ocal

pol

icy (2

021)

3.

Pre

para

tion

Mee

ting

for m

onito

ring

and

Eval

uatio

n in

stru

men

ts o

f the

impl

emen

tatio

n in

loca

l pol

icies

(202

2)

4. M

onito

ring

Leve

l 5:

Polic

ies t

o fa

cilita

te IH

R NF

P co

re a

nd

expa

nded

fu

nctio

ns a

nd

to st

reng

then

co

re ca

pacit

ies

inco

rpor

ated

w

ithin

the

natio

nal h

ealth

se

ctor

pla

n (N

HSP)

Leve

l 5:

The

coun

try

ensu

res

coor

dina

tion

of t

he

lega

l and

re

gula

tory

fra

mew

ork

s bet

wee

n se

ctor

s

Harm

oniza

tion

and

Sync

hron

izatio

n of

Str

ateg

ic Po

licy

accr

oss T

A (p

olicy

gap

s, co

nflic

t, ne

eds)

1.

Coo

rdin

atio

n M

eetin

g

2.

Deve

lopm

ent o

f Loc

al a

nd n

atio

nal a

ctio

n pl

an (2

022)

1.

Coo

rdin

atio

n m

eetin

g (n

atio

nal a

ctio

n pl

an)

2. C

oord

inat

ion

mee

ting

(loca

l act

ion

plan

)

Heal

th S

ecur

ity F

inan

cing

Map

ping

of a

ll re

leva

nt se

ctor

s 1.

Coo

rdin

atio

n M

eetin

g

Leve

l 4:

The

coun

try

can

dem

onst

rate

the

exist

ence

and

use

of

rele

vant

law

s an

d po

licie

s in

the

vario

us se

ctor

s in

volv

ed in

the

impl

emen

tatio

n of

th

e IH

R

17

16

B. NAPHS 2020 – 2024 Indonesia has responded comprehensively on JEE overarching recommendations, as follow: JEE Recommendation Activity 1 Develop and implement a fully

integrated, multisectoral National Action Plan for IHR implementation, facilitated by a legal decree at the highest level.

NAPHS developed and finalized in December 2018

2 Establish a mechanism to coordinate the IHR and global health security work of all relevant ministries, agencies and institutions.

Presidential Instruction Number 4 of 2019concerning “Improved Capacity in Preventing, Detecting, and Responding to Disease Outbreaks, Pandemic, and Nuclear, Biological, and Chemical Emergencies”

3 Evaluate and improve decision making structures and delegation of authority and responsibility to act, not only between the national and sub-national levels, but also at the national level.

All 19 TAs also plan priority activities in each indicator to achieve higher level of capacity as shown in the logic model below:

17

TA N

ATIO

NAL L

EGIS

LATI

ON, P

OLIC

Y AN

D FI

NANC

ING

Leve

l 4:

The

coun

try

can

dem

onst

rate

the

exist

ence

and

use

of

rele

vant

law

s and

po

licie

s in

the

vario

us se

ctor

s in

volv

ed in

the

impl

emen

tatio

n of

the

IHR

Advo

cate

the

impl

emen

tatio

n of

Pre

siden

t Ins

truc

tion

Num

ber 4

/201

9 1.

Diss

emin

atio

n 2.

Gui

delin

e de

velo

pmen

ts fo

r Dist

rict H

ead

3. C

oord

inat

ion

mee

ting

for p

repa

re A

dvoc

atio

n St

rate

gic.

4.

Adv

ocat

e re

late

d in

stitu

tions

to d

evel

op M

inist

er A

ct co

nsist

of t

he co

ordi

natio

n in

impl

emen

ting t

he P

resid

ent I

nstr

uctio

n w

ithin

inte

rnal

min

istry

/inst

itutio

n.

n an

d Re

spon

se fo

r Pub

lic H

ealth

Em

erge

ncy

Cont

ainm

ent T

rain

ing

in P

OE fo

r Por

t Hea

lth O

ffice

r.

2. F

light

Sur

geon

and

Flig

ht N

urse

Tra

inin

g fo

r Por

t Hea

lth O

ffice

r 3.

Tra

inin

g fo

r Hea

lth Q

uara

ntin

e Ca

pacit

y

Inpu

ts

Leve

l 4:

Polic

ies t

o fa

cilita

te IH

R NF

P co

re a

nd

expa

nded

fu

nctio

ns a

nd to

st

reng

then

core

ca

pacit

ies

Man

M

oney

M

etho

d Pa

rtne

r

Leve

l 4:

Polic

ies t

o fa

cilita

te IH

R NF

P co

re a

nd

expa

nded

fu

nctio

ns a

nd

to st

reng

then

co

re

capa

citie

s

Mon

itorin

g a

nd E

valu

atio

n 1.

Pre

para

tion

Mee

ting

for M

onito

ring

and

Eval

uatio

n In

stru

men

ts

2. M

onito

ring

3.

Mid

term

Eva

luat

ion

4. E

ndte

rm E

valu

atio

n 5.

End

Ter

m E

valu

atio

n

Legi

slatio

n, la

ws,

regu

latio

ns, a

dmin

istra

tive

requ

irem

ents

, pol

icies

or o

ther

gov

ernm

ent

inst

rum

ents

in p

lace

are

suffi

cient

for i

mpl

emen

tatio

ns o

f IHR

The

Stat

e ca

n De

mon

stra

te th

at it

has

adj

uste

d an

d al

igned

its d

omes

tic

legi

slatio

n, p

olici

es, a

nd a

dmin

istra

tive

to e

nabl

e co

mpl

ianc

e w

ith IH

R (2

005)

Diss

emin

atio

n of

Pro

vinc

ial &

Dist

rict A

ctio

n Pl

an H

ealth

Sec

urity

(reg

iona

l) 1.

Coo

rdin

atio

n M

eetin

g

Tech

nica

l Ass

istan

ce fo

r the

Pre

para

tion

of P

rovi

ncia

l & D

istric

t Act

ion

Plan

Hea

lth S

ecur

ity –

34

Prov

ince

s.

1. M

odul

e De

velo

pmen

t 2.

Tra

inin

g of

Tra

iner

(nat

iona

l) 3.

Tra

inin

g of

Tra

iner

(pro

vinc

e)

4. T

echn

ical A

ssita

nce

(pro

vinc

e)

Prio

rity

Activ

ities

/ Mile

ston

e

Activ

ities

and

Out

puts

*

Shor

t-ter

m O

utco

mes

(1

-3ye

ars)

In

term

edia

te

Outc

omes

(4-5

year

s)

Long

-term

Ou

tcom

es(5

+yea

rs)

Harm

oniza

tion

of re

gion

al p

olici

es w

ith th

e In

done

sia N

atio

nal A

ctio

n Pl

an fo

r Hea

lth S

ecur

ity.

1. C

oord

inat

ion

mee

ting

to id

entif

y lo

cal p

olicy

and

NAP

HS (

2020

) 2.

Tec

hnica

l Ass

issta

nce

in a

djus

tmen

t of l

ocal

pol

icy (2

021)

3.

Pre

para

tion

Mee

ting

for m

onito

ring

and

Eval

uatio

n in

stru

men

ts o

f the

impl

emen

tatio

n in

loca

l pol

icies

(202

2)

4. M

onito

ring

Leve

l 5:

Polic

ies t

o fa

cilita

te IH

R NF

P co

re a

nd

expa

nded

fu

nctio

ns a

nd

to st

reng

then

co

re ca

pacit

ies

inco

rpor

ated

w

ithin

the

natio

nal h

ealth

se

ctor

pla

n (N

HSP)

Leve

l 5:

The

coun

try

ensu

res

coor

dina

tion

of t

he

lega

l and

re

gula

tory

fra

mew

ork

s bet

wee

n se

ctor

s

Harm

oniza

tion

and

Sync

hron

izatio

n of

Str

ateg

ic Po

licy

accr

oss T

A (p

olicy

gap

s, co

nflic

t, ne

eds)

1.

Coo

rdin

atio

n M

eetin

g

2.

Deve

lopm

ent o

f Loc

al a

nd n

atio

nal a

ctio

n pl

an (2

022)

1.

Coo

rdin

atio

n m

eetin

g (n

atio

nal a

ctio

n pl

an)

2. C

oord

inat

ion

mee

ting

(loca

l act

ion

plan

)

Heal

th S

ecur

ity F

inan

cing

Map

ping

of a

ll re

leva

nt se

ctor

s 1.

Coo

rdin

atio

n M

eetin

g

Leve

l 4:

The

coun

try

can

dem

onst

rate

the

exist

ence

and

use

of

rele

vant

law

s an

d po

licie

s in

the

vario

us se

ctor

s in

volv

ed in

the

impl

emen

tatio

n of

th

e IH

R

18

18

TA IH

R CO

ORDI

NATI

ON, C

OMM

UNIC

ATIO

N AN

D AD

VOCA

CY

3)

Deve

lop

actio

n pl

an fo

r coo

rdin

atio

n an

d co

mm

unica

tion

inclu

ding

sim

ulat

ion/

TTX

for r

espo

nd d

urin

g PH

EIC

4)

Diss

emin

atio

n of

Pre

siden

tial I

nstr

uctio

n no

4/2

019

at n

atio

nal a

nd su

bnat

iona

l le

vel

5)

Mon

ev fo

r NAP

HS im

plem

enta

tion

in 2

020

6)

Deve

lop

annu

al re

port

of I

HR im

plem

enta

tion

and

shar

ing

to re

leva

nt

stak

ehol

ders

Inpu

ts

Leve

l 2:

Coor

dina

tion

mec

hani

sm

betw

een

rele

vant

m

inist

ries i

s in

plac

e sa

nd N

atio

nal

Stan

dard

Ope

ratin

g Pr

oced

ures

(SOP

s)

or e

quiva

lent

exis

ts

for t

he co

ordi

natio

n be

twee

n IH

R NF

P an

d re

leva

nt

sect

ors

Man

M

oney

M

etho

d Pa

rtne

r

Leve

l 3: A

m

ultis

ecto

ral,

mul

tidisc

iplin

ary

body

, com

mitt

ee o

r ta

skfo

rce

addr

essin

g IH

R re

quire

men

ts o

n su

rvei

llanc

e an

d re

spon

se fo

r pub

lic

heal

th e

mer

genc

ies

of n

atio

nal a

nd

inte

rnat

iona

l co

ncer

n is

in p

lace

an

d pa

rtici

pate

d in

la

test

eve

nt

P.2.

1 A

func

tiona

l mec

hani

sm is

est

ablis

hed

for t

he co

ordi

natio

n an

d in

tegr

atio

n of

rele

vant

sect

ors i

n th

e im

plem

enta

tion

of IH

R

Prio

rity

Activ

ities

/ Mile

ston

e

Activ

ities

and

Out

puts

*

Shor

t-ter

mOu

tcom

es(1

-3y

ears

) In

term

edia

te

Outc

omes

(4-5

year

s)

Long

-term

Ou

tcom

es(5

+yea

rs)

1)

Enha

nce

the

abili

ty o

f the

IHR

natio

nal f

ocal

poi

nt to

com

mun

icate

hea

lth ri

sk

info

rmat

ion

2)

Deve

lop

repo

rtin

g m

echa

nism

to IH

R NF

P (in

tern

al M

OH) a

nd to

WHO

, inc

ludi

ng

role

and

resp

onsib

ilitie

s

19

TA A

NTIM

ICRO

BIAL

RES

ISTA

NCE

(AM

R) (1

)

Leve

l 2: N

atio

nal

plan

for

surv

eilla

nce

of

infe

ctio

ns

caus

ed b

y pr

iorit

y AM

R pa

thog

ens

has b

een

appr

oved

be

twee

n IH

R NF

P an

d re

leva

nt

sect

ors

Leve

l 3: D

esig

nate

d se

ntin

el si

tes a

re

cond

uctin

g su

rvei

llanc

e of

in

fect

ions

caus

ed

by so

me

prio

rity

AMR

path

ogen

s

P.3.

2. S

urve

illan

ce o

f inf

ectio

ns ca

used

by

antim

icrob

ial-r

esist

ant

path

ogen

s

1)

Impl

emen

tatio

n of

bio

secu

rity

3 zo

na a

t med

ium

scal

e po

ultr

y fa

rm

2)

Prev

entio

n of

fish

dise

ases

3)

Pr

epar

atio

n of

Fish

Dru

g Re

gula

tions

1) G

loba

l Sur

veill

ance

ESB

L E C

oli

2) A

MR

surv

eilla

nce

at sh

rimp

and

fish

farm

ers

3) C

oord

inat

ion

mee

ting/

wor

ksho

p on

PPI

4)

Link

labo

rato

ry d

iagn

ostic

s to

field

ani

mal

dise

ase

surv

eilla

nce

and

cont

rol p

rogr

amm

es

5) S

tren

gthe

n la

bora

tory

dia

gnos

tic ca

pacit

y fo

r EID

s and

zoon

oses

1)

NRL a

ppoi

ntm

ent a

t the

Min

istry

of A

gricu

lture

, Min

istry

of H

ealth

, Min

istry

of M

arin

e Af

fairs

and

Fish

erie

s 2)

Re

view

NAP

AM

R In

done

sia 2

017-

2019

to a

ppoi

nt N

CC

3)

Deve

lopm

ent o

f NAP

AM

R In

done

sia th

e ne

xt 5

per

iod

Leve

l 2: N

atio

nal

plan

for d

etec

tion

and

repo

rtin

g of

pr

iorit

y AM

R pa

thog

ens h

as b

een

appr

oved

(SOP

s) o

r eq

uiva

lent

exis

ts fo

r th

e co

ordi

natio

n be

twee

n IH

R NF

P an

d re

leva

nt

sect

ors

Leve

l 3: D

esig

nate

d la

bora

torie

s are

co

nduc

ting

dete

ctio

n an

d re

port

ing

of so

me

prio

rity A

MR

path

ogen

s

1)

Capa

city

build

ing

for r

efer

ral a

nd te

stin

g la

bora

tory

at t

he M

inist

ry o

f Mar

ine

Affa

irs a

nd

Fish

erie

s 2)

Fa

cilita

te e

stab

lishm

ent o

f an

Antim

icrob

ial R

esist

ance

Con

trol

Com

mitt

ee (A

RCC/

KPRA

) in

MoA

3)

Fa

cilita

te A

RCC/

KPRA

stud

ies o

n an

timicr

obia

l usa

ge (A

MU)

and

AM

R 4)

Ra

ise st

akeh

olde

r’s a

war

enes

s of p

rude

nt a

nd a

ppro

pria

te u

se o

f ant

imicr

obia

ls an

d th

e he

alth

ris

ks o

f AM

R.

5)

Advo

cate

with

stak

ehol

ders

(GOI

, priv

ate

sect

or/in

dust

ry) f

or a

dher

ence

to re

gula

tions

/pol

icies

on

AM

U an

d AM

R 6)

Bu

ild st

akeh

olde

r cap

acity

to co

nduc

t mon

itorin

g, su

rvei

llanc

e, a

nd te

stin

g fo

r AM

U an

d AM

R

Inpu

ts

Man

M

oney

M

etho

d Pa

rtne

r

P.3.

1 An

timicr

obia

l res

istan

ce d

etec

tion

Prio

rity

Activ

ities

/ Mile

ston

e

Activ

ities

and

Out

puts

*

Shor

t-ter

mOu

tcom

es(1

-3y

ears

) In

term

edia

te

Outc

omes

(4-5

year

s)

Long

-term

Ou

tcom

es(5

+yea

rs)

19

19

TA A

NTIM

ICRO

BIAL

RES

ISTA

NCE

(AM

R) (1

)

Leve

l 2: N

atio

nal

plan

for

surv

eilla

nce

of

infe

ctio

ns

caus

ed b

y pr

iorit

y AM

R pa

thog

ens

has b

een

appr

oved

be

twee

n IH

R NF

P an

d re

leva

nt

sect

ors

Leve

l 3: D

esig

nate

d se

ntin

el si

tes a

re

cond

uctin

g su

rvei

llanc

e of

in

fect

ions

caus

ed

by so

me

prio

rity

AMR

path

ogen

s

P.3.

2. S

urve

illan

ce o

f inf

ectio

ns ca

used

by

antim

icrob

ial-r

esist

ant

path

ogen

s

1)

Impl

emen

tatio

n of

bio

secu

rity

3 zo

na a

t med

ium

scal

e po

ultr

y fa

rm

2)

Prev

entio

n of

fish

dise

ases

3)

Pr

epar

atio

n of

Fish

Dru

g Re

gula

tions

1) G

loba

l Sur

veill

ance

ESB

L E C

oli

2) A

MR

surv

eilla

nce

at sh

rimp

and

fish

farm

ers

3) C

oord

inat

ion

mee

ting/

wor

ksho

p on

PPI

4)

Link

labo

rato

ry d

iagn

ostic

s to

field

ani

mal

dise

ase

surv

eilla

nce

and

cont

rol p

rogr

amm

es

5) S

tren

gthe

n la

bora

tory

dia

gnos

tic ca

pacit

y fo

r EID

s and

zoon

oses

1)

NRL a

ppoi

ntm

ent a

t the

Min

istry

of A

gricu

lture

, Min

istry

of H

ealth

, Min

istry

of M

arin

e Af

fairs

and

Fish

erie

s 2)

Re

view

NAP

AM

R In

done

sia 2

017-

2019

to a

ppoi

nt N

CC

3)

Deve

lopm

ent o

f NAP

AM

R In

done

sia th

e ne

xt 5

per

iod

Leve

l 2: N

atio

nal

plan

for d

etec

tion

and

repo

rtin

g of

pr

iorit

y AM

R pa

thog

ens h

as b

een

appr

oved

(SOP

s) o

r eq

uiva

lent

exis

ts fo

r th

e co

ordi

natio

n be

twee

n IH

R NF

P an

d re

leva

nt

sect

ors

Leve

l 3: D

esig

nate

d la

bora

torie

s are

co

nduc

ting

dete

ctio

n an

d re

port

ing

of so

me

prio

rity A

MR

path

ogen

s

1)

Capa

city

build

ing

for r

efer

ral a

nd te

stin

g la

bora

tory

at t

he M

inist

ry o

f Mar

ine

Affa

irs a

nd

Fish

erie

s 2)

Fa

cilita

te e

stab

lishm

ent o

f an

Antim

icrob

ial R

esist

ance

Con

trol

Com

mitt

ee (A

RCC/

KPRA

) in

MoA

3)

Fa

cilita

te A

RCC/

KPRA

stud

ies o

n an

timicr

obia

l usa

ge (A

MU)

and

AM

R 4)

Ra

ise st

akeh

olde

r’s a

war

enes

s of p

rude

nt a

nd a

ppro

pria

te u

se o

f ant

imicr

obia

ls an

d th

e he

alth

ris

ks o

f AM

R.

5)

Advo

cate

with

stak

ehol

ders

(GOI

, priv

ate

sect

or/in

dust

ry) f

or a

dher

ence

to re

gula

tions

/pol

icies

on

AM

U an

d AM

R 6)

Bu

ild st

akeh

olde

r cap

acity

to co

nduc

t mon

itorin

g, su

rvei

llanc

e, a

nd te

stin

g fo

r AM

U an

d AM

R

Inpu

ts

Man

M

oney

M

etho

d Pa

rtne

r

P.3.

1 An

timicr

obia

l res

istan

ce d

etec

tion

Prio

rity

Activ

ities

/ Mile

ston

e

Activ

ities

and

Out

puts

*

Shor

t-ter

mOu

tcom

es(1

-3y

ears

) In

term

edia

te

Outc

omes

(4-5

year

s)

Long

-term

Ou

tcom

es(5

+yea

rs)

20

20

TA A

NTIM

ICRO

BIAL

RES

ISTA

NCE

(AM

R) (2

)

1)

Impl

emen

tatio

n of

the

Smar

t Soc

iety

Mov

emen

t Pro

gram

Usin

g M

edici

nes (

Gem

a Ce

rmat

) for

Pha

rmac

ists a

nd C

omm

uniti

es

2)

POR

and

Gem

a Ce

rmat

pub

licat

ion

thro

ugh

the

med

ia

3)

Mon

itorin

g an

d Ev

alua

tion

of th

e im

plem

enta

tion

of th

e Ge

ma

Cerm

at

4)

Prep

arat

ion

of a

ntib

iotic

gui

delin

es

5)

Incr

easin

g Co

oper

atio

n in

diss

emin

atin

g th

e Us

e of

Ant

ibio

tics a

nd A

ntib

iotic

Con

trol

in

Heal

th S

ervi

ces

Leve

l 3:

Desig

nate

d fa

ciliti

es a

re

cond

uctin

g so

me

HCAI

pr

ogra

ms s

ecto

rs

Man

M

oney

M

etho

d Pa

rtne

r

Leve

l 4: D

esig

nate

d fa

ciliti

es h

ave

cond

ucte

d al

l HCA

I pr

ogra

ms f

or a

t le

ast o

ne ye

ar

Leve

l 3:

Desig

nate

d ce

ntre

s are

co

nduc

ting

som

e an

timicr

obia

l st

ewar

dshi

p pr

actic

es

Leve

l 4: D

esig

nate

d ce

ntre

s hav

e co

nduc

ted

all

antim

icrob

ial

stew

ards

hip

prac

tices

for

at le

ast o

ne ye

ar

P.3.

3 He

alth

care

-ass

ocia

ted

infe

ctio

n (H

CAI)

prev

entio

n an

d co

ntro

l pr

ogra

mm

es

Inpu

ts

P.3.

4 An

timicr

obia

l ste

war

dshi

p ac

tiviti

es

1)

Stud

y and

per

form

ance

dat

a Ev

alua

tion

on In

dica

tors

of R

atio

nal D

rug

Use

1)

Tech

nica

l sup

port

to im

prov

e ac

cess

to e

ssen

tial m

edici

nes a

nd te

chno

logi

es, a

nd

Guid

elin

es o

f Ant

imicr

obia

l Use

2)

St

reng

then

dise

ase

surv

eilla

nce

and

data

ana

lysis

capa

city

to su

ppor

t dise

ase

cont

rol

polic

y (M

OA)

Prio

rity

Activ

ities

/ Mile

ston

e

Activ

ities

and

Out

puts

*

Shor

t-ter

mOu

tcom

es(1

-3y

ears

) In

term

edia

te

Outc

omes

(4-5

year

s)

Long

-term

Ou

tcom

es(5

+yea

rs)

1)

Impl

emen

tatio

n PP

RA a

t hos

pita

ls, F

KRTL

2)

Di

ssem

inat

ion

of R

efer

ral H

ealth

Ser

vice

s (on

e of

them

is th

e PR

A pr

ogra

m)

3)

Cond

uct d

iseas

e id

entif

icatio

n an

d ta

rget

ed su

rvei

llanc

e ac

tiviti

es in

hig

h-ris

k en

viro

nmen

ts a

nd o

n an

imal

s at h

igh

risk

of co

ntra

ctin

g zo

onos

es a

nd E

IDs,

inclu

ding

fa

rmed

wild

life

and

mig

rato

ry b

irds

4)

Deve

lop

GOI c

apac

ity to

impl

emen

t tar

gete

d zo

onos

es a

nd E

ID p

reve

ntio

n an

d co

ntro

l pr

ogra

mm

e

21

TA Z

OONO

TIC

DISE

ASE

(1)

1.

Iden

tifica

tion

of p

riorit

y zo

onot

ic di

seas

es in

clude

AI,

Rabi

es, A

nthr

ax, L

epto

spiro

sis, B

ruce

llosIS

Inpu

ts

Leve

l 3: Z

oono

tic

surv

eilla

nce

syst

ems i

n pl

ace

for

1-4

zoon

ostic

di

seas

es/

path

ogen

s of

grea

test

pub

lic

heal

th co

ncer

n

Man

M

oney

M

etho

d Pa

rtne

r

Leve

l 4:

Zoon

otic

surv

eilla

nce

syst

ems

in p

lace

for f

ive o

r m

ore

zoon

otic

dise

ases

/ pat

hoge

ns

of g

reat

est p

ublic

he

alth

conc

ern

1.

Deve

lopm

ent o

f FET

PV -

Trai

ning

FET

PV

Leve

l 3 :

Anim

al

heal

th w

orkf

orce

ca

pacit

y with

in th

e na

tiona

l pub

lic

heal

th sy

stem

and

le

ss th

an h

alf o

f sub

-na

tiona

l lev

els

Leve

l 4 :

Anim

al

heal

th w

orkf

orce

ca

pacit

y with

in th

e na

tiona

l pub

lic

heal

th sy

stem

and

m

ore

than

hal

f of

sub-

natio

nal l

evel

s

Surv

eilla

nce

syst

ems i

n pl

ace

for p

riorit

y zoo

notic

l3

dise

ases

/pat

hoge

ns →

201

7

Anim

al H

ealth

and

Vet

erin

aria

n W

orkf

orce

2.

Cond

uct d

iseas

e id

entif

icatio

n an

d ta

rget

ed su

rvei

llanc

e ac

tiviti

es in

hig

h-ris

k en

viro

nmen

ts a

nd

on a

nim

als a

t hig

h ris

k of

cont

ract

ing

zoon

oses

and

EID

s, in

cludi

ng fa

rmed

wild

life

and

mig

rato

ry b

irds.

3.

Stre

ngth

en d

iseas

e su

rvei

llanc

e an

d da

ta a

naly

sis ca

pacit

y to

supp

ort d

iseas

e co

ntro

l pol

icy

4.

MOH

regu

latio

n fo

r rab

ies c

ontr

ol

Prio

rity

Activ

ities

/ Mile

ston

e

Activ

ities

and

Out

puts

*

Shor

t-ter

mOu

tcom

es

(1-3

year

s)

Inte

rmed

iate

Ou

tcom

es(4

-5ye

ars)

Long

-term

Ou

tcom

es(5

+yea

rs)

2.

Esta

blish

men

t of M

OA re

gula

tion

for t

he im

plem

enta

tion

of v

eter

inar

y au

thor

ities

in th

e su

b-na

tiona

l

5.

De

velo

pmen

t/ tr

y ou

t of r

isk m

appi

ng to

ols (

Zoon

otic

and

EID)

1.

2.

6.

Su

rvei

llanc

e de

velo

pmen

t

3.

3.

De

velo

p GO

I cap

acity

to im

plem

ent t

arge

ted

zoon

oses

and

EID

pre

vent

ion

and

cont

rol

prog

ram

me

21

21

TA Z

OONO

TIC

DISE

ASE

(1)

1.

Iden

tifica

tion

of p

riorit

y zo

onot

ic di

seas

es in

clude

AI,

Rabi

es, A

nthr

ax, L

epto

spiro

sis, B

ruce

llosIS

Inpu

ts

Leve

l 3: Z

oono

tic

surv

eilla

nce

syst

ems i

n pl

ace

for

1-4

zoon

ostic

di

seas

es/

path

ogen

s of

grea

test

pub

lic

heal

th co

ncer

n

Man

M

oney

M

etho

d Pa

rtne

r

Leve

l 4:

Zoon

otic

surv

eilla

nce

syst

ems

in p

lace

for f

ive o

r m

ore

zoon

otic

dise

ases

/ pat

hoge

ns

of g

reat

est p

ublic

he

alth

conc

ern

1.

Deve

lopm

ent o

f FET

PV -

Trai

ning

FET

PV

Leve

l 3 :

Anim

al

heal

th w

orkf

orce

ca

pacit

y with

in th

e na

tiona

l pub

lic

heal

th sy

stem

and

le

ss th

an h

alf o

f sub

-na

tiona

l lev

els

Leve

l 4 :

Anim

al

heal

th w

orkf

orce

ca

pacit

y with

in th

e na

tiona

l pub

lic

heal

th sy

stem

and

m

ore

than

hal

f of

sub-

natio

nal l

evel

s

Surv

eilla

nce

syst

ems i

n pl

ace

for p

riorit

y zoo

notic

l3

dise

ases

/pat

hoge

ns →

201

7

Anim

al H

ealth

and

Vet

erin

aria

n W

orkf

orce

2.

Cond

uct d

iseas

e id

entif

icatio

n an

d ta

rget

ed su

rvei

llanc

e ac

tiviti

es in

hig

h-ris

k en

viro

nmen

ts a

nd

on a

nim

als a

t hig

h ris

k of

cont

ract

ing

zoon

oses

and

EID

s, in

cludi

ng fa

rmed

wild

life

and

mig

rato

ry b

irds.

3.

Stre

ngth

en d

iseas

e su

rvei

llanc

e an

d da

ta a

naly

sis ca

pacit

y to

supp

ort d

iseas

e co

ntro

l pol

icy

4.

MOH

regu

latio

n fo

r rab

ies c

ontr

ol

Prio

rity

Activ

ities

/ Mile

ston

e

Activ

ities

and

Out

puts

*

Shor

t-ter

mOu

tcom

es

(1-3

year

s)

Inte

rmed

iate

Ou

tcom

es(4

-5ye

ars)

Long

-term

Ou

tcom

es(5

+yea

rs)

2.

Esta

blish

men

t of M

OA re

gula

tion

for t

he im

plem

enta

tion

of v

eter

inar

y au

thor

ities

in th

e su

b-na

tiona

l

5.

De

velo

pmen

t/ tr

y ou

t of r

isk m

appi

ng to

ols (

Zoon

otic

and

EID)

1.

2.

6.

Su

rvei

llanc

e de

velo

pmen

t

3.

3.

De

velo

p GO

I cap

acity

to im

plem

ent t

arge

ted

zoon

oses

and

EID

pre

vent

ion

and

cont

rol

prog

ram

me

22

22

TA Z

OONO

TIC

DISE

ASE

(2)

1.

Surv

eilla

nce

and

resp

onse

of z

oono

ses o

utbr

eaks

Inpu

ts

Leve

l 2 :

Natio

nal

polic

y, st

rate

gy o

r pl

an fo

r the

re

spon

se to

zo

onot

ic ev

ents

is in

pl

ace

Man

M

oney

M

etho

d Pa

rtne

r

Leve

l 3 :

A m

echa

nism

for

coor

dina

ted

resp

onse

to

outb

reak

s of

zoon

otic

dise

ases

by

hum

an, a

nim

al

and

wild

life

sect

ors

is es

tabl

ished

Mec

hani

sms f

or re

spon

ding

to in

fect

ious

zoon

oses

and

pot

entia

l zoo

nose

s are

es

tabl

ished

and

func

tiona

l

2.

ZDAP

nat

iona

l coo

rdin

atio

n

3.

Proc

urem

ent f

or zo

onos

is di

seas

e: ra

bies

and

lept

ospi

rosis

vacc

ine

1.

4.

IEC

mat

eria

l for

zoon

oses

dise

ases

Prio

rity

Activ

ities

/ Mile

ston

e

Activ

ities

and

Out

puts

*

Shor

t-ter

mOu

tcom

es

(1-3

year

s)

Inte

rmed

iate

Ou

tcom

es(4

-5ye

ars)

Long

-term

Ou

tcom

es(5

+yea

rs)

8.

Iden

tify p

oultr

y hea

lth b

est p

ract

ices

10.

Prov

ide

tech

nica

l ass

istan

ce fo

r pou

ltry f

arm

ers.

9.

Build

capa

city o

f tec

hnica

l ser

vice

prov

ider

s.

11.

Prom

ote

cert

ifica

tion

syst

em fo

r pou

ltry f

arm

s whi

ch a

re a

ble

to fu

lfil a

nim

al h

ealth

pra

ctice

s req

uire

d by

go

vern

men

t

12.

Raise

aw

aren

ess o

f pou

ltry h

ealth

bes

t pra

ctice

s to

farm

ers.

13.

Cond

uct s

tudy

to su

ppor

t evi

denc

e-ba

sed

polic

y m

akin

g to

impr

ove

the

qual

ity o

f pou

ltry

mar

ketin

g pr

oces

ses.

14.

Build

stak

ehol

der (

Gove

rnm

ent,

Priva

te) c

apac

ity to

impr

ove

bios

ecur

ity a

long

the

poul

try m

arke

t cha

in.

15

. Ad

voca

te fo

r sta

keho

lder

colla

bora

tion

on in

terv

entio

ns to

impr

ove

the

qual

ity o

f pou

ltry

mar

ketin

g pr

oces

ses.

16.

Raise

aw

aren

ess o

f sta

keho

lder

s and

cons

umer

s to

impr

ove

the

qual

ity o

f pou

ltry

and

poul

try

prod

uct m

arke

ting

proc

esse

s.

17

. Su

ppor

t dise

ase

emer

genc

y pre

pare

dnes

s pla

nnin

g.

7.

Su

ppor

t est

ablis

hmen

t of a

nat

iona

l web

-bas

ed p

latfo

rm fo

r zoo

nose

s and

EID

info

rmat

ion

acce

ss a

nd

shar

ing.

(SIZ

E)

5.

Trai

ning

for s

urve

illanc

e/ep

idem

iolo

gy o

ffice

r in

prim

ary h

ealth

cent

er, a

nim

al h

ealth

cent

er, a

nd d

istric

t he

alth

cent

er th

at fo

cuse

d on

inve

stig

atio

n in

fect

ious

dise

ase

with

One

Hea

lth a

ppro

ach.

2.

6.

Supp

ort z

oono

ses a

nd E

ID co

mm

unica

tion

activ

ities

; diss

emin

ate

the

com

mun

icatio

n st

rate

gy o

n On

e He

alth

targ

eted

zoon

oses

and

EID

pre

vent

ion

and

cont

rol.

3.

23

TA FO

OD SA

FETY

Leve

l 3: O

pera

tiona

l lin

ks a

re e

stab

lishe

d be

twee

n su

rvei

llanc

e an

d re

spon

se st

affs

, fo

od sa

fety

, ani

mal

he

alth

and

la

bora

torie

s be

twee

n IH

R NF

P

Leve

l 4: S

taff

resp

onsib

le fo

r su

rvei

llanc

e an

d re

spon

se, f

ood

safe

ty, l

abor

ator

ies

and

agric

ultu

re

wor

k tog

ethe

r to

cons

ider

the

risks

an

d in

terv

entio

ns

1)

TOT

on F

ood

Safe

ty

2)

Esta

blish

men

t Nat

iona

l Qui

ck R

espo

nse

Team

(QRT

) 3)

De

velo

p Na

tiona

l gui

delin

es R

isk P

rofil

e an

d Fo

od R

isk C

ateg

ory

4)

Fo

od S

afet

y Ri

sk A

naly

sis st

udy

5)

Food

Saf

ety

Impl

emen

tatio

n Sy

stem

: Ani

mal

Pro

duct

Saf

ety

Mon

itorin

g at

UP

H, N

KV ce

rtifi

catio

n (v

eter

inar

y con

trol

num

ber)

anim

al fa

rm/ U

PH, U

PH

supe

rvisi

on a

nd N

KV A

udito

r Tra

inin

g an

d Ve

terin

ary

Publ

ic He

alth

Su

perv

isor

6)

IEC

mat

eria

l for

food

safe

ty

Inpu

ts

Man

M

oney

M

etho

d Pa

rtne

r

P.5.

1 M

echa

nism

s for

mul

tisec

tora

l col

labo

ratio

n ar

e es

tabl

ished

to

ensu

re ra

pid

resp

onse

to fo

od sa

fety

em

erge

ncie

s and

out

brea

ks o

f fo

odbo

rne

dise

ases

Prio

rity

Activ

ities

/ Mile

ston

e

Activ

ities

and

Out

puts

*

Shor

t-ter

mOu

tcom

es(1

-3y

ears

) In

term

edia

te

Outc

omes

(4-5

year

s)

Long

-term

Ou

tcom

es(5

+yea

rs)

23

23

TA FO

OD SA

FETY

Leve

l 3: O

pera

tiona

l lin

ks a

re e

stab

lishe

d be

twee

n su

rvei

llanc

e an

d re

spon

se st

affs

, fo

od sa

fety

, ani

mal

he

alth

and

la

bora

torie

s be

twee

n IH

R NF

P

Leve

l 4: S

taff

resp

onsib

le fo

r su

rvei

llanc

e an

d re

spon

se, f

ood

safe

ty, l

abor

ator

ies

and

agric

ultu

re

wor

k tog

ethe

r to

cons

ider

the

risks

an

d in

terv

entio

ns

1)

TOT

on F

ood

Safe

ty

2)

Esta

blish

men

t Nat

iona

l Qui

ck R

espo

nse

Team

(QRT

) 3)

De

velo

p Na

tiona

l gui

delin

es R

isk P

rofil

e an

d Fo

od R

isk C

ateg

ory

4)

Fo

od S

afet

y Ri

sk A

naly

sis st

udy

5)

Food

Saf

ety

Impl

emen

tatio

n Sy

stem

: Ani

mal

Pro

duct

Saf

ety

Mon

itorin

g at

UP

H, N

KV ce

rtifi

catio

n (v

eter

inar

y con

trol

num

ber)

anim

al fa

rm/ U

PH, U

PH

supe

rvisi

on a

nd N

KV A

udito

r Tra

inin

g an

d Ve

terin

ary

Publ

ic He

alth

Su

perv

isor

6)

IEC

mat

eria

l for

food

safe

ty

Inpu

ts

Man

M

oney

M

etho

d Pa

rtne

r

P.5.

1 M

echa

nism

s for

mul

tisec

tora

l col

labo

ratio

n ar

e es

tabl

ished

to

ensu

re ra

pid

resp

onse

to fo

od sa

fety

em

erge

ncie

s and

out

brea

ks o

f fo

odbo

rne

dise

ases

Prio

rity

Activ

ities

/ Mile

ston

e

Activ

ities

and

Out

puts

*

Shor

t-ter

mOu

tcom

es(1

-3y

ears

) In

term

edia

te

Outc

omes

(4-5

year

s)

Long

-term

Ou

tcom

es(5

+yea

rs)

24

24

TA B

IOSA

FETY

AND

BIO

SECU

RITY

Draf

t fin

aliza

tion

NSP

Inpu

ts

Man

M

oney

M

etho

d Pa

rtne

r

Who

le-o

f-gov

ernm

ent b

iosa

fety

and

bio

secu

rity

syst

em is

in

plac

e fo

r hum

an, a

nim

al a

nd a

gricu

lture

facil

ities

Bios

afet

y an

d bi

osec

urity

trai

ning

and

pra

ctice

s

Prio

rity

Activ

ities

/ Mile

ston

e

Activ

ities

and

Out

puts

*

Shor

t-te

rmOu

tcom

es(

1-3y

ears

)

Inte

rmed

iate

Ou

tcom

es

(4-5

year

s)

Long

-term

Ou

tcom

es

(5+y

ears

)

Deve

lop

PP B

iosa

fety

and

bio

secu

rity

Natio

nal G

uide

lines

Refre

shm

ent o

f Ass

esso

r SM

BL

Deve

lop

SMBL

Cer

tifica

tion

body

Infra

stru

ctur

e an

d eq

uipm

ent m

aint

enan

ce

Deve

lop

labo

rato

ry b

uild

ing

stan

dard

acc

ordi

ng to

Bi

osaf

ety

and

bios

ecur

ity

Com

preh

ensiv

e Bi

omed

ical W

aste

Man

agem

ent s

yste

m

Deve

lop

mon

itorin

g na

tiona

l Inv

ento

ry a

gent

s in

stor

age

Stak

ehol

der N

etw

orki

ng C

ross

sect

or M

eetin

g

Educ

ate

and

depl

oy p

erso

nnel

/ tea

m n

atio

nwid

e fo

r m

aint

enan

ce a

nd co

ntro

l of l

abor

ator

y sa

fety

facil

ities

an

d eq

uipm

ent

De

velo

p a

mas

ter t

rain

ing

and

cert

ifica

tion

sche

me

for

bios

afet

y an

d bi

orisk

offi

cers

in b

oth

the

hum

an a

nd

anim

al se

ctor

s, ac

cred

ited

and

cert

ified

by

rele

vant

in

tern

atio

nal b

odie

s suc

h as

WHO

, FAO

, OIE

, IFB

A, N

SF,

etc

Leve

l 3:

Com

preh

ensiv

e na

tiona

l bi

osaf

ety

and

bios

ecur

ity

syst

em is

bei

ng

deve

lope

d;

Leve

l 4:

Bios

afet

y an

d bi

osec

urity

sy

stem

is

deve

lope

d, b

ut

not s

usta

inab

le

Leve

l 5:

Sust

aina

ble

bios

afet

y an

d bi

osec

urity

sy

stem

is in

pl

ace

Leve

l 3: C

ount

ry

has a

trai

ning

pr

ogra

m in

pla

ce

with

com

mon

cu

rricu

lum

; has

be

gun

impl

emen

tatio

n

Leve

l 4: C

ount

ry

has a

trai

ning

pr

ogra

m in

pla

ce

with

com

mon

cu

rricu

lum

and

a

trai

n-th

e-tr

aine

rs

prog

ram

Leve

l 5: C

ount

ry h

as

a su

stai

nabl

e tr

aini

ng p

rogr

am,

trai

n-th

e-tra

iner

s pr

ogra

m,

and

com

mon

cu

rricu

lum

. Sta

ff ar

e te

sted

at l

east

an

nual

ly an

d ex

ercis

es a

re

cond

ucte

d on

bi

olog

ical r

isk

prot

ocol

s

MON

ITOR

EV

ALUA

TE

25

TA IM

MUN

IZAT

ION

1)

Com

plet

e ro

utin

e im

mun

izatio

n im

plem

enta

tion

(Vac

cine

and

med

ical

devi

ces p

rocu

rem

ent,

trai

ning

, adv

ocac

y, IE

C m

ater

ial)

2)

MR

cove

rage

surv

ey p

hase

I in

tegr

ated

with

rout

ine

imm

uniza

tion

3)

Deve

lop

cMYP

202

0 –

2024

4)

De

faul

ter t

rack

ing

- Dro

p Ou

t DPT

1-M

CV1

< 5%

Inpu

ts

Leve

l 4: 9

0% o

f the

co

untr

y’s 1

2-m

onth

-ol

d po

pula

tion

has

rece

ived

at l

east

one

do

se o

f mea

sles

cont

aini

ng va

ccin

e, a

s de

mon

stra

ted

by

cove

rage

surv

eys o

r ad

min

istra

tive

data

. 80

% o

f all s

ubna

tiona

l (d

istric

ts/p

rovin

ces)

un

its co

vere

d

Man

M

oney

M

etho

d Pa

rtne

r

Leve

l 5: 9

5% o

f the

co

untr

y’s 1

2-m

onth

-old

po

pula

tion

has r

ecei

ved

at

leas

t one

dos

e of

mea

sles

cont

aini

ng v

accin

e, a

s de

mon

stra

ted

by

cove

rage

surv

eys o

r ad

min

istra

tive

data

; or

90%

of t

he co

untr

y’s 1

2-m

onth

-old

pop

ulat

ion

has

rece

ived

at l

east

one

dos

e of

mea

sles c

onta

inin

g va

ccin

e an

d th

e tr

ajec

tory

of

pro

gres

s, pl

ans a

nd

capa

citie

s are

Leve

l 4: V

accin

e de

liver

y (m

aint

aini

ng co

ld ch

ain)

is

avai

labl

e in

60-

79%

of

dist

ricts

with

in th

e co

untr

y OR

Va

ccin

e de

liver

y (m

aint

aini

ng co

ld ch

ain)

is

avai

labl

e in

60-

79%

of t

he

targ

et p

opul

atio

n in

the

coun

try;

func

tiona

l vac

cine

proc

urem

ent a

nd

fore

cast

ing

lead

to n

o st

ock

outs

at t

he ce

ntra

l le

vel a

nd ra

re st

ock

outs

at

the

dist

rict l

evel

cove

rage

su

rvey

s or a

dmin

istra

tive

data

. 80%

of a

ll sub

-na

tiona

l (d

istric

ts/p

rovi

nces

) uni

ts

cove

red

Leve

l 5: V

accin

e de

liver

y (m

aint

aini

ng co

ld ch

ain)

is

avai

labl

e in

gre

ater

than

80%

of

dist

ricts

with

in th

e co

untr

y OR

Vac

cine

deliv

ery

(mai

ntai

ning

cold

chai

n) is

av

aila

ble

to m

ore

than

80%

of

the

natio

nal

targ

et p

opul

atio

n; sy

stem

s to

reac

h m

argi

naliz

ed p

opul

atio

ns

usin

g cu

ltura

lly a

ppro

pria

te

prac

tices

ar

e in

pla

ce; v

accin

e de

liver

y ha

s bee

n te

sted

thro

ugh

a na

tionw

ide

vacc

ine

cam

paig

n or

func

tiona

l ex

ercis

e; fu

nctio

nal

proc

urem

ent a

nd v

accin

e fo

reca

stin

g re

sults

in n

o st

ock-

outs

P.7.

1 Va

ccin

e co

vera

ge (m

easle

s) a

s par

t of n

atio

nal p

rogr

amm

e

P.7.

2 Na

tiona

l vac

cine

acce

ss a

nd d

eliv

ery

1)

Repl

ace

and

mai

ntai

ning

cold

chai

n eq

uipm

ent:

proc

urem

ent b

ased

on

CCEI

2)

Im

plem

enta

tion

of S

MS

stoc

k va

ccin

e an

d lo

gist

ics

3)

Effe

ctiv

e va

ccin

e m

anag

emen

t ass

essm

ent (

EVM

A)

Prio

rity

Activ

ities

/ Mile

ston

e

Activ

ities

and

Out

puts

*

Shor

t-ter

mOu

tcom

es

(1-3

year

s)

Inte

rmed

iate

Ou

tcom

es(4

-5ye

ars)

Long

-term

Ou

tcom

es(5

+yea

rs)

25

25

TA IM

MUN

IZAT

ION

1)

Com

plet

e ro

utin

e im

mun

izatio

n im

plem

enta

tion

(Vac

cine

and

med

ical

devi

ces p

rocu

rem

ent,

trai

ning

, adv

ocac

y, IE

C m

ater

ial)

2)

MR

cove

rage

surv

ey p

hase

I in

tegr

ated

with

rout

ine

imm

uniza

tion

3)

Deve

lop

cMYP

202

0 –

2024

4)

De

faul

ter t

rack

ing

- Dro

p Ou

t DPT

1-M

CV1

< 5%

Inpu

ts

Leve

l 4: 9

0% o

f the

co

untr

y’s 1

2-m

onth

-ol

d po

pula

tion

has

rece

ived

at l

east

one

do

se o

f mea

sles

cont

aini

ng va

ccin

e, a

s de

mon

stra

ted

by

cove

rage

surv

eys o

r ad

min

istra

tive

data

. 80

% o

f all s

ubna

tiona

l (d

istric

ts/p

rovin

ces)

un

its co

vere

d

Man

M

oney

M

etho

d Pa

rtne

r

Leve

l 5: 9

5% o

f the

co

untr

y’s 1

2-m

onth

-old

po

pula

tion

has r

ecei

ved

at

leas

t one

dos

e of

mea

sles

cont

aini

ng v

accin

e, a

s de

mon

stra

ted

by

cove

rage

surv

eys o

r ad

min

istra

tive

data

; or

90%

of t

he co

untr

y’s 1

2-m

onth

-old

pop

ulat

ion

has

rece

ived

at l

east

one

dos

e of

mea

sles c

onta

inin

g va

ccin

e an

d th

e tr

ajec

tory

of

pro

gres

s, pl

ans a

nd

capa

citie

s are

Leve

l 4: V

accin

e de

liver

y (m

aint

aini

ng co

ld ch

ain)

is

avai

labl

e in

60-

79%

of

dist

ricts

with

in th

e co

untr

y OR

Va

ccin

e de

liver

y (m

aint

aini

ng co

ld ch

ain)

is

avai

labl

e in

60-

79%

of t

he

targ

et p

opul

atio

n in

the

coun

try;

func

tiona

l vac

cine

proc

urem

ent a

nd

fore

cast

ing

lead

to n

o st

ock

outs

at t

he ce

ntra

l le

vel a

nd ra

re st

ock

outs

at

the

dist

rict l

evel

cove

rage

su

rvey

s or a

dmin

istra

tive

data

. 80%

of a

ll sub

-na

tiona

l (d

istric

ts/p

rovi

nces

) uni

ts

cove

red

Leve

l 5: V

accin

e de

liver

y (m

aint

aini

ng co

ld ch

ain)

is

avai

labl

e in

gre

ater

than

80%

of

dist

ricts

with

in th

e co

untr

y OR

Vac

cine

deliv

ery

(mai

ntai

ning

cold

chai

n) is

av

aila

ble

to m

ore

than

80%

of

the

natio

nal

targ

et p

opul

atio

n; sy

stem

s to

reac

h m

argi

naliz

ed p

opul

atio

ns

usin

g cu

ltura

lly a

ppro

pria

te

prac

tices

ar

e in

pla

ce; v

accin

e de

liver

y ha

s bee

n te

sted

thro

ugh

a na

tionw

ide

vacc

ine

cam

paig

n or

func

tiona

l ex

ercis

e; fu

nctio

nal

proc

urem

ent a

nd v

accin

e fo

reca

stin

g re

sults

in n

o st

ock-

outs

P.7.

1 Va

ccin

e co

vera

ge (m

easle

s) a

s par

t of n

atio

nal p

rogr

amm

e

P.7.

2 Na

tiona

l vac

cine

acce

ss a

nd d

eliv

ery

1)

Repl

ace

and

mai

ntai

ning

cold

chai

n eq

uipm

ent:

proc

urem

ent b

ased

on

CCEI

2)

Im

plem

enta

tion

of S

MS

stoc

k va

ccin

e an

d lo

gist

ics

3)

Effe

ctiv

e va

ccin

e m

anag

emen

t ass

essm

ent (

EVM

A)

Prio

rity

Activ

ities

/ Mile

ston

e

Activ

ities

and

Out

puts

*

Shor

t-ter

mOu

tcom

es

(1-3

year

s)

Inte

rmed

iate

Ou

tcom

es(4

-5ye

ars)

Long

-term

Ou

tcom

es(5

+yea

rs)

26

26

TA N

ATIO

NAL L

ABOR

ATOR

Y SY

STEM

(1)

Leve

l 4: S

yste

m is

in

pla

ce to

tr

ansp

ort

spec

imen

s to

natio

nal

labo

rato

ries

from

at l

east

80%

of

inte

rmed

iate

le

vel/d

istric

ts

with

in th

e co

untr

y fo

r ad

vanc

ed

diag

nost

ics

Leve

l 5:

Dem

onst

rate

d ca

pabi

lity

plus

, tr

ansp

ort

spec

imen

s to/

from

ot

her l

abs i

n th

e re

gion

; spe

cimen

tr

ansp

ort i

s fu

nded

from

hos

t co

untr

y bu

dget

D.1.

2 Sp

ecim

en re

ferr

al a

nd tr

ansp

ort s

yste

m

1) L

ab p

erso

nnel

orie

ntat

ion

in co

llect

ing,

cultu

re, p

acka

ging

, sh

ippi

ng a

nd in

spec

ting

diph

ther

ia sp

ecim

ens c

ultu

rally

and

el

ectr

onica

lly a

t 7 B

/ BT

KL

1)

Revi

sed

MOH

regu

latio

n no

411

/201

0 on

Clin

ical L

abor

ator

ies

2)

Prep

are

onlin

e La

bora

tory

Dat

a Co

llect

ion

3)

Revi

ew o

f lab

orat

ory

refe

renc

e sy

stem

s 4)

M

onev

Env

ironm

enta

l sur

veill

ance

with

10

BTKL

5)

De

velo

pmen

t of n

ew v

eter

inar

y la

b (M

OA)

Inpu

ts

Leve

l 4: N

atio

nal

labo

rato

ry sy

stem

is

capa

ble

of

cond

uctin

g fiv

e or

mor

e of

th

e te

n co

re te

sts

Man

M

oney

M

etho

d Pa

rtne

r

Leve

l 5: I

n ad

ditio

n to

ach

ievi

ng

“dem

onst

rate

d ca

pacit

y”,

coun

try

has

natio

nal s

yste

m fo

r pr

ocur

emen

t and

qu

ality

ass

uran

ce

D.1.

1 La

bora

tory

test

ing

for d

etec

tion

of p

riorit

y di

seas

es

Prio

rity

Activ

ities

/ Mile

ston

e

Activ

ities

and

Out

puts

*

Shor

t-ter

mOu

tcom

es

(1-3

year

s)

Inte

rmed

iate

Ou

tcom

es(4

-5ye

ars)

Long

-term

Ou

tcom

es(5

+yea

rs)

27

TA N

ATIO

NAL L

ABOR

ATOR

Y SY

STEM

(2)

1)

HR tr

aini

ng fo

r clin

ical l

ab to

ol ca

libra

tion

(BPF

K: Ja

kart

a, S

urab

aya,

Med

an,

Mak

assa

r) 2)

Im

prov

e La

b pe

rson

nel c

apac

ity: P

CR tr

aini

ng, F

inal

izing

Gui

delin

es fo

r wor

k m

etho

ds C

linica

l lab

tool

calib

ratio

n 3)

In

crea

se e

xam

inat

ion

capa

city

in la

bora

tory

(MOA

)

Inpu

ts

Leve

l 3: T

ier s

pecif

ic di

agno

stic

test

ing

stra

tegi

es a

re

docu

men

ted,

but

not

fu

lly im

plem

ente

d.

Coun

try

is pr

ofici

ent i

n cla

ssica

l dia

gnos

tic

tech

niqu

es in

cludi

ng

bact

erio

logy

, ser

olog

y an

d PC

R in

sele

ct la

bs

but h

as li

mite

d re

ferr

al

and

conf

irmat

ory

proc

esse

s. Co

untr

y is

usin

g po

int o

f car

e di

agno

stics

for c

ount

ry

prio

rity

dise

ases

, and

at

leas

t one

oth

er

prio

rity

dise

ase

Man

M

oney

M

etho

d Pa

rtne

r

Leve

l 4: C

ount

ry h

as ti

er

spec

ific d

iagn

ostic

test

ing

stra

tegi

es d

ocum

ente

d an

d fu

lly im

plem

ente

d, a

na

tiona

l sys

tem

of s

ampl

e re

ferr

al a

nd co

nfirm

ator

y di

agno

stics

culm

inat

ing

in

perfo

rman

ce o

f mod

ern

mol

ecul

ar o

r ser

olog

ical

tech

niqu

es a

t nat

iona

l an

d/or

regi

onal

la

bora

torie

s. Co

untr

y is

usin

g po

int o

f car

e di

agno

stics

acc

ordi

ng to

tie

r spe

cific

diag

nost

ic te

stin

g st

rate

gies

for

diag

nosis

of c

ount

ry

prio

rity

dise

ases

Leve

l 3: A

syst

em o

f lic

ensin

g of

hea

lth

labo

rato

ries t

hat

inclu

des c

onfo

rmity

to

a n

atio

nal q

ualit

y st

anda

rd e

xists

bu

t it i

s vol

unta

ry o

r is

not a

requ

irem

ent

for a

ll la

bora

torie

s

Leve

l 4: M

anda

tory

lic

ensin

g of

all

heal

th la

bora

torie

s is

in p

lace

and

co

nfor

mity

to

a n

atio

nal q

ualit

y st

anda

rd is

re

quire

d.

D.1.

3 Ef

fect

ive

mod

ern

poin

t-of-c

are

and

labo

rato

ry-b

ased

dia

gnos

tics

D.1.

4 La

bora

tory

qua

lity

syst

em

Prio

rity

Activ

ities

/ Mile

ston

e

Activ

ities

and

Out

puts

*

Shor

t-ter

mOu

tcom

es

(1-3

year

s)

Inte

rmed

iate

Ou

tcom

es(4

-5ye

ars)

Long

-term

Ou

tcom

es(5

+yea

rs)

1)

Pusk

esm

as A

ccre

dita

tion

Acco

rdin

g to

Min

istry

of H

ealth

's St

rate

gic P

lan

and

RPJM

M

2)

Surv

eyor

trai

ning

3)

Re

view

Sta

ndar

d an

d in

stru

men

t for

Pus

kesm

as a

ccre

dita

tion

4)

Exte

rnal

Qua

lity A

ssur

ance

for L

abor

ator

ies4

. Int

egra

tion

of H

ealth

Qua

rant

ine

Prog

ram

with

rela

ted

min

istrie

s and

stak

ehol

ders

27

27

TA N

ATIO

NAL L

ABOR

ATOR

Y SY

STEM

(2)

1)

HR tr

aini

ng fo

r clin

ical l

ab to

ol ca

libra

tion

(BPF

K: Ja

kart

a, S

urab

aya,

Med

an,

Mak

assa

r) 2)

Im

prov

e La

b pe

rson

nel c

apac

ity: P

CR tr

aini

ng, F

inal

izing

Gui

delin

es fo

r wor

k m

etho

ds C

linica

l lab

tool

calib

ratio

n 3)

In

crea

se e

xam

inat

ion

capa

city

in la

bora

tory

(MOA

)

Inpu

ts

Leve

l 3: T

ier s

pecif

ic di

agno

stic

test

ing

stra

tegi

es a

re

docu

men

ted,

but

not

fu

lly im

plem

ente

d.

Coun

try

is pr

ofici

ent i

n cla

ssica

l dia

gnos

tic

tech

niqu

es in

cludi

ng

bact

erio

logy

, ser

olog

y an

d PC

R in

sele

ct la

bs

but h

as li

mite

d re

ferr

al

and

conf

irmat

ory

proc

esse

s. Co

untr

y is

usin

g po

int o

f car

e di

agno

stics

for c

ount

ry

prio

rity

dise

ases

, and

at

leas

t one

oth

er

prio

rity

dise

ase

Man

M

oney

M

etho

d Pa

rtne

r

Leve

l 4: C

ount

ry h

as ti

er

spec

ific d

iagn

ostic

test

ing

stra

tegi

es d

ocum

ente

d an

d fu

lly im

plem

ente

d, a

na

tiona

l sys

tem

of s

ampl

e re

ferr

al a

nd co

nfirm

ator

y di

agno

stics

culm

inat

ing

in

perfo

rman

ce o

f mod

ern

mol

ecul

ar o

r ser

olog

ical

tech

niqu

es a

t nat

iona

l an

d/or

regi

onal

la

bora

torie

s. Co

untr

y is

usin

g po

int o

f car

e di

agno

stics

acc

ordi

ng to

tie

r spe

cific

diag

nost

ic te

stin

g st

rate

gies

for

diag

nosis

of c

ount

ry

prio

rity

dise

ases

Leve

l 3: A

syst

em o

f lic

ensin

g of

hea

lth

labo

rato

ries t

hat

inclu

des c

onfo

rmity

to

a n

atio

nal q

ualit

y st

anda

rd e

xists

bu

t it i

s vol

unta

ry o

r is

not a

requ

irem

ent

for a

ll la

bora

torie

s

Leve

l 4: M

anda

tory

lic

ensin

g of

all

heal

th la

bora

torie

s is

in p

lace

and

co

nfor

mity

to

a n

atio

nal q

ualit

y st

anda

rd is

re

quire

d.

D.1.

3 Ef

fect

ive

mod

ern

poin

t-of-c

are

and

labo

rato

ry-b

ased

dia

gnos

tics

D.1.

4 La

bora

tory

qua

lity

syst

em

Prio

rity

Activ

ities

/ Mile

ston

e

Activ

ities

and

Out

puts

*

Shor

t-ter

mOu

tcom

es

(1-3

year

s)

Inte

rmed

iate

Ou

tcom

es(4

-5ye

ars)

Long

-term

Ou

tcom

es(5

+yea

rs)

1)

Pusk

esm

as A

ccre

dita

tion

Acco

rdin

g to

Min

istry

of H

ealth

's St

rate

gic P

lan

and

RPJM

M

2)

Surv

eyor

trai

ning

3)

Re

view

Sta

ndar

d an

d in

stru

men

t for

Pus

kesm

as a

ccre

dita

tion

4)

Exte

rnal

Qua

lity A

ssur

ance

for L

abor

ator

ies4

. Int

egra

tion

of H

ealth

Qua

rant

ine

Prog

ram

with

rela

ted

min

istrie

s and

stak

ehol

ders

28

28

TA R

EAL T

IME

SURV

EILL

ANCE

(1)

1)

Elec

tron

ic re

port

ing

syst

ems f

or n

otifi

able

dise

ases

for h

uman

hea

lth im

plem

ente

d (E

WAR

S) –

upd

ate

syst

em (m

aint

enan

ce)

2)

Elec

tron

ic re

port

ing

syst

ems f

or n

otifi

able

dise

ases

for a

nim

al h

ealth

impl

emen

ted

(ISIK

HNAS

) – sy

stem

mai

nten

ance

and

tech

nica

l ass

istan

ce to

sub-

natio

nal (

MOA

) 3)

De

velo

p El

ectr

onic

repo

rtin

g sy

stem

s for

not

ifiab

le d

iseas

es fo

r ani

mal

hea

lth (S

ehat

Satli

) -

MOA

4)

El

ectr

onic

Repo

rtin

g sy

stem

s for

dat

a sh

arin

g be

twee

n se

ctor

s exi

st a

nd im

plem

ente

d (A

cces

s to

othe

r sec

tor s

yste

m) -

MOA

5)

El

ectr

onic

Repo

rtin

g sy

stem

s for

dat

a sh

arin

g be

twee

n se

ctor

s exi

st a

nd im

plem

ente

d (S

IZE)

Inte

rope

rabl

e, in

terc

onne

cted

, ele

ctro

nic r

eal-t

ime

repo

rtin

g sy

stem

Leve

l 3: C

ount

ry h

as

in p

lace

an

inte

r-op

erab

le,

inte

rcon

nect

ed,

elec

tron

ic re

port

ing

syst

em, f

or e

ither

pu

blic

heal

th o

r ve

terin

ary

surv

eilla

nce

syst

ems.

The

syst

em is

not

yet

able

to sh

are

data

in re

al-ti

me.

Leve

l 4: C

ount

ry h

as

in p

lace

and

in

tero

pera

ble,

in

terc

onne

cted

, el

ectr

onic

real

-tim

e re

port

ing

syst

em,

for p

ublic

hea

lth

and/

or ve

terin

ary

surv

eilla

nce

syst

ems.

The

syst

em is

not

yet

fully

sust

aine

d by

th

e ho

st

gove

rnm

ent.

Man

M

oney

M

etho

d Pa

rtne

r

1)

Incr

ease

capa

city

of E

vent

bas

ed su

rvei

llanc

e sy

stem

at n

atio

nal a

nd p

rovi

nce

leve

l (34

pro

vinc

es)

2)

Incr

ease

capa

city

of In

dica

tor b

ased

surv

eilla

nce

syst

em a

t nat

iona

l and

sub-

natio

nal le

vel

(pro

vinc

e, d

istric

t, ho

spita

l) (le

vel 4

. EW

ARS

& IS

IKNA

S, Le

vel 3

. Seh

at S

ahli)

3)

In

crea

se n

umbe

r of P

uske

smas

subm

ittin

g co

mpl

ete

and

on-ti

me

wee

kly

surv

eilla

nce

repo

rt to

the

sub-

natio

nal/n

atio

nal l

evel

(lev

el 4

. EW

ARS

& IS

IKNA

S, Le

vel 3

. Seh

at S

ahli)

4)

In

crea

sed

HR C

apac

ity in

det

ectin

g an

d re

port

ing

dise

ases

thro

ugh

ISIK

HNAS

(nat

iona

l and

sub-

natio

nal)

- MOA

5)

Ca

pacit

y bu

ildin

g of

hum

an re

sour

ces i

n m

anag

ing

prov

incia

l and

regi

onal

syst

ems (

MOA

) 6)

Im

prov

e th

e ab

ility

to in

terv

ene

in E

mer

ging

Infe

ctio

us D

iseas

es (T

GC T

rain

ing,

adv

ocac

y et

c)

7)

Deve

lop

wee

kly

repo

rt a

nd ri

sk a

naly

sis in

stru

men

t on

EID

Indi

cato

r- an

d ev

ent-b

ased

surv

eilla

nce

syst

ems

Inpu

ts

Prio

rity

Activ

ities

/ Mile

ston

e

Activ

ities

and

Out

puts

*

Shor

t-ter

mOu

tcom

es(1

-3y

ears

) In

term

edia

te

Outc

omes

(4-5

year

s)

Long

-term

Ou

tcom

es(5

+yea

rs)

Leve

l 3: I

ndica

tor

OR e

vent

-bas

ed

surv

eilla

nce

syst

em(s

) in

plac

e to

det

ect p

ublic

he

alth

thre

ats

and

rele

vant

se

ctor

s

Leve

l 4: I

ndica

tor

and

even

t-bas

ed

surv

eilla

nce

syst

em(s

) in

plac

e to

det

ect p

ublic

he

alth

thre

ats

29

TA R

EAL T

IME

SURV

EILL

ANCE

(2)

Sys

teSy

ndro

mic

surv

eilla

nce

syst

ems

1)

Incr

ease

Syn

drom

ic su

rvei

llanc

e in

Pus

kesm

as/ s

ub-n

atio

nal

2)

Deve

lop

NSPK

for E

mer

ging

Infe

ctio

us S

yndr

ome

Surv

eys a

nd g

uide

lines

for

Men

ingo

cocc

al M

enin

gitis

3)

De

velo

pmen

t of s

entin

el su

rvei

llanc

e in

hos

pita

ls 4)

Co

ntin

uity

and

Str

engt

heni

ng S

urve

illan

ce se

ntin

el IL

I-SAR

I

Inpu

ts

Man

M

oney

M

etho

d Pa

rtne

r

Prio

rity

Activ

ities

/ Mile

ston

e

Activ

ities

and

Out

puts

*

Shor

t-ter

mOu

tcom

es(1

-3y

ears

) In

term

edia

te

Outc

omes

(4-5

year

s)

Long

-term

Ou

tcom

es(5

+yea

rs)

In

tegr

atio

n an

d an

alys

is of

surv

eilla

nce

data

1) H

R Ca

pacit

y Bu

ildin

g in

dat

a an

alys

is (n

atio

nal a

nd su

b-na

tiona

l) 2)

Labo

rato

ry d

ata

feed

s int

o th

e su

rvei

llanc

e sy

stem

s (sy

stem

) 3)

Fin

alize

ope

ratio

nal p

lan

of p

ublic

hea

lth /s

urve

illan

ce la

bora

tory

net

wor

k 4)

Iden

tify

polic

y an

d re

gula

tion

need

ed to

supp

ort f

unct

iona

l pub

lic h

ealth

/sur

veill

ance

lab

netw

ork

5) R

evie

w o

f exi

stin

g sp

ecim

en re

ferr

al sy

stem

s for

ver

tical

dise

ase

prog

ram

s and

exi

stin

g re

sour

ces f

or sp

ecim

en re

ferr

al fo

r epi

dem

ic pr

one

dise

ases

. 1)

Est

ablis

h da

ta u

nit a

t nat

iona

l lev

el a

nd e

nsur

e ad

equa

te n

umbe

r of t

rain

ed a

nd co

mpe

tent

pe

rson

nel i

n da

ta m

anag

emen

t at a

ll le

vels

(inclu

ding

epi

dem

iolo

gist

s)

2) E

stab

lish

Natio

nal T

echn

ical w

orki

ng g

roup

for p

ublic

hea

lth/s

urve

illan

ce la

bora

tory

ne

twor

k

Leve

l 4: S

yndr

omic

surv

eilla

nce

syst

em(s

) in

plac

e to

det

ect

thre

e or

mor

e co

re

synd

rom

es

indi

cativ

e of

pub

lic

heal

th

Leve

l 5:

In a

dditi

on to

su

rvei

llanc

e sy

stem

s in

coun

try,

us

ing

expe

rtise

to

supp

ort o

ther

co

untr

ies i

n de

velo

ping

su

rvei

llanc

e sy

stem

s

Leve

l 4: A

nnua

lly o

r m

onth

ly re

port

ing;

at

trib

uted

func

tions

to

exp

erts

for

anal

ysin

g, a

sses

sing

and

repo

rtin

g da

ta

Leve

l 3: R

egul

ar

repo

rtin

g of

dat

a w

ith so

me

dela

y;

ad-h

oc te

ams p

ut in

pl

ace

to a

nalys

e da

ta

Leve

l 2: S

pora

dic

repo

rts r

elat

ed to

da

ta co

llect

ion

with

de

lay

(SOP

s) o

r eq

uiva

lent

exis

ts fo

r th

e co

ordi

natio

n be

twee

n IH

R NF

P an

d re

leva

nt

sect

ors

29

29

TA R

EAL T

IME

SURV

EILL

ANCE

(2)

Sys

teSy

ndro

mic

surv

eilla

nce

syst

ems

1)

Incr

ease

Syn

drom

ic su

rvei

llanc

e in

Pus

kesm

as/ s

ub-n

atio

nal

2)

Deve

lop

NSPK

for E

mer

ging

Infe

ctio

us S

yndr

ome

Surv

eys a

nd g

uide

lines

for

Men

ingo

cocc

al M

enin

gitis

3)

De

velo

pmen

t of s

entin

el su

rvei

llanc

e in

hos

pita

ls 4)

Co

ntin

uity

and

Str

engt

heni

ng S

urve

illan

ce se

ntin

el IL

I-SAR

I

Inpu

ts

Man

M

oney

M

etho

d Pa

rtne

r

Prio

rity

Activ

ities

/ Mile

ston

e

Activ

ities

and

Out

puts

*

Shor

t-ter

mOu

tcom

es(1

-3y

ears

) In

term

edia

te

Outc

omes

(4-5

year

s)

Long

-term

Ou

tcom

es(5

+yea

rs)

In

tegr

atio

n an

d an

alys

is of

surv

eilla

nce

data

1) H

R Ca

pacit

y Bu

ildin

g in

dat

a an

alys

is (n

atio

nal a

nd su

b-na

tiona

l) 2)

Labo

rato

ry d

ata

feed

s int

o th

e su

rvei

llanc

e sy

stem

s (sy

stem

) 3)

Fin

alize

ope

ratio

nal p

lan

of p

ublic

hea

lth /s

urve

illan

ce la

bora

tory

net

wor

k 4)

Iden

tify

polic

y an

d re

gula

tion

need

ed to

supp

ort f

unct

iona

l pub

lic h

ealth

/sur

veill

ance

lab

netw

ork

5) R

evie

w o

f exi

stin

g sp

ecim

en re

ferr

al sy

stem

s for

ver

tical

dise

ase

prog

ram

s and

exi

stin

g re

sour

ces f

or sp

ecim

en re

ferr

al fo

r epi

dem

ic pr

one

dise

ases

. 1)

Est

ablis

h da

ta u

nit a

t nat

iona

l lev

el a

nd e

nsur

e ad

equa

te n

umbe

r of t

rain

ed a

nd co

mpe

tent

pe

rson

nel i

n da

ta m

anag

emen

t at a

ll le

vels

(inclu

ding

epi

dem

iolo

gist

s)

2) E

stab

lish

Natio

nal T

echn

ical w

orki

ng g

roup

for p

ublic

hea

lth/s

urve

illan

ce la

bora

tory

ne

twor

k

Leve

l 4: S

yndr

omic

surv

eilla

nce

syst

em(s

) in

plac

e to

det

ect

thre

e or

mor

e co

re

synd

rom

es

indi

cativ

e of

pub

lic

heal

th

Leve

l 5:

In a

dditi

on to

su

rvei

llanc

e sy

stem

s in

coun

try,

us

ing

expe

rtise

to

supp

ort o

ther

co

untr

ies i

n de

velo

ping

su

rvei

llanc

e sy

stem

s

Leve

l 4: A

nnua

lly o

r m

onth

ly re

port

ing;

at

trib

uted

func

tions

to

exp

erts

for

anal

ysin

g, a

sses

sing

and

repo

rtin

g da

ta

Leve

l 3: R

egul

ar

repo

rtin

g of

dat

a w

ith so

me

dela

y;

ad-h

oc te

ams p

ut in

pl

ace

to a

nalys

e da

ta

Leve

l 2: S

pora

dic

repo

rts r

elat

ed to

da

ta co

llect

ion

with

de

lay

(SOP

s) o

r eq

uiva

lent

exis

ts fo

r th

e co

ordi

natio

n be

twee

n IH

R NF

P an

d re

leva

nt

sect

ors

30

30

TA R

EPOR

TING

1)

IHR

NFP

trai

ning

and

mec

hani

sm (r

efer

to T

A IH

R co

ordi

natio

n an

d co

mm

unica

tion)

2)

OI

E NF

P tr

aini

ng

Inpu

ts

Leve

l 3: C

ount

ry h

as

dem

onst

rate

d ab

ility t

o id

entif

y a

po

tent

ial P

HEIC

and

fil

e a

repo

rt to

W

HO si

mila

rly to

th

e OI

E ba

sed

on a

n ex

ercis

e or

real

ev

ent.

Man

M

oney

M

etho

d Pa

rtne

r

Leve

l 3: C

ount

ry h

as

esta

blish

ed

prot

ocol

s, pr

oces

ses,

regu

latio

ns, a

nd/o

r le

gisla

tion

gove

rnin

g re

port

ing

and

proc

esse

s for

m

ultis

ecto

ral

coor

dina

tion

in

resp

onse

to a

po

tent

ial P

HEIC

to

WHO

and

to th

e OI

E fo

r rel

evan

t zoo

notic

di

seas

e.

Syst

em fo

r effi

cient

repo

rtin

g to

WHO

, FAO

and

OIE

Repo

rtin

g ne

twor

k an

d pr

otoc

ols i

n co

untr

y

1)

Prep

arat

ion

of th

e M

inist

er o

f Hea

lth R

egul

atio

n on

One

Dat

a Po

licy

2)

Rese

arch

and

rout

ine

data

sync

hron

izatio

n to

acc

omm

odat

e On

e Da

ta

Inte

grat

ion

of H

ealth

Info

rmat

ion

Syst

em

3)

Min

ister

of H

ealth

Reg

ulat

ion

on P

uske

smas

Info

rmat

ion

Syst

em (R

evie

w o

f Pu

skes

mas

Info

rmat

ion

Syst

em S

tand

ard)

4)

M

inist

ry o

f Agr

icultu

re re

gula

tion

on A

nim

al H

ealth

Info

rmat

ion

Syst

em

Prio

rity

Activ

ities

/ Mile

ston

e

Activ

ities

and

Out

puts

*

Shor

t-ter

mOu

tcom

es(1

-3y

ears

) In

term

edia

te

Outc

omes

(4-5

year

s)

Long

-term

Ou

tcom

es(5

+yea

rs)

Leve

l 4: C

ount

ry

dem

onst

rate

s tim

ely

repo

rtin

g of

pot

entia

l PH

EIC

to W

HO a

nd to

th

e OI

E fo

r rel

evan

t zo

onot

ic di

seas

e in

al

ignm

ent w

ith

natio

nal a

nd

inte

rnat

iona

l st

anda

rds i

n se

lect

ed

inte

rmed

iate

leve

ls (d

istric

ts o

r reg

ions

) ba

sed

on a

n ex

ercis

e or

real

eve

nts.

Leve

l 4: C

ount

ry h

as

dem

onst

rate

d ab

ility t

o id

entif

y a

po

tent

ial P

HEIC

and

fil

e a

repo

rt to

WHO

w

ithin

24

hour

s and

sim

ilar t

o th

e OI

E fo

r rel

evan

t zo

onot

ic di

seas

e ba

sed

on a

n ex

ercis

e or

real

ev

ent

1)

Mai

nten

ance

of f

ish d

iseas

e m

onito

ring

syst

em (S

oftw

are

for F

ish D

iseas

e M

onito

ring

Syst

em /

SSM

PI) o

n lin

e as

a b

asis

for r

epor

ting

fish

dise

ases

to O

IE

2)

Deve

lopm

ent o

f a fi

sh d

iseas

e m

onito

ring

syst

em (S

SMPI

) on

line

and

an In

done

sian

Aqua

tic A

nim

al D

iseas

es A

lert

Sys

tem

/ IA

ADAS

as a

bas

is fo

r rep

ortin

g fis

h di

seas

es to

OI

E (M

OMAF

) 3)

Ev

alua

tion

of fi

sh d

iseas

e re

port

s thr

ough

SSM

PI o

n lin

e (3

4 Pr

ovin

ces)

– M

OMAF

1)

Publ

ic he

arin

g of

the

Min

istry

of A

gricu

lture

's SI

Ani

mal

Hea

lth

2)

Draf

ting

of th

e M

inist

ry o

f Mar

ine

Afffa

irs (M

OMAF

) on

Fish

Dise

ases

3)

Ca

pacit

y bu

ildin

g fo

r Ref

eren

ce la

bora

tory

and

fish

dise

ase

test

ing

labo

rato

ries

(MOM

AF)

31

TA W

ORKF

ORCE

DEV

ELOP

MEN

T

1)

Map

ping

of n

atio

nal H

R ne

eds (

doct

ors,

nurs

es, v

eter

inar

ians

, bio

stat

istics

, lab

scie

nces

, epi

dem

iolo

gist

s)

Inpu

ts

Man

M

oney

M

etho

d Pa

rtne

r

D.4.

1. H

uman

reso

urce

s are

ava

ilabl

e to

impl

emen

t IHR

core

capa

city

D.

4.2.

FET

P or

oth

er a

pplie

d ep

idem

iolo

gy tr

aini

ng p

rogr

amm

e in

pla

ce

6).

Ca

paci

ty b

uild

ing

for t

he H

ead

of D

epar

tmen

t reg

ardi

ng a

pplie

d-ep

idem

iolo

gy in

dec

ision

mak

ing

and

trai

ning

curr

iculu

m

for H

ealth

Offi

ce H

eads

(tec

hnica

l sta

ndar

ds)

7).

A

pplie

d-ep

idem

iolo

gy tr

aini

ng in

fron

tline

-like

trai

ning

at F

KTP

8).

Appl

ied-

epid

emio

logi

cal t

echn

ical g

uida

nce

for p

eopl

e in

pot

entia

l out

brea

ks a

reas

9)

. Su

ppor

t One

Hea

lth co

llabo

ratio

n an

d co

ordi

natio

n be

twee

n go

vern

men

t and

uni

vers

ities

(MOA

) 10

). S

uppo

rt cu

rricu

lum

dev

elop

men

t for

pre

-ser

vice

and

in-s

ervi

ce p

oultr

y he

alth

capa

city

build

ing

11).

Sup

port

the

deve

lopm

ent o

f FET

PV in

Indo

nesia

12

). C

apac

ity b

uild

ing

for f

ield

epi

dem

iolo

gy fo

r vet

erin

ary

offic

ers (

FETP

deg

ree

& n

on d

egre

e)

13).

Adv

ocac

y to

stak

ehol

ders

(cen

tral

/ re

gion

al) r

egar

ding

HR

utili

zatio

n (in

cent

ives

, pla

cem

ent,

qual

ity st

anda

rds,

etc.

) 14

). T

oT o

n su

rvei

llanc

e to

Sup

port

hea

lth a

dvoc

atio

n 15

). O

ne H

ealth

trai

ning

(out

brea

k in

vest

igat

ion)

16

). A

MTC

Prio

rity

Activ

ities

/ Mile

ston

e

Activ

ities

and

Out

puts

*

Shor

t-ter

mOu

tcom

es

(1-3

year

s)

Inte

rmed

iate

Out

com

es

(4

-5ye

ars)

Long

-term

Ou

tcom

es (5

+yea

rs)

19).

Stre

ngth

enin

g th

e HR

dat

abas

e fo

r PPS

DM p

lann

ing

20).

Dev

elop

men

t of a

nat

iona

l PPS

DM st

rate

gic p

lan

D.4.

3. W

orkf

orce

stra

tegy

2)

Fulfi

llmen

t of n

atio

nal H

R ne

eds (

doct

ors,

nurs

es, v

eter

inar

ians

, bio

stat

istics

, lab

scie

nces

, epi

dem

iolo

gist

s)

3)

Lead

ersh

ip tr

aini

ng fo

r int

er-d

iscip

linar

y an

d m

ulti

coun

trie

s stu

dent

s to

deve

lop

the

colla

bora

tion

and

coor

dina

tion

to

solv

e he

alth

issu

es. (

Coor

dina

tion

Min

istry

for h

uman

dev

elop

men

t/ C

MHD

) 4)

Le

ader

ship

trai

ning

for i

nter

-disc

iplin

ary

heal

th p

rofe

ssio

nals

to so

lve

heal

th p

robl

em. (

CMHD

) 5)

Gl

obal

Hea

lth D

iplo

mac

y (G

HD) T

rain

ing

(CM

HD)

17).

bui

ldin

g Ca

paci

ty fo

r epi

dem

iolo

gist

to U

S CD

C fo

r Sur

veill

ance

Sys

tem

18

). Tr

aini

ng u

rban

hea

lth co

llabo

ratio

n w

ith N

anya

ng P

olite

chni

c Si

ngap

ore

Leve

l 3

Mul

tidisc

iplin

ary H

R ca

pacit

y is a

vaila

ble

at n

atio

nal a

nd

inte

rmed

iate

leve

l

Leve

l 4 M

ultid

iscip

linar

y HR

capa

city

is av

aila

ble

as

requ

ired

at re

leva

nt le

vels

of p

ublic

hea

lth sy

stem

(e

.g.

epid

emio

logi

st a

t nat

iona

l le

vel a

nd in

term

edia

te

leve

l and

ass

istan

ce (o

r sh

ort c

ours

e tr

aine

d ep

idem

iolo

gist

) at l

ocal

le

vel a

vaila

ble

Leve

l 4: T

wo

leve

ls of

FE

TP (B

asic,

In

term

edia

te a

nd/o

r Ad

vanc

ed) o

r co

mpa

rabl

e ap

plie

d ep

idem

iolo

gy

trai

ning

pro

gram

(s) i

n pl

ace

in th

e co

untr

y or

in

ano

ther

coun

try

thro

ugh

an e

xistin

g ag

reem

ent

Leve

l 4: A

pub

lic h

ealth

w

orkf

orce

stra

tegy

has

be

en d

rafte

d an

d im

plem

ente

d co

nsist

ently

; st

rate

gy is

revi

ewed

, tr

acke

d an

d re

port

ed o

n an

nual

ly

Leve

l 5: T

hree

leve

ls of

FE

TP (B

asic,

Inte

rmed

iate

an

d Ad

vanc

ed) o

r com

para

ble

appl

ied

epid

emio

logy

tr

aini

ng p

rogr

am(s

) in

plac

e in

the

coun

try

or

inan

othe

r cou

ntry

thro

ugh

an e

xistin

g ag

reem

ent,

with

sust

aina

ble

natio

nal

fund

ing

31

31

TA W

ORKF

ORCE

DEV

ELOP

MEN

T

1)

Map

ping

of n

atio

nal H

R ne

eds (

doct

ors,

nurs

es, v

eter

inar

ians

, bio

stat

istics

, lab

scie

nces

, epi

dem

iolo

gist

s)

Inpu

ts

Man

M

oney

M

etho

d Pa

rtne

r

D.4.

1. H

uman

reso

urce

s are

ava

ilabl

e to

impl

emen

t IHR

core

capa

city

D.

4.2.

FET

P or

oth

er a

pplie

d ep

idem

iolo

gy tr

aini

ng p

rogr

amm

e in

pla

ce

6).

Ca

paci

ty b

uild

ing

for t

he H

ead

of D

epar

tmen

t reg

ardi

ng a

pplie

d-ep

idem

iolo

gy in

dec

ision

mak

ing

and

trai

ning

curr

iculu

m

for H

ealth

Offi

ce H

eads

(tec

hnica

l sta

ndar

ds)

7).

A

pplie

d-ep

idem

iolo

gy tr

aini

ng in

fron

tline

-like

trai

ning

at F

KTP

8).

Appl

ied-

epid

emio

logi

cal t

echn

ical g

uida

nce

for p

eopl

e in

pot

entia

l out

brea

ks a

reas

9)

. Su

ppor

t One

Hea

lth co

llabo

ratio

n an

d co

ordi

natio

n be

twee

n go

vern

men

t and

uni

vers

ities

(MOA

) 10

). S

uppo

rt cu

rricu

lum

dev

elop

men

t for

pre

-ser

vice

and

in-s

ervi

ce p

oultr

y he

alth

capa

city

build

ing

11).

Sup

port

the

deve

lopm

ent o

f FET

PV in

Indo

nesia

12

). C

apac

ity b

uild

ing

for f

ield

epi

dem

iolo

gy fo

r vet

erin

ary

offic

ers (

FETP

deg

ree

& n

on d

egre

e)

13).

Adv

ocac

y to

stak

ehol

ders

(cen

tral

/ re

gion

al) r

egar

ding

HR

utili

zatio

n (in

cent

ives

, pla

cem

ent,

qual

ity st

anda

rds,

etc.

) 14

). T

oT o

n su

rvei

llanc

e to

Sup

port

hea

lth a

dvoc

atio

n 15

). O

ne H

ealth

trai

ning

(out

brea

k in

vest

igat

ion)

16

). A

MTC

Prio

rity

Activ

ities

/ Mile

ston

e

Activ

ities

and

Out

puts

*

Shor

t-ter

mOu

tcom

es

(1-3

year

s)

Inte

rmed

iate

Out

com

es

(4

-5ye

ars)

Long

-term

Ou

tcom

es (5

+yea

rs)

19).

Stre

ngth

enin

g th

e HR

dat

abas

e fo

r PPS

DM p

lann

ing

20).

Dev

elop

men

t of a

nat

iona

l PPS

DM st

rate

gic p

lan

D.4.

3. W

orkf

orce

stra

tegy

2)

Fulfi

llmen

t of n

atio

nal H

R ne

eds (

doct

ors,

nurs

es, v

eter

inar

ians

, bio

stat

istics

, lab

scie

nces

, epi

dem

iolo

gist

s)

3)

Lead

ersh

ip tr

aini

ng fo

r int

er-d

iscip

linar

y an

d m

ulti

coun

trie

s stu

dent

s to

deve

lop

the

colla

bora

tion

and

coor

dina

tion

to

solv

e he

alth

issu

es. (

Coor

dina

tion

Min

istry

for h

uman

dev

elop

men

t/ C

MHD

) 4)

Le

ader

ship

trai

ning

for i

nter

-disc

iplin

ary

heal

th p

rofe

ssio

nals

to so

lve

heal

th p

robl

em. (

CMHD

) 5)

Gl

obal

Hea

lth D

iplo

mac

y (G

HD) T

rain

ing

(CM

HD)

17).

bui

ldin

g Ca

paci

ty fo

r epi

dem

iolo

gist

to U

S CD

C fo

r Sur

veill

ance

Sys

tem

18

). Tr

aini

ng u

rban

hea

lth co

llabo

ratio

n w

ith N

anya

ng P

olite

chni

c Si

ngap

ore

Leve

l 3

Mul

tidisc

iplin

ary H

R ca

pacit

y is a

vaila

ble

at n

atio

nal a

nd

inte

rmed

iate

leve

l

Leve

l 4 M

ultid

iscip

linar

y HR

capa

city

is av

aila

ble

as

requ

ired

at re

leva

nt le

vels

of p

ublic

hea

lth sy

stem

(e

.g.

epid

emio

logi

st a

t nat

iona

l le

vel a

nd in

term

edia

te

leve

l and

ass

istan

ce (o

r sh

ort c

ours

e tr

aine

d ep

idem

iolo

gist

) at l

ocal

le

vel a

vaila

ble

Leve

l 4: T

wo

leve

ls of

FE

TP (B

asic,

In

term

edia

te a

nd/o

r Ad

vanc

ed) o

r co

mpa

rabl

e ap

plie

d ep

idem

iolo

gy

trai

ning

pro

gram

(s) i

n pl

ace

in th

e co

untr

y or

in

ano

ther

coun

try

thro

ugh

an e

xistin

g ag

reem

ent

Leve

l 4: A

pub

lic h

ealth

w

orkf

orce

stra

tegy

has

be

en d

rafte

d an

d im

plem

ente

d co

nsist

ently

; st

rate

gy is

revi

ewed

, tr

acke

d an

d re

port

ed o

n an

nual

ly

Leve

l 5: T

hree

leve

ls of

FE

TP (B

asic,

Inte

rmed

iate

an

d Ad

vanc

ed) o

r com

para

ble

appl

ied

epid

emio

logy

tr

aini

ng p

rogr

am(s

) in

plac

e in

the

coun

try

or

inan

othe

r cou

ntry

thro

ugh

an e

xistin

g ag

reem

ent,

with

sust

aina

ble

natio

nal

fund

ing

32

32

TA P

REPA

REDN

ESS

1)

Revi

ew th

e Na

tiona

l Con

tinge

ncy

Plan

2)

Ta

ble

top

exer

cise

of n

atio

nal c

ontin

genc

y pl

ans a

ccor

ding

to th

e di

stric

t/ ci

ty h

azar

d ris

k m

anag

emen

t res

ult

3)

The

simul

atio

n of

nat

iona

l con

tinge

ncy

plan

s bec

omes

an

oper

atio

nal p

lan

acco

rdin

g to

the

resu

lts o

f risk

haz

ard

man

agem

ent i

n st

ages

/ tie

red.

5)

Pr

epar

edne

ss tr

aini

ng o

n bi

olog

ical,

nucle

ar a

nd ch

emica

l thr

eats

that

hav

e th

e po

tent

ial f

or

publ

ic he

alth

em

erge

ncy

6)

Revi

ew th

e Na

tiona

l Con

tinge

ncy

Plan

for z

oono

sis a

nd E

ID

7)

Tabl

e to

p ex

ercis

e of

nat

iona

l con

tinge

ncy

plan

s on

zoon

osis

and

EID

in d

istric

t/ ci

ty

8)

EID

and

Pand

emic

Prep

ared

ness

Wor

ksho

p as

par

t of H

ospi

tal E

mer

genc

y Pl

an (H

ospi

tal

Disa

ster

Pre

pare

dnes

s Pla

n)

10)

Map

ping

and

revi

ew S

OP p

lan

for d

istrib

utio

n of

dru

gs a

nd P

PE.

Inpu

ts

Leve

l 3: N

atio

nal

publ

ic he

alth

em

erge

ncy

resp

onse

pl

an(s

) inc

orpo

rate

s IH

R re

late

d ha

zard

s an

d Po

ints

of E

ntry

AN

D Su

rge

capa

city t

o re

spon

d to

pub

lic

heal

th e

mer

genc

ies

of n

atio

nal a

nd

inte

rnat

iona

l con

cern

is

avai

labl

e

Man

M

oney

M

etho

d Pa

rtne

r

Leve

l 4: P

roce

dure

s, pl

ans o

r stra

tegy

in

plac

e to

real

loca

te o

r m

obiliz

e re

sour

ces

from

nat

iona

l and

in

term

edia

te le

vels

to

supp

ort a

ctio

n at

lo

cal r

espo

nse

leve

l (in

cludi

ng ca

pacit

y to

scal

ing

up th

e le

vel o

f re

spon

se)

Leve

l 2: A

nat

iona

l ris

k ass

essm

ent h

as

been

cond

ucte

d to

id

entif

y pot

entia

l ‘u

rgen

t pub

lic

heal

th e

vent

s’ an

d re

sour

ce m

appi

ng

has b

een

done

Leve

l 3: N

atio

nal

reso

urce

s hav

e be

en m

appe

d (lo

gist

ics, e

xper

ts,

finan

ce e

tc..)

for

IHR

rele

vant

ha

zard

s and

prio

rity

risks

and

pla

n fo

r m

anag

emen

t and

di

strib

utio

n of

na

tiona

l sto

ckpi

les

is in

pla

ce

R.1.

1 Na

tiona

l mul

ti-ha

zard

pub

lic h

ealth

em

erge

ncy

prep

ared

ness

and

re

spon

se p

lan

is de

velo

ped

and

impl

emen

ted

R.1.

2 Pr

iorit

y pu

blic

heal

th ri

sks a

nd re

sour

ces a

re m

appe

d an

d ut

ilize

d

Prio

rity

Activ

ities

/ Mile

ston

e

Activ

ities

and

Out

puts

*

Shor

t-ter

mOu

tcom

es(1

-3y

ears

) In

term

edia

te

Outc

omes

(4-5

year

s)

Long

-term

Ou

tcom

es(5

+yea

rs)

1)

Tr

aini

ng /

Wor

ksho

p to

use

JRA

tool

s for

zoon

otic

dise

ases

2)

On

e He

alth

Tra

inin

g / W

orks

hop

for h

igh

risk

area

s for

eac

h se

ctor

follo

wed

by

join

t tra

inin

g 3)

As

sess

men

t on

infra

stru

ctur

e, se

rvice

s and

HR

at n

atio

nal a

nd re

gion

al h

ospi

tal f

or P

HEIC

4)

EI

D ris

k m

appi

ng

1)

Cont

inge

ncy

plan

for d

istric

t with

dire

ct a

cces

s to

inte

rnat

iona

l POE

2)

Ta

ble

top

exer

cise

of n

atio

nal c

ontin

genc

y pl

ans a

ccor

ding

to th

e di

stric

t/ ci

ty h

azar

d ris

k m

anag

emen

t res

ult (

BNPB

)

33

TA E

MER

GENC

Y RE

SPON

SE O

PERA

TION

S (1

)

Leve

l 2: E

OC

plan

s/pr

oced

ures

de

scrib

ing

incid

ent

man

agem

ent

stru

ctur

e (IM

S) o

r eq

uiva

lent

st

ruct

ure

are

in p

lace

; pl

an d

escr

ibes

key

st

ruct

ural

and

op

erat

iona

l ele

men

ts

for

basic

role

s (in

cludi

ng

Incid

ent m

anag

emen

t or

com

man

d,

Oper

atio

ns, P

lann

ing,

Lo

gist

ics a

nd F

inan

ce)

Heal

th C

lust

er C

oord

inat

ion

Mee

ting

Inpu

ts

Leve

l 3: E

OC st

aff

team

is tr

aine

d in

em

erge

ncy

man

agem

ent a

nd

PHEO

C st

anda

rd

oper

atin

g pr

oced

ures

and

is

avai

labl

e fo

r re

spon

se w

hen

nece

ssar

y

Man

M

oney

M

etho

d Pa

rtne

r

Leve

l 4: I

n ad

ditio

n to

act

ivitie

s for

“d

evel

oped

ca

pacit

y”, t

here

is

dedi

cate

d EO

C st

aff

that

has

rece

ived

trai

ning

and

can

activ

ate

a re

spon

se

with

in tw

o ho

urs

Prep

arat

ion

of a

join

t EOC

bet

wee

n th

e PK

K, S

KK D

irect

orat

e an

d NC

C

Leve

l 3: I

n ad

ditio

n to

m

eetin

g re

quire

men

ts

of

“lim

ited

capa

city”

, EO

C pl

ans a

re in

pla

ce

for f

unct

ions

inclu

ding

pu

blic

heal

th

scie

nce

(epi

dem

iolo

gy,

med

ical a

nd o

ther

su

bjec

t mat

ter

expe

rtise

), pu

blic

com

mun

icatio

ns,

part

ner l

iaiso

n

Capa

city

to a

ctiv

ate

emer

genc

y op

erat

ions

EOC

oper

atin

g pr

oced

ures

and

pla

ns

Impl

emen

tatio

n of

MOH

& B

NPB

coop

erat

ion

base

d on

the

2014

MoU

on

Disa

ster

Risk

Re

duct

ion

in h

ealth

disa

ster

man

agem

ent

The

impl

emen

tatio

n of

MOH

& B

MKG

coop

erat

ion

base

d on

the

2014

MoU

Colla

bora

tion

with

the

3 Un

iver

sitie

s on

the

Impl

emen

tatio

n of

Hea

lth C

risis

Risk

M

anag

emen

t bas

ed o

n th

e M

CC th

at w

as a

rran

ged

in 2

017

(UI,

UGM

and

Uni

braw

) and

th

e Co

oper

atio

n Ag

reem

ent w

hich

is ta

rget

ed to

be

signe

d in

201

9 w

ith 3

oth

er

Univ

ersit

ies (

plan

ned

with

Unh

as, U

nsyi

ah K

uala

and

ITB)

Prio

rity

Activ

ities

/ Mile

ston

e

Activ

ities

and

Out

puts

*

Shor

t-ter

mOu

tcom

es(1

-3y

ears

) In

term

edia

te

Outc

omes

(4-5

year

s)

Long

-term

Ou

tcom

es(5

+yea

rs)

Prep

arat

ion

of T

echn

ical G

uide

lines

for P

rovi

ncia

l Min

imum

Ser

vice

Sta

ndar

ds in

Hea

lth

crisi

s man

agem

ent (

Perm

enda

gri)

Revi

sed

Min

ister

of H

ealth

Reg

ulat

ion

No. 6

4/20

13 o

n He

alth

Cris

is M

anag

emen

t

Prep

arat

ion

of H

ealth

Clu

ster

Gui

delin

es

Deve

lop

a Na

tiona

l Hea

lth R

isk C

omm

unica

tion

Guid

elin

e (re

fer t

o Ri

sk C

omm

)

33

33

TA E

MER

GENC

Y RE

SPON

SE O

PERA

TION

S (1

)

Leve

l 2: E

OC

plan

s/pr

oced

ures

de

scrib

ing

incid

ent

man

agem

ent

stru

ctur

e (IM

S) o

r eq

uiva

lent

st

ruct

ure

are

in p

lace

; pl

an d

escr

ibes

key

st

ruct

ural

and

op

erat

iona

l ele

men

ts

for

basic

role

s (in

cludi

ng

Incid

ent m

anag

emen

t or

com

man

d,

Oper

atio

ns, P

lann

ing,

Lo

gist

ics a

nd F

inan

ce)

Heal

th C

lust

er C

oord

inat

ion

Mee

ting

Inpu

ts

Leve

l 3: E

OC st

aff

team

is tr

aine

d in

em

erge

ncy

man

agem

ent a

nd

PHEO

C st

anda

rd

oper

atin

g pr

oced

ures

and

is

avai

labl

e fo

r re

spon

se w

hen

nece

ssar

y

Man

M

oney

M

etho

d Pa

rtne

r

Leve

l 4: I

n ad

ditio

n to

act

ivitie

s for

“d

evel

oped

ca

pacit

y”, t

here

is

dedi

cate

d EO

C st

aff

that

has

rece

ived

trai

ning

and

can

activ

ate

a re

spon

se

with

in tw

o ho

urs

Prep

arat

ion

of a

join

t EOC

bet

wee

n th

e PK

K, S

KK D

irect

orat

e an

d NC

C

Leve

l 3: I

n ad

ditio

n to

m

eetin

g re

quire

men

ts

of

“lim

ited

capa

city”

, EO

C pl

ans a

re in

pla

ce

for f

unct

ions

inclu

ding

pu

blic

heal

th

scie

nce

(epi

dem

iolo

gy,

med

ical a

nd o

ther

su

bjec

t mat

ter

expe

rtise

), pu

blic

com

mun

icatio

ns,

part

ner l

iaiso

n

Capa

city

to a

ctiv

ate

emer

genc

y op

erat

ions

EOC

oper

atin

g pr

oced

ures

and

pla

ns

Impl

emen

tatio

n of

MOH

& B

NPB

coop

erat

ion

base

d on

the

2014

MoU

on

Disa

ster

Risk

Re

duct

ion

in h

ealth

disa

ster

man

agem

ent

The

impl

emen

tatio

n of

MOH

& B

MKG

coop

erat

ion

base

d on

the

2014

MoU

Colla

bora

tion

with

the

3 Un

iver

sitie

s on

the

Impl

emen

tatio

n of

Hea

lth C

risis

Risk

M

anag

emen

t bas

ed o

n th

e M

CC th

at w

as a

rran

ged

in 2

017

(UI,

UGM

and

Uni

braw

) and

th

e Co

oper

atio

n Ag

reem

ent w

hich

is ta

rget

ed to

be

signe

d in

201

9 w

ith 3

oth

er

Univ

ersit

ies (

plan

ned

with

Unh

as, U

nsyi

ah K

uala

and

ITB)

Prio

rity

Activ

ities

/ Mile

ston

e

Activ

ities

and

Out

puts

*

Shor

t-ter

mOu

tcom

es(1

-3y

ears

) In

term

edia

te

Outc

omes

(4-5

year

s)

Long

-term

Ou

tcom

es(5

+yea

rs)

Prep

arat

ion

of T

echn

ical G

uide

lines

for P

rovi

ncia

l Min

imum

Ser

vice

Sta

ndar

ds in

Hea

lth

crisi

s man

agem

ent (

Perm

enda

gri)

Revi

sed

Min

ister

of H

ealth

Reg

ulat

ion

No. 6

4/20

13 o

n He

alth

Cris

is M

anag

emen

t

Prep

arat

ion

of H

ealth

Clu

ster

Gui

delin

es

Deve

lop

a Na

tiona

l Hea

lth R

isk C

omm

unica

tion

Guid

elin

e (re

fer t

o Ri

sk C

omm

)

34

34

TA E

MER

GENC

Y RE

SPON

SE O

PERA

TION

S (2

)

Leve

l 3: C

ase

man

agem

ent

guid

elin

es fo

r oth

er

IHR

rele

vant

haz

ards

ar

e av

aila

ble

at

rele

vant

hea

lth

syst

em le

vels

and

SOPs

are

ava

ilabl

e fo

r th

e m

anag

emen

t an

d tr

ansp

ort o

f po

tent

ially

infe

ctio

us

patie

nts i

n th

e co

mm

unity

and

at P

oE

Mec

hani

sm fo

r em

ergi

ng/r

e-em

ergi

ng p

atie

nt cl

aim

s and

vict

ims o

f ter

roris

m

Asse

ssm

ent o

f dist

ricts

and

pro

vinc

es h

azar

d, v

ulne

rabi

lity

and

capa

city

Inpu

ts

Leve

l 3: F

unct

iona

l ex

ercis

e ha

s bee

n co

mpl

eted

to te

st

oper

atio

ns ca

pabi

litie

s bu

t EOC

has

not

yet

be

en a

ctiv

ated

for a

re

spon

se.

Syst

em is

not

yet

ca

pabl

e of

act

ivat

ing

a co

ordi

nate

d em

erge

ncy

resp

onse

w

ithin

12

0 m

inut

es o

f the

id

entif

icatio

n of

a

publ

ic he

alth

em

erge

ncy

Man

M

oney

M

etho

d Pa

rtne

r

Leve

l 4: E

OC

activ

ated

a

coor

dina

ted

emer

genc

y re

spon

se o

r ex

ercis

e w

ithin

120

m

inut

es o

f the

id

entif

icatio

n of

a

publ

ic he

alth

em

erge

ncy;

re

spon

se u

tilize

d op

erat

ions

, log

istic

and

plan

ning

fu

nctio

ns

Leve

l 4: C

ase

man

agem

ent,

patie

nt

refe

rral

an

d tr

ansp

orta

tion,

an

d m

anag

emen

t an

d tr

ansp

ort o

f po

tent

ially

infe

ctio

us

patie

nts a

re

impl

emen

ted

acco

rdin

g to

gu

idel

ines

and

/or

SOPs

Emer

genc

y op

erat

ions

pro

gram

me

Case

man

agem

ent p

roce

dure

s im

plem

ente

d fo

r IHR

rele

vant

haz

ards

Capa

city

build

ing

of d

istric

ts a

nd p

rovi

nces

for r

espo

nse

map

s, Ho

spita

l pre

pare

dnes

s in

disa

ster

s, SI

PKK,

Con

tinge

ncy

Plan

s, Ta

ble

Top

Exer

cise

& S

imul

atio

n

Prio

rity

Activ

ities

/ Mile

ston

e

Activ

ities

and

Out

puts

*

Shor

t-ter

mOu

tcom

es(1

-3y

ears

) In

term

edia

te

Outc

omes

(4-5

year

s)

Long

-term

Ou

tcom

es(5

+yea

rs)

Prep

erat

ion

of H

ealth

Qua

rant

ine

Regi

onal

Gui

delin

es

Trai

ning

of D

etec

tion

and

Resp

onse

KKM

for K

KP o

ffice

rs

Revi

sed:

PP

No. 4

0 Ta

hun

1991

abo

ut e

pide

mic

man

agem

ent,

Perm

enke

s 150

1 ab

out d

esea

se

pote

nsia

l out

brea

ks d

esea

se, P

D3I G

uide

lines

PMK

Diss

emin

atio

n Ab

out A

mbu

lanc

e Se

rvice

s

35

TA LI

NKIN

G PU

BLIC

HEA

LTH

AND

SECU

RITY

AUT

HORI

TIES

Revi

sion

of th

e Se

a an

d Ai

r Qua

rant

ine

Law

to

Law

on

Heal

th Q

uara

ntin

e

Inpu

ts

Leve

l 4: A

t lea

st

1 pu

blic

heal

th

emer

genc

y re

spon

se o

r ex

ercis

e w

ithin

th

e pr

evio

us

year

that

in

clude

d in

form

atio

n sh

arin

g w

ith

Secu

rity

Auth

oriti

es

usin

g th

e fo

rmal

M

OU o

r oth

er

agre

emen

t (i.e

., pr

otoc

ol)

Man

M

oney

M

etho

d Pa

rtne

r

Leve

l 5: P

ublic

hea

lth

and

secu

rity

auth

oriti

es e

xcha

nge

repo

rts a

nd

info

rmat

ion

on

even

ts o

f joi

nt

conc

ern

at n

atio

nal,

inte

rmed

iate

and

lo

cal l

evel

s usin

g th

e fo

rmal

MOU

or

othe

r agr

eem

ent

(i.e.

, pro

toco

l) pu

blic

heal

th a

nd se

curit

y au

thor

ities

eng

age

in

a jo

int t

rain

ing

prog

ram

to o

rient

, ex

ercis

e, a

nd

inst

itutio

naliz

e kn

owle

dge

of M

OU

or o

ther

agr

eem

ents

Incr

easin

g Nu

mbe

r of P

rovi

nces

/ Di

stric

ts /

Citie

s tha

t Rec

eive

Tra

inin

g on

Ter

roris

m /

Emer

genc

y Nu

clear

Bio

logi

cal C

hem

ical (

NUBI

KA) -

BNP

T

Publ

ic he

alth

and

secu

rity a

utho

ritie

s (e.

g. la

w e

nfor

cem

ent,

bord

er co

ntro

l, cu

stom

s)

are

linke

d du

ring

a su

spec

t or c

onfir

med

bio

logi

cal e

vent

Revi

sion

on In

fect

ious

dise

ase

Law

Fi

naliz

atio

n of

the

Pres

iden

tial I

nstr

uctio

n on

Enh

ancin

g Ab

ility

to P

reve

nt, D

etec

t and

Re

spon

d to

Dise

ase

Outb

reak

s, Gl

obal

Pan

dem

ic an

d Nu

clear

Em

erge

ncy,

Bio

logi

cal a

nd

Chem

ical

Com

plet

ing

MOU

s and

SO

Ps o

n th

e de

velo

pmen

t and

impl

emen

tatio

n of

info

rmat

ion

syst

ems f

or e

mer

ging

zoon

otic

and

infe

ctio

us d

iseas

es co

nnec

ted

betw

een

hum

an a

nd

anim

al h

ealth

dat

abas

es /

Zoon

otic

Info

rmat

ion

Syst

ems a

nd E

mer

ging

Infe

ctio

us D

iseas

es

(SIZ

E)

Prio

rity

Activ

ities

/ Mile

ston

e

Activ

ities

and

Out

puts

*

Shor

t-ter

mOu

tcom

es(1

-3y

ears

) In

term

edia

te

Outc

omes

(4-5

year

s)

Long

-term

Ou

tcom

es(5

+yea

rs)

EVAL

UATE

M

ONIT

OR

35

35

TA LI

NKIN

G PU

BLIC

HEA

LTH

AND

SECU

RITY

AUT

HORI

TIES

Revi

sion

of th

e Se

a an

d Ai

r Qua

rant

ine

Law

to

Law

on

Heal

th Q

uara

ntin

e

Inpu

ts

Leve

l 4: A

t lea

st

1 pu

blic

heal

th

emer

genc

y re

spon

se o

r ex

ercis

e w

ithin

th

e pr

evio

us

year

that

in

clude

d in

form

atio

n sh

arin

g w

ith

Secu

rity

Auth

oriti

es

usin

g th

e fo

rmal

M

OU o

r oth

er

agre

emen

t (i.e

., pr

otoc

ol)

Man

M

oney

M

etho

d Pa

rtne

r

Leve

l 5: P

ublic

hea

lth

and

secu

rity

auth

oriti

es e

xcha

nge

repo

rts a

nd

info

rmat

ion

on

even

ts o

f joi

nt

conc

ern

at n

atio

nal,

inte

rmed

iate

and

lo

cal l

evel

s usin

g th

e fo

rmal

MOU

or

othe

r agr

eem

ent

(i.e.

, pro

toco

l) pu

blic

heal

th a

nd se

curit

y au

thor

ities

eng

age

in

a jo

int t

rain

ing

prog

ram

to o

rient

, ex

ercis

e, a

nd

inst

itutio

naliz

e kn

owle

dge

of M

OU

or o

ther

agr

eem

ents

Incr

easin

g Nu

mbe

r of P

rovi

nces

/ Di

stric

ts /

Citie

s tha

t Rec

eive

Tra

inin

g on

Ter

roris

m /

Emer

genc

y Nu

clear

Bio

logi

cal C

hem

ical (

NUBI

KA) -

BNP

T

Publ

ic he

alth

and

secu

rity a

utho

ritie

s (e.

g. la

w e

nfor

cem

ent,

bord

er co

ntro

l, cu

stom

s)

are

linke

d du

ring

a su

spec

t or c

onfir

med

bio

logi

cal e

vent

Revi

sion

on In

fect

ious

dise

ase

Law

Fi

naliz

atio

n of

the

Pres

iden

tial I

nstr

uctio

n on

Enh

ancin

g Ab

ility

to P

reve

nt, D

etec

t and

Re

spon

d to

Dise

ase

Outb

reak

s, Gl

obal

Pan

dem

ic an

d Nu

clear

Em

erge

ncy,

Bio

logi

cal a

nd

Chem

ical

Com

plet

ing

MOU

s and

SO

Ps o

n th

e de

velo

pmen

t and

impl

emen

tatio

n of

info

rmat

ion

syst

ems f

or e

mer

ging

zoon

otic

and

infe

ctio

us d

iseas

es co

nnec

ted

betw

een

hum

an a

nd

anim

al h

ealth

dat

abas

es /

Zoon

otic

Info

rmat

ion

Syst

ems a

nd E

mer

ging

Infe

ctio

us D

iseas

es

(SIZ

E)

Prio

rity

Activ

ities

/ Mile

ston

e

Activ

ities

and

Out

puts

*

Shor

t-ter

mOu

tcom

es(1

-3y

ears

) In

term

edia

te

Outc

omes

(4-5

year

s)

Long

-term

Ou

tcom

es(5

+yea

rs)

EVAL

UATE

M

ONIT

OR

36

36

TA M

EDIC

AL C

OUNT

ERM

EASU

RES

AND

PERS

ONNE

L DEP

LOYM

ENT

R.4.

2 Sy

stem

in p

lace

for s

endi

ng a

nd re

ceiv

ing

heal

th p

erso

nnel

du

ring

a pu

blic

heal

th e

mer

genc

y

1)

Advo

cacy

and

diss

emin

atio

n of

the

role

of t

he M

OH

in th

e m

echa

nism

of h

ealth

per

sonn

el

coun

term

easu

res t

o cr

oss p

rogr

ams /

sect

ors

2)

Regu

latio

ns/ g

uide

lines

for i

nter

natio

nal d

eplo

ymen

t of h

ealth

per

sonn

el a

ccor

ding

to

inte

rnat

iona

l sta

ndar

ds

3)

Regu

latio

n/ p

olicy

for E

mer

genc

y M

edica

l Tea

m (E

MT)

refe

rrin

g to

glo

bal s

tand

ard

and

Indo

nesia

cond

ition

(clu

ster

ing)

, inc

ludi

ng:

•

Per

sonn

el re

gist

ratio

n

•

P

erso

nnel

cert

ifica

tion

• P

erso

nnel

dep

loym

ent

4)

Data

base

of H

ealth

per

sonn

el (H

ealth

wor

ker d

atab

ase

who

can

be m

obili

zed

for e

mer

genc

y an

d ou

tbre

ak)

5)

Data

base

/ Map

ping

of h

ealth

care

facil

ities

(inc

ludi

ng th

ose

run

by N

GOs,

gove

rnm

ent,

and

othe

r act

ors)

capa

ble

of in

tegr

atin

g fo

reig

n pe

rson

nel d

urin

g em

erge

ncie

s 6)

M

onito

ring

and

eval

uatio

n of

inte

rnat

iona

l med

ical/

pers

onne

l cou

nter

mea

sure

s 7)

M

obili

zatio

n fo

r hea

lth p

erso

nnel

(bud

get)

1)

Advo

cacy

and

diss

emin

atio

n of

the

role

of t

he M

OH

in th

e m

echa

nism

of m

edica

l cou

nter

m

easu

res t

o cr

oss p

rogr

ams /

sect

ors

2)

Mob

iliza

tion

for l

ogist

ic/ m

edici

ne

3)

Sust

ain

capa

city

for d

eplo

ymen

t or r

ecei

pt o

f med

ical/

pers

onne

l cou

nter

mea

sure

s thr

ough

ex

ercis

e (T

TX o

r sim

ulat

ion)

- re

fer t

o EO

C

Inpu

ts

Leve

l 4: A

t lea

st o

ne

resp

onse

OR

a fo

rmal

exe

rcise

or

simul

atio

n w

ithin

th

e pr

evio

us ye

ar

in w

hich

med

ical

coun

term

easu

res

wer

e se

nt o

r re

ceiv

ed b

y the

co

untr

y

Man

M

oney

M

etho

d Pa

rtne

r

Leve

l 5: C

ount

ry

part

icipa

tes i

n a

regi

onal

/ in

tern

atio

nal p

artn

ersh

ip

or h

as fo

rmal

agr

eem

ent

with

ano

ther

coun

try

or

inte

rnat

iona

l org

aniza

tion

that

out

lines

crite

ria a

nd

proc

edur

es fo

r sen

ding

an

d re

ceiv

ing

med

ical

coun

term

easu

res A

ND h

as

part

icipa

ted

in a

n ex

ercis

e or

resp

onse

with

in th

e pa

st y

ear t

o pr

actic

e de

ploy

men

t or r

ecei

pt o

f m

edica

l cou

nter

mea

sure

s

Leve

l 4: A

t lea

st o

ne

resp

onse

OR

form

al

exer

cise

or

simul

atio

n w

ithin

th

e pr

evio

us ye

ar in

w

hich

hea

lth

pers

onne

l wer

e se

nt o

r rec

eive

d by

th

e co

untr

y

Leve

l 5: C

ount

ry

part

icipa

tes i

n a

regi

onal

/ in

tern

atio

nal p

artn

ersh

ip

or h

as fo

rmal

agr

eem

ent

with

ano

ther

coun

try

or

inte

rnat

iona

l org

aniza

tion

that

out

lines

crite

ria a

nd

proc

edur

es fo

r sen

ding

an

d re

ceiv

ing

heal

th

pers

onne

l AND

has

pa

rtici

pate

d in

an

exer

cise

or re

spon

se w

ithin

the

past

yea

r to

prac

tice

depl

oym

ent o

r rec

eipt

of

heal

th p

erso

nnel

R.4.

1 Sy

stem

in p

lace

for s

endi

ng a

nd re

ceiv

ing

med

ical

coun

term

easu

res d

urin

g a

publ

ic he

alth

em

erge

ncy

Prio

rity

Activ

ities

/ Mile

ston

e

Activ

ities

and

Out

puts

*

Shor

t-ter

mOu

tcom

es(1

-3y

ears

) In

term

edia

te

Outc

omes

(4-5

year

s)

Long

-term

Ou

tcom

es(5

+yea

rs)

4)

Coun

try

part

icipa

tes/

has

form

al a

gree

men

t in

regi

onal

/ int

erna

tiona

l par

tner

ship

s (i.e

. AA

DMER

, WHO

GOA

RN e

tc)

37

TA R

ISK

COM

MUN

ICAT

ION

(1)

1.

To d

evel

op n

atio

nal h

ealth

risk

com

mun

icatio

n gu

idel

ine

2.

Tech

nica

l ass

istan

ce b

y co

nsul

tant

to d

raft

the

heal

th ri

sk co

mm

unica

tion

guid

elin

e 3.

To

cond

uct t

he h

ealth

risk

com

mun

icatio

n tr

aini

ng (C

DC A

tlant

a)

4.

To co

nduc

t the

hea

lth ri

sk co

mm

unica

tion

trai

ning

at a

ll le

vel

5.

To d

evel

op n

atio

nal c

ontin

genc

y pl

an, i

nclu

ding

risk

com

mun

icatio

n (re

fer t

o TA

Pre

pare

dnes

s)

6.

Disa

ster

man

agem

ent i

n he

alth

clus

ter,

inclu

ding

risk

com

mun

icatio

n (re

fer t

o EO

C)

7.

Trai

ned

pers

onne

l for

hea

lth cr

isis/

publ

ic he

alth

em

erge

ncie

s, in

cludi

ng ri

sk co

mm

unica

tion

(refe

r to

EOC)

8.

Gu

idel

ines

of C

ross

-Sec

tor C

oord

inat

ion

Fac

ing

Extr

aord

inar

y Ev

ents

/Out

brea

ks o

f Zoo

nose

s and

Em

ergi

ng In

fect

ious

Dise

ases

(EID

) (re

fer t

o ot

her T

A)

9.

Avai

labi

lity

of e

arly

war

ning

syst

em a

pplic

atio

n fo

r nat

ural

disa

ster

(INA

Risk

, est

ablis

hed

in

2014

)

Inpu

ts

Leve

l 3: F

orm

al

gove

rnm

ent

arra

ngem

ents

and

sy

stem

s in

plac

e w

ith

stan

dard

ope

ratin

g pr

oced

ures

and

ca

pacit

y with

m

ultis

ecto

ral a

nd

mul

tista

keho

lder

in

volve

men

t, bu

t in

suffi

cient

allo

catio

n an

d al

ignm

ent o

f hu

man

and

fina

ncia

l re

sour

ces

Man

M

oney

M

etho

d Pa

rtne

r

Leve

l 4: F

ully

oper

atio

nal n

atio

nal

syst

em e

stab

lishe

d m

eetin

g cr

iteria

of a

ll pr

evio

us le

vels,

with

re

ason

able

skil

led

and/

or tr

aine

d pe

rson

nel a

nd

volu

ntee

rs, a

nd

finan

cial r

esou

rces

and

ar

rang

emen

ts fo

r sc

ale-

up a

s evid

ence

d by

a si

mul

atio

n ex

ercis

e or

test

ed b

y a re

al

heal

th e

mer

genc

y

Leve

l 3:

Com

mun

icatio

n co

ordi

natio

n ex

ists

but w

ith li

mite

d

partn

er a

nd

stak

ehol

der

enga

gem

ent

inclu

ding

hea

lth ca

re

wor

kers

, civ

il so

ciety

or

gani

zatio

ns,

priva

te se

ctor

and

ot

her n

on-s

tate

ac

tors

repo

rts

Leve

l 4: E

ffect

ive,

re

gula

r co

mm

unica

tion

coor

dina

tion

with

al

l par

tner

s req

uire

d by

all

prec

edin

g le

vels,

and

thei

r co

ordi

natio

n te

sted

by

a si

mul

atio

n ex

ercis

e or

test

ed

by a

real

hea

lth

emer

genc

y

Risk

Com

mun

icatio

n Sy

stem

s (pl

ans,

mec

hani

sms,

etc.)

Inte

rnal

and

Par

tner

Com

mun

icatio

n an

d Co

ordi

natio

n

Prio

rity

Activ

ities

/ Mile

ston

e

Activ

ities

and

Out

puts

*

Shor

t-ter

mOu

tcom

es(1

-3y

ears

) In

term

edia

te

Outc

omes

(4-5

year

s)

Long

-term

Ou

tcom

es(5

+yea

rs)

1.

Annu

al m

eetin

g w

ith m

ulti-

sect

oral

and

mul

ti-st

akeh

olde

r for

com

mun

icatio

n (F

orum

for B

oard

of

Pub

lic R

elat

ions

Coo

rdin

atin

g Bo

ard

(Bak

ohum

as) N

atio

nal &

Reg

iona

l) 2.

Na

tiona

l Hea

lth cl

uste

r coo

rdin

atio

n (r

efer

to E

OC,

Med

ical C

ount

erm

easu

res)

3.

M

eetin

g of

Pro

gram

Pre

para

tion

Coor

dina

tion

and

Prob

lem

Iden

tifica

tion

Eve

nts f

rom

M

inist

ries/

Agen

cies (

refe

r to

othe

r TA)

4.

Sy

nchr

oniza

tion

Coor

dina

tion

Mee

ting

for D

iseas

e Co

ntro

l Pol

icy-P

rogr

am (r

efer

to o

ther

TA)

5.

In

tera

ctiv

e Ta

lksh

ow

37

37

TA R

ISK

COM

MUN

ICAT

ION

(1)

1.

To d

evel

op n

atio

nal h

ealth

risk

com

mun

icatio

n gu

idel

ine

2.

Tech

nica

l ass

istan

ce b

y co

nsul

tant

to d

raft

the

heal

th ri

sk co

mm

unica

tion

guid

elin

e 3.

To

cond

uct t

he h

ealth

risk

com

mun

icatio

n tr

aini

ng (C

DC A

tlant

a)

4.

To co

nduc

t the

hea

lth ri

sk co

mm

unica

tion

trai

ning

at a

ll le

vel

5.

To d

evel

op n

atio

nal c

ontin

genc

y pl

an, i

nclu

ding

risk

com

mun

icatio

n (re

fer t

o TA

Pre

pare

dnes

s)

6.

Disa

ster

man

agem

ent i

n he

alth

clus

ter,

inclu

ding

risk

com

mun

icatio

n (re

fer t

o EO

C)

7.

Trai

ned

pers

onne

l for

hea

lth cr

isis/

publ

ic he

alth

em

erge

ncie

s, in

cludi

ng ri

sk co

mm

unica

tion

(refe

r to

EOC)

8.

Gu

idel

ines

of C

ross

-Sec

tor C

oord

inat

ion

Fac

ing

Extr

aord

inar

y Ev

ents

/Out

brea

ks o

f Zoo

nose

s and

Em

ergi

ng In

fect

ious

Dise

ases

(EID

) (re

fer t

o ot

her T

A)

9.

Avai

labi

lity

of e

arly

war

ning

syst

em a

pplic

atio

n fo

r nat

ural

disa

ster

(INA

Risk

, est

ablis

hed

in

2014

)

Inpu

ts

Leve

l 3: F

orm

al

gove

rnm

ent

arra

ngem

ents

and

sy

stem

s in

plac

e w

ith

stan

dard

ope

ratin

g pr

oced

ures

and

ca

pacit

y with

m

ultis

ecto

ral a

nd

mul

tista

keho

lder

in

volve

men

t, bu

t in

suffi

cient

allo

catio

n an

d al

ignm

ent o

f hu

man

and

fina

ncia

l re

sour

ces

Man

M

oney

M

etho

d Pa

rtne

r

Leve

l 4: F

ully

oper

atio

nal n

atio

nal

syst

em e

stab

lishe

d m

eetin

g cr

iteria

of a

ll pr

evio

us le

vels,

with

re

ason

able

skil

led

and/

or tr

aine

d pe

rson

nel a

nd

volu

ntee

rs, a

nd

finan

cial r

esou

rces

and

ar

rang

emen

ts fo

r sc

ale-

up a

s evid

ence

d by

a si

mul

atio

n ex

ercis

e or

test

ed b

y a re

al

heal

th e

mer

genc

y

Leve

l 3:

Com

mun

icatio

n co

ordi

natio

n ex

ists

but w

ith li

mite

d

partn

er a

nd

stak

ehol

der

enga

gem

ent

inclu

ding

hea

lth ca

re

wor

kers

, civ

il so

ciety

or

gani

zatio

ns,

priva

te se

ctor

and

ot

her n

on-s

tate

ac

tors

repo

rts

Leve

l 4: E

ffect

ive,

re

gula

r co

mm

unica

tion

coor

dina

tion

with

al

l par

tner

s req

uire

d by

all

prec

edin

g le

vels,

and

thei

r co

ordi

natio

n te

sted

by

a si

mul

atio

n ex

ercis

e or

test

ed

by a

real

hea

lth

emer

genc

y

Risk

Com

mun

icatio

n Sy

stem

s (pl

ans,

mec

hani

sms,

etc.)

Inte

rnal

and

Par

tner

Com

mun

icatio

n an

d Co

ordi

natio

n

Prio

rity

Activ

ities

/ Mile

ston

e

Activ

ities

and

Out

puts

*

Shor

t-ter

mOu

tcom

es(1

-3y

ears

) In

term

edia

te

Outc

omes

(4-5

year

s)

Long

-term

Ou

tcom

es(5

+yea

rs)

1.

Annu

al m

eetin

g w

ith m

ulti-

sect

oral

and

mul

ti-st

akeh

olde

r for

com

mun

icatio

n (F

orum

for B

oard

of

Pub

lic R

elat

ions

Coo

rdin

atin

g Bo

ard

(Bak

ohum

as) N

atio

nal &

Reg

iona

l) 2.

Na

tiona

l Hea

lth cl

uste

r coo

rdin

atio

n (r

efer

to E

OC,

Med

ical C

ount

erm

easu

res)

3.

M

eetin

g of

Pro

gram

Pre

para

tion

Coor

dina

tion

and

Prob

lem

Iden

tifica

tion

Eve

nts f

rom

M

inist

ries/

Agen

cies (

refe

r to

othe

r TA)

4.

Sy

nchr

oniza

tion

Coor

dina

tion

Mee

ting

for D

iseas

e Co

ntro

l Pol

icy-P

rogr

am (r

efer

to o

ther

TA)

5.

In

tera

ctiv

e Ta

lksh

ow

38

38

TA R

ISK

COM

MUN

ICAT

ION

(2)

1.

Avai

labi

lity

of M

OH co

mm

unica

tion

plan

or r

isk co

mm

unica

tion

plan

2.

Ap

poin

ted

and

trai

ned

gove

rnm

ent s

poke

sper

son

in e

very

gov

ernm

ent m

inist

ry a

nd a

genc

y 3.

En

gage

men

t with

Mas

s Med

ia a

nd S

ocia

l Med

ia

Leve

l 4: T

here

is p

lann

ed co

mm

unica

tion

with

co

ntin

uous

eng

agem

ent a

nd p

roac

tive

med

ia o

utre

ach

(inclu

ding

regu

lar m

edia

brie

fings

) gui

ded

by ri

sk

com

mun

icatio

n be

st p

ract

ices a

nd a

chie

ves

com

preh

ensiv

e ge

ogra

phica

l cov

erag

e, e

viden

ced

by

regu

lar c

over

age

of h

ealth

issu

es a

nd ri

sks i

n re

leva

nt

lang

uage

s; as

wel

l as b

y med

ia a

nd so

cial m

edia

act

ivity

du

ring

an e

mer

genc

y.

Man

M

oney

M

etho

d Pa

rtne

r

Leve

l 4: R

egul

ar b

riefin

g, tr

aini

ng a

nd e

ngag

emen

t of s

ocia

l m

obili

zatio

n an

d co

mm

unity

eng

agem

ent t

eam

s inc

ludi

ng

volu

ntee

rs. M

echa

nism

s to

harn

ess s

cale

up

capa

city

exist

an

d ar

e op

erat

iona

l. Fe

edba

ck lo

op fr

om li

sten

ing

(Dom

ain

5) in

to co

mm

unity

eng

agem

ent i

s ope

ratio

nal.

Publ

ic Co

mm

unica

tion

Co

mm

unica

tion

Enga

gem

ent w

ith A

ffect

ed C

omm

uniti

es

1.

Regu

lar b

riefin

g, tr

aini

ng a

nd e

ngag

emen

t of s

ocia

l mob

iliza

tion

and

com

mun

ity e

ngag

emen

t te

ams i

nclu

ding

vol

unte

ers:

a.

socia

l har

mon

y vi

llage

, str

engt

heni

ng lo

cal w

isdom

, and

trai

ning

of p

sych

osoc

ial s

uppo

rt

serv

ice te

ams

b.

Disa

ster

Ale

rt V

illag

es (K

ampu

ng S

iaga

Ben

cana

), Di

sast

er A

lert

Cad

ets T

rain

ing

(Tag

ana)

, an

d Ta

gana

com

rade

trai

ning

for j

ourn

alist

s, In

done

sian

film

art

ist a

ssoc

iatio

ns (P

arfi)

, CSO

s, ar

tists

c.

Re

silie

nt D

isast

er V

illag

e, In

depe

nden

t Res

ilien

t Vill

age

d.

Ne

twor

king

with

CSO

s & co

mpa

nies

e.

Ca

dres

coac

hing

2.

Co

mm

unity

out

reac

hes (

Hotli

ne-C

onta

ct C

ente

r and

the

info

rmat

ion

syst

em S

IAP/

Salu

ran

Info

rmas

i, As

pira

si, d

an P

enga

duan

-Cha

nnel

for I

nfor

mat

ion,

Asp

iratio

n, a

nd C

ompl

aint

)

Dyna

mic

Liste

ning

and

Rum

our M

anag

emen

t

Leve

l 4: S

trong

syst

em fo

r list

enin

g an

d ru

mou

r man

agem

ent

on a

per

man

ent b

asis

whi

ch is

inte

grat

ed in

to th

e de

cisio

n-m

akin

g a

nd re

spon

se a

ctio

ns fo

r pub

lic co

mm

unica

tions

(D

omai

n 3)

, com

mun

icatio

n en

gage

men

t with

affe

cted

co

mm

uniti

es (D

omai

n 4)

, as w

ell a

s for

inte

rnal

and

par

tner

s co

mm

unica

tions

(Dom

ain

2)

1.

Com

mun

ity co

nsul

tatio

n m

echa

nism

s are

in p

lace

: a.

Th

e in

tegr

ated

info

rmat

ion

syst

em S

IAP

(Sal

uran

Info

rmas

i, As

pira

si, d

an P

enga

duan

/ Ch

anne

l for

Info

rmat

ion,

Asp

iratio

n, a

nd C

ompl

aint

) with

MOH

Hos

pita

ls b.

Co

nten

t com

plai

nts (

com

mun

ity re

port

ing

syst

em fo

r hoa

xes)

and

rum

ours

surv

eilla

nce.

Ex

ampl

e: A

duan

kont

en C

onte

nt co

mpl

aint

s (co

mm

unity

repo

rtin

g sy

stem

for h

oaxe

s) a

nd

rum

ours

surv

eilla

nce.

Exa

mpl

e: A

duan

kont

en

Inpu

ts

Prio

rity

Activ

ities

/ Mile

ston

e

Activ

ities

and

Out

puts

*

Shor

t-ter

mOu

tcom

es(1

-3y

ears

) In

term

edia

te

Outc

omes

(4-5

year

s)

Long

-term

Ou

tcom

es(5

+yea

rs)

39

TA P

OINT

S OF E

NTRY

Adeq

uate

ly tr

aine

d he

alth

per

sonn

el:

1. D

etec

tion

and

Resp

onse

for P

ublic

Hea

lth E

mer

genc

y Co

ntai

nmen

t Tra

inin

g in

POE

for P

ort

Heal

th O

ffice

r.

2. F

light

Sur

geon

and

Flig

ht N

urse

Tra

inin

g fo

r Por

t Hea

lth O

ffice

r 3.

Tra

inin

g fo

r Hea

lth Q

uara

ntin

e Ca

pacit

y

Inpu

ts

Leve

l 4: I

nspe

ctio

n pr

ogra

m to

ens

ure

safe

env

ironm

ent a

t Po

E fa

ciliti

es

func

tioni

ng. A

fu

nctio

ning

pr

ogra

mm

e fo

r the

co

ntro

l of v

ecto

rs

and

rese

rvoi

rs in

an

d ne

ar P

oE e

xists

(A

nnex

1b,

Art

. 1e)

Man

M

oney

M

etho

d Pa

rtne

r

Leve

l 5: T

rain

ed

pers

onne

l for

the

insp

ectio

n of

co

nvey

ance

s are

av

aila

ble

at

desig

nate

d Po

E (A

nnex

1b,

Art

. 1c

)

Impr

ove

capa

citie

s on

prep

ared

ness

at P

OE

Rout

ine

capa

citie

s est

ablis

hed

at p

oint

s of e

ntry

Effe

ctiv

e pu

blic

heal

th re

spon

se a

t poi

nts o

f ent

ry

Avai

labi

lity

of n

atio

nal p

olicy

on

info

rmat

ion

shar

ing

and

simul

tane

ous c

omm

unica

tion

of p

ublic

he

alth

eve

nts:

1.

Adv

ocac

y an

d di

ssem

inat

ion

of H

ealth

Qua

rant

ine

Law

2.

Dev

elop

Dra

ft Gu

idel

ines

of H

ealth

Qua

rant

ine

Mai

ntai

n ad

equa

tely

equ

ippe

d PO

Es (I

nfra

stru

ctur

e, re

ferr

al, e

quip

men

t, et

c)

Prio

rity

Activ

ities

/ Mile

ston

e

Activ

ities

and

Out

puts

*

Shor

t-ter

mOu

tcom

es(1

-3y

ears

) In

term

edia

te

Outc

omes

(4-5

year

s)

Long

-term

Ou

tcom

es(5

+yea

rs)

Leve

l 4: R

efer

ral

syst

em a

nd

tran

spor

t for

the

safe

tran

sfer

of i

ll tr

avel

lers

to

appr

opria

te

med

ical f

acili

ties i

n pl

ace

with

regu

lar

upda

ting

and

test

ing

of n

atio

nal p

ublic

he

alth

em

erge

ncy

cont

inge

ncy

plan

w

ith p

ublis

hed

repo

rts

Leve

l 5: E

valu

atio

n an

d pu

blica

tion

of

effe

ctive

ness

in

resp

ondi

ng to

PH

Even

ts a

t PoE

Impr

ove

info

rmat

ion

shar

ing

and

com

mun

icatio

n w

ith re

late

d st

akeh

olde

rs:

1.

Hea

lth Q

uara

ntin

e Im

plem

enta

tion

in G

roun

d Cr

ossin

g 2.

Sha

ring

info

rmat

ion

syst

em w

ith re

late

d st

akeh

olde

rs (i

mm

igra

tion,

fina

nce,

hom

e af

fairs

, m

ariti

me)

3.

Dev

elop

MOU

with

risk

coun

trie

s (i.e

. Afri

can

coun

trie

s) o

n va

ccin

atio

n re

quire

men

ts a

nd

cert

ifica

te

4. In

tegr

atio

n of

Hea

lth Q

uara

ntin

e Pr

ogra

m w

ith re

late

d m

inist

ries a

nd st

akeh

olde

rs

39

39

TA P

OINT

S OF E

NTRY

Adeq

uate

ly tr

aine

d he

alth

per

sonn

el:

1. D

etec

tion

and

Resp

onse

for P

ublic

Hea

lth E

mer

genc

y Co

ntai

nmen

t Tra

inin

g in

POE

for P

ort

Heal

th O

ffice

r.

2. F

light

Sur

geon

and

Flig

ht N

urse

Tra

inin

g fo

r Por

t Hea

lth O

ffice

r 3.

Tra

inin

g fo

r Hea

lth Q

uara

ntin

e Ca

pacit

y

Inpu

ts

Leve

l 4: I

nspe

ctio

n pr

ogra

m to

ens

ure

safe

env

ironm

ent a

t Po

E fa

ciliti

es

func

tioni

ng. A

fu

nctio

ning

pr

ogra

mm

e fo

r the

co

ntro

l of v

ecto

rs

and

rese

rvoi

rs in

an

d ne

ar P

oE e

xists

(A

nnex

1b,

Art

. 1e)

Man

M

oney

M

etho

d Pa

rtne

r

Leve

l 5: T

rain

ed

pers

onne

l for

the

insp

ectio

n of

co

nvey

ance

s are

av

aila

ble

at

desig

nate

d Po

E (A

nnex

1b,

Art

. 1c

)

Impr

ove

capa

citie

s on

prep

ared

ness

at P

OE

Rout

ine

capa

citie

s est

ablis

hed

at p

oint

s of e

ntry

Effe

ctiv

e pu

blic

heal

th re

spon

se a

t poi

nts o

f ent

ry

Avai

labi

lity

of n

atio

nal p

olicy

on

info

rmat

ion

shar

ing

and

simul

tane

ous c

omm

unica

tion

of p

ublic

he

alth

eve

nts:

1.

Adv

ocac

y an

d di

ssem

inat

ion

of H

ealth

Qua

rant

ine

Law

2.

Dev

elop

Dra

ft Gu

idel

ines

of H

ealth

Qua

rant

ine

Mai

ntai

n ad

equa

tely

equ

ippe

d PO

Es (I

nfra

stru

ctur

e, re

ferr

al, e

quip

men

t, et

c)

Prio

rity

Activ

ities

/ Mile

ston

e

Activ

ities

and

Out

puts

*

Shor

t-ter

mOu

tcom

es(1

-3y

ears

) In

term

edia

te

Outc

omes

(4-5

year

s)

Long

-term

Ou

tcom

es(5

+yea

rs)

Leve

l 4: R

efer

ral

syst

em a

nd

tran

spor

t for

the

safe

tran

sfer

of i

ll tr

avel

lers

to

appr

opria

te

med

ical f

acili

ties i

n pl

ace

with

regu

lar

upda

ting

and

test

ing

of n

atio

nal p

ublic

he

alth

em

erge

ncy

cont

inge

ncy

plan

w

ith p

ublis

hed

repo

rts

Leve

l 5: E

valu

atio

n an

d pu

blica

tion

of

effe

ctive

ness

in

resp

ondi

ng to

PH

Even

ts a

t PoE

Impr

ove

info

rmat

ion

shar

ing

and

com

mun

icatio

n w

ith re

late

d st

akeh

olde

rs:

1.

Hea

lth Q

uara

ntin

e Im

plem

enta

tion

in G

roun

d Cr

ossin

g 2.

Sha

ring

info

rmat

ion

syst

em w

ith re

late

d st

akeh

olde

rs (i

mm

igra

tion,

fina

nce,

hom

e af

fairs

, m

ariti

me)

3.

Dev

elop

MOU

with

risk

coun

trie

s (i.e

. Afri

can

coun

trie

s) o

n va

ccin

atio

n re

quire

men

ts a

nd

cert

ifica

te

4. In

tegr

atio

n of

Hea

lth Q

uara

ntin

e Pr

ogra

m w

ith re

late

d m

inist

ries a

nd st

akeh

olde

rs

40

40

TA C

HEM

ICAL

EVE

NTS

Enab

ling e

nviro

nmen

t is i

n pl

ace

for m

anag

emen

t of c

hem

ical E

vent

s

Revi

taliz

atio

n of

Nat

iona

l Mer

cury

Res

earc

h Ce

nter

(MoE

F)

Trai

ned

Offic

ers :

Co

llabo

ratio

n w

ith U

NEP

for C

apac

ity B

uild

ing

on C

hem

icals

Avai

labi

lity

of R

egul

atio

n an

d Gu

idel

ines

: 1)

Gu

idel

ine

Prep

arat

ion

for P

artic

ipat

ory

Appr

oach

for C

omm

uniti

es in

Sm

all-S

cale

Gol

d M

inin

g Ar

eas (

PESK

) 2)

Re

visio

n of

Gov

ernm

ent R

egul

atio

n No

. 74/

2001

on

Man

agem

ent o

f Haz

ardo

us a

nd T

oxic

Mat

eria

ls 3)

Pr

esid

entia

l Dec

ree

No. 2

1/20

19 o

n Na

tiona

l Act

ion

Plan

on

Redu

cing

and

Elim

inat

ing

Mer

cury

4)

Gu

idel

ine

of B

iom

arke

r 5)

M

inist

rial D

ecre

e on

Em

erge

ncy

Resp

onse

of H

azar

dous

and

Tox

ic Su

bsta

nces

and

Was

te (M

oEF)

6)

Pr

epar

atio

n of

Min

istry

of I

ndus

try

regu

latio

n on

chem

icals

that

are

pro

hibi

ted

and

regu

late

d fo

r w

eapo

ns a

nd fo

r pre

curs

ors.

7)

Re

visio

n of

Min

istry

of I

ndus

try

regu

latio

n No

. 23/

2013

on

Labe

ling

base

d on

GHS

8)

M

inist

ry o

f Man

pow

er re

gula

tion

No. 5

/ 201

8 on

the

Safe

ty a

nd H

ealth

of t

he W

ork

Envi

ronm

ent

(laun

chin

g Ju

ly 1

8, 2

018)

9)

Pr

epar

atio

n of

Min

ister

of I

ndus

try

Regu

latio

n on

list

chem

icals

and

orga

nic c

hem

icals

10

) Tra

inin

g M

odul

e Pr

epar

atio

n fo

r the

Impl

emen

tatio

n of

Par

ticip

ator

y Ap

proa

ch fo

r Com

mun

ities

in

PES

K

Inpu

ts

Man

M

oney

M

etho

d Pa

rtne

r

Mec

hani

sms a

re e

stab

lishe

d an

d fu

nctio

ning

for d

etec

ting

and

resp

ondi

ng to

chem

ical e

vent

s or e

mer

genc

ies

Prio

rity

Activ

ities

/ Mile

ston

e

Activ

ities

and

Out

puts

*

Shor

t-ter

mOu

tcom

es(1

-3y

ears

) In

term

edia

te

Outc

omes

(4-5

year

s)

Long

-term

Ou

tcom

es(5

+yea

rs)

1)

Deve

lop

polic

y and

legi

slatio

n on

chem

ical e

vent

surv

eilla

nce,

ale

rt pr

oces

ses a

nd re

spon

se b

ased

on

the

situa

tion

asse

ssm

ent

2)

Advo

cate

for p

oliti

cal w

ill an

d pu

blic

awar

enes

s on

chem

ical e

vent

risk

and

man

agem

ent

3)

Prep

arat

ion

on C

once

pt a

nd R

oadm

ap o

n Po

lluta

nt R

elea

se a

nd T

rans

fer R

egist

er (P

RTR)

and

Ch

emica

l Sub

stan

ces &

Con

trol L

aw (C

SCL)

4)

Re

view

and

Upd

ate

on N

atio

nal I

mpl

emen

tatio

n Pl

an o

n Pe

rsist

ent O

rgan

ic Po

lluta

nts

Leve

l 2: G

uide

lines

or

man

uals

on th

e su

rvei

llanc

e,

asse

ssm

ent a

nd

man

agem

ent o

f ch

emica

l ev

ents

, int

oxica

tion

and

poiso

ning

are

av

aila

ble

(SOP

s) o

r eq

uiva

lent

exis

ts fo

r th

e co

ordi

natio

n be

twee

n IH

R NF

P an

d re

leva

nt

sect

ors

Leve

l 3: S

urve

illanc

e is

in p

lace

for

chem

ical e

vent

s, in

toxic

atio

n, a

nd

poiso

ning

s with

la

bora

tory

capa

city

or a

cces

s to

labo

rato

ry ca

pacit

y to

conf

irm p

riorit

y ch

emica

l eve

nts

Leve

l 3 :

An

emer

genc

y re

spon

se p

lan

that

de

fines

the

role

s an

d re

spon

sibilit

ies

of re

leva

nt

Leve

l 4: F

unct

iona

l m

echa

nism

s for

m

ultis

ecto

ral

colla

bora

tions

for

chem

ical e

vent

s are

in

plac

e in

cludi

ng

invo

lvem

ent i

n in

tern

atio

nal

chem

ical/t

oxico

logi

cal

netw

orks

. E.g

. INT

OX

41

TA R

ADIA

TION

EM

ERGE

NCIE

S GH

SA –

POI

NT O

F ENT

RY

WOR

KING

DRA

FT C

OUNT

RY –

LEVE

L LOG

IC M

ODEL

• M

inist

er o

f Hea

lth's

Regu

latio

n on

the

Esta

blish

men

t of t

he N

atio

nal

Refe

rral

Hos

pita

l for

Nuc

lear

Disa

ster

•

Docu

men

ts fo

r the

cont

inge

ncy

plan

of t

he B

andu

ng N

ucle

ar a

rea

• Do

cum

ents

for t

he co

ntin

genc

y pl

an o

f the

Yog

yaka

rta

Nucle

ar a

rea

• M

eetin

g on

nuc

lear

pre

pare

dnes

s and

em

erge

ncy

resp

onse

coor

dina

tion

of th

e Se

rpon

g nu

clear

are

a •

Mee

ting

on n

ucle

ar p

repa

redn

ess a

nd e

mer

genc

y re

spon

se co

ordi

natio

n of

the

DIY

nucl

ear a

rea

• M

eetin

g on

nuc

lear

pre

pare

dnes

s and

em

erge

ncy

resp

onse

coor

dina

tion

of th

e Ba

ndun

g nu

clear

are

a •

Mee

ting

on n

ucle

ar p

repa

redn

ess a

nd e

mer

genc

y re

spon

se co

ordi

natio

n of

the

Pasa

r Jum

at n

ucle

ar a

rea

• Ri

sk A

ssem

ent a

nd M

onev

radi

o nu

clear

in In

done

sia

• In

crea

se N

ucle

ar La

bora

tory

Cap

acity

•

Hum

an re

sour

ces p

rocu

rem

ent f

or n

ucle

ar e

mer

genc

y te

am

• In

vent

ory

of fa

ciliti

es fo

r the

refe

ral h

ospi

tal n

ucle

ar e

mer

genc

y

• To

arr

ange

SOP

for R

adia

tion

emer

genc

y re

spon

s •

Nucle

ar e

mer

genc

y re

spon

se

Inpu

ts

Leve

l 4: S

yste

mat

ic in

form

atio

n ex

chan

ge b

etw

een

radi

olog

ical

com

pete

nt a

utho

ritie

s and

hu

man

hea

lth su

rvei

llanc

e un

its

abou

t urg

ent r

adio

logi

cal e

vent

s an

d po

tent

ial r

isks t

hat m

ay

cons

titut

e a

publ

ic he

alth

em

erge

ncy

of h

ealth

em

erge

ncy

of in

tern

atio

nal c

once

rn

Man

M

oney

M

etho

d Pa

rtne

r

Leve

l 5: A

mec

hani

sm

is in

pla

ce to

acc

ess12

heal

th fa

ciliti

es w

ith

capa

city

to m

anag

e pa

tient

s of r

adia

tion

emer

genc

ies

Leve

l 4: F

unct

iona

l co

ordi

natio

n13 a

nd

com

mun

icatio

n m

echa

nism

14

betw

een

rele

vant

nat

iona

l co

mpe

tent

aut

horit

ies

resp

onsib

le fo

r nuc

lear

re

gula

tory

cont

rol/

safe

ty, a

nd

rele

vant

sect

ors15

. re

port

s

Leve

l 5: R

adia

tion

emer

genc

y re

spon

se

drill

s car

ried

out

regu

larly

, inc

ludi

ng

the

requ

estin

g of

in

tern

atio

nal

assis

tanc

e (a

s ne

eded

) and

in

tern

atio

nal

notif

icatio

n

RE.1

. Mec

hani

sms a

re e

stab

lishe

d an

d fu

nctio

ning

for d

etec

ting

and

resp

ondi

ng to

radi

olog

ical a

nd n

ucle

ar e

mer

genc

ies.

RE.2

Ena

blin

g en

viro

nmen

t is i

n pl

ace

for m

anag

emen

t of R

adia

tion

Emer

genc

ies

• Gu

idel

ines

for S

afeg

uard

ing

the

Impa

ct o

f Rad

iatio

n on

Hea

lth

• Pr

esid

entia

l Reg

ulat

ion

on N

atio

nal N

ucle

ar a

nd R

adia

tion

Safe

ty P

olici

es a

nd S

trat

egie

s •

Min

ister

of H

ealth

regu

latio

n on

Gui

delin

es fo

r Med

ical M

anag

emen

t fo

r Nuc

lear

Em

erge

ncy

and

Radi

olog

y •

Revi

sion

of th

e Pa

sar J

umat

nuc

lear

are

a's e

mer

genc

y pr

epar

edne

ss a

nd re

spon

se p

rogr

am d

ocum

ent

• Re

visio

n of

the

Serp

ong

nucle

ar a

rea'

s em

erge

ncy

prep

ared

ness

and

resp

onse

pro

gram

doc

umen

t •

Revi

sion

of th

e Yo

gyak

arta

nuc

lear

are

a's e

mer

genc

y pr

epar

edne

ss a

nd re

spon

se p

rogr

am d

ocum

ent

• Nu

clear

em

erge

ncy

prep

ared

ness

and

resp

onse

trai

ning

at t

he B

andu

ng n

ucle

ar a

rea

• Nu

clear

em

erge

ncy

prep

ared

ness

and

resp

onse

trai

ning

at t

he P

asar

Jum

at n

ucle

ar a

rea

• Ra

diat

ion

emer

genc

y m

edica

l tra

ning

•

Oper

atio

n of

OTD

NN (

Orga

nisa

si Ta

ngga

p Da

rura

t Nuk

lir N

asio

nal/ N

atio

nal N

ucle

ar E

mer

genc

y Re

spon

se O

rgan

izatio

n )

• Ra

diat

ion

Emer

genc

y, N

atio

nal

Eval

uatio

n Au

dit

• M

edica

l em

erge

ncy

prep

ared

ness

for R

adia

tion

emer

genc

y •

Plan

of r

adio

aktif

mat

eria

l tra

nspo

rtat

ion

•

Was

te o

f rad

ioac

tive

man

agem

ent f

or h

ospi

tal a

nd in

dust

ries

• Th

e pr

epar

atio

n of

the

IEC

Med

ia fo

r the

Com

mun

ity a

roun

d th

e Ar

ea

Prio

rity

Activ

ities

/ Mile

ston

e

Activ

ities

and

Out

puts

*

Shor

t-ter

mOu

tcom

es

(1-3

year

s)

Inte

rmed

iate

Ou

tcom

es(4

-5ye

ars)

Long

-term

Ou

tcom

es(5

+yea

rs)

EVAL

UATE

M

ONIT

OR

41

41

TA R

ADIA

TION

EM

ERGE

NCIE

S GH

SA –

POI

NT O

F ENT

RY

WOR

KING

DRA

FT C

OUNT

RY –

LEVE

L LOG

IC M

ODEL

• M

inist

er o

f Hea

lth's

Regu

latio

n on

the

Esta

blish

men

t of t

he N

atio

nal

Refe

rral

Hos

pita

l for

Nuc

lear

Disa

ster

•

Docu

men

ts fo

r the

cont

inge

ncy

plan

of t

he B

andu

ng N

ucle

ar a

rea

• Do

cum

ents

for t

he co

ntin

genc

y pl

an o

f the

Yog

yaka

rta

Nucle

ar a

rea

• M

eetin

g on

nuc

lear

pre

pare

dnes

s and

em

erge

ncy

resp

onse

coor

dina

tion

of th

e Se

rpon

g nu

clear

are

a •

Mee

ting

on n

ucle

ar p

repa

redn

ess a

nd e

mer

genc

y re

spon

se co

ordi

natio

n of

the

DIY

nucl

ear a

rea

• M

eetin

g on

nuc

lear

pre

pare

dnes

s and

em

erge

ncy

resp

onse

coor

dina

tion

of th

e Ba

ndun

g nu

clear

are

a •

Mee

ting

on n

ucle

ar p

repa

redn

ess a

nd e

mer

genc

y re

spon

se co

ordi

natio

n of

the

Pasa

r Jum

at n

ucle

ar a

rea

• Ri

sk A

ssem

ent a

nd M

onev

radi

o nu

clear

in In

done

sia

• In

crea

se N

ucle

ar La

bora

tory

Cap

acity

•

Hum

an re

sour

ces p

rocu

rem

ent f

or n

ucle

ar e

mer

genc

y te

am

• In

vent

ory

of fa

ciliti

es fo

r the

refe

ral h

ospi

tal n

ucle

ar e

mer

genc

y

• To

arr

ange

SOP

for R

adia

tion

emer

genc

y re

spon

s •

Nucle

ar e

mer

genc

y re

spon

se

Inpu

ts

Leve

l 4: S

yste

mat

ic in

form

atio

n ex

chan

ge b

etw

een

radi

olog

ical

com

pete

nt a

utho

ritie

s and

hu

man

hea

lth su

rvei

llanc

e un

its

abou

t urg

ent r

adio

logi

cal e

vent

s an

d po

tent

ial r

isks t

hat m

ay

cons

titut

e a

publ

ic he

alth

em

erge

ncy

of h

ealth

em

erge

ncy

of in

tern

atio

nal c

once

rn

Man

M

oney

M

etho

d Pa

rtne

r

Leve

l 5: A

mec

hani

sm

is in

pla

ce to

acc

ess12

heal

th fa

ciliti

es w

ith

capa

city

to m

anag

e pa

tient

s of r

adia

tion

emer

genc

ies

Leve

l 4: F

unct

iona

l co

ordi

natio

n13 a

nd

com

mun

icatio

n m

echa

nism

14

betw

een

rele

vant

nat

iona

l co

mpe

tent

aut

horit

ies

resp

onsib

le fo

r nuc

lear

re

gula

tory

cont

rol/

safe

ty, a

nd

rele

vant

sect

ors15

. re

port

s

Leve

l 5: R

adia

tion

emer

genc

y re

spon

se

drill

s car

ried

out

regu

larly

, inc

ludi

ng

the

requ

estin

g of

in

tern

atio

nal

assis

tanc

e (a

s ne

eded

) and

in

tern

atio

nal

notif

icatio

n

RE.1

. Mec

hani

sms a

re e

stab

lishe

d an

d fu

nctio

ning

for d

etec

ting

and

resp

ondi

ng to

radi

olog

ical a

nd n

ucle

ar e

mer

genc

ies.

RE.2

Ena

blin

g en

viro

nmen

t is i

n pl

ace

for m

anag

emen

t of R

adia

tion

Emer

genc

ies

• Gu

idel

ines

for S

afeg

uard

ing

the

Impa

ct o

f Rad

iatio

n on

Hea

lth

• Pr

esid

entia

l Reg

ulat

ion

on N

atio

nal N

ucle

ar a

nd R

adia

tion

Safe

ty P

olici

es a

nd S

trat

egie

s •

Min

ister

of H

ealth

regu

latio

n on

Gui

delin

es fo

r Med

ical M

anag

emen

t fo

r Nuc

lear

Em

erge

ncy

and

Radi

olog

y •

Revi

sion

of th

e Pa

sar J

umat

nuc

lear

are

a's e

mer

genc

y pr

epar

edne

ss a

nd re

spon

se p

rogr

am d

ocum

ent

• Re

visio

n of

the

Serp

ong

nucle

ar a

rea'

s em

erge

ncy

prep

ared

ness

and

resp

onse

pro

gram

doc

umen

t •

Revi

sion

of th

e Yo

gyak

arta

nuc

lear

are

a's e

mer

genc

y pr

epar

edne

ss a

nd re

spon

se p

rogr

am d

ocum

ent

• Nu

clear

em

erge

ncy

prep

ared

ness

and

resp

onse

trai

ning

at t

he B

andu

ng n

ucle

ar a

rea

• Nu

clear

em

erge

ncy

prep

ared

ness

and

resp

onse

trai

ning

at t

he P

asar

Jum

at n

ucle

ar a

rea

• Ra

diat

ion

emer

genc

y m

edica

l tra

ning

•

Oper

atio

n of

OTD

NN (

Orga

nisa

si Ta

ngga

p Da

rura

t Nuk

lir N

asio

nal/ N

atio

nal N

ucle

ar E

mer

genc

y Re

spon

se O

rgan

izatio

n )

• Ra

diat

ion

Emer

genc

y, N

atio

nal

Eval

uatio

n Au

dit

• M

edica

l em

erge

ncy

prep

ared

ness

for R

adia

tion

emer

genc

y •

Plan

of r

adio

aktif

mat

eria

l tra

nspo

rtat

ion

•

Was

te o

f rad

ioac

tive

man

agem

ent f

or h

ospi

tal a

nd in

dust

ries

• Th

e pr

epar

atio

n of

the

IEC

Med

ia fo

r the

Com

mun

ity a

roun

d th

e Ar

ea

Prio

rity

Activ

ities

/ Mile

ston

e

Activ

ities

and

Out

puts

*

Shor

t-ter

mOu

tcom

es

(1-3

year

s)

Inte

rmed

iate

Ou

tcom

es(4

-5ye

ars)

Long

-term

Ou

tcom

es(5

+yea

rs)

EVAL

UATE

M

ONIT

OR

42

42

C. MONITORING AND EVALUATION Each Ministry/ Agency/ Institution will conduct their own monitoring and evaluation on NAPHS implementation based on area: Prevent, Detect and Respond as described in Presidential Instruction Number 4 of 2019. Every year 19 TAs will also conduct self-assessment on its IHR core capacities using WHO tools. Local Government can use Minimum Service Standards monitoring tools to monitor activities that have the highest efficiency in health security.

In addition, Secretariat of the Cabinet will also monitor and evaluate Presidential Instruction Number 4 of 2019 implementation based on reports from: 1) Coordinating Ministry for Human Development and Cultural Affairs on public health emergency and/ or natural disaster and 2) Coordinating Ministry for Political, Legal and Security Affairs on public health emergency and/ or natural disaster that have security aspect. The results of these monitoring and evaluation activities will be reported directly to the President.

43

VI. CONCLUSION This NAPHS document is very important. Relevantministries/ agencies/ institutions are expected to improve the capacity to prevent, detect and respond to outbreaks, pandemic and public health emergency that require coordination across ministries/ agencies/ institutions. It is expected that this NAPHS document can serve as guidelines in the planning, implementation and monitoring and evaluation of the relevantministries/ agencies/ institutions for health security.

REFERENCES:

1. Indonesia Health Financing System Assessment: Spend More, Right and Better. World Bank Group. 2016.

2. The Republic of Indonesia, Health system review. Health systems in Transitions, vol 7 no 1, 2017. World Health Organization 2017 (on behalf of the Asia Pacific Observatory on Health Systems and Policies)

3. http://www.id.undp.org/content/indonesia/en/home/countryinfo.html 4. Joint external evaluation of the Republic of Indonesia report, November 20-24, 2017 5. Kluge H, Martín-Moreno JM, Emiroglu N, et al. Strengthening global health security by

embedding the International Health Regulations requirements into national health systems. BMJ Glob Health 2018;3:e000656. doi:10.1136/ bmjgh-2017-000656

6. Australia Indonesia Partnership for Health System Strengthening: Health financing and Universal Health Coverage: a compilation of policy notes, 2015

7. Keynote Speech at International Conference “Working together for Health Security” Chiang Mai. 10-12 April 2012WORKING TOGETHER for HEALTH SECURITYAGENDA for the NEXT DECADE, DrSamleePlianbangchang, Regional Director WHO South-East Asia Region

43

42

C. MONITORING AND EVALUATION Each Ministry/ Agency/ Institution will conduct their own monitoring and evaluation on NAPHS implementation based on area: Prevent, Detect and Respond as described in Presidential Instruction Number 4 of 2019. Every year 19 TAs will also conduct self-assessment on its IHR core capacities using WHO tools. Local Government can use Minimum Service Standards monitoring tools to monitor activities that have the highest efficiency in health security.

In addition, Secretariat of the Cabinet will also monitor and evaluate Presidential Instruction Number 4 of 2019 implementation based on reports from: 1) Coordinating Ministry for Human Development and Cultural Affairs on public health emergency and/ or natural disaster and 2) Coordinating Ministry for Political, Legal and Security Affairs on public health emergency and/ or natural disaster that have security aspect. The results of these monitoring and evaluation activities will be reported directly to the President.

43

VI. CONCLUSION This NAPHS document is very important. Relevantministries/ agencies/ institutions are expected to improve the capacity to prevent, detect and respond to outbreaks, pandemic and public health emergency that require coordination across ministries/ agencies/ institutions. It is expected that this NAPHS document can serve as guidelines in the planning, implementation and monitoring and evaluation of the relevantministries/ agencies/ institutions for health security.

REFERENCES:

1. Indonesia Health Financing System Assessment: Spend More, Right and Better. World Bank Group. 2016.

2. The Republic of Indonesia, Health system review. Health systems in Transitions, vol 7 no 1, 2017. World Health Organization 2017 (on behalf of the Asia Pacific Observatory on Health Systems and Policies)

3. http://www.id.undp.org/content/indonesia/en/home/countryinfo.html 4. Joint external evaluation of the Republic of Indonesia report, November 20-24, 2017 5. Kluge H, Martín-Moreno JM, Emiroglu N, et al. Strengthening global health security by

embedding the International Health Regulations requirements into national health systems. BMJ Glob Health 2018;3:e000656. doi:10.1136/ bmjgh-2017-000656

6. Australia Indonesia Partnership for Health System Strengthening: Health financing and Universal Health Coverage: a compilation of policy notes, 2015

7. Keynote Speech at International Conference “Working together for Health Security” Chiang Mai. 10-12 April 2012WORKING TOGETHER for HEALTH SECURITYAGENDA for the NEXT DECADE, DrSamleePlianbangchang, Regional Director WHO South-East Asia Region

44

44

ANNEXES

ANNEX 1 :ALLOCATION OF FUNDS (IDR)*

Overall, in 5 Years period (2018 – 2022), of the estimated USD 308,462,389 for the implementation of the National Action Plan for the Health Security, Indonesia will allocate 95.2% (IDR 261,046,352/274,134,122) for the implementation of all the programs.

The graphic above indicate that Indonesia allocate a considerable amount of fund for immunization as a preventive effort in health security.

*) This fund allocation is an exercise for NAPHS budget 2018 - 2022

- 1,000,000,000,000 2,000,000,000,000 3,000,000,000,000

Prevent

Detect

Respond

Other IHR Hazard

Technical Areas Groups

Prevent

Detect

Respond

Other IHR Hazard

- 1,000,000,000,000 2,000,000,000,000

ImmunizationNational Laboratory System

Human ResourcesRisk Communication

Zoonotic EventsBiosafety and Biosecurity

Real Time SurveillanceAMR

Points of Entry (PoE)Health Service Provision

National LegislationNational Health Emergency Response

Medical Countermeasures and Personnel DeploymentFood Safety

Chemical EventsRadiation Emergencies

ReportingLinking Public Health and Security Authorities

IHR CoordinationOther technical area

Technical Areas

45

ANNE

X 2:

EXE

RCIS

E OF

PRI

ORIT

Y AC

TION

PLA

N BY

TEC

HNIC

AL A

REA

(201

8 –

2022

)

TA N

ATIO

NAL L

EGIS

LATI

ON, P

OLIC

Y AN

D FI

NANC

ING

Targ

ets:

Stat

es P

artie

s sh

ould

hav

e an

ade

quat

e le

gal f

ram

ewor

k to

sup

port

and

ena

ble

the

impl

emen

tatio

n of

all

of t

heir

oblig

atio

ns a

nd

right

s to

com

ply

with

and

impl

emen

t the

IHR

(200

5). I

n so

me

Stat

es P

artie

s, im

plem

enta

tion

of th

e IH

R (2

005)

may

requ

ire n

ew o

r mod

ified

le

gisla

tion.

Eve

n w

here

new

or r

evise

d le

gisla

tion

may

not

be

spec

ifica

lly re

quire

d un

der t

he S

tate

Par

ty’s

lega

l sys

tem

, Sta

tes m

ay st

ill c

hoos

e to

rev

ise s

ome

legi

slatio

n, r

egul

atio

ns o

r ot

her

inst

rum

ents

in o

rder

to

facil

itate

the

irim

plem

enta

tion

and

mai

nten

ance

in a

mor

e ef

ficie

nt,

effe

ctiv

e or

ben

efici

al m

anne

r. St

ate

part

ies

shou

ld e

nsur

e pr

ovisi

on o

f ade

quat

e fu

ndin

g fo

r IHR

impl

emen

tatio

nthr

ough

nat

iona

l bud

get o

r ot

her m

echa

nism

. JE

E Re

com

men

datio

ns:

• Co

nsid

er a

n ac

cord

acr

oss

Coor

dina

ting

Min

istrie

s to

for

mal

ize c

oord

inat

ion

betw

een

foca

l po

ints

, an

d in

clude

all

rele

vant

IH

R st

akeh

olde

rs.

• Co

nduc

t a p

olicy

ana

lysis

to id

entif

y an

d ev

alua

te th

e ne

ed fo

r new

pol

icies

; rev

iew

exis

ting

polic

ies

for g

aps

and

pote

ntia

l con

flict

s; an

d ha

rmon

ize a

nd d

evel

op st

rate

gies

for p

olicy

impl

emen

tatio

n ac

ross

line

min

istrie

s and

adm

inist

rativ

e le

vels.

•

Wor

king

with

key

line

min

istrie

s an

d st

akeh

olde

rs, d

evel

op a

nd im

plem

ent

an a

dvoc

acy

plan

for

law

s an

d re

gula

tions

on

glob

al h

ealth

se

curit

y un

der t

he IH

R (2

005)

•

Docu

men

t and

pub

lish

adm

inist

rativ

e ar

rang

emen

ts a

nd p

olici

es fr

om v

ario

us se

ctor

s, in

ord

er to

enc

oura

ge cr

oss s

ecto

ral c

olla

bora

tion.

45

44

ANNEXES

ANNEX 1 :ALLOCATION OF FUNDS (IDR)*

Overall, in 5 Years period (2018 – 2022), of the estimated USD 308,462,389 for the implementation of the National Action Plan for the Health Security, Indonesia will allocate 95.2% (IDR 261,046,352/274,134,122) for the implementation of all the programs.

The graphic above indicate that Indonesia allocate a considerable amount of fund for immunization as a preventive effort in health security.

*) This fund allocation is an exercise for NAPHS budget 2018 - 2022

- 1,000,000,000,000 2,000,000,000,000 3,000,000,000,000

Prevent

Detect

Respond

Other IHR Hazard

Technical Areas Groups

Prevent

Detect

Respond

Other IHR Hazard

- 1,000,000,000,000 2,000,000,000,000

ImmunizationNational Laboratory System

Human ResourcesRisk Communication

Zoonotic EventsBiosafety and Biosecurity

Real Time SurveillanceAMR

Points of Entry (PoE)Health Service Provision

National LegislationNational Health Emergency Response

Medical Countermeasures and Personnel DeploymentFood Safety

Chemical EventsRadiation Emergencies

ReportingLinking Public Health and Security Authorities

IHR CoordinationOther technical area

Technical Areas

45

ANNE

X 2:

EXE

RCIS

E OF

PRI

ORIT

Y AC

TION

PLA

N BY

TEC

HNIC

AL A

REA

(201

8 –

2022

)

TA N

ATIO

NAL L

EGIS

LATI

ON, P

OLIC

Y AN

D FI

NANC

ING

Targ

ets:

Stat

es P

artie

s sh

ould

hav

e an

ade

quat

e le

gal f

ram

ewor

k to

sup

port

and

ena

ble

the

impl

emen

tatio

n of

all

of t

heir

oblig

atio

ns a

nd

right

s to

com

ply

with

and

impl

emen

t the

IHR

(200

5). I

n so

me

Stat

es P

artie

s, im

plem

enta

tion

of th

e IH

R (2

005)

may

requ

ire n

ew o

r mod

ified

le

gisla

tion.

Eve

n w

here

new

or r

evise

d le

gisla

tion

may

not

be

spec

ifica

lly re

quire

d un

der t

he S

tate

Par

ty’s

lega

l sys

tem

, Sta

tes m

ay st

ill c

hoos

e to

rev

ise s

ome

legi

slatio

n, r

egul

atio

ns o

r ot

her

inst

rum

ents

in o

rder

to

facil

itate

the

irim

plem

enta

tion

and

mai

nten

ance

in a

mor

e ef

ficie

nt,

effe

ctiv

e or

ben

efici

al m

anne

r. St

ate

part

ies

shou

ld e

nsur

e pr

ovisi

on o

f ade

quat

e fu

ndin

g fo

r IHR

impl

emen

tatio

nthr

ough

nat

iona

l bud

get o

r ot

her m

echa

nism

. JE

E Re

com

men

datio

ns:

• Co

nsid

er a

n ac

cord

acr

oss

Coor

dina

ting

Min

istrie

s to

for

mal

ize c

oord

inat

ion

betw

een

foca

l po

ints

, an

d in

clude

all

rele

vant

IH

R st

akeh

olde

rs.

• Co

nduc

t a p

olicy

ana

lysis

to id

entif

y an

d ev

alua

te th

e ne

ed fo

r new

pol

icies

; rev

iew

exis

ting

polic

ies

for g

aps

and

pote

ntia

l con

flict

s; an

d ha

rmon

ize a

nd d

evel

op st

rate

gies

for p

olicy

impl

emen

tatio

n ac

ross

line

min

istrie

s and

adm

inist

rativ

e le

vels.

•

Wor

king

with

key

line

min

istrie

s an

d st

akeh

olde

rs, d

evel

op a

nd im

plem

ent

an a

dvoc

acy

plan

for

law

s an

d re

gula

tions

on

glob

al h

ealth

se

curit

y un

der t

he IH

R (2

005)

•

Docu

men

t and

pub

lish

adm

inist

rativ

e ar

rang

emen

ts a

nd p

olici

es fr

om v

ario

us se

ctor

s, in

ord

er to

enc

oura

ge cr

oss s

ecto

ral c

olla

bora

tion.

46

46

ACTI

VITI

ES A

ND T

IMEL

INE

PRIO

RITY

ACT

IVIT

IES

MIN

ISTR

Y UN

IT

2018

20

19

2020

20

21

2022

In

dica

tor P

.1.1

Legi

slatio

n, la

ws,

regu

latio

ns, a

dmin

istra

tive

requ

irem

ents

, pol

icies

or o

ther

gov

ernm

ent i

nstr

umen

ts in

pla

ce a

re su

fficie

nt

for i

mpl

emen

tatio

n of

IHR

(200

5) →

201

7 Ca

pacit

y le

vel 3

•

Advo

cate

the

impl

emen

tatio

n of

Pre

siden

tial

Inst

ruct

ionc

once

rnin

g Im

prov

ed C

apac

ity in

Pre

vent

ing,

De

tect

ing,

and

Res

pond

ing

to D

iseas

e Ou

tbre

aks,

Pand

emic,

an

d Nu

clear

, Bio

logi

cal,

and

Chem

ical E

mer

genc

ies

Cabi

net S

ecre

taria

t, PM

K,

POLH

UKAM

, MOH

PA

DK

x x

• Di

ssem

inat

ion

of P

rovi

ncia

l & D

istric

t Act

ion

Plan

Hea

lth

Secu

rity

– re

gion

al

PMK

(Coo

rdin

atio

n M

inist

ry o

f Hu

man

Dev

elop

men

t and

Cul

ture

) PA

DK

x

• Ha

rmon

izatio

n an

d Sy

nchr

oniza

tion

of S

trat

egic

Polic

ies a

cros

s TA

(pol

icy g

aps,

polic

y co

nflic

ts, p

olicy

nee

ds)

POLH

UKAM

(Coo

rdin

atio

n M

inist

ry

of P

oliti

cal,

Lega

l and

Sec

urity

Af

fairs

)

PADK

x x

x x

• Te

chni

cal a

ssist

ance

for t

he p

repa

ratio

n of

Pro

vinc

ial &

Di

stric

t Act

ion

Plan

Hea

lth S

ecur

ity –

34

Prov

ince

s M

OH

PADK

x

• M

onito

ring

and

Eval

uatio

n M

OH

PADK

x

• De

velo

pmen

t of n

atio

nal a

nd lo

cal a

ctio

n pl

an (2

022)

M

OH

PADK

x

• He

alth

Sec

urity

Fin

ancin

g M

appi

ng o

f all

rele

vant

sect

ors

MOH

PA

DK

In

dica

tor P

.1.2

The

Sta

te ca

n de

mon

stra

te th

at it

has

adj

uste

d an

d al

igne

d its

dom

estic

legi

slatio

n, p

olici

es a

nd a

dmin

istra

tive

arra

ngem

ents

to

ena

ble

com

plia

nce

with

IHR

(200

5) →

201

7 Ca

pacit

y le

vel 3

•

Harm

oniza

tion

of R

egio

nal P

olici

es w

ith th

e In

done

sian

Natio

nal A

ctio

n Pl

an fo

r Hea

lth S

ecur

ity

PMK,

POL

HUKA

M, M

OH

PADK

x

x x

47

TA IH

R CO

ORDI

NATI

ON, C

OMM

UNIC

ATIO

N AN

D AD

VOCA

CY

Targ

ets:

The

effe

ctiv

e im

plem

enta

tion

of th

e IH

R (2

005)

requ

ires m

ultis

ecto

ral/m

ultid

iscip

linar

y ap

proa

ches

thro

ugh

natio

nal p

artn

ersh

ips f

or

effe

ctiv

e al

ert a

nd re

spon

se sy

stem

s. Co

ordi

natio

n of

nat

ionw

ide

reso

urce

s, in

cludi

ng th

e su

stai

nabl

e fu

nctio

ning

of a

Nat

iona

l IHR

Foc

al P

oint

(N

FP),

whi

ch is

a n

atio

nal c

ente

r for

IHR

(200

5) co

mm

unica

tions

, is a

key

requ

isite

for I

HR (2

005)

impl

emen

tatio

n. T

he N

FP sh

ould

be

acce

ssib

le

at a

ll tim

es to

com

mun

icate

with

the

WHO

IHR

Regi

onal

Con

tact

Poi

nts

and

with

all

rele

vant

sec

tors

and

oth

er s

take

hold

ers

in t

he c

ount

ry.

Stat

es P

artie

s sho

uld

prov

ide

WHO

with

cont

act d

etai

ls of

NFP

s, co

ntin

uous

ly u

pdat

e an

d an

nual

ly co

nfirm

them

. JE

E Re

com

men

datio

ns:

• In

crea

se a

nd in

tens

ify c

omm

unica

tion

and

close

coo

rdin

atio

n am

ong

stak

ehol

ders

(nat

iona

l, pr

ovin

cial,

and

at c

ity le

vel)

to a

ddre

ss t

he

stre

ngth

enin

g an

d m

aint

enan

ce o

f IHR

core

capa

citie

s, an

d th

e re

leva

nt n

eces

sary

act

ions

•

Incr

ease

the

num

ber o

f tra

inin

g op

port

uniti

es fo

r pro

vinc

ial a

nd n

atio

nal o

fficia

ls to

sup

port

com

mun

icatio

n of

cas

es/e

vent

s be

twee

n al

l th

ree

leve

ls •

Enha

nce

the

abili

ty o

f th

e IH

R na

tiona

l foc

al p

oint

to

com

mun

icate

hea

lth r

isk in

form

atio

n th

roug

h na

tiona

l and

pro

vinc

ial n

etw

orks

, en

surin

g th

at a

bilit

y is

supp

orte

d w

ith th

e ne

cess

ary

info

rmat

ion

tech

nolo

gy.

ACTI

VITI

ES A

ND T

IMEL

INE

PRIO

RITY

ACT

IVIT

IES

MIN

ISTR

Y UN

IT

2018

20

19

2020

20

21

2022

In

dica

tor P

.2.1

A fu

nctio

nal m

echa

nism

is e

stab

lishe

d fo

r the

coor

dina

tion

and

inte

grat

ion

of re

leva

nt se

ctor

s in

the

impl

emen

tatio

n of

IHR

→

2017

Cap

acity

leve

l 3

• Or

ient

atio

n of

IHR

natio

nal f

ocal

poi

nt (N

atio

nal)

MOH

KA

RKES

x

• Or

ient

atio

n fo

r IHR

Nat

iona

l Foc

al P

oint

(Int

erna

tiona

l) W

HO

x x

x x

• De

velo

p Re

port

ing

mec

hani

sm to

IHR

NFP

(inte

rnal

MOH

) and

to W

HO, i

nclu

ding

role

an

d re

spon

sibili

ties

MOH

KA

RKES

x

• De

velo

p Ac

tion

plan

for c

oord

inat

ion

and

com

mun

icatio

n M

OH

KARK

ES

x

x •

Deve

lop

Annu

al re

port

of I

HR im

plem

enta

tion

and

shar

ing

to re

leva

nt st

akeh

olde

rs

MOH

KA

RKES

x x

47

47

TA IH

R CO

ORDI

NATI

ON, C

OMM

UNIC

ATIO

N AN

D AD

VOCA

CY

Targ

ets:

The

effe

ctiv

e im

plem

enta

tion

of th

e IH

R (2

005)

requ

ires m

ultis

ecto

ral/m

ultid

iscip

linar

y ap

proa

ches

thro

ugh

natio

nal p

artn

ersh

ips f

or

effe

ctiv

e al

ert a

nd re

spon

se sy

stem

s. Co

ordi

natio

n of

nat

ionw

ide

reso

urce

s, in

cludi

ng th

e su

stai

nabl

e fu

nctio

ning

of a

Nat

iona

l IHR

Foc

al P

oint

(N

FP),

whi

ch is

a n

atio

nal c

ente

r for

IHR

(200

5) co

mm

unica

tions

, is a

key

requ

isite

for I

HR (2

005)

impl

emen

tatio

n. T

he N

FP sh

ould

be

acce

ssib

le

at a

ll tim

es to

com

mun

icate

with

the

WHO

IHR

Regi

onal

Con

tact

Poi

nts

and

with

all

rele

vant

sec

tors

and

oth

er s

take

hold

ers

in t

he c

ount

ry.

Stat

es P

artie

s sho

uld

prov

ide

WHO

with

cont

act d

etai

ls of

NFP

s, co

ntin

uous

ly u

pdat

e an

d an

nual

ly co

nfirm

them

. JE

E Re

com

men

datio

ns:

• In

crea

se a

nd in

tens

ify c

omm

unica

tion

and

close

coo

rdin

atio

n am

ong

stak

ehol

ders

(nat

iona

l, pr

ovin

cial,

and

at c

ity le

vel)

to a

ddre

ss t

he

stre

ngth

enin

g an

d m

aint

enan

ce o

f IHR

core

capa

citie

s, an

d th

e re

leva

nt n

eces

sary

act

ions

•

Incr

ease

the

num

ber o

f tra

inin

g op

port

uniti

es fo

r pro

vinc

ial a

nd n

atio

nal o

fficia

ls to

sup

port

com

mun

icatio

n of

cas

es/e

vent

s be

twee

n al

l th

ree

leve

ls •

Enha

nce

the

abili

ty o

f th

e IH

R na

tiona

l foc

al p

oint

to

com

mun

icate

hea

lth r

isk in

form

atio

n th

roug

h na

tiona

l and

pro

vinc

ial n

etw

orks

, en

surin

g th

at a

bilit

y is

supp

orte

d w

ith th

e ne

cess

ary

info

rmat

ion

tech

nolo

gy.

ACTI

VITI

ES A

ND T

IMEL

INE

PRIO

RITY

ACT

IVIT

IES

MIN

ISTR

Y UN

IT

2018

20

19

2020

20

21

2022

In

dica

tor P

.2.1

A fu

nctio

nal m

echa

nism

is e

stab

lishe

d fo

r the

coor

dina

tion

and

inte

grat

ion

of re

leva

nt se

ctor

s in

the

impl

emen

tatio

n of

IHR

→

2017

Cap

acity

leve

l 3

• Or

ient

atio

n of

IHR

natio

nal f

ocal

poi

nt (N

atio

nal)

MOH

KA

RKES

x

• Or

ient

atio

n fo

r IHR

Nat

iona

l Foc

al P

oint

(Int

erna

tiona

l) W

HO

x x

x x

• De

velo

p Re

port

ing

mec

hani

sm to

IHR

NFP

(inte

rnal

MOH

) and

to W

HO, i

nclu

ding

role

an

d re

spon

sibili

ties

MOH

KA

RKES

x

• De

velo

p Ac

tion

plan

for c

oord

inat

ion

and

com

mun

icatio

n M

OH

KARK

ES

x

x •

Deve

lop

Annu

al re

port

of I

HR im

plem

enta

tion

and

shar

ing

to re

leva

nt st

akeh

olde

rs

MOH

KA

RKES

x x

48

48

TAAN

TIM

ICRO

BIAL

RES

ISTA

NCE

(AM

R)

Targ

et: S

uppo

rt w

ork

bein

g co

ordi

nate

d by

WHO

, FAO

, and

OIE

to d

evel

op a

n in

tegr

ated

glo

bal p

acka

ge o

f act

iviti

es to

com

bat a

ntim

icrob

ial

resis

tanc

e, s

pann

ing

hum

an, a

nim

al, a

gricu

ltura

l, fo

od a

nd e

nviro

nmen

tal a

spec

ts (i

.e. a

one

-hea

lth a

ppro

ach)

, inc

ludi

ng: a

) Eac

h co

untr

y ha

s its

ow

n na

tiona

l com

preh

ensiv

e pl

an to

com

bat a

ntim

icrob

ial r

esist

ance

; b) S

tren

gthe

n su

rvei

llanc

e an

d la

bora

tory

capa

city

at th

e na

tiona

l and

in

tern

atio

nal

leve

l fo

llow

ing

agre

ed i

nter

natio

nal

stan

dard

s de

velo

ped

in t

he f

ram

ewor

k of

the

Glo

bal

Actio

n pl

an,

cons

ider

ing

exist

ing

stan

dard

s and

; c) I

mpr

oved

cons

erva

tion

of e

xistin

g tr

eatm

ents

and

colla

bora

tion

to su

ppor

t the

sust

aina

ble

deve

lopm

ent

of n

ew a

ntib

iotic

s, al

tern

ativ

e tr

eatm

ents

, pr

even

tive

mea

sure

s an

d ra

pid,

poi

nt-o

f-car

e di

agno

stics

, in

cludi

ng s

yste

ms

to

pres

erve

new

ant

ibio

tics.

JE

E re

com

men

datio

ns:

• Es

tabl

ish a

n In

ter-M

inist

eria

l Com

mitt

ee o

n th

e im

plem

enta

tion

of th

e In

done

sia N

AP o

n AM

R, to

ens

ure

a sy

stem

atic

and

com

preh

ensiv

e “O

ne H

ealth

” ap

proa

ch. T

his

shou

ld c

ompr

ise: t

he C

oord

inat

ing

Min

istry

of H

uman

Dev

elop

men

t an

d Cu

ltura

l Affa

irs; t

he C

oord

inat

ing

Min

istry

for

Pol

itica

l, Le

gal a

nd S

ecur

ity A

ffairs

; the

Min

istry

of

Heal

th; t

he M

inist

ry o

f Ag

ricul

ture

; the

Min

istry

of

Mar

ine

Affa

irs a

nd

Fish

ery;

the

Min

istry

of E

nviro

nmen

t and

For

estr

y; th

e M

inist

ry o

f Def

ence

; the

Nat

iona

l Age

ncy

of D

rug

and

Food

Con

trol

; the

Min

istry

of

Rese

arch

, Tec

hnol

ogy

and

High

er E

duca

tion;

the

Min

istry

of F

inan

ce; t

he M

inist

ry o

f Com

mun

icatio

n an

d In

form

atics

; and

the

Min

istry

of

Fore

ign

Affa

irs.

• Fo

rmal

ly a

ppoi

nt d

esig

nate

d la

bora

tory

surv

eilla

nce

on A

MR

in th

e hu

man

, ani

mal

, aqu

acul

ture

, and

env

ironm

ent s

ecto

rs

• Fo

rmal

ly a

ppoi

nt d

esig

nate

d se

ntin

el si

tes o

n AM

R in

the

hum

an, a

nim

al, a

quac

ultu

re, a

nd e

nviro

nmen

t sec

tors

•

Impl

emen

t the

WHO

Glo

bal A

ntim

icrob

ial S

urve

illan

ce S

yste

m (G

LASS

) on

surv

eilla

nce

of A

MR,

usin

g a

One

Heal

th a

ppro

ach

• Pr

omot

e pu

blic

awar

enes

s and

com

mun

ity e

mpo

wer

men

t on

AMR

thro

ugh

hum

an a

nd a

nim

al h

ealth

care

pro

vide

rs a

t loc

al

49

ACTI

VITI

ES A

ND T

IMEL

INE

PRIO

RITY

ACT

IVIT

IES

MIN

ISTR

Y UN

IT

2018

20

19

2020

20

21

2022

In

dica

tor P

.3.1

Ant

imicr

obia

l res

istan

ce (A

MR)

det

ectio

n →

2017

Cap

acity

leve

l 2

• NR

L app

oint

men

t M

OMAF

x

•

Capa

city

build

ing

for r

efer

ral a

nd te

stin

g la

bora

tory

, inc

l tes

t mat

eria

l M

OMAF

x

•

NRL a

ppoi

ntm

ent

MOA

•

Facil

itate

est

ablis

hmen

t of a

n An

timicr

obia

l Res

istan

ce C

ontr

ol C

omm

ittee

(A

RCC/

KPRA

) M

OA

x

• Fa

cilita

te A

RCC/

KPRA

stud

ies o

n an

timicr

obia

l usa

ge (A

MU)

and

AM

R

MOA

x

•

Build

stak

ehol

der c

apac

ity to

cond

uct m

onito

ring,

surv

eilla

nce

and

test

ing

for A

MU

and

AMR.

M

OA

x

• Ra

ise st

akeh

olde

r’s a

war

enes

s of p

rude

nt a

nd a

ppro

pria

te u

se o

f ant

imicr

obia

ls an

d th

e he

alth

risk

s of A

MR.

M

OA

x

• Ad

voca

te st

akeh

olde

rs (G

OI, p

rivat

e se

ctor

/indu

stry

) for

adh

eren

ce to

regu

latio

ns/

polic

ies o

n AM

U an

d AM

R.

M

OA

x

• NR

L app

oint

men

t M

OH

• Re

view

NAP

AM

R In

done

sia 2

017-

2019

to a

ppoi

nt N

CC

MOH

•

Deve

lopm

ent o

f NAP

AM

R In

done

sia th

e ne

xt 5

per

iod

MOH

In

dica

tor P

.3.2

Sur

veill

ance

of I

nfec

tions

caus

ed b

y AM

R pa

thog

ens →

201

7 Ca

pacit

y le

vel 2

•

Glob

al S

urve

illan

ce E

SBL E

Col

i M

OH

x

• De

velo

pmen

t of i

nteg

rate

d su

rvei

llanc

e gu

idel

ine

MOH

x

•

Coor

dina

tion

mee

ting

PPI w

orki

ng g

roup

, MOH

, cro

ss se

ctor

s/ u

nit

MOH

x x

x x

x •

Wor

ksho

p/Di

ssem

inat

ion

PPI P

rogr

am P

PI a

t ref

erra

l hos

pita

ls (1

8 re

gion

al h

ospi

tals)

M

OH

x

• W

orks

hop/

Diss

emin

atio

n PP

I Pro

gram

PPI

at r

efer

ral h

ospi

tals

(20

refe

rral

hos

pita

ls)

MOH

x

•

Wor

ksho

p PP

I M

OH

x x

x x

• Te

chni

cal a

ssist

ance

at h

ospi

tal

MOH

x x

x x

x

49

49

ACTI

VITI

ES A

ND T

IMEL

INE

PRIO

RITY

ACT

IVIT

IES

MIN

ISTR

Y UN

IT

2018

20

19

2020

20

21

2022

In

dica

tor P

.3.1

Ant

imicr

obia

l res

istan

ce (A

MR)

det

ectio

n →

2017

Cap

acity

leve

l 2

• NR

L app

oint

men

t M

OMAF

x

•

Capa

city

build

ing

for r

efer

ral a

nd te

stin

g la

bora

tory

, inc

l tes

t mat

eria

l M

OMAF

x

•

NRL a

ppoi

ntm

ent

MOA

•

Facil

itate

est

ablis

hmen

t of a

n An

timicr

obia

l Res

istan

ce C

ontr

ol C

omm

ittee

(A

RCC/

KPRA

) M

OA

x

• Fa

cilita

te A

RCC/

KPRA

stud

ies o

n an

timicr

obia

l usa

ge (A

MU)

and

AM

R

MOA

x

•

Build

stak

ehol

der c

apac

ity to

cond

uct m

onito

ring,

surv

eilla

nce

and

test

ing

for A

MU

and

AMR.

M

OA

x

• Ra

ise st

akeh

olde

r’s a

war

enes

s of p

rude

nt a

nd a

ppro

pria

te u

se o

f ant

imicr

obia

ls an

d th

e he

alth

risk

s of A

MR.

M

OA

x

• Ad

voca

te st

akeh

olde

rs (G

OI, p

rivat

e se

ctor

/indu

stry

) for

adh

eren

ce to

regu

latio

ns/

polic

ies o

n AM

U an

d AM

R.

M

OA

x

• NR

L app

oint

men

t M

OH

• Re

view

NAP

AM

R In

done

sia 2

017-

2019

to a

ppoi

nt N

CC

MOH

•

Deve

lopm

ent o

f NAP

AM

R In

done

sia th

e ne

xt 5

per

iod

MOH

In

dica

tor P

.3.2

Sur

veill

ance

of I

nfec

tions

caus

ed b

y AM

R pa

thog

ens →

201

7 Ca

pacit

y le

vel 2

•

Glob

al S

urve

illan

ce E

SBL E

Col

i M

OH

x

• De

velo

pmen

t of i

nteg

rate

d su

rvei

llanc

e gu

idel

ine

MOH

x

•

Coor

dina

tion

mee

ting

PPI w

orki

ng g

roup

, MOH

, cro

ss se

ctor

s/ u

nit

MOH

x x

x x

x •

Wor

ksho

p/Di

ssem

inat

ion

PPI P

rogr

am P

PI a

t ref

erra

l hos

pita

ls (1

8 re

gion

al h

ospi

tals)

M

OH

x

• W

orks

hop/

Diss

emin

atio

n PP

I Pro

gram

PPI

at r

efer

ral h

ospi

tals

(20

refe

rral

hos

pita

ls)

MOH

x

•

Wor

ksho

p PP

I M

OH

x x

x x

• Te

chni

cal a

ssist

ance

at h

ospi

tal

MOH

x x

x x

x

50

50

• St

udiu

mGe

nera

le

MOH

•

WAA

W

MOH

•

AMR

surv

eilla

nce

at sh

rimp

and

fish

farm

ers d

evel

oped

M

OMAF

x x

•

Prev

entio

n of

fish

dise

ases

M

OMAF

x x

•

AMU

Surv

eilla

nce

in sh

rimp

and

fish

farm

ers

MOM

AF

• Pr

epar

atio

n of

Fish

Dru

g Re

gula

tions

M

OMAF

x

•

Impl

emen

tatio

n of

bio

secu

rity

3 zo

na a

t med

ium

scal

e po

ultr

y fa

rm

MOA

•

AMU

Surv

eilla

nce

at p

oultr

y fa

rm

MOA

•

Link

labo

rato

ry d

iagn

ostic

s to

field

ani

mal

dise

ase

surv

eilla

nce

and

cont

rol

prog

ram

mes

M

OA

x

• St

reng

then

labo

rato

ry d

iagn

ostic

capa

city

for E

IDs a

nd zo

onos

es

MOA

x

In

dica

tor P

.3.3

Hea

lthca

re a

ssoc

iate

d in

fect

ion

(HCA

I) pr

even

tion

and

cont

rol p

rogr

ams →

201

7 Ca

pacit

y le

vel 3

•

Impl

emen

tatio

n of

the

Smar

t Soc

iety

Mov

emen

t Pro

gram

Usin

g M

edici

nes

(Gem

aCer

mat

) for

Pha

rmac

ists a

nd C

omm

uniti

es

MOH

x x

x x

x

• Op

timiza

tion

of th

e ro

le o

f pha

rmac

ists a

s age

nts o

f cha

nge

MOH

x x

x x

x •

Prep

arat

ion

of a

ntib

iotic

gui

delin

es

MOH

x

•

POR

and

Gem

aCer

mat

pub

licat

ion

thro

ugh

the

med

ia

MOH

x

x x

x •

Incr

easin

g Co

oper

atio

n in

diss

emin

atin

g th

e Us

e of

Ant

ibio

tics a

nd A

ntib

iotic

Con

trol

in

Hea

lth S

ervi

ces

MOH

x

x x

x

• Cr

oss-

sect

or co

ordi

natio

n m

eetin

g in

AM

R co

ntro

l for

rele

vant

stak

ehol

ders

M

OH

x x

x x

• M

onito

ring

and

Eval

uatio

n of

the

impl

emen

tatio

n of

the

Gem

aCer

mat

M

OH

x x

x x

• St

udy

and

perfo

rman

ce d

ata

Eval

uatio

n on

Indi

cato

rs o

f Rat

iona

l Dru

g Us

e M

OH

x x

x x

Indi

cato

r P.3

.4 A

ntim

icrob

ial s

tew

ards

hip

activ

ities

→ 2

017

Capa

city

leve

l 3

• W

orks

hop

Impl

emen

tatio

n PP

RA a

t hos

pita

ls M

OH

x

• W

orks

hop

PRA

at F

KRTL

M

OH

x x

x x

• Te

chni

cal a

ssist

ance

PRA

at h

ospi

tals

MOH

x x

x x

x

51

• Su

perv

ision

PPR

A M

OH

x x

x x

• Di

ssem

inat

ion

of R

efer

ral H

ealth

Ser

vice

s (on

e of

them

is th

e PR

A pr

ogra

m)

MOH

x x

x x

x •

Coor

dina

tion

mee

ting

KPRA

M

OH

x

• Co

ordi

natio

n m

eetin

g KP

RA

MOH

x

x x

x •

Stre

ngth

enin

g He

alth

Sys

tem

M

OH

x

x

x

• Su

ppor

t AM

R Ac

tivity

M

OH

x

x x

• St

reng

then

dise

ase

surv

eilla

nce

and

data

ana

lysis

capa

city

to su

ppor

t dise

ase

cont

rol

polic

y M

OA

x

• Co

nduc

t dise

ase

iden

tifica

tion

and

targ

eted

surv

eilla

nce

activ

ities

in h

igh-

risk

envi

ronm

ents

and

on

anim

als a

t hig

h ris

k of

cont

ract

ing

zoon

oses

and

EID

s, in

cludi

ng

farm

ed w

ildlif

e an

d m

igra

tory

bird

s

MOA

x

• De

velo

p GO

I cap

acity

to im

plem

ent t

arge

ted

zoon

oses

and

EID

pre

vent

ion

and

cont

rol

prog

ram

me

MOA

x

51

51

• Su

perv

ision

PPR

A M

OH

x x

x x

• Di

ssem

inat

ion

of R

efer

ral H

ealth

Ser

vice

s (on

e of

them

is th

e PR

A pr

ogra

m)

MOH

x x

x x

x •

Coor

dina

tion

mee

ting

KPRA

M

OH

x

• Co

ordi

natio

n m

eetin

g KP

RA

MOH

x

x x

x •

Stre

ngth

enin

g He

alth

Sys

tem

M

OH

x

x

x

• Su

ppor

t AM

R Ac

tivity

M

OH

x

x x

• St

reng

then

dise

ase

surv

eilla

nce

and

data

ana

lysis

capa

city

to su

ppor

t dise

ase

cont

rol

polic

y M

OA

x

• Co

nduc

t dise

ase

iden

tifica

tion

and

targ

eted

surv

eilla

nce

activ

ities

in h

igh-

risk

envi

ronm

ents

and

on

anim

als a

t hig

h ris

k of

cont

ract

ing

zoon

oses

and

EID

s, in

cludi

ng

farm

ed w

ildlif

e an

d m

igra

tory

bird

s

MOA

x

• De

velo

p GO

I cap

acity

to im

plem

ent t

arge

ted

zoon

oses

and

EID

pre

vent

ion

and

cont

rol

prog

ram

me

MOA

x

52

52

TA Z

OONO

TIC

DISE

ASE

Targ

et: A

dopt

ed m

easu

red

beha

vior

s, po

licie

s an

d/or

pra

ctice

s th

at m

inim

ize th

e tr

ansm

issio

n of

zoo

notic

dise

ases

from

ani

mal

s in

to h

uman

po

pula

tions

.

JEE

Reco

mm

enda

tions

:

• Su

rvei

llanc

e of

wild

life

heal

th sh

ould

be

inclu

ded

in th

e SI

ZE in

form

atio

n sy

stem

•

Incr

ease

bud

geta

ry a

nd h

uman

res

ourc

es a

lloca

tion

to O

ne H

ealth

Res

pons

e te

ams,

and

to t

he p

reve

ntio

n an

d de

tect

ion

of z

oono

tic

dise

ases

at s

ub-n

atio

nal l

evel

•

The

inte

grat

ed S

IZE

One

Heal

th su

rvei

llanc

e sy

stem

shou

ld b

e im

plem

ente

d at

dist

rict l

evel

thro

ugho

ut th

e Re

publ

ic of

Indo

nesia

•

Asse

ss th

e ex

ecut

ive

leve

ls of

resp

onsib

le O

ne H

ealth

exe

cutiv

e of

ficer

s in

the

vario

us re

leva

nt m

inist

ries,

to s

trea

mlin

e in

ters

ecto

ral O

ne

Heal

th p

rogr

ess t

hrou

gh co

llabo

ratio

n be

twee

n pa

rtici

pant

s of e

quiv

alen

t hie

rarc

hica

l lev

els.

53

ACTI

VITI

ES A

ND T

IMEL

INE

PRIO

RITY

ACT

IVIT

IES

MIN

ISTR

Y UN

IT

2018

20

19

2020

20

21

2022

In

dica

tor P

.4.1

Sur

veill

ance

syst

ems i

n pl

ace

for p

riorit

y zo

onot

ic di

seas

es/p

atho

gens

→ 2

017

Capa

city

leve

l 3

• Id

entif

icatio

n of

prio

rity

zoon

otic

dise

ases

inclu

de A

I, Ra

bies

, Ant

hrax

M

OA

x

x

• Co

nduc

t dise

ase

iden

tifica

tion

and

targ

eted

surv

eilla

nce

activ

ities

in

high

-risk

env

ironm

ents

and

on

anim

als a

t hig

h ris

k of

cont

ract

ing

zoon

oses

and

EID

s, in

cludi

ng fa

rmed

wild

life

and

mig

rato

ry b

irds.

MOA

x

• St

reng

then

dise

ase

surv

eilla

nce

and

data

ana

lysis

capa

city

to su

ppor

t di

seas

e co

ntro

l pol

icy.

M

OA

x

• M

OH re

gula

tion

for r

abie

s con

trol

M

OH

ZOON

OSES

x

x

x

• Su

rvei

llanc

e de

velo

pmen

t M

OH

ZOON

OSES

x

x

• De

velo

pmen

t/ tr

y ou

t of r

isk m

appi

ng to

ols (

Zoon

otic

and

EID)

M

OH/W

HO

ZOON

OSES

x

x x

x x

• Su

rvei

llanc

e de

velo

pmen

t M

inist

ry o

f Env

ironm

ent

and

Fore

stry

(MOE

F)

x

x

Indi

cato

r P.4

.2. A

nim

al H

ealth

and

Vet

erin

aria

n W

orkf

orce

→ 2

017

Capa

city

leve

l 3

• De

velo

pmen

t of F

ETPV

- Tr

aini

ng F

ETPV

M

OA

x

x x

x x

• Es

tabl

ishm

ent o

f MOA

regu

latio

n fo

r the

impl

emen

tatio

n of

ve

terin

ary

auth

oriti

es in

the

sub-

natio

nal

MOA

x x

x x

x

• De

velo

p GO

I cap

acity

to im

plem

ent t

arge

ted

zoon

oses

and

EID

pr

even

tion

and

cont

rol p

rogr

amm

e M

OA

x

Indi

cato

r P.4

.3 M

echa

nism

s for

resp

ondi

ng to

infe

ctio

us zo

onos

es a

nd p

oten

tial z

oono

ses a

re e

stab

lishe

d an

d fu

nctio

nal →

201

7 Ca

pacit

y le

vel 2

•

Surv

eilla

nce

and

resp

onse

of z

oono

ses o

utbr

eaks

MOH

ZO

ONOS

ES

x x

x x

x

• Zd

ap n

atio

nal c

oord

inat

ion

M

OH

ZOON

OSES

x

• Pr

ocur

emen

t for

zoon

osis

dise

ase:

rabi

es n

lept

o va

ccin

e M

OH

ZOON

OSES

x

x x

x x

53

53

ACTI

VITI

ES A

ND T

IMEL

INE

PRIO

RITY

ACT

IVIT

IES

MIN

ISTR

Y UN

IT

2018

20

19

2020

20

21

2022

In

dica

tor P

.4.1

Sur

veill

ance

syst

ems i

n pl

ace

for p

riorit

y zo

onot

ic di

seas

es/p

atho

gens

→ 2

017

Capa

city

leve

l 3

• Id

entif

icatio

n of

prio

rity

zoon

otic

dise

ases

inclu

de A

I, Ra

bies

, Ant

hrax

M

OA

x

x

• Co

nduc

t dise

ase

iden

tifica

tion

and

targ

eted

surv

eilla

nce

activ

ities

in

high

-risk

env

ironm

ents

and

on

anim

als a

t hig

h ris

k of

cont

ract

ing

zoon

oses

and

EID

s, in

cludi

ng fa

rmed

wild

life

and

mig

rato

ry b

irds.

MOA

x

• St

reng

then

dise

ase

surv

eilla

nce

and

data

ana

lysis

capa

city

to su

ppor

t di

seas

e co

ntro

l pol

icy.

M

OA

x

• M

OH re

gula

tion

for r

abie

s con

trol

M

OH

ZOON

OSES

x

x

x

• Su

rvei

llanc

e de

velo

pmen

t M

OH

ZOON

OSES

x

x

• De

velo

pmen

t/ tr

y ou

t of r

isk m

appi

ng to

ols (

Zoon

otic

and

EID)

M

OH/W

HO

ZOON

OSES

x

x x

x x

• Su

rvei

llanc

e de

velo

pmen

t M

inist

ry o

f Env

ironm

ent

and

Fore

stry

(MOE

F)

x

x

Indi

cato

r P.4

.2. A

nim

al H

ealth

and

Vet

erin

aria

n W

orkf

orce

→ 2

017

Capa

city

leve

l 3

• De

velo

pmen

t of F

ETPV

- Tr

aini

ng F

ETPV

M

OA

x

x x

x x

• Es

tabl

ishm

ent o

f MOA

regu

latio

n fo

r the

impl

emen

tatio

n of

ve

terin

ary

auth

oriti

es in

the

sub-

natio

nal

MOA

x x

x x

x

• De

velo

p GO

I cap

acity

to im

plem

ent t

arge

ted

zoon

oses

and

EID

pr

even

tion

and

cont

rol p

rogr

amm

e M

OA

x

Indi

cato

r P.4

.3 M

echa

nism

s for

resp

ondi

ng to

infe

ctio

us zo

onos

es a

nd p

oten

tial z

oono

ses a

re e

stab

lishe

d an

d fu

nctio

nal →

201

7 Ca

pacit

y le

vel 2

•

Surv

eilla

nce

and

resp

onse

of z

oono

ses o

utbr

eaks

MOH

ZO

ONOS

ES

x x

x x

x

• Zd

ap n

atio

nal c

oord

inat

ion

M

OH

ZOON

OSES

x

• Pr

ocur

emen

t for

zoon

osis

dise

ase:

rabi

es n

lept

o va

ccin

e M

OH

ZOON

OSES

x

x x

x x

54

54

• IE

C m

ater

ial f

or zo

onos

es d

iseas

es

MOH

ZO

ONOS

ES

x x

x x

x •

Trai

ning

for s

urve

illan

ce/e

pide

mio

logy

offi

cer i

n pr

imar

y he

alth

ce

nter

, ani

mal

hea

lth ce

nter

, and

dist

rict h

ealth

cent

er th

at fo

cuse

d on

inve

stig

atio

n in

fect

ious

dise

ase

with

One

Hea

lth a

ppro

ach.

PMK

x

x

• Su

ppor

t zoo

nose

s and

EID

com

mun

icatio

n ac

tiviti

es; d

issem

inat

e th

e co

mm

unica

tion

stra

tegy

on

One

Heal

th ta

rget

ed zo

onos

es a

nd E

ID

prev

entio

n an

d co

ntro

l.

MOA

x x

• Su

ppor

t est

ablis

hmen

t of a

nat

iona

l web

-bas

ed p

latfo

rm fo

r zo

onos

es a

nd E

ID in

form

atio

n ac

cess

and

shar

ing.

M

OA

x

x

• Id

entif

y po

ultr

y he

alth

bes

t pra

ctice

s M

OA

x

x

• Bu

ild ca

pacit

y of

tech

nica

l ser

vice

pro

vide

rs.

MOA

x x

•

Prov

ide

tech

nica

l ass

istan

ce fo

r pou

ltry

farm

ers.

M

OA

x

• Pr

omot

e ce

rtifi

catio

n sy

stem

for p

oultr

y fa

rms w

hich

are

abl

e to

fu

lfil a

nim

al h

ealth

pra

ctice

s req

uire

d by

gov

ernm

ent.

M

OA

x

• Ra

ise a

war

enes

s of p

oultr

y he

alth

bes

t pra

ctice

s to

farm

ers.

M

OA

x

• Co

nduc

t stu

dy to

supp

ort e

vide

nce-

base

d po

licy

mak

ing

to im

prov

e th

e qu

ality

of p

oultr

y m

arke

ting

proc

esse

s.

MOA

x

• Bu

ild st

akeh

olde

r (Go

vern

men

t, Pr

ivat

e) ca

pacit

y to

impr

ove

bios

ecur

ity a

long

the

poul

try

mar

ket c

hain

.

MOA

x

• Ad

voca

te fo

r sta

keho

lder

colla

bora

tion

on in

terv

entio

ns to

impr

ove

the

qual

ity o

f pou

ltry

mar

ketin

g pr

oces

ses.

M

OA

x

• Ra

ise a

war

enes

s of s

take

hold

ers a

nd co

nsum

ers t

o im

prov

e th

e qu

ality

of p

oultr

y an

d po

ultr

y pr

oduc

t mar

ketin

g pr

oces

ses.

M

OA

x

• Su

ppor

t dise

ase

emer

genc

y pr

epar

edne

ss p

lann

ing.

MOA

x

55

TA FO

OD S

AFET

Y

Targ

et: S

tate

s Pa

rtie

s sh

ould

hav

e su

rvei

llanc

e an

d re

spon

se c

apac

ity fo

r fo

od a

nd w

ater

bor

ne d

iseas

e ris

k or

eve

nts.

It re

quire

s ef

fect

ive

com

mun

icatio

n an

d co

llabo

ratio

n am

ong

the

sect

ors r

espo

nsib

le fo

r foo

d sa

fety

and

safe

wat

er a

nd sa

nita

tion

JEE

Reco

mm

enda

tions

:

• Pr

ovid

e a

‘trai

n th

e tr

aine

rs’ p

rogr

amm

e fo

r ins

pect

ors o

n of

ficia

l con

trol

s to

ensu

re fo

od o

pera

tors

’ com

plia

nce

with

legi

slatio

n •

Ensu

re th

e im

plem

enta

tion

of F

ood

Safe

ty M

anag

emen

t Sys

tem

s in

proc

essin

g pl

ants

of f

ood

of a

nim

al o

rigin

•

Follo

win

g fo

od sa

fety

risk

ana

lysis

, str

engt

hen

rese

arch

in fo

odbo

rne

dise

ase

epid

emio

logy

and

out

brea

k in

vest

igat

ions

ACTI

VITI

ES A

ND T

IMEL

INE

PRIO

RITY

ACT

IVIT

IES

MIN

ISTR

Y UN

IT

2018

20

19

2020

20

21

2022

In

dica

tor P

.5.1

Mec

hani

sms a

re e

stab

lishe

d an

d fu

nctio

ning

for d

etec

ting

and

resp

ondi

ng to

food

born

e di

seas

e an

d fo

od co

ntam

inat

ion

→

2017

Cap

acity

leve

l 3

• TO

T on

Foo

d Sa

fety

M

OH a

nd N

atio

nal F

ood

& D

rug

Cont

rol (

NFDC

)

x x

x x

x

• St

reng

then

of F

ood

safe

ty ri

sk a

naly

sis, r

esea

rch

in fo

odbo

rne

dise

ase

epid

emio

logy

an

d ou

tbre

ak in

vest

igat

ions

M

OH

KESL

ING

x x

• IE

C m

ater

ial f

or fo

od sa

fety

M

OH

x

x x

x x

• Fo

od S

afet

y Im

plem

enta

tion

Syst

em:

a.

Anim

al P

rodu

ct S

afet

y M

onito

ring

at U

PH (T

arge

t 19,

000

sam

ples

M

OA

x

x x

x x

b.

NKV

cert

ifica

tion

(vet

erin

ary

cont

rol n

umbe

r) an

imal

farm

/ UPH

(Tar

get 1

23 U

PH)

x

x x

x x

c.

UPH

Supe

rvisi

on (T

arge

t 50

UPH)

x x

x x

x d.

NK

V Au

dito

r Tra

inin

g an

d Ve

terin

ary

Publ

ic He

alth

Sup

ervi

sor

x

x x

x x

55

55

TA FO

OD S

AFET

Y

Targ

et: S

tate

s Pa

rtie

s sh

ould

hav

e su

rvei

llanc

e an

d re

spon

se c

apac

ity fo

r fo

od a

nd w

ater

bor

ne d

iseas

e ris

k or

eve

nts.

It re

quire

s ef

fect

ive

com

mun

icatio

n an

d co

llabo

ratio

n am

ong

the

sect

ors r

espo

nsib

le fo

r foo

d sa

fety

and

safe

wat

er a

nd sa

nita

tion

JEE

Reco

mm

enda

tions

:

• Pr

ovid

e a

‘trai

n th

e tr

aine

rs’ p

rogr

amm

e fo

r ins

pect

ors o

n of

ficia

l con

trol

s to

ensu

re fo

od o

pera

tors

’ com

plia

nce

with

legi

slatio

n •

Ensu

re th

e im

plem

enta

tion

of F

ood

Safe

ty M

anag

emen

t Sys

tem

s in

proc

essin

g pl

ants

of f

ood

of a

nim

al o

rigin

•

Follo

win

g fo

od sa

fety

risk

ana

lysis

, str

engt

hen

rese

arch

in fo

odbo

rne

dise

ase

epid

emio

logy

and

out

brea

k in

vest

igat

ions

ACTI

VITI

ES A

ND T

IMEL

INE

PRIO

RITY

ACT

IVIT

IES

MIN

ISTR

Y UN

IT

2018

20

19

2020

20

21

2022

In

dica

tor P

.5.1

Mec

hani

sms a

re e

stab

lishe

d an

d fu

nctio

ning

for d

etec

ting

and

resp

ondi

ng to

food

born

e di

seas

e an

d fo

od co

ntam

inat

ion

→

2017

Cap

acity

leve

l 3

• TO

T on

Foo

d Sa

fety

M

OH a

nd N

atio

nal F

ood

& D

rug

Cont

rol (

NFDC

)

x x

x x

x

• St

reng

then

of F

ood

safe

ty ri

sk a

naly

sis, r

esea

rch

in fo

odbo

rne

dise

ase

epid

emio

logy

an

d ou

tbre

ak in

vest

igat

ions

M

OH

KESL

ING

x x

• IE

C m

ater

ial f

or fo

od sa

fety

M

OH

x

x x

x x

• Fo

od S

afet

y Im

plem

enta

tion

Syst

em:

a.

Anim

al P

rodu

ct S

afet

y M

onito

ring

at U

PH (T

arge

t 19,

000

sam

ples

M

OA

x

x x

x x

b.

NKV

cert

ifica

tion

(vet

erin

ary

cont

rol n

umbe

r) an

imal

farm

/ UPH

(Tar

get 1

23 U

PH)

x

x x

x x

c.

UPH

Supe

rvisi

on (T

arge

t 50

UPH)

x x

x x

x d.

NK

V Au

dito

r Tra

inin

g an

d Ve

terin

ary

Publ

ic He

alth

Sup

ervi

sor

x

x x

x x

56

56

TA B

IOSA

FETY

AND

BIO

SECU

RITY

Targ

et:

A w

hole

-of-g

over

nmen

t na

tiona

l bi

osaf

ety

and

bios

ecur

ity s

yste

m i

s in

pla

ce,

ensu

ring

that

esp

ecia

lly d

ange

rous

pat

hoge

ns a

re

iden

tifie

d, h

eld,

sec

ured

and

mon

itore

d in

a m

inim

al n

umbe

r of f

acili

ties a

ccor

ding

to b

est p

ract

ices;

biol

ogica

l risk

man

agem

ent t

rain

ing

and

educ

atio

nal o

utre

ach

are

cond

ucte

d to

pro

mot

e a

shar

ed c

ultu

re o

f res

pons

ibili

ty, r

educ

e du

al u

se ri

sks,

miti

gate

bio

logi

cal p

rolif

erat

ion

and

delib

erat

e us

e th

reat

s, an

d en

sure

saf

e tr

ansf

er o

f bi

olog

ical a

gent

s; an

d co

untr

y sp

ecifi

c bi

osaf

ety

and

bios

ecur

ity le

gisla

tion,

labo

rato

ry

licen

sing,

and

pat

hoge

n co

ntro

l mea

sure

s are

in p

lace

as a

ppro

pria

te.

JEE

Reco

mm

enda

tions

: •

Com

plet

e on

goin

g w

ork

to fi

naliz

e a

broa

der

Natio

nal S

trat

egic

Plan

for

bios

afet

y an

d bi

osec

urity

in la

bora

torie

s in

Indo

nesi

a, b

ringi

ng

toge

ther

labo

rato

ry fu

nctio

ns in

diff

eren

t m

inist

ries

to a

ddre

ss IH

R (2

005)

tec

hnica

l are

as s

uch

as z

oono

tic d

iseas

e, la

bora

tory

sys

tem

s, w

orkf

orce

dev

elop

men

t, fo

od sa

fety

, rea

l tim

e su

rvei

llanc

e an

d AM

R in

a si

ngle

ove

rarc

hing

pla

n •

Deve

lop

a co

ntin

uous

ly u

pdat

ed a

nd m

onito

red

natio

nwid

e in

vent

ory o

f hig

h co

nseq

uenc

e ag

ents

in st

orag

e •

Educ

ate

and

depl

oy a

nat

ionw

ide

func

tion

for m

aint

enan

ce a

nd co

ntro

l of l

abor

ator

y sa

fety

facil

ities

and

equ

ipm

ent

• De

velo

p a

mas

ter t

rain

ing

and

cert

ifica

tion

sche

me

for b

iosa

fety

and

bio

risk

offic

ers i

n bo

th th

e hu

man

and

ani

mal

sect

ors,

accr

edite

d an

d ce

rtifi

ed b

y re

leva

nt in

tern

atio

nal b

odie

s suc

h as

WHO

, FAO

, OIE

, IFB

A, N

SF, e

tc.

57

ACTI

VITI

ES A

ND T

IMEL

INE

PR

IORI

TY A

CTIV

ITIE

S M

INIS

TRY

UNIT

20

18

2019

20

20

2021

20

22

Indi

cato

r P.6

.1. W

hole

-of-g

over

nmen

t bio

safe

ty a

nd b

iose

curit

y sy

stem

is in

pla

ce fo

r hum

an, a

nim

al, a

nd a

gricu

lture

facil

ities

→ 2

017

Capa

city

leve

l 3

• Dr

aft f

inal

izatio

n NS

P fo

r bio

safe

ty a

nd b

iose

curit

y M

OH

x

x

• De

velo

p PP

Bio

safe

ty a

nd b

iose

curit

y Na

tiona

l Gui

delin

es

MOH

x

•

Refre

shm

ent o

f Ass

esso

r SM

BL

MOH

x

•

Deve

lop

SMBL

Cer

tifica

tion

body

M

OH

x

• La

bora

tory

bui

ldin

g st

anda

rd a

ccor

ding

to B

iosa

fety

and

bio

secu

rity

MOH

x

x

•

Com

preh

ensiv

e Bi

omed

ical W

aste

Man

agem

ent s

yste

m

MOH

x

x

•

Indo

nesia

Bio

logi

cal w

eapo

n ac

t M

OH

x x

• De

velo

p m

onito

ring

natio

nal I

nven

tory

of h

igh

cons

eque

nce

agen

ts in

stor

age

x

• St

akeh

olde

r Net

wor

king

Cro

ss-s

ectio

nal M

eetin

g

x x

• In

frast

ruct

ure

and

equi

pmen

t M

OH &

MOA

x x

x x

x P.

6.2.

Bio

safe

ty a

nd b

iose

curit

y tr

aini

ng a

nd p

ract

ices →

201

7 Ca

pacit

y le

vel 3

•

Educ

ate

and

depl

oy a

nat

ion-

wid

e fu

nctio

n fo

r mai

nten

ance

and

cont

rol o

f la

bora

tory

safe

ty fa

ciliti

es a

nd e

quip

men

t:

a.

trai

ning

x

x

x

b.

Assis

tanc

e

x

x

c.

Cert

ifica

tion

x

x •

Deve

lop

a m

aste

r tra

inin

g an

d ce

rtifi

catio

n sc

hem

e fo

r bio

safe

ty a

nd b

ioris

k of

ficer

s in

both

the

hum

an a

nd a

nim

al se

ctor

s, ac

cred

ited

and

cert

ified

by

rele

vant

in

tern

atio

nal b

odie

s suc

h as

WHO

, FAO

, OIE

, IFB

A, N

SF, e

tc:

a.

Trai

ning

x

x

x

x

x •

OHLN

6. I

n-Se

rvice

Labo

rato

ry T

rain

ing

PMK

x

x

57

57

ACTI

VITI

ES A

ND T

IMEL

INE

PR

IORI

TY A

CTIV

ITIE

S M

INIS

TRY

UNIT

20

18

2019

20

20

2021

20

22

Indi

cato

r P.6

.1. W

hole

-of-g

over

nmen

t bio

safe

ty a

nd b

iose

curit

y sy

stem

is in

pla

ce fo

r hum

an, a

nim

al, a

nd a

gricu

lture

facil

ities

→ 2

017

Capa

city

leve

l 3

• Dr

aft f

inal

izatio

n NS

P fo

r bio

safe

ty a

nd b

iose

curit

y M

OH

x

x

• De

velo

p PP

Bio

safe

ty a

nd b

iose

curit

y Na

tiona

l Gui

delin

es

MOH

x

•

Refre

shm

ent o

f Ass

esso

r SM

BL

MOH

x

•

Deve

lop

SMBL

Cer

tifica

tion

body

M

OH

x

• La

bora

tory

bui

ldin

g st

anda

rd a

ccor

ding

to B

iosa

fety

and

bio

secu

rity

MOH

x

x

•

Com

preh

ensiv

e Bi

omed

ical W

aste

Man

agem

ent s

yste

m

MOH

x

x

•

Indo

nesia

Bio

logi

cal w

eapo

n ac

t M

OH

x x

• De

velo

p m

onito

ring

natio

nal I

nven

tory

of h

igh

cons

eque

nce

agen

ts in

stor

age

x

• St

akeh

olde

r Net

wor

king

Cro

ss-s

ectio

nal M

eetin

g

x x

• In

frast

ruct

ure

and

equi

pmen

t M

OH &

MOA

x x

x x

x P.

6.2.

Bio

safe

ty a

nd b

iose

curit

y tr

aini

ng a

nd p

ract

ices →

201

7 Ca

pacit

y le

vel 3

•

Educ

ate

and

depl

oy a

nat

ion-

wid

e fu

nctio

n fo

r mai

nten

ance

and

cont

rol o

f la

bora

tory

safe

ty fa

ciliti

es a

nd e

quip

men

t:

a.

trai

ning

x

x

x

b.

Assis

tanc

e

x

x

c.

Cert

ifica

tion

x

x •

Deve

lop

a m

aste

r tra

inin

g an

d ce

rtifi

catio

n sc

hem

e fo

r bio

safe

ty a

nd b

ioris

k of

ficer

s in

both

the

hum

an a

nd a

nim

al se

ctor

s, ac

cred

ited

and

cert

ified

by

rele

vant

in

tern

atio

nal b

odie

s suc

h as

WHO

, FAO

, OIE

, IFB

A, N

SF, e

tc:

a.

Trai

ning

x

x

x

x

x •

OHLN

6. I

n-Se

rvice

Labo

rato

ry T

rain

ing

PMK

x

x

58

58

TA IM

MUN

IZAT

ION

Targ

et: A

func

tioni

ng n

atio

nal v

accin

e de

liver

y sy

stem

—w

ith n

atio

nwid

e re

ach,

effe

ctiv

e di

strib

utio

ns, a

cces

s fo

r m

argi

naliz

ed p

opul

atio

ns,

adeq

uate

cold

chai

n, a

n on

goin

g qu

ality

cont

rol—

that

is a

ble

to re

spon

d to

new

dise

ase

thre

ats

JEE

Reco

mm

enda

tions

:

• De

velo

p a

natio

nal c

over

age

impr

ovem

ent p

lan

focu

sed

on e

quity

, whi

ch a

ddre

sses

dro

pout

s and

inte

nsifi

es c

omm

unity

aw

aren

ess

of th

e be

nefit

s of v

accin

atio

n •

Cond

uct a

n EP

I cov

erag

e su

rvey

to v

alid

ate

the

repo

rted

adm

inist

rativ

e da

ta

• St

reng

then

EPI

dat

a qu

ality

. Spe

cifica

lly, i

nteg

rate

priv

ate

sect

or E

PI co

vera

ge re

port

ing,

and

stre

ngth

en w

eb b

ased

repo

rtin

g an

d re

cord

ing

mec

hani

sms

• Op

timize

the

use

of th

e St

ock

Man

agem

ent S

yste

m (S

MS)

tool

to e

nsur

e th

e av

aila

bilit

y of v

accin

es in

bot

h pu

blic

and

priv

ate

sect

ors

• Co

nduc

t the

vac

cine

inve

stm

ent c

ase

stud

y fo

r Hea

lth C

are

Secu

rity

(BPJ

S).

59

ACTI

VITI

ES A

ND T

IMEL

INE

PR

IORI

TY A

CTIV

ITIE

S M

INIS

TRY

UNIT

20

18

2019

20

20

2021

20

22

Indi

cato

r P.7

.1.M

easle

s Vac

cine

as p

art o

f nat

iona

l im

mun

izatio

n pr

ogra

m →

201

7 Ca

pacit

y le

vel 4

•

MR

cam

paig

n fa

se 2

in 2

8 pr

ovin

ces:

a.

Vacc

ine

and

med

ical d

evice

s pro

cure

men

t M

OH

Imm

uniza

tion

x x

x x

x b.

Ad

voca

cy a

nd S

ocia

lizat

ion

mee

ting

- nat

iona

l lev

el

x x

x x

x a.

Tr

aini

ng fo

r hea

lth w

orke

rs -

natio

nal l

evel

x

x x

x x

b.

IEC

(PSA

, prin

ting

and

dist

ribut

ion

mat

eria

l)

x

x

c.

Mon

itorin

g an

d ev

alua

tion

x x

x x

x d.

M

R co

vera

ge su

rvey

inte

grat

ed w

ith ro

utin

e im

mun

izatio

n -

Cont

ract

with

inde

pend

ent o

rgan

izatio

n

x

• De

velo

p cM

YP 2

020

- 202

4 M

OH

Imm

uniza

tion

x

•

Defa

ulte

r tra

ckin

g - D

rop

Out D

PT1-

MCV

1 >

10%

M

OH

Imm

uniza

tion

x x

In

dica

tor P

.7.2

. Nat

iona

l Acc

ess V

accin

e De

liver

y →

201

7 Ca

pacit

y le

vel 4

•

Repl

ace

and

mai

ntai

ning

cold

chai

n eq

uipm

ent

MOH

Im

mun

izatio

n x

• Im

plem

enta

tion

of S

MS

stoc

k va

ccin

e an

d lo

gist

ics

MOH

Im

mun

izatio

n x

x x

59

59

ACTI

VITI

ES A

ND T

IMEL

INE

PR

IORI

TY A

CTIV

ITIE

S M

INIS

TRY

UNIT

20

18

2019

20

20

2021

20

22

Indi

cato

r P.7

.1.M

easle

s Vac

cine

as p

art o

f nat

iona

l im

mun

izatio

n pr

ogra

m →

201

7 Ca

pacit

y le

vel 4

•

MR

cam

paig

n fa

se 2

in 2

8 pr

ovin

ces:

a.

Vacc

ine

and

med

ical d

evice

s pro

cure

men

t M

OH

Imm

uniza

tion

x x

x x

x b.

Ad

voca

cy a

nd S

ocia

lizat

ion

mee

ting

- nat

iona

l lev

el

x x

x x

x a.

Tr

aini

ng fo

r hea

lth w

orke

rs -

natio

nal l

evel

x

x x

x x

b.

IEC

(PSA

, prin

ting

and

dist

ribut

ion

mat

eria

l)

x

x

c.

Mon

itorin

g an

d ev

alua

tion

x x

x x

x d.

M

R co

vera

ge su

rvey

inte

grat

ed w

ith ro

utin

e im

mun

izatio

n -

Cont

ract

with

inde

pend

ent o

rgan

izatio

n

x

• De

velo

p cM

YP 2

020

- 202

4 M

OH

Imm

uniza

tion

x

•

Defa

ulte

r tra

ckin

g - D

rop

Out D

PT1-

MCV

1 >

10%

M

OH

Imm

uniza

tion

x x

In

dica

tor P

.7.2

. Nat

iona

l Acc

ess V

accin

e De

liver

y →

201

7 Ca

pacit

y le

vel 4

•

Repl

ace

and

mai

ntai

ning

cold

chai

n eq

uipm

ent

MOH

Im

mun

izatio

n x

• Im

plem

enta

tion

of S

MS

stoc

k va

ccin

e an

d lo

gist

ics

MOH

Im

mun

izatio

n x

x x

60

60

TA N

ATIO

NAL L

ABOR

ATOR

Y SY

STEM

Targ

et: R

eal-t

ime

bios

urve

illan

ce w

ith a

nat

iona

l lab

orat

ory

syst

em a

nd e

ffect

ive

mod

ern

poin

t-of

-car

e an

d la

bora

tory

-bas

ed d

iagn

ostic

s

JEE

Reco

mm

enda

tions

:

• Al

l pus

kesm

as sh

ould

be

accr

edite

d ac

cord

ing

to p

lan,

and

hav

e po

int o

f car

e TB

dia

gnos

tics i

n pl

ace

by 2

020

• In

crea

se th

e nu

mbe

r of a

ccre

dite

d he

alth

labo

rato

ries e

very

yea

r to

reac

h 10

0% co

vera

ge

• In

crea

se t

he n

umbe

r of

nat

iona

l re

fere

nce

labo

rato

ries

for

Med

ical

Devi

ce E

valu

atio

n IE

C 60

601,

sta

bilit

y te

stin

g an

d pe

rform

ance

ev

alua

tion

• St

reng

then

the

avai

labi

lity

of p

erip

hera

l ani

mal

refe

rral

labs

and

thei

r acc

redi

tatio

n to

ISO

9001

•

Incr

ease

the

num

ber o

f age

nts t

hat c

an b

e te

sted

at p

oint

of c

are,

at p

rimar

y he

alth

car

e ce

ntre

s for

hum

ans a

nd a

t ani

mal

hea

lth c

entr

es

for a

nim

als

• W

ork

on d

ecre

asin

g th

e tim

e of

turn

over

from

refe

rral

to re

sult,

as t

his m

ay a

ffect

trea

tmen

t.

61

ACTI

VITI

ES A

ND T

IMEL

INE PR

IORI

TY A

CTIV

ITIE

S M

INIS

TRY

UNIT

20

18

2019

20

20

2021

20

22

Indi

cato

r D.1

.1 La

bora

tory

test

ing

for d

etec

tion

of p

riorit

y di

seas

es →

201

7 Ca

pacit

y le

vel 4

•

Revi

sed

MOH

regu

latio

n no

411

/201

0 on

Clin

ical L

abor

ator

ies

MOH

Ya

nkes

Ruju

kan

x x

•

Onlin

e La

bora

tory

Dat

a Co

llect

ion

MOH

x

x x

x •

Revi

ew o

f lab

orat

ory

refe

renc

e sy

stem

s M

OH

x x

x x

• M

onev

Env

ironm

enta

l sur

veill

ance

with

10

BTKL

MOH

Su

rvei

llanc

e x

x x

x x

• De

velo

pmen

t of V

eter

inar

y Ce

nter

(Bal

ai) i

n Pa

pua

MOA

x

In

dica

tor D

.1.2

Spe

cimen

refe

rral

and

tran

spor

t sys

tem

→ 2

017

Capa

city

leve

l 4

• La

b pe

rson

nel o

rient

atio

n in

colle

ctin

g, cu

lture

, pac

kagi

ng, s

hipp

ing

and

insp

ectin

g di

phth

eria

spec

imen

s cul

tura

lly a

nd e

lect

roni

cally

at 7

B /

BTKL

M

OH

Surv

eilla

nce

x x

x

Indi

cato

r D.1

.3 E

ffect

ive

mod

ern

poin

t of c

are

and

labo

rato

ry b

ased

dia

gnos

tics →

201

7 Ca

pacit

y le

vel 3

•

HR tr

aini

ng fo

r clin

ical l

ab to

ol ca

libra

tion

(BPF

K: Ja

kart

a, S

urab

aya,

Med

an,

Mak

assa

r) M

OH

Yank

es

x

• Gu

idel

ines

for w

orki

ng m

etho

ds C

linica

l lab

tool

calib

ratio

n M

OH

Yank

es

x

•

Impr

ove

HR a

t Lab

orat

ory

(BBT

KL)

MOH

Su

rvei

llanc

e x

x x

x x

• Im

prov

e ex

amin

atio

n ca

pacit

y at

the

lab

MOA

x x

x x

x In

dica

tor D

.1.4

Labo

rato

ry Q

ualit

y Sy

stem

→ 2

017

Capa

city

leve

l 3

• Ac

cred

itatio

n of

Pus

kesm

as in

acc

orda

nce

with

Min

istry

of H

ealth

's St

rate

gic P

lan

and

RPJM

M

MOH

M

UTU?

x

x

• Su

rvey

or tr

aini

ng

x x

x x

x •

Exte

rnal

Qua

lity

Assu

ranc

e fo

r Lab

orat

oriu

m

MOH

Su

rvei

llanc

e x

x x

x x

61

61

ACTI

VITI

ES A

ND T

IMEL

INE PR

IORI

TY A

CTIV

ITIE

S M

INIS

TRY

UNIT

20

18

2019

20

20

2021

20

22

Indi

cato

r D.1

.1 La

bora

tory

test

ing

for d

etec

tion

of p

riorit

y di

seas

es →

201

7 Ca

pacit

y le

vel 4

•

Revi

sed

MOH

regu

latio

n no

411

/201

0 on

Clin

ical L

abor

ator

ies

MOH

Ya

nkes

Ruju

kan

x x

•

Onlin

e La

bora

tory

Dat

a Co

llect

ion

MOH

x

x x

x •

Revi

ew o

f lab

orat

ory

refe

renc

e sy

stem

s M

OH

x x

x x

• M

onev

Env

ironm

enta

l sur

veill

ance

with

10

BTKL

MOH

Su

rvei

llanc

e x

x x

x x

• De

velo

pmen

t of V

eter

inar

y Ce

nter

(Bal

ai) i

n Pa

pua

MOA

x

In

dica

tor D

.1.2

Spe

cimen

refe

rral

and

tran

spor

t sys

tem

→ 2

017

Capa

city

leve

l 4

• La

b pe

rson

nel o

rient

atio

n in

colle

ctin

g, cu

lture

, pac

kagi

ng, s

hipp

ing

and

insp

ectin

g di

phth

eria

spec

imen

s cul

tura

lly a

nd e

lect

roni

cally

at 7

B /

BTKL

M

OH

Surv

eilla

nce

x x

x

Indi

cato

r D.1

.3 E

ffect

ive

mod

ern

poin

t of c

are

and

labo

rato

ry b

ased

dia

gnos

tics →

201

7 Ca

pacit

y le

vel 3

•

HR tr

aini

ng fo

r clin

ical l

ab to

ol ca

libra

tion

(BPF

K: Ja

kart

a, S

urab

aya,

Med

an,

Mak

assa

r) M

OH

Yank

es

x

• Gu

idel

ines

for w

orki

ng m

etho

ds C

linica

l lab

tool

calib

ratio

n M

OH

Yank

es

x

•

Impr

ove

HR a

t Lab

orat

ory

(BBT

KL)

MOH

Su

rvei

llanc

e x

x x

x x

• Im

prov

e ex

amin

atio

n ca

pacit

y at

the

lab

MOA

x x

x x

x In

dica

tor D

.1.4

Labo

rato

ry Q

ualit

y Sy

stem

→ 2

017

Capa

city

leve

l 3

• Ac

cred

itatio

n of

Pus

kesm

as in

acc

orda

nce

with

Min

istry

of H

ealth

's St

rate

gic P

lan

and

RPJM

M

MOH

M

UTU?

x

x

• Su

rvey

or tr

aini

ng

x x

x x

x •

Exte

rnal

Qua

lity

Assu

ranc

e fo

r Lab

orat

oriu

m

MOH

Su

rvei

llanc

e x

x x

x x

62

62

TA R

EAL T

IME

SURV

EILL

ANCE

Targ

et: S

tren

gthe

ned

foun

datio

nal i

ndica

tor-

and

eve

nt-b

ased

sur

veill

ance

sys

tem

s th

at a

re a

ble

to d

etec

t ev

ents

of s

igni

fican

ce fo

r pu

blic

heal

th, a

nim

al h

ealth

and

hea

lth s

ecur

ity; i

mpr

oved

com

mun

icatio

n an

d co

llabo

ratio

n ac

ross

sec

tors

and

bet

wee

n su

b-na

tiona

l (lo

cal a

nd

inte

rmed

iate

), na

tiona

l and

inte

rnat

iona

l lev

els

of a

utho

rity

rega

rdin

g su

rvei

llanc

e of

eve

nts

of p

ublic

hea

lth s

igni

fican

ce; i

mpr

oved

cou

ntry

an

d in

term

edia

te le

vel/r

egio

nal c

apac

ity to

ana

lyse

and

link

dat

a fro

m a

nd b

etw

een

stre

ngth

ened

, rea

l-tim

e su

rvei

llanc

e sy

stem

s, in

cludi

ng

inte

rope

rabl

e, in

terc

onne

cted

ele

ctro

nic r

epor

ting

syst

ems.

This

can

inclu

de e

pide

mio

logi

c, cli

nica

l, la

bora

tory

, env

ironm

enta

l tes

ting,

pro

duct

sa

fety

and

qua

lity,

and

bio

info

rmat

ics d

ata;

and

adv

ance

men

t in

fulfi

lling

the

core

cap

acity

requ

irem

ents

for s

urve

illan

ce in

acc

orda

nce

with

th

e IH

R an

d th

e OI

E st

anda

rds

JEE

Reco

mm

enda

tions

:

• Ad

voca

te a

nd e

ncou

rage

loca

l gov

ernm

ent u

nits

to h

onou

r exis

ting

com

mitm

ents

to s

usta

inab

le im

plem

enta

tion

and

adeq

uate

fund

ing

of

surv

eilla

nce

prog

ram

mes

•

Trai

n he

alth

sta

ff at

pro

vinc

ial a

nd d

istric

t le

vels

(inclu

ding

tra

inin

g of

tra

iner

s), a

nd p

rovi

de r

efre

sher

tra

inin

g co

urse

s, t

o st

reng

then

su

rvei

llanc

e in

are

as w

ith e

xistin

g su

rvei

llanc

e sy

stem

s, an

d to

est

ablis

h th

em in

thos

e w

ithou

t sys

tem

s yet

(esp

ecia

lly fo

r the

wild

life

sect

or)

• Es

tabl

ish a

mec

hani

sm fo

r sha

ring

surv

eilla

nce

data

bet

wee

n th

e hu

man

and

ani

mal

sect

ors a

t nat

iona

l lev

el. T

his m

echa

nism

can

then

be

adop

ted

at p

rovi

ncia

l and

dist

rict l

evel

s.

63

ACTI

VITI

ES A

ND T

IMEL

INE

PRIO

RITY

ACT

IVIT

IES

MIN

ISTR

Y UN

IT

2018

20

19

2020

20

21

2022

In

dica

tor D

.2.1

. Ind

icato

r and

Eve

nt-B

ased

Sur

veill

ance

Sys

tem

s → 2

017

Capa

city

leve

l 3

• In

crea

se a

nd im

prov

e ca

pacit

y fo

r EW

ARS

and

Even

t bas

ed su

rvei

llanc

e at

pr

ovin

ce le

vel (

34 p

rovi

nces

) M

OH

Surv

eilla

nce

x x

x x

x

• Im

prov

e ca

pacit

y fo

r EW

ARS

at la

bora

tory

and

hos

pita

l

x x

• TO

T Ra

pid

Resp

onse

Tea

m a

t Nat

iona

l Lev

el

MOH

Su

rvei

llanc

e x

x

• Re

visin

g PM

K no

949

for E

WAR

S im

plem

enta

tion

MOH

Su

rvei

llanc

e

x

• Ad

voca

cy to

pol

icy m

aker

at p

rovi

nce

MOH

Su

rvei

llanc

e

x x

x x

• Tr

aini

ng to

impr

ove

the

abili

ty to

inte

rven

e in

Em

ergi

ng In

fect

ious

Dise

ases

M

OH

INFE

M

x x

•

EID

Expe

rt T

eam

Mee

ting

MOH

IN

FEM

x

x

• Ne

twor

k M

eetin

g M

OH

INFE

M

x x

•

Deve

lopm

ent o

f RRT

Tra

inin

g M

odul

e fo

r EID

M

OH

INFE

M

x

•

Advo

cacy

act

ivity

on

EID

polic

ies a

t Sub

Nat

iona

l lev

el

MOH

IN

FEM

x

• Ad

voca

cy a

ctiv

ity o

n EI

D po

licie

s at S

ub N

atio

nal l

evel

M

OH

INFE

M

x

•

Stak

ehol

der m

eetin

g fo

r EID

M

OH

INFE

M

x

•

Deve

lopm

ent o

f wee

kly

repo

rt a

nd ri

sk a

naly

sis in

stru

men

t on

EID

MOH

IN

FEM

x

• In

crea

sed

HR C

apac

ity in

det

ect a

nd re

port

thro

ugh

ISIK

HNAS

in th

e pr

ovin

ce

MOA

P2

H x

x x

x x

• In

crea

sed

HR C

apac

ity in

det

ect a

nd re

port

dise

ases

thro

ugh

ISIK

HNAS

in th

e di

stric

t/m

unici

palit

y M

OA

P2H

x x

x x

x

• Ca

pacit

y bu

ildin

g of

hum

an re

sour

ces i

n m

anag

ing

prov

incia

l and

regi

onal

M

OA

P2H

x x

x x

x In

dica

tor D

.2.2

. Int

er-o

pera

ble,

inte

rcon

nect

ed, e

lect

roni

c rea

l-tim

e re

port

ing

syst

em →

201

7 Ca

pacit

y le

vel 3

•

Elec

tron

ic re

port

ing

syst

ems f

or n

otifi

able

dise

ases

for h

uman

hea

lth

impl

emen

ted

(EW

ARS)

M

OH

Surv

eilla

nce

x x

x x

x

• El

ectr

onic

Repo

rtin

g sy

stem

s for

dat

a sh

arin

g be

twee

n se

ctor

s exis

t and

im

plem

ente

d (S

IZE)

PM

K

x

63

63

ACTI

VITI

ES A

ND T

IMEL

INE

PRIO

RITY

ACT

IVIT

IES

MIN

ISTR

Y UN

IT

2018

20

19

2020

20

21

2022

In

dica

tor D

.2.1

. Ind

icato

r and

Eve

nt-B

ased

Sur

veill

ance

Sys

tem

s → 2

017

Capa

city

leve

l 3

• In

crea

se a

nd im

prov

e ca

pacit

y fo

r EW

ARS

and

Even

t bas

ed su

rvei

llanc

e at

pr

ovin

ce le

vel (

34 p

rovi

nces

) M

OH

Surv

eilla

nce

x x

x x

x

• Im

prov

e ca

pacit

y fo

r EW

ARS

at la

bora

tory

and

hos

pita

l

x x

• TO

T Ra

pid

Resp

onse

Tea

m a

t Nat

iona

l Lev

el

MOH

Su

rvei

llanc

e x

x

• Re

visin

g PM

K no

949

for E

WAR

S im

plem

enta

tion

MOH

Su

rvei

llanc

e

x

• Ad

voca

cy to

pol

icy m

aker

at p

rovi

nce

MOH

Su

rvei

llanc

e

x x

x x

• Tr

aini

ng to

impr

ove

the

abili

ty to

inte

rven

e in

Em

ergi

ng In

fect

ious

Dise

ases

M

OH

INFE

M

x x

•

EID

Expe

rt T

eam

Mee

ting

MOH

IN

FEM

x

x

• Ne

twor

k M

eetin

g M

OH

INFE

M

x x

•

Deve

lopm

ent o

f RRT

Tra

inin

g M

odul

e fo

r EID

M

OH

INFE

M

x

•

Advo

cacy

act

ivity

on

EID

polic

ies a

t Sub

Nat

iona

l lev

el

MOH

IN

FEM

x

• Ad

voca

cy a

ctiv

ity o

n EI

D po

licie

s at S

ub N

atio

nal l

evel

M

OH

INFE

M

x

•

Stak

ehol

der m

eetin

g fo

r EID

M

OH

INFE

M

x

•

Deve

lopm

ent o

f wee

kly

repo

rt a

nd ri

sk a

naly

sis in

stru

men

t on

EID

MOH

IN

FEM

x

• In

crea

sed

HR C

apac

ity in

det

ect a

nd re

port

thro

ugh

ISIK

HNAS

in th

e pr

ovin

ce

MOA

P2

H x

x x

x x

• In

crea

sed

HR C

apac

ity in

det

ect a

nd re

port

dise

ases

thro

ugh

ISIK

HNAS

in th

e di

stric

t/m

unici

palit

y M

OA

P2H

x x

x x

x

• Ca

pacit

y bu

ildin

g of

hum

an re

sour

ces i

n m

anag

ing

prov

incia

l and

regi

onal

M

OA

P2H

x x

x x

x In

dica

tor D

.2.2

. Int

er-o

pera

ble,

inte

rcon

nect

ed, e

lect

roni

c rea

l-tim

e re

port

ing

syst

em →

201

7 Ca

pacit

y le

vel 3

•

Elec

tron

ic re

port

ing

syst

ems f

or n

otifi

able

dise

ases

for h

uman

hea

lth

impl

emen

ted

(EW

ARS)

M

OH

Surv

eilla

nce

x x

x x

x

• El

ectr

onic

Repo

rtin

g sy

stem

s for

dat

a sh

arin

g be

twee

n se

ctor

s exis

t and

im

plem

ente

d (S

IZE)

PM

K

x

64

64

• El

ectr

onic

repo

rtin

g sy

stem

s for

not

ifiab

le d

iseas

es fo

r ani

mal

hea

lth

impl

emen

ted

(ISIK

HNAS

) M

OA

x

x x

x x

Indi

cato

r D.2

.3. A

naly

sis o

f sur

veill

ance

dat

a →

201

7 Ca

pacit

y le

vel 2

•

Labo

rato

ry d

ata

feed

s int

o th

e su

rvei

llanc

e sy

stem

s (sy

stem

) M

OH

Surv

eilla

nce

x x

x x

x •

Impr

ove

data

ana

lysis

M

OH

Surv

eilla

nce

x x

x x

x •

Tria

l EID

risk

ass

essm

ent

MOH

IN

FEM

• Im

prov

e pu

blic

heal

th/ s

urve

illan

ce la

bora

tory

capa

city

MOH

Su

rvei

llanc

e

Indi

cato

r D.2

.4. S

yndr

omic

surv

eilla

nce

syst

ems→

201

7 Ca

pacit

y le

vel 4

•

Synd

rom

ic su

rvei

llanc

e Pu

skes

mas

/ sub

-nat

iona

l for

EID

M

OH

INFE

M

x x

•

Cont

inui

ty a

nd S

tren

gthe

ning

Sur

veill

ance

sent

inel

ILI-S

ARI

MOH

IS

PA

x x

x x

x

65

TA R

EPOR

TING

Targ

et: T

imel

y an

d ac

cura

te d

iseas

e re

port

ing

acco

rdin

g to

WHO

requ

irem

ents

and

cons

isten

t coo

rdin

atio

n w

ith F

AO a

nd O

IE.

JEE

Reco

mm

enda

tions

:

• In

crea

se t

he r

each

of

the

wild

life

info

rmat

ion

syst

em (

SEHA

TSAT

LI)

to a

ll pr

ovin

ces

in In

done

sia;

stre

ngth

en in

tero

pera

bilit

y be

twee

n in

form

atio

n sy

stem

s fo

r da

ta s

harin

g be

twee

n an

imal

and

hum

an h

ealth

at

natio

nal l

evel

; the

n ad

opt

thes

e sy

stem

s at

pro

vinc

ial a

nd

dist

rict l

evel

s •

Activ

ate

and

enco

urag

e lo

cal g

over

nmen

t and

com

mun

ities

, in

line

with

the

“One

Dat

a” p

olicy

, to

enha

nce

thei

r com

mitm

ent t

o pr

ovid

e an

d sh

are

PHEI

C in

form

atio

n an

d da

ta, i

nclu

ding

thro

ugh

timel

y ac

know

ledg

emen

t of o

utbr

eaks

and

em

erge

ncie

s •

Stre

ngth

en th

e in

form

atio

n in

frast

ruct

ure

for

PHEI

C m

anag

emen

t at a

ll le

vels,

esp

ecia

lly in

the

112

prio

rity

dist

ricts

(Pre

siden

tial D

ecre

e No

. 131

/201

5)—

inclu

ding

thro

ugh

retr

aini

ng th

e IH

R NF

P an

d OI

E fo

cal p

oint

, and

pro

vidi

ng c

ontin

uous

cap

acity

bui

ldin

g/tr

aini

ng fo

r sta

ff at

pro

vinc

e an

d di

stric

t lev

els

• St

reng

then

risk

ass

essm

ent c

apac

ity a

t nat

iona

l lev

el to

facil

itate

repo

rtin

g to

WHO

, OIE

and

FAO

.

65

65

TA R

EPOR

TING

Targ

et: T

imel

y an

d ac

cura

te d

iseas

e re

port

ing

acco

rdin

g to

WHO

requ

irem

ents

and

cons

isten

t coo

rdin

atio

n w

ith F

AO a

nd O

IE.

JEE

Reco

mm

enda

tions

:

• In

crea

se t

he r

each

of

the

wild

life

info

rmat

ion

syst

em (

SEHA

TSAT

LI)

to a

ll pr

ovin

ces

in In

done

sia;

stre

ngth

en in

tero

pera

bilit

y be

twee

n in

form

atio

n sy

stem

s fo

r da

ta s

harin

g be

twee

n an

imal

and

hum

an h

ealth

at

natio

nal l

evel

; the

n ad

opt

thes

e sy

stem

s at

pro

vinc

ial a

nd

dist

rict l

evel

s •

Activ

ate

and

enco

urag

e lo

cal g

over

nmen

t and

com

mun

ities

, in

line

with

the

“One

Dat

a” p

olicy

, to

enha

nce

thei

r com

mitm

ent t

o pr

ovid

e an

d sh

are

PHEI

C in

form

atio

n an

d da

ta, i

nclu

ding

thro

ugh

timel

y ac

know

ledg

emen

t of o

utbr

eaks

and

em

erge

ncie

s •

Stre

ngth

en th

e in

form

atio

n in

frast

ruct

ure

for

PHEI

C m

anag

emen

t at a

ll le

vels,

esp

ecia

lly in

the

112

prio

rity

dist

ricts

(Pre

siden

tial D

ecre

e No

. 131

/201

5)—

inclu

ding

thro

ugh

retr

aini

ng th

e IH

R NF

P an

d OI

E fo

cal p

oint

, and

pro

vidi

ng c

ontin

uous

cap

acity

bui

ldin

g/tr

aini

ng fo

r sta

ff at

pro

vinc

e an

d di

stric

t lev

els

• St

reng

then

risk

ass

essm

ent c

apac

ity a

t nat

iona

l lev

el to

facil

itate

repo

rtin

g to

WHO

, OIE

and

FAO

.

66

66

ACTI

VITI

ES A

ND T

IMEL

INE

PRIO

RITY

ACT

IVIT

IES

MIN

ISTR

Y UN

IT

2018

20

19

2020

20

21

2022

In

dica

tor D

.3.1

Sys

tem

for e

fficie

nt re

port

ing

to W

HO, F

AO a

nd O

IE →

201

7 Ca

pacit

y le

vel 3

•

OIE

NFP

trai

ning

M

OA

x

x x

x x

• M

aint

enan

ce o

f fish

dise

ase

mon

itorin

g sy

stem

(Sof

twar

e fo

r Fish

Dise

ase

Mon

itorin

g Sy

stem

/ SS

MPI

) on

line

as a

bas

is fo

r rep

ortin

g fis

h di

seas

es to

OIE

M

OMAF

x

• De

velo

pmen

t of a

fish

dise

ase

mon

itorin

g sy

stem

(SSM

PI) o

n lin

e an

d an

In

done

sian

Aqua

tic A

nim

al D

iseas

es A

lert

Sys

tem

/ IA

ADAS

as a

bas

is fo

r re

port

ing

fish

dise

ases

to O

IE

MOM

AF

x

• Ev

alua

tion

of fi

sh d

iseas

e re

port

s thr

ough

SSM

PI o

n lin

e (3

4 Pr

ovin

ces)

M

OMAF

x x

In

dica

tor D

.3.2

Rep

ortin

g ne

twor

k an

d pr

otoc

ols i

n co

untr

y →

201

7 Ca

pacit

y le

vel 3

•

Prep

arat

ion

of th

e M

inist

er o

f Hea

lth R

egul

atio

n on

One

Dat

a Po

licy

MOH

PU

SDAT

IN

x

•

Rese

arch

and

rout

ine

data

sync

hron

izatio

n to

acc

omm

odat

e On

e Da

ta

x

•

Inte

grat

ion

of H

ealth

Info

rmat

ion

Syst

em

x

•

Min

ister

of H

ealth

Reg

ulat

ion

on P

uske

smas

Info

rmat

ion

Syst

em (R

evie

w o

f Pu

skes

mas

Info

rmat

ion

Syst

em S

tand

ard)

x

x

• M

inist

ry o

f Agr

icultu

re r

egul

atio

n on

Ani

mal

Hea

lth In

form

atio

n Sy

stem

M

OA

x

• Pu

blic

hear

ing

of th

e M

inist

ry o

f Agr

icultu

re's

SI A

nim

al H

ealth

x

• Dr

aftin

g of

the

Min

istry

of M

arin

e Af

ffairs

(MOM

AF) o

n Fi

sh D

iseas

es

MOM

AF

x

• Ca

pacit

y bu

ildin

g fo

r Ref

eren

ce la

bora

tory

and

fish

dise

ase

test

ing

labo

rato

ries

x

67

TA W

ORKF

ORCE

DEV

ELOP

MEN

T

Targ

et:

Stat

e pa

rtie

s sh

ould

hav

e sk

illed

and

com

pete

nt h

ealth

per

sonn

el f

or s

usta

inab

le a

nd f

unct

iona

l pu

blic

heal

th s

urve

illan

ce a

nd

resp

onse

at a

ll le

vels

of th

e he

alth

syst

em a

nd th

e ef

fect

ive

impl

emen

tatio

n of

the

IHR

(200

5). A

wor

kfor

ce in

clude

s phy

sicia

ns, a

nim

al h

ealth

or

vet

erin

aria

ns,

bios

tatis

ticia

ns,

labo

rato

ry s

cient

ists,

farm

ing/

liv

esto

ck p

rofe

ssio

nals,

with

an

optim

al t

arge

t of

one

tra

ined

fie

ld

epid

emio

logi

st (o

r equ

ival

ent)

per 2

00,0

00 p

opul

atio

n, w

ho ca

n sy

stem

atica

lly co

oper

ate

to m

eet r

elev

ant I

HR a

nd P

VS co

re co

mpe

tenc

ies

JEE

Reco

mm

enda

tions

:

• En

sure

that

func

tiona

l pos

ition

s are

fille

d w

ith q

ualif

ied

pers

onne

l who

hav

e be

en a

ppro

pria

tely

trai

ned

• En

sure

tha

t th

e ve

terin

ary

wor

kfor

ce a

t fie

ld le

vel i

s su

fficie

nt t

o pe

rform

ant

e- a

nd p

ost-m

orte

m in

spec

tions

at

slaug

hter

hous

es, a

nd

anim

al h

ealth

surv

eilla

nce

and

cont

rol a

ctiv

ities

, in

line

with

inte

rnat

iona

l sta

ndar

ds

• Pr

ovid

e ap

prop

riate

ince

ntiv

es fo

r hum

an a

nd a

nim

al h

ealth

wor

kers

to b

e as

signe

d to

loca

l lev

el p

osts

and

to re

mot

e ar

eas

• St

reng

then

link

ages

with

aca

dem

ia a

nd in

tern

atio

nal p

artn

ers,

in o

rder

to e

nsur

e th

at th

e qu

ality

of a

pplie

d ep

idem

iolo

gy tr

aini

ng m

eets

gl

obal

stan

dard

s.

67

67

TA W

ORKF

ORCE

DEV

ELOP

MEN

T

Targ

et:

Stat

e pa

rtie

s sh

ould

hav

e sk

illed

and

com

pete

nt h

ealth

per

sonn

el f

or s

usta

inab

le a

nd f

unct

iona

l pu

blic

heal

th s

urve

illan

ce a

nd

resp

onse

at a

ll le

vels

of th

e he

alth

syst

em a

nd th

e ef

fect

ive

impl

emen

tatio

n of

the

IHR

(200

5). A

wor

kfor

ce in

clude

s phy

sicia

ns, a

nim

al h

ealth

or

vet

erin

aria

ns,

bios

tatis

ticia

ns,

labo

rato

ry s

cient

ists,

farm

ing/

liv

esto

ck p

rofe

ssio

nals,

with

an

optim

al t

arge

t of

one

tra

ined

fie

ld

epid

emio

logi

st (o

r equ

ival

ent)

per 2

00,0

00 p

opul

atio

n, w

ho ca

n sy

stem

atica

lly co

oper

ate

to m

eet r

elev

ant I

HR a

nd P

VS co

re co

mpe

tenc

ies

JEE

Reco

mm

enda

tions

:

• En

sure

that

func

tiona

l pos

ition

s are

fille

d w

ith q

ualif

ied

pers

onne

l who

hav

e be

en a

ppro

pria

tely

trai

ned

• En

sure

tha

t th

e ve

terin

ary

wor

kfor

ce a

t fie

ld le

vel i

s su

fficie

nt t

o pe

rform

ant

e- a

nd p

ost-m

orte

m in

spec

tions

at

slaug

hter

hous

es, a

nd

anim

al h

ealth

surv

eilla

nce

and

cont

rol a

ctiv

ities

, in

line

with

inte

rnat

iona

l sta

ndar

ds

• Pr

ovid

e ap

prop

riate

ince

ntiv

es fo

r hum

an a

nd a

nim

al h

ealth

wor

kers

to b

e as

signe

d to

loca

l lev

el p

osts

and

to re

mot

e ar

eas

• St

reng

then

link

ages

with

aca

dem

ia a

nd in

tern

atio

nal p

artn

ers,

in o

rder

to e

nsur

e th

at th

e qu

ality

of a

pplie

d ep

idem

iolo

gy tr

aini

ng m

eets

gl

obal

stan

dard

s.

68

68

ACTI

VITI

ES A

ND T

IMEL

INE

PRIO

RITY

ACT

IVIT

IES

MIN

ISTR

Y UN

IT

2018

20

19

2020

20

21

2022

In

dica

tor D

.4.1

. Hum

an re

sour

ces a

re a

vaila

ble

to im

plem

ent I

HR co

re ca

pacit

y →

201

7 Ca

pacit

y le

vel 3

•

Map

ping

of n

atio

nal H

R ne

eds (

doct

ors,

nurs

es, v

eter

inar

ians

, bio

stat

istics

, lab

sc

ienc

es, e

pide

mio

logi

sts)

M

OH

PPSD

M

x x

x x

x

• Fu

lfillm

ent o

f Hea

lth H

uman

Res

ourc

es th

roug

h th

e Nu

sant

ara

Seha

t pro

gram

M

OH

x x

x x

• Fu

lfillm

ent o

f Hea

lth H

uman

Res

ourc

es th

roug

h sp

ecia

l dut

y pr

ogra

ms (

tuks

us)

MOH

x

x x

x •

Com

pete

ncy

impr

ovem

ent o

f hea

lth h

uman

reso

urce

s M

OH

x x

x x

• In

crea

sed

com

pete

nce

of A

nim

al Q

uara

ntin

e hu

man

reso

urce

s (ve

terin

ary

and

vete

rinar

y pa

ram

edics

) M

OA

x

x x

x x

• De

velo

pmen

t of a

nim

al h

ealth

wor

kfor

ce n

etw

ork

and

wor

k co

ordi

natio

n M

OA

x

x x

x x

• Q

ualit

y as

sura

nce

/ sta

ndar

ds /

com

pete

ncie

s of h

uman

hea

lth

MOH

x

x x

x •

Qua

lity

assu

ranc

e / s

tand

ards

/ co

mpe

tenc

ies o

f Ani

mal

hea

lth

MOA

x

x x

x •

Map

ping

trai

ning

nee

ds re

late

d to

Det

ect-4

(hum

an h

ealth

wor

kfor

ce d

evel

opm

ent)

MOH

x

x x

x •

Map

ping

trai

ning

nee

ds re

late

d to

Det

ect-4

(ani

mal

hea

lth w

orkf

orce

dev

elop

men

t) M

OA

x x

x x

• Le

ader

ship

trai

ning

for i

nter

-disc

iplin

ary

and

mul

ti co

untr

ies s

tude

nts.

The

purp

ose

is to

dev

elop

the

colla

bora

tion

and

coor

dina

tion

to so

lve

heal

th is

sues

. PM

K

x x

• Le

ader

ship

trai

ning

for i

nter

-disc

iplin

ary

heal

th p

rofe

ssio

nal t

o so

lve

heal

th

prob

lem

. Thi

s tra

inin

g in

cludi

ng in

-cla

ss tr

aini

ng a

nd fi

eld

visit

in C

itaru

mriv

er.

PM

K

x x

• Gl

obal

Hea

lth D

iplo

mac

y (G

HD) T

rain

ing

is a

thre

e to

five

-day

inte

nsiv

e pr

ogra

m

that

com

bine

40

perc

ent t

heor

y an

d 60

per

cent

pra

ctice

. PM

K

x x

Indi

cato

r D.4

.2. A

pplie

d ep

idem

iolo

gy tr

aini

ng p

rogr

am in

pla

ce su

ch a

s FET

P →

201

7 Ca

pacit

y le

vel 4

•

Capa

city

build

ing

for t

he H

ead

of D

epar

tmen

t reg

ardi

ng a

pplie

d-ep

idem

iolo

gy in

de

cisio

n m

akin

g an

d tr

aini

ng cu

rricu

lum

for H

ealth

Offi

ce H

eads

(tec

hnica

l st

anda

rds)

MOH

x x

x x

x

• Ap

plie

d-ep

idem

iolo

gy tr

aini

ng in

fron

tline

-like

trai

ning

at F

KTP

MOH

x

x x

x

69

• Ap

plie

d-ep

idem

iolo

gica

l tec

hnica

l gui

danc

e fo

r peo

ple

in p

oten

tial o

utbr

eaks

are

as

MOH

x

x x

x •

Advo

cacy

to st

akeh

olde

rs (c

entr

al /

regi

onal

) reg

ardi

ng H

R ut

iliza

tion

(ince

ntiv

es,

plac

emen

t, qu

ality

stan

dard

s, et

c.)

MOH

x

x x

x

• Up

datin

g of

curr

iculu

m a

nd m

odul

es o

fToT

surv

eilla

nce

to su

ppor

t hea

lth a

dvoc

acy

MOH

x

•

ToT

on su

rvei

llanc

e to

Sup

port

hea

lth a

dvoc

acy

MOH

x

•

Capa

city

build

ing

for e

pide

mio

logi

st to

US

CDC

for S

urve

illan

ce S

yste

m

MOH

x

•

One

Heal

th tr

aini

ng (o

utbr

eak

inve

stig

atio

n)

MOH

x x

x x

x •

AMTC

M

OH

x

x x

x x

• Su

ppor

t One

Hea

lth co

llabo

ratio

n an

d co

ordi

natio

n be

twee

n go

vern

men

t and

un

iver

sitie

s M

OA

x

• Su

ppor

t cur

ricul

um d

evel

opm

ent f

or p

re-s

ervi

ce a

nd in

-ser

vice

pou

ltry

heal

th

capa

city

build

ing

MOA

x

• Su

ppor

t the

dev

elop

men

t of F

ETPV

in In

done

sia

MOA

x

•

Capa

city

build

ing

for f

ield

epi

dem

iolo

gy fo

r vet

erin

ary

offic

ers (

FETP

deg

ree

& n

on

degr

ee)

MOA

x x

x x

x

• Ad

voca

cy to

stak

ehol

ders

(cen

tral

/ re

gion

al) r

egar

ding

HR

utili

zatio

n (in

cent

ives

, pl

acem

ent,

qual

ity st

anda

rds,

etc.

) M

OA

Indi

cato

r D.4

.3. W

orkf

orce

stra

tegy

→ 2

017

Capa

city

leve

l 3

• St

reng

then

ing

the

HR d

atab

ase

for P

PSDM

pla

nnin

g M

OH

x x

x x

• De

velo

pmen

t of a

nat

iona

l PPS

DM st

rate

gic p

lan

x

x x

x

69

69

• Ap

plie

d-ep

idem

iolo

gica

l tec

hnica

l gui

danc

e fo

r peo

ple

in p

oten

tial o

utbr

eaks

are

as

MOH

x

x x

x •

Advo

cacy

to st

akeh

olde

rs (c

entr

al /

regi

onal

) reg

ardi

ng H

R ut

iliza

tion

(ince

ntiv

es,

plac

emen

t, qu

ality

stan

dard

s, et

c.)

MOH

x

x x

x

• Up

datin

g of

curr

iculu

m a

nd m

odul

es o

fToT

surv

eilla

nce

to su

ppor

t hea

lth a

dvoc

acy

MOH

x

•

ToT

on su

rvei

llanc

e to

Sup

port

hea

lth a

dvoc

acy

MOH

x

•

Capa

city

build

ing

for e

pide

mio

logi

st to

US

CDC

for S

urve

illan

ce S

yste

m

MOH

x

•

One

Heal

th tr

aini

ng (o

utbr

eak

inve

stig

atio

n)

MOH

x x

x x

x •

AMTC

M

OH

x

x x

x x

• Su

ppor

t One

Hea

lth co

llabo

ratio

n an

d co

ordi

natio

n be

twee

n go

vern

men

t and

un

iver

sitie

s M

OA

x

• Su

ppor

t cur

ricul

um d

evel

opm

ent f

or p

re-s

ervi

ce a

nd in

-ser

vice

pou

ltry

heal

th

capa

city

build

ing

MOA

x

• Su

ppor

t the

dev

elop

men

t of F

ETPV

in In

done

sia

MOA

x

•

Capa

city

build

ing

for f

ield

epi

dem

iolo

gy fo

r vet

erin

ary

offic

ers (

FETP

deg

ree

& n

on

degr

ee)

MOA

x x

x x

x

• Ad

voca

cy to

stak

ehol

ders

(cen

tral

/ re

gion

al) r

egar

ding

HR

utili

zatio

n (in

cent

ives

, pl

acem

ent,

qual

ity st

anda

rds,

etc.

) M

OA

Indi

cato

r D.4

.3. W

orkf

orce

stra

tegy

→ 2

017

Capa

city

leve

l 3

• St

reng

then

ing

the

HR d

atab

ase

for P

PSDM

pla

nnin

g M

OH

x x

x x

• De

velo

pmen

t of a

nat

iona

l PPS

DM st

rate

gic p

lan

x

x x

x

70

70

TA P

REPA

REDN

ESS

Targ

ets:

Prep

ared

ness

inclu

des t

he d

evel

opm

ent a

nd m

aint

enan

ce o

f nat

iona

l, in

term

edia

te a

nd lo

cal o

r prim

ary

resp

onse

leve

l pub

lic h

ealth

em

erge

ncy

resp

onse

pla

ns f

or r

elev

ant

biol

ogica

l, ch

emica

l, ra

diol

ogica

l an

d nu

clear

haz

ards

. Th

is co

vers

map

ping

of

pote

ntia

l ha

zard

s, id

entif

icatio

n an

d m

aint

enan

ce o

f ava

ilabl

e re

sour

ces,

inclu

ding

nat

iona

l sto

ckpi

les a

nd th

e ca

pacit

y to

supp

ort o

pera

tions

at t

he in

term

edia

te

and

loca

l or p

rimar

y re

spon

se le

vels

durin

g a

publ

ic he

alth

em

erge

ncy

JEE

Reco

mm

enda

tions

:

• Re

view

and

upd

ate

natio

nal d

isast

er p

lans

, par

ticul

arly

with

reg

ard

to C

BRN

haza

rds,

surg

e ca

pacit

y, r

esou

rce

mob

iliza

tion

(inclu

ding

tr

eatm

ent f

acili

ties a

nd la

bora

torie

s), a

nd st

ockp

iles

• In

crea

se u

nder

stan

ding

and

cap

acity

to p

reve

nt, v

erify

and

resp

ond

to m

ultip

le h

azar

ds a

mon

g re

leva

nt s

take

hold

ers

(e.g

. poi

nts o

f ent

ry,

labo

rato

ries,

loca

l gov

ernm

ent,

etc.

). In

clude

regu

lar s

take

hold

er p

lann

ing

mee

tings

and

sim

ulat

ion

exer

cises

•

Incr

ease

loca

l disa

ster

pla

nnin

g, in

cludi

ng b

y ex

pand

ing

cont

inge

ncy

plan

s for

mul

tiple

haz

ards

from

300

dist

ricts

/mun

icipa

litie

s to

a fu

rthe

r 17

4 di

stric

ts b

y 20

20, a

nd b

y in

crea

sing

loca

l gov

ernm

ent p

lann

ing

and

budg

et a

lloca

tions

for d

isast

ers

• Re

view

nat

iona

l disa

ster

risk

ass

essm

ents

(inc

ludi

ng ri

sk in

dexe

s) in

the

cont

ext o

f all

IHR-

rela

ted

haza

rds,

and

com

pile

into

a n

atio

nal r

isk

prof

ile

71

ACTI

VITI

ES A

ND T

IMEL

INE

PRIO

RITY

ACT

IVIT

IES

MIN

ISTR

Y UN

IT

2018

20

19

2020

20

21

2022

In

dica

tor R

.1.1

Mul

ti-ha

zard

nat

iona

l pub

lic h

ealth

em

erge

ncy

prep

ared

ness

and

resp

onse

pla

n is

deve

lope

d an

d im

plem

ente

d →

201

7 Ca

pacit

y le

vel 3

•

Revi

ew th

e Na

tiona

l Con

tinge

ncy

Plan

M

OH

ISPA

x

x

• ta

ble

top

exer

cise

of n

atio

nal c

ontin

genc

y pl

ans a

ccor

ding

to th

e di

stric

t/ ci

ty h

azar

d ris

k m

anag

emen

t res

ult

MOH

IS

PA

x x

x x

• pr

epar

edne

ss tr

aini

ng o

n bi

olog

ical,

nucle

ar a

nd ch

emica

l thr

eats

that

hav

e th

e po

tent

ial f

or p

ublic

hea

lth e

mer

genc

y M

OH

ISPA

x x

x x

• Re

view

the

Natio

nal C

ontin

genc

y Pl

an fo

r zoo

nosis

and

EID

M

OH

ISPA

x

x

• ta

ble

top

exer

cise

of n

atio

nal c

ontin

genc

y pl

ans o

n zo

onos

is &

EID

in d

istric

t/ ci

ty

MOH

PI

E

x x

x x

• ta

ble

top

exer

cise

of n

atio

nal c

ontin

genc

y pl

ans o

n zo

onos

is an

d EI

D in

pro

vinc

e M

OH

PIE

x

x x

x •

Cont

inge

ncy

plan

for d

istric

t with

dire

ct a

cces

s to

inte

rnat

iona

l POE

M

OH

KARK

ES

x x

•

EID

and

Pand

emic

Prep

ared

ness

Wor

ksho

p as

par

t of H

ospi

tal E

mer

genc

y Pl

an

(Hos

pita

l Disa

ster

Pre

pare

dnes

s Pla

n)

MOH

PI

E

x

• W

orks

hop

on p

ande

mic

and

EID

prep

ared

ness

pla

ns in

the

hosp

ital

MOH

PI

E

x

• M

appi

ng a

nd re

view

SOP

pla

n fo

r dist

ribut

ion

of d

rugs

and

PPE

. M

OH

ISPA

x

x x

x x

• ta

ble

top

exer

cise

of n

atio

nal c

ontin

genc

y pl

ans a

ccor

ding

to th

e pr

ovin

ce h

azar

d ris

k m

anag

emen

t res

ult

BNPB

(Nat

iona

l Di

sast

er

Man

agem

ent

Agen

cy)

x

x x

x x

• Th

e sim

ulat

ion

of n

atio

nal c

ontin

genc

y pl

ans b

ecom

es a

n op

erat

iona

l pla

n ac

cord

ing

to

the

resu

lts o

f risk

haz

ard

man

agem

ent i

n st

ages

/ tie

red.

BN

PB

x

x

Indi

cato

r R.1

.2 P

riorit

y pu

blic

heal

th ri

sks a

nd re

sour

ces a

re m

appe

d an

d ut

ilize

d →

201

7 Ca

pacit

y le

vel 2

•

Trai

ning

/ W

orks

hop

to u

se JR

A to

ols f

or zo

onot

ic di

seas

es

MOH

Zo

onos

es

x x

•

One

Heal

th T

rain

ing

/ Wor

ksho

p fo

r hig

h ris

k ar

eas f

or e

ach

sect

or fo

llow

ed b

y jo

int

trai

ning

M

OH

Zoon

oses

x

x x

x x

• As

sess

men

t of i

nfra

stru

ctur

e, fa

ciliti

es a

nd H

R in

Nat

iona

l and

Reg

iona

l Hos

pita

l M

OH

ISPA

x

• EI

D ris

k m

appi

ng

MOH

PI

E x

x x

x x

71

71

ACTI

VITI

ES A

ND T

IMEL

INE

PRIO

RITY

ACT

IVIT

IES

MIN

ISTR

Y UN

IT

2018

20

19

2020

20

21

2022

In

dica

tor R

.1.1

Mul

ti-ha

zard

nat

iona

l pub

lic h

ealth

em

erge

ncy

prep

ared

ness

and

resp

onse

pla

n is

deve

lope

d an

d im

plem

ente

d →

201

7 Ca

pacit

y le

vel 3

•

Revi

ew th

e Na

tiona

l Con

tinge

ncy

Plan

M

OH

ISPA

x

x

• ta

ble

top

exer

cise

of n

atio

nal c

ontin

genc

y pl

ans a

ccor

ding

to th

e di

stric

t/ ci

ty h

azar

d ris

k m

anag

emen

t res

ult

MOH

IS

PA

x x

x x

• pr

epar

edne

ss tr

aini

ng o

n bi

olog

ical,

nucle

ar a

nd ch

emica

l thr

eats

that

hav

e th

e po

tent

ial f

or p

ublic

hea

lth e

mer

genc

y M

OH

ISPA

x x

x x

• Re

view

the

Natio

nal C

ontin

genc

y Pl

an fo

r zoo

nosis

and

EID

M

OH

ISPA

x

x

• ta

ble

top

exer

cise

of n

atio

nal c

ontin

genc

y pl

ans o

n zo

onos

is &

EID

in d

istric

t/ ci

ty

MOH

PI

E

x x

x x

• ta

ble

top

exer

cise

of n

atio

nal c

ontin

genc

y pl

ans o

n zo

onos

is an

d EI

D in

pro

vinc

e M

OH

PIE

x

x x

x •

Cont

inge

ncy

plan

for d

istric

t with

dire

ct a

cces

s to

inte

rnat

iona

l POE

M

OH

KARK

ES

x x

•

EID

and

Pand

emic

Prep

ared

ness

Wor

ksho

p as

par

t of H

ospi

tal E

mer

genc

y Pl

an

(Hos

pita

l Disa

ster

Pre

pare

dnes

s Pla

n)

MOH

PI

E

x

• W

orks

hop

on p

ande

mic

and

EID

prep

ared

ness

pla

ns in

the

hosp

ital

MOH

PI

E

x

• M

appi

ng a

nd re

view

SOP

pla

n fo

r dist

ribut

ion

of d

rugs

and

PPE

. M

OH

ISPA

x

x x

x x

• ta

ble

top

exer

cise

of n

atio

nal c

ontin

genc

y pl

ans a

ccor

ding

to th

e pr

ovin

ce h

azar

d ris

k m

anag

emen

t res

ult

BNPB

(Nat

iona

l Di

sast

er

Man

agem

ent

Agen

cy)

x

x x

x x

• Th

e sim

ulat

ion

of n

atio

nal c

ontin

genc

y pl

ans b

ecom

es a

n op

erat

iona

l pla

n ac

cord

ing

to

the

resu

lts o

f risk

haz

ard

man

agem

ent i

n st

ages

/ tie

red.

BN

PB

x

x

Indi

cato

r R.1

.2 P

riorit

y pu

blic

heal

th ri

sks a

nd re

sour

ces a

re m

appe

d an

d ut

ilize

d →

201

7 Ca

pacit

y le

vel 2

•

Trai

ning

/ W

orks

hop

to u

se JR

A to

ols f

or zo

onot

ic di

seas

es

MOH

Zo

onos

es

x x

•

One

Heal

th T

rain

ing

/ Wor

ksho

p fo

r hig

h ris

k ar

eas f

or e

ach

sect

or fo

llow

ed b

y jo

int

trai

ning

M

OH

Zoon

oses

x

x x

x x

• As

sess

men

t of i

nfra

stru

ctur

e, fa

ciliti

es a

nd H

R in

Nat

iona

l and

Reg

iona

l Hos

pita

l M

OH

ISPA

x

• EI

D ris

k m

appi

ng

MOH

PI

E x

x x

x x

72

72

TA E

MER

GENC

Y RE

SPON

SE O

PERA

TION

S

Targ

et:

Coun

trie

s w

ill h

ave

a pu

blic

heal

th e

mer

genc

y op

erat

ion

cent

re (

EOC)

fun

ctio

ning

acc

ordi

ng t

o m

inim

um c

omm

on s

tand

ards

; m

aint

aini

ng t

rain

ed, f

unct

ioni

ng, m

ulti-

sect

oral

rap

id r

espo

nse

team

s an

d “r

eal-t

ime”

bio

surv

eilla

nce

labo

rato

ry n

etw

orks

and

info

rmat

ion

syst

ems;

and

trai

ned

EOC

staf

f cap

able

of a

ctiv

atin

g a

coor

dina

ted

emer

genc

y re

spon

se w

ithin

120

min

utes

of t

he id

entif

icatio

n of

a p

ublic

he

alth

em

erge

ncy

JEE

Reco

mm

enda

tions

:

• Im

plem

ent

com

preh

ensiv

e tr

aini

ng in

cas

e m

anag

emen

t an

d in

fect

ion

prev

entio

n an

d co

ntro

l for

all

heal

th p

erso

nnel

bas

ed o

n an

all-

haza

rds a

ppro

ach,

and

inclu

ding

the

IHR

(200

5)

• De

velo

p a

natio

nal h

ealth

sec

tor

cont

inge

ncy

plan

for

IHR

-rele

vant

haz

ards

and

inte

grat

e it

with

the

Nat

iona

l Disa

ster

Man

agem

ent

Auth

ority

cont

inge

ncy

plan

•

Impr

ove

publ

ic he

alth

em

erge

ncy

man

agem

ent c

apac

ities

—sp

ecifi

cally

on

IHR

(200

5)—

for d

esig

nate

d re

ferr

al h

ospi

tals,

inclu

ding

thro

ugh

trai

ning

, inf

rast

ruct

ure

deve

lopm

ent,

and

stan

dard

ope

ratin

g pr

oced

ures

(SOP

s)

• Im

prov

e co

ordi

natio

n an

d co

llabo

ratio

n fo

r em

erge

ncy

resp

onse

bet

wee

n th

e op

erat

ions

cen

tres

with

in t

he M

inist

ry o

f He

alth

and

be

twee

n th

e M

OH a

nd o

ther

rela

ted

sect

ors

• St

reng

then

info

rmat

ion

exch

ange

syst

ems b

etw

een

the

Min

istry

of H

ealth

and

oth

er a

genc

ies b

y ho

ldin

g re

gula

r mee

tings

, con

duct

ing

join

t ex

ercis

es, a

nd e

stab

lishi

ng m

emor

anda

of u

nder

stan

ding

(MOU

) with

oth

er o

pera

tions

cent

res.

73

ACTI

VITI

ES A

ND T

IMEL

INE

PRIO

RITY

ACT

IVIT

IES

MIN

ISTR

Y UN

IT

2018

20

19

2020

20

21

2022

In

dica

tor R

.2.1

Cap

acity

to A

ctiv

ate

Emer

genc

y Op

erat

ions

→ 2

017

Capa

city

leve

l 3

• He

alth

Clu

ster

Coo

rdin

atio

n M

eetin

g M

OH

PKK

x x

•

Impl

emen

tatio

n of

MOH

& B

NPB

coop

erat

ion

base

d on

the

2014

MoU

on

Disa

ster

Risk

Re

duct

ion

in h

ealth

disa

ster

man

agem

ent

MOH

PK

K x

x x

x x

• Th

e im

plem

enta

tion

of M

OH &

BM

KG co

oper

atio

n ba

sed

on th

e 20

14 M

oU

MOH

PK

K x

x x

x x

• Co

llabo

ratio

n w

ith th

e 3

Univ

ersit

ies o

n th

e Im

plem

enta

tion

of H

ealth

Cris

is Ri

sk

Man

agem

ent b

ased

on

the

MCC

that

was

arr

ange

d in

201

7 (U

I, UG

M a

nd U

nibr

aw)

and

the

Coop

erat

ion

Agre

emen

t whi

ch is

targ

eted

to b

e sig

ned

in 2

019

with

3 o

ther

Un

iver

sitie

s (pl

anne

d w

ith U

nhas

, Uns

yah

Kual

a an

d Un

pad)

MOH

PK

K x

Indi

cato

r R.2

.2 E

mer

genc

y Op

erat

ions

Cen

tre

Oper

atin

g Pr

oced

ures

and

Pla

ns →

201

7 Ca

pacit

y le

vel 2

•

Prep

arat

ion

of a

join

t EOC

bet

wee

n th

e PK

K, S

KK D

irect

orat

e an

d NC

C

• Re

vise

d M

inist

er o

f Hea

lth R

egul

atio

n No

. 64/

2013

on

Heal

th C

risis

Man

agem

ent

MOH

PK

K

x

• Pr

epar

atio

n of

Tec

hnica

l Gui

delin

es fo

r Pro

vinc

ial M

inim

um S

ervi

ce S

tand

ards

in

Heal

th cr

isis m

anag

emen

t (Pe

rmen

dagr

i) M

OH

PKK

x

• Pr

epar

atio

n of

Hea

lth C

lust

er G

uide

lines

M

OH

PKK

x

In

dica

tor R

.2.3

Em

erge

ncy

Oper

atio

ns P

rogr

am →

201

7 Ca

pacit

y le

vel 3

•

Capa

city

build

ing

of d

istric

ts a

nd p

rovi

nces

for c

ontin

genc

y pl

ans (

3-ye

ar p

rogr

ams)

, na

mel

y: A

ssist

ance

, tra

inin

g: re

spon

se m

aps,

Hosp

ital p

repa

redn

ess i

n di

sast

ers,

SIPK

K, C

ontin

genc

y Pl

ans,

TTX

& S

imul

atio

n)

MOH

PK

K x

x x

x x

Indi

cato

r R.2

.4 C

ase

man

agem

ent p

roce

dure

s are

impl

emen

ted

for I

HR re

leva

nt h

azar

ds →

201

7 Ca

pacit

y le

vel 3

•

PMK

Diss

emin

atio

n Ab

out A

mbu

lanc

e Se

rvice

s

73

73

ACTI

VITI

ES A

ND T

IMEL

INE

PRIO

RITY

ACT

IVIT

IES

MIN

ISTR

Y UN

IT

2018

20

19

2020

20

21

2022

In

dica

tor R

.2.1

Cap

acity

to A

ctiv

ate

Emer

genc

y Op

erat

ions

→ 2

017

Capa

city

leve

l 3

• He

alth

Clu

ster

Coo

rdin

atio

n M

eetin

g M

OH

PKK

x x

•

Impl

emen

tatio

n of

MOH

& B

NPB

coop

erat

ion

base

d on

the

2014

MoU

on

Disa

ster

Risk

Re

duct

ion

in h

ealth

disa

ster

man

agem

ent

MOH

PK

K x

x x

x x

• Th

e im

plem

enta

tion

of M

OH &

BM

KG co

oper

atio

n ba

sed

on th

e 20

14 M

oU

MOH

PK

K x

x x

x x

• Co

llabo

ratio

n w

ith th

e 3

Univ

ersit

ies o

n th

e Im

plem

enta

tion

of H

ealth

Cris

is Ri

sk

Man

agem

ent b

ased

on

the

MCC

that

was

arr

ange

d in

201

7 (U

I, UG

M a

nd U

nibr

aw)

and

the

Coop

erat

ion

Agre

emen

t whi

ch is

targ

eted

to b

e sig

ned

in 2

019

with

3 o

ther

Un

iver

sitie

s (pl

anne

d w

ith U

nhas

, Uns

yah

Kual

a an

d Un

pad)

MOH

PK

K x

Indi

cato

r R.2

.2 E

mer

genc

y Op

erat

ions

Cen

tre

Oper

atin

g Pr

oced

ures

and

Pla

ns →

201

7 Ca

pacit

y le

vel 2

•

Prep

arat

ion

of a

join

t EOC

bet

wee

n th

e PK

K, S

KK D

irect

orat

e an

d NC

C

• Re

vise

d M

inist

er o

f Hea

lth R

egul

atio

n No

. 64/

2013

on

Heal

th C

risis

Man

agem

ent

MOH

PK

K

x

• Pr

epar

atio

n of

Tec

hnica

l Gui

delin

es fo

r Pro

vinc

ial M

inim

um S

ervi

ce S

tand

ards

in

Heal

th cr

isis m

anag

emen

t (Pe

rmen

dagr

i) M

OH

PKK

x

• Pr

epar

atio

n of

Hea

lth C

lust

er G

uide

lines

M

OH

PKK

x

In

dica

tor R

.2.3

Em

erge

ncy

Oper

atio

ns P

rogr

am →

201

7 Ca

pacit

y le

vel 3

•

Capa

city

build

ing

of d

istric

ts a

nd p

rovi

nces

for c

ontin

genc

y pl

ans (

3-ye

ar p

rogr

ams)

, na

mel

y: A

ssist

ance

, tra

inin

g: re

spon

se m

aps,

Hosp

ital p

repa

redn

ess i

n di

sast

ers,

SIPK

K, C

ontin

genc

y Pl

ans,

TTX

& S

imul

atio

n)

MOH

PK

K x

x x

x x

Indi

cato

r R.2

.4 C

ase

man

agem

ent p

roce

dure

s are

impl

emen

ted

for I

HR re

leva

nt h

azar

ds →

201

7 Ca

pacit

y le

vel 3

•

PMK

Diss

emin

atio

n Ab

out A

mbu

lanc

e Se

rvice

s

74

74

TA LI

NKIN

G PU

BLIC

HEA

LTH

AND

SECU

RITY

AUT

HORI

TIES

Targ

et: I

n th

e ev

ent o

f a b

iolo

gica

l eve

nt o

f sus

pect

ed o

r con

firm

ed d

elib

erat

e or

igin

, a c

ount

ry w

ill b

e ab

le to

con

duct

a ra

pid,

mul

tisec

tora

l re

spon

se, i

nclu

ding

the

capa

city

to li

nk p

ublic

hea

lth a

nd la

w e

nfor

cem

ent,

and

to p

rovi

de a

nd/o

r req

uest

effe

ctiv

e an

d tim

ely

inte

rnat

iona

l as

sista

nce,

inclu

ding

to in

vest

igat

e al

lege

d us

e ev

ents

JEE

Reco

mm

enda

tions

:

• Co

mpl

etel

y re

vise

infe

ctio

us d

iseas

e ou

tbre

ak a

nd h

ealth

qua

rant

ine

law

s to

ens

ure

the

inclu

sion

of la

nd q

uara

ntin

e m

easu

res

and

clear

m

anda

tes f

or co

llabo

ratio

n •

Revi

ew M

OUs

with

vet

erin

ary

auth

oriti

es. I

dent

ify p

oint

s of

con

tact

and

the

trig

gers

for

not

ifica

tion

and

info

rmat

ion

shar

ing

betw

een

rele

vant

aut

horit

ies

• Re

view

regu

latio

ns to

stre

ngth

en IH

R ca

pacit

y in

cludi

ng co

unte

r ter

roris

m m

easu

res,

inclu

ding

at p

oint

s of e

ntry

•

Fina

lize

the

MOU

and

SOP

s on

dev

elop

ing

and

impl

emen

ting

an e

lect

roni

c zo

onos

is an

d em

ergi

ng in

fect

ious

dise

ase

info

rmat

ion

syst

em

that

is li

nked

to o

ther

hum

an a

nd a

nim

al h

ealth

dat

abas

es. T

he M

OU a

nd S

OPs s

houl

d be

effe

ctiv

e be

twee

n th

e Co

ordi

natin

g M

inist

ry fo

r Hu

man

Dev

elop

men

t and

Cul

tura

l Affa

irs; t

he M

inist

ry o

f Hea

lth; t

he M

inist

ry o

f Agr

icultu

re; t

he M

inist

ry o

f Env

ironm

ent a

nd F

ores

try;

and

th

e Na

tiona

l Disa

ster

Man

agem

ent A

utho

rity

• In

crea

se th

e nu

mbe

r of p

rovi

nces

that

hav

e re

ceiv

ed tr

aini

ng o

n bi

olog

ical d

efen

se a

nd p

ublic

hea

lth e

mer

genc

y of

inte

rnat

iona

l con

cern

(P

HEIC

) cou

nter

mea

sure

s fro

m 1

1 to

all

prov

ince

s.

75

ACTI

VITI

ES A

ND T

IMEL

INE

PRIO

RITY

ACT

IVIT

IES

MIN

ISTR

Y UN

IT

2018

20

19

2020

20

21

2022

In

dica

tor R

.3.1

Pub

lic H

ealth

and

Sec

urity

Aut

horit

ies,

(e.g

. Law

Enf

orce

men

t, Bo

rder

Con

trol

, Cus

tom

s) a

re li

nked

dur

ing

a su

spec

t or c

onfir

med

bio

logi

cal

even

t → 2

017

Capa

city

leve

l 4

• Re

visio

n of

the

Sea

and

Air Q

uara

ntin

e La

w t

o La

w o

n He

alth

Qua

rant

ine)

M

OH

HUKO

R x

• Re

visio

n on

Infe

ctio

us d

iseas

e La

w

x x

•

Fina

lizat

ion

of th

e

• In

stru

ctio

n on

Enh

ancin

g Ab

ility

to P

reve

nt, D

etec

t and

Res

pond

to D

iseas

e Ou

tbre

aks,

Glob

al P

ande

mic

and

Nucle

ar E

mer

genc

y, B

iolo

gica

l and

Che

mica

l

x

• Co

mpl

etin

g M

OUs a

nd S

OPs o

n th

e de

velo

pmen

t and

impl

emen

tatio

n of

in

form

atio

n sy

stem

s for

em

ergi

ng zo

onot

ic an

d in

fect

ious

dise

ases

conn

ecte

d be

twee

n hu

man

and

ani

mal

hea

lth d

atab

ases

/ Zo

onot

ic In

form

atio

n Sy

stem

s an

d Em

ergi

ng In

fect

ious

Dise

ases

(SIZ

E)

x x

• In

crea

sing

Num

ber o

f Pro

vinc

es /

Dist

ricts

/ Ci

ties t

hat R

ecei

ve T

rain

ing

on

Terr

orism

/ Em

erge

ncy

Nucle

ar B

iolo

gica

l Che

mica

l (NU

BIKA

) BN

PT

(Nat

iona

l Co

unte

rter

ror

ism

Agen

cy)

75

75

ACTI

VITI

ES A

ND T

IMEL

INE

PRIO

RITY

ACT

IVIT

IES

MIN

ISTR

Y UN

IT

2018

20

19

2020

20

21

2022

In

dica

tor R

.3.1

Pub

lic H

ealth

and

Sec

urity

Aut

horit

ies,

(e.g

. Law

Enf

orce

men

t, Bo

rder

Con

trol

, Cus

tom

s) a

re li

nked

dur

ing

a su

spec

t or c

onfir

med

bio

logi

cal

even

t → 2

017

Capa

city

leve

l 4

• Re

visio

n of

the

Sea

and

Air Q

uara

ntin

e La

w t

o La

w o

n He

alth

Qua

rant

ine)

M

OH

HUKO

R x

• Re

visio

n on

Infe

ctio

us d

iseas

e La

w

x x

•

Fina

lizat

ion

of th

e

• In

stru

ctio

n on

Enh

ancin

g Ab

ility

to P

reve

nt, D

etec

t and

Res

pond

to D

iseas

e Ou

tbre

aks,

Glob

al P

ande

mic

and

Nucle

ar E

mer

genc

y, B

iolo

gica

l and

Che

mica

l

x

• Co

mpl

etin

g M

OUs a

nd S

OPs o

n th

e de

velo

pmen

t and

impl

emen

tatio

n of

in

form

atio

n sy

stem

s for

em

ergi

ng zo

onot

ic an

d in

fect

ious

dise

ases

conn

ecte

d be

twee

n hu

man

and

ani

mal

hea

lth d

atab

ases

/ Zo

onot

ic In

form

atio

n Sy

stem

s an

d Em

ergi

ng In

fect

ious

Dise

ases

(SIZ

E)

x x

• In

crea

sing

Num

ber o

f Pro

vinc

es /

Dist

ricts

/ Ci

ties t

hat R

ecei

ve T

rain

ing

on

Terr

orism

/ Em

erge

ncy

Nucle

ar B

iolo

gica

l Che

mica

l (NU

BIKA

) BN

PT

(Nat

iona

l Co

unte

rter

ror

ism

Agen

cy)

76

76

TA M

EDIC

AL C

OUNT

ERM

EASU

RES

AND

PERS

ONNE

L DEP

LOYM

ENT

Targ

et: A

nat

iona

l fra

mew

ork

for

tran

sfer

ring

(sen

ding

and

rec

eivi

ng)

med

ical c

ount

erm

easu

res

and

publ

ic he

alth

and

med

ical p

erso

nnel

am

ong

inte

rnat

iona

l par

tner

s dur

ing

publ

ic he

alth

em

erge

ncie

s

JEE

Reco

mm

enda

tions

:

• Re

view

and

upd

ate

legi

slatio

n an

d st

anda

rds

for

inte

rnat

iona

l dep

loym

ent

of h

ealth

per

sonn

el a

ccor

ding

to

inte

rnat

iona

l sta

ndar

ds, i

n or

der t

o en

cour

age

furt

her d

eplo

ymen

ts

• De

velo

p re

gula

tions

for s

endi

ng m

edica

l cou

nter

mea

sure

s, ba

sed

on in

tern

atio

nal s

tand

ards

•

Deve

lop

SOPs

on

how

to m

onito

r and

eva

luat

e th

e w

ork

of n

atio

nal a

nd in

tern

atio

nal r

espo

nse

team

s dur

ing

emer

genc

ies

• M

ap a

vaila

ble

resp

onse

team

s and

hea

lth ca

re fa

ciliti

es (i

nclu

ding

thos

e ru

n by

NGO

s, go

vern

men

t, an

d ot

her a

ctor

s) ca

pabl

e of

inte

grat

ing

fore

ign

pers

onne

l dur

ing

emer

genc

ies

• Ad

voca

te a

nd e

ncou

rage

act

ivity

and

gre

ater

invo

lvem

ent

of t

he h

ealth

sec

tor

in in

tern

atio

nal/r

egio

nal c

oord

inat

ion

plat

form

s su

ch a

s AS

EAN’

s AHA

Cen

tre.

77

ACTI

VITI

ES A

ND T

IMEL

INE

PRIO

RITY

ACT

IVIT

IES

MIN

ISTR

Y UN

IT

2018

20

19

2020

20

21

2022

In

dica

tor R

.2.1

Cap

acity

to A

ctiv

ate

Emer

genc

y Op

erat

ions

→ 2

017

Capa

city

leve

l 3

• Ad

voca

cy a

nd d

issem

inat

ion

of th

e ro

le o

f the

MOH

in th

e m

echa

nism

of m

edica

l co

unte

r mea

sure

s to

cros

s pro

gram

s / se

ctor

s M

OH

PKK

x x

x x

x

• M

obili

zatio

n fo

r log

istic/

med

icine

x x

• Co

untr

y pa

rtici

pate

s/ h

as fo

rmal

agr

eem

ent i

n re

gion

al/ i

nter

natio

nal p

artn

ersh

ips

(i.e.

AAD

MER

, WHO

GOA

RN e

tc)

x x

x x

x

Indi

cato

r R.2

.2 E

mer

genc

y Op

erat

ions

Cen

tre

Oper

atin

g Pr

oced

ures

and

Pla

ns →

201

7 Ca

pacit

y le

vel 2

•

Regu

latio

n/ p

olicy

for E

mer

genc

y M

edica

l Tea

m (E

MT)

refe

rrin

g to

glo

bal s

tand

ard

and

Indo

nesia

cond

ition

(clu

ster

ing)

, inc

ludi

ng:

•Per

sonn

el re

gist

ratio

n•Pe

rson

nel c

ertif

icatio

n•Pe

rson

nel d

eplo

ymen

t

MOH

PK

K x

• Da

taba

se o

f Hea

lth p

erso

nnel

(Hea

lth w

orke

r dat

abas

e w

ho ca

n be

mob

ilize

d fo

r em

erge

ncy

and

outb

reak

) M

OH

PKK

x x

x x

x

• Da

taba

se/ M

appi

ng o

f hea

lth ca

re fa

ciliti

es (i

nclu

ding

thos

e ru

n by

NGO

s, go

vern

men

t, an

d ot

her a

ctor

s) ca

pabl

e of

inte

grat

ing

fore

ign

pers

onne

l dur

ing

emer

genc

ies

MOH

PK

K x

x x

x x

• M

onito

ring

and

eval

uatio

n of

inte

rnat

iona

l med

ical/

pers

onne

l cou

nter

mea

sure

s M

OH

PKK

x x

x x

x •

Mob

iliza

tion

for h

ealth

per

sonn

el

MOH

PK

K x

x x

x x

77

77

ACTI

VITI

ES A

ND T

IMEL

INE

PRIO

RITY

ACT

IVIT

IES

MIN

ISTR

Y UN

IT

2018

20

19

2020

20

21

2022

In

dica

tor R

.2.1

Cap

acity

to A

ctiv

ate

Emer

genc

y Op

erat

ions

→ 2

017

Capa

city

leve

l 3

• Ad

voca

cy a

nd d

issem

inat

ion

of th

e ro

le o

f the

MOH

in th

e m

echa

nism

of m

edica

l co

unte

r mea

sure

s to

cros

s pro

gram

s / se

ctor

s M

OH

PKK

x x

x x

x

• M

obili

zatio

n fo

r log

istic/

med

icine

x x

• Co

untr

y pa

rtici

pate

s/ h

as fo

rmal

agr

eem

ent i

n re

gion

al/ i

nter

natio

nal p

artn

ersh

ips

(i.e.

AAD

MER

, WHO

GOA

RN e

tc)

x x

x x

x

Indi

cato

r R.2

.2 E

mer

genc

y Op

erat

ions

Cen

tre

Oper

atin

g Pr

oced

ures

and

Pla

ns →

201

7 Ca

pacit

y le

vel 2

•

Regu

latio

n/ p

olicy

for E

mer

genc

y M

edica

l Tea

m (E

MT)

refe

rrin

g to

glo

bal s

tand

ard

and

Indo

nesia

cond

ition

(clu

ster

ing)

, inc

ludi

ng:

•Per

sonn

el re

gist

ratio

n•Pe

rson

nel c

ertif

icatio

n•Pe

rson

nel d

eplo

ymen

t

MOH

PK

K x

• Da

taba

se o

f Hea

lth p

erso

nnel

(Hea

lth w

orke

r dat

abas

e w

ho ca

n be

mob

ilize

d fo

r em

erge

ncy

and

outb

reak

) M

OH

PKK

x x

x x

x

• Da

taba

se/ M

appi

ng o

f hea

lth ca

re fa

ciliti

es (i

nclu

ding

thos

e ru

n by

NGO

s, go

vern

men

t, an

d ot

her a

ctor

s) ca

pabl

e of

inte

grat

ing

fore

ign

pers

onne

l dur

ing

emer

genc

ies

MOH

PK

K x

x x

x x

• M

onito

ring

and

eval

uatio

n of

inte

rnat

iona

l med

ical/

pers

onne

l cou

nter

mea

sure

s M

OH

PKK

x x

x x

x •

Mob

iliza

tion

for h

ealth

per

sonn

el

MOH

PK

K x

x x

x x

78

78

TA R

ISK

COM

MUN

ICAT

ION

Targ

et: S

tate

s Par

ties s

houl

d ha

ve ri

sk c

omm

unica

tion

capa

city

whi

ch is

mul

ti-le

vel a

nd m

ulti-

face

d, re

al ti

me

exch

ange

of i

nfor

mat

ion,

adv

ice

and

opin

ion

betw

een

expe

rts

and

offic

ials

or p

eopl

e w

ho fa

ce a

thre

at o

r haz

ard

to th

eir s

urvi

val,

heal

th o

r eco

nom

ic or

soc

ial w

ell-b

eing

so

that

they

can

take

info

rmed

dec

ision

s to

miti

gate

the

effe

cts o

f the

thre

at o

r haz

ard

and

take

pro

tect

ive

and

prev

entiv

e ac

tion.

It in

clude

s a m

ix of

com

mun

icatio

n an

d en

gage

men

t st

rate

gies

like

med

ia a

nd s

ocia

l med

ia c

omm

unica

tion,

mas

s aw

aren

ess

cam

paig

ns, h

ealth

pro

mot

ion,

so

cial m

obili

zatio

n, st

akeh

olde

r eng

agem

ent a

nd co

mm

unity

eng

agem

ent

JEE

Reco

mm

enda

tions

:

• Fu

rthe

r int

egra

te a

nd a

lign

the

cros

s-ag

ency

risk

com

mun

icatio

n sy

stem

•

Incr

ease

risk

com

mun

icatio

n sk

ills i

n lo

cal g

over

nmen

t, pa

rticu

larly

for n

on-n

atur

al d

isast

ers

• Fu

rthe

r dev

elop

and

regu

larly

upd

ate

risk

com

mun

icatio

n gu

idel

ines

and

SOP

s for

the

heal

th se

ctor

•

Upda

te co

mm

unica

tion

stra

tegi

es, i

nclu

ding

mes

sagi

ng a

nd m

edia

stra

tegy

•

Incr

ease

the

num

ber o

f disa

ster

ale

rt v

illag

es, a

nd in

crea

se d

isast

er e

duca

tion

in s

choo

ls an

d th

e co

mm

unity

, esp

ecia

lly in

disa

ster

-pro

ne

area

s.

79

79

ACTI

VITI

ES A

ND T

IMEL

INE PR

IORI

TY A

CTIV

ITIE

S M

INIS

TRY

UNIT

20

18

2019

20

20

2021

20

22

Indi

cato

r R.5

.1.

Risk

Com

mun

icatio

n Sy

stem

s for

Unu

sual

/Une

xpec

ted

Even

ts a

nd E

mer

genc

ies →

201

7 Ca

pacit

y le

vel 3

•

To d

evel

op n

atio

nal h

ealth

risk

com

mun

icatio

n gu

idel

ine

MOH

RO

KOM

x

• To

regu

late

nat

iona

l hea

lth ri

sk co

mm

unica

tion

guid

elin

e

x

Indi

cato

r R.5

.2. I

nter

nal a

nd P

artn

er C

omm

unica

tion

and

Coor

dina

tion

for E

mer

genc

y Ri

sk C

omm

unica

tion

→ 2

017

Capa

city

leve

l 3

• An

nual

mee

ting

with

mul

ti-se

ctor

al a

nd m

ulti-

stak

ehol

der f

or

com

mun

icatio

n M

inist

ry o

f Inf

orm

atio

n an

d Te

chno

logy

(MOI

T)

x

x x

x x

• Re

gion

al m

eetin

g w

ith m

ulti-

sect

oral

and

mul

ti-st

akeh

olde

r M

OIT

x

x x

x x

• Re

gula

r/an

nual

mee

ting

with

mul

ti-se

ctor

al a

nd m

ulti-

stak

ehol

der

PMK

x

x x

x x

• Re

gula

r/an

nual

mee

ting

with

mul

ti-se

ctor

al a

nd m

ulti-

stak

ehol

der f

or

coor

dina

tion

and

com

mun

icatio

n M

OH

ROKO

M

x x

x x

x

Indi

cato

r R.5

.3 P

ublic

Com

mun

icatio

n fo

r Em

erge

ncie

s → 2

017

Capa

city

leve

l 4

• Av

aila

bilit

y of

MOH

com

mun

icatio

n pl

an o

r risk

com

mun

icatio

n pl

an

MOH

RO

KOM

x

x x

x x

• Ap

poin

ted

and

trai

ned

gove

rnm

ent s

poke

sper

son

in e

very

gov

ernm

ent

min

istry

and

age

ncy

MOH

RO

KOM

x

x x

x x

• En

gage

men

t with

Mas

s Med

ia a

nd so

cial m

edia

M

OH

ROKO

M

x x

x x

x •

Enga

gem

ent w

ith S

ocia

l Med

ia

MOI

T

x x

x x

x In

dica

tor R

.5.4

Com

mun

icatio

n En

gage

men

t with

Affe

cted

Com

mun

ities

→ 2

017

Capa

city

leve

l 4

• Re

gula

r brie

fing,

trai

ning

and

eng

agem

ent o

f soc

ial m

obili

zatio

n an

d co

mm

unity

eng

agem

ent t

eam

s inc

ludi

ng v

olun

teer

s M

inist

ry o

f Soc

ial A

ffair

(MOS

A)

x

x x

x x

• Co

mm

unity

out

reac

hes (

Hotli

ne)

MOH

RO

KOM

x

x x

x x

Indi

cato

r R.5

.5. A

ddre

ssin

g pe

rcep

tions

, risk

y be

havi

ours

, and

misi

nfor

mat

ion→

201

7 Ca

pacit

y le

vel 4

•

Com

mun

ity co

nsul

tatio

n m

echa

nism

s are

in p

lace

M

OH

ROKO

M

x x

x x

x •

Cont

ent c

ompl

aint

s (co

mm

unity

repo

rtin

g sy

stem

for h

oaxe

s) a

nd

rum

ours

surv

eilla

nce.

Exa

mpl

e: A

duan

kont

en

MOI

T

80

80

TA P

OINT

S OF E

NTRY

Targ

ets:

Stat

es P

artie

s sho

uld

desig

nate

and

mai

ntai

n th

e co

re c

apac

ities

at t

he in

tern

atio

nal a

irpor

ts a

nd p

orts

(and

whe

re ju

stifi

ed fo

r pub

lic

heal

th re

ason

s, a

Stat

e Pa

rty

may

des

igna

te g

roun

d cr

ossin

gs) w

hich

impl

emen

t spe

cific

publ

ic he

alth

mea

sure

s req

uire

d to

man

age

a va

riety

of

pub

lic h

ealth

risk

s

JEE

Reco

mm

enda

tions

:

• Co

nduc

t a

hum

an r

esou

rces

nee

ds a

sses

smen

t at

des

igna

ted

poin

ts o

f en

try

(POE

) th

at s

yste

mat

ically

iden

tifie

s ga

ps in

per

form

ance

, re

dund

ancie

s and

futu

re p

erfo

rman

ce n

eeds

(e.g

. for

trai

ning

, sta

ff re

crui

tmen

t)

• Re

view

nat

iona

l pol

icy o

n in

form

atio

n sh

arin

g an

d sim

ulta

neou

s com

mun

icatio

n of

pub

lic h

ealth

eve

nts b

etw

een

IHR

Natio

nal F

ocal

Poi

nts

and

othe

r com

pete

nt a

utho

ritie

s at n

eigh

bour

ing

coun

try

POEs

, esp

ecia

lly a

t gro

und

cros

sings

•

Eval

uate

effe

ctiv

enes

s in

resp

ondi

ng to

pub

lic h

ealth

eve

nts a

t POE

s and

pub

lish

the

resu

lts

• Re

view

add

ition

al P

OEs

that

cou

ld b

e de

signa

ted

for

IHR

impl

emen

tatio

n, c

onsid

erin

g ge

ogra

phy

and

the

num

ber

and

dist

ribut

ion

of

exist

ing

POEs

.

81

ACTI

VITI

ES A

ND T

IMEL

INE

PRIO

RITY

ACT

IVIT

IES

MIN

ISTR

Y UN

IT

2018

20

19

2020

20

21

2022

In

dica

tor P

OE.1

. Rou

tine

capa

citie

s are

est

ablis

hed

at P

oE →

201

7 Ca

pacit

y le

vel 4

•

Adeq

uate

ly tr

aine

d he

alth

per

sonn

el:

• De

tect

ion

and

Resp

onse

for P

ublic

Hea

lth E

mer

genc

y Co

ntai

nmen

t Tra

inin

g in

PO

E fo

r Por

t Hea

lth O

ffice

r

MOH

KA

RKES

x

• Fl

ight

Sur

geon

and

Flig

ht N

urse

Tra

inin

g fo

r Por

t Hea

lth O

ffice

r

x

• Tr

aini

ng fo

r Hea

lth Q

uara

ntin

e Ca

pacit

y

x x

x x

• Av

aila

bilit

y of

nat

iona

l pol

icy o

n in

form

atio

n sh

arin

g an

d sim

ulta

neou

s co

mm

unica

tion

of p

ublic

hea

lth e

vent

s:

a.

Advo

cacy

and

diss

emin

atio

n of

Hea

lth Q

uara

ntin

e La

w

MOH

KA

RKES

x

b.

Deve

lop

Draf

t Gui

delin

es o

f Hea

lth Q

uara

ntin

e

x

x

• Ad

ditio

nal d

esig

nate

d PO

Es:

Revi

ew a

dditi

onal

129

des

igna

ted

POEs

M

OH

KARK

ES

x

x x

x

• Ad

equa

tely

equ

ippe

d PO

E:

Mai

ntai

n PO

E th

at a

re a

dequ

atel

y eq

uipp

ed (I

nfra

stru

ctur

e, re

ferr

al, e

quip

men

t, et

c)

x x

x x

x

Indi

cato

r POE

.2. E

ffect

ive

Publ

ic He

alth

Res

pons

e at

Poi

nts o

f Ent

ry →

201

7 Ca

pacit

y le

vel 4

•

Impr

ove

capa

citie

s on

prep

ared

ness

at P

OE:

1. P

repa

redn

ess a

t POE

M

OH

KARK

ES

x x

x x

x

• Im

prov

e in

form

atio

n sh

arin

g an

d co

mm

unica

tion

with

rela

ted

stak

ehol

ders

:

1. H

ealth

Qua

rant

ine

Impl

emen

tatio

n in

Gro

und

Cros

sing

Wor

ksho

p M

OH

KARK

ES

x

x x

x

2. S

harin

g in

form

atio

n sy

stem

with

rela

ted

stak

ehol

ders

(im

mig

ratio

n, fi

nanc

e, h

ome

affa

irs, m

ariti

me)

x

x

3. D

evel

op M

OU w

ith ri

sk co

untr

ies (

i.e. A

frica

n co

untr

ies)

on

vacc

inat

ion

requ

irem

ents

and

cert

ifica

te

x x

4. In

tegr

atio

n of

Hea

lth Q

uara

ntin

e Pr

ogra

m w

ith re

late

d m

inist

ries a

nd st

akeh

olde

rs

x

x x

x

81

81

ACTI

VITI

ES A

ND T

IMEL

INE

PRIO

RITY

ACT

IVIT

IES

MIN

ISTR

Y UN

IT

2018

20

19

2020

20

21

2022

In

dica

tor P

OE.1

. Rou

tine

capa

citie

s are

est

ablis

hed

at P

oE →

201

7 Ca

pacit

y le

vel 4

•

Adeq

uate

ly tr

aine

d he

alth

per

sonn

el:

• De

tect

ion

and

Resp

onse

for P

ublic

Hea

lth E

mer

genc

y Co

ntai

nmen

t Tra

inin

g in

PO

E fo

r Por

t Hea

lth O

ffice

r

MOH

KA

RKES

x

• Fl

ight

Sur

geon

and

Flig

ht N

urse

Tra

inin

g fo

r Por

t Hea

lth O

ffice

r

x

• Tr

aini

ng fo

r Hea

lth Q

uara

ntin

e Ca

pacit

y

x x

x x

• Av

aila

bilit

y of

nat

iona

l pol

icy o

n in

form

atio

n sh

arin

g an

d sim

ulta

neou

s co

mm

unica

tion

of p

ublic

hea

lth e

vent

s:

a.

Advo

cacy

and

diss

emin

atio

n of

Hea

lth Q

uara

ntin

e La

w

MOH

KA

RKES

x

b.

Deve

lop

Draf

t Gui

delin

es o

f Hea

lth Q

uara

ntin

e

x

x

• Ad

ditio

nal d

esig

nate

d PO

Es:

Revi

ew a

dditi

onal

129

des

igna

ted

POEs

M

OH

KARK

ES

x

x x

x

• Ad

equa

tely

equ

ippe

d PO

E:

Mai

ntai

n PO

E th

at a

re a

dequ

atel

y eq

uipp

ed (I

nfra

stru

ctur

e, re

ferr

al, e

quip

men

t, et

c)

x x

x x

x

Indi

cato

r POE

.2. E

ffect

ive

Publ

ic He

alth

Res

pons

e at

Poi

nts o

f Ent

ry →

201

7 Ca

pacit

y le

vel 4

•

Impr

ove

capa

citie

s on

prep

ared

ness

at P

OE:

1. P

repa

redn

ess a

t POE

M

OH

KARK

ES

x x

x x

x

• Im

prov

e in

form

atio

n sh

arin

g an

d co

mm

unica

tion

with

rela

ted

stak

ehol

ders

:

1. H

ealth

Qua

rant

ine

Impl

emen

tatio

n in

Gro

und

Cros

sing

Wor

ksho

p M

OH

KARK

ES

x

x x

x

2. S

harin

g in

form

atio

n sy

stem

with

rela

ted

stak

ehol

ders

(im

mig

ratio

n, fi

nanc

e, h

ome

affa

irs, m

ariti

me)

x

x

3. D

evel

op M

OU w

ith ri

sk co

untr

ies (

i.e. A

frica

n co

untr

ies)

on

vacc

inat

ion

requ

irem

ents

and

cert

ifica

te

x x

4. In

tegr

atio

n of

Hea

lth Q

uara

ntin

e Pr

ogra

m w

ith re

late

d m

inist

ries a

nd st

akeh

olde

rs

x

x x

x

82

82

TA C

HEM

ICAL

EVE

NTS

Targ

et: S

tate

s Pa

rtie

s sh

ould

hav

e su

rvei

llanc

e an

d re

spon

se c

apac

ity fo

r che

mica

l risk

or e

vent

s. Th

is re

quire

s ef

fect

ive

com

mun

icatio

n an

d co

llabo

ratio

n am

ong

the

sect

ors r

espo

nsib

le fo

r che

mica

l saf

ety,

indu

strie

s, tr

ansp

orta

tion

and

safe

disp

osal

JEE

Reco

mm

enda

tions

:

• Fi

naliz

e th

e up

date

d le

gisla

tion

on c

hem

ical h

azar

ds th

at w

ill a

pply

to a

ll re

leva

nt a

genc

ies

and

whi

ch w

ill s

erve

as

a ba

sis fo

r the

nat

iona

l ch

emica

l em

erge

ncy

prep

ared

ness

and

resp

onse

pla

n; p

rovi

ncia

l/dist

rict c

ontin

genc

y pl

ans

for c

hem

ical e

vent

s; te

chni

cal g

uide

lines

; and

pr

otoc

ols f

or re

spon

se a

ctio

ns

• De

velo

p a

natio

nal s

yste

mat

ic su

rvei

llanc

e sy

stem

for

che

mica

l eve

nts,

supp

orte

d by

app

ropr

iate

inf

rast

ruct

ure

(i.e.

poi

son

cent

res)

, la

bora

tory

and

clin

ical t

oxico

logy

capa

citie

s, an

d re

leva

nt te

chni

cal e

xper

tise

on ri

sk a

sses

smen

t and

case

man

agem

ent

• De

velo

p na

tiona

l pro

gram

mes

and

serv

ices f

or e

nsur

ing

a su

stai

nabl

e av

aila

ble

wor

kfor

ce/s

urge

capa

city

for p

repa

redn

ess a

nd re

spon

se to

ch

emica

l em

erge

ncie

s •

Stre

ngth

en in

form

atio

n ex

chan

ge a

nd co

ordi

natio

n am

ong

rele

vant

sect

ors a

nd st

akeh

olde

rs a

t all

leve

ls (lo

cal,

natio

nal a

nd in

tern

atio

nal),

ac

ross

pre

vent

ion,

pre

pare

dnes

s, re

spon

se a

nd re

cove

ry.

83

ACTI

VITI

ES A

ND T

IMEL

INE

PRIO

RITY

ACT

IVIT

IES

MIN

ISTR

Y UN

IT

2018

20

19

2020

20

21

2022

In

dica

tor C

E.1.

Mec

hani

sms a

re e

stab

lishe

d an

d fu

nctio

ning

for d

etec

ting

and

resp

ondi

ng to

chem

ical e

vent

s or e

mer

genc

ies →

201

7 Ca

pacit

y le

vel 2

•

Guid

elin

e Pr

epar

atio

n fo

r Par

ticip

ator

y Ap

proa

ch fo

r Com

mun

ities

in S

mal

l-Sca

le G

old

Min

ing

Area

s (PE

SK)

MOH

Ke

sling

x

x

• St

reng

then

ing

the

Chem

ical L

abor

ator

y Ne

twor

k M

OEF

x

• Re

visio

n of

Gov

ernm

ent R

egul

atio

n No

. 74/

2001

on

Man

agem

ent o

f Haz

ardo

us a

nd

Toxic

Mat

eria

ls M

OEF

x

• Pr

epar

atio

n of

Min

istry

of E

nviro

nmen

t Reg

ulat

ions

conc

erni

ng B

3 em

erge

ncy

resp

onse

syst

ems a

nd B

3 w

aste

M

OEF

x

• Re

vita

lizat

ion

of th

e Na

tiona

l Mer

cury

Res

earc

h Ce

nter

M

OEF

X

• He

alth

Offi

cer T

rain

ing

Mod

ule

Prep

arat

ion

for t

he Im

plem

enta

tion

of P

artic

ipat

ory

Appr

oach

for C

omm

uniti

es in

PES

K M

OH

• Pr

epar

atio

n of

Min

istry

of I

ndus

try

regu

latio

n on

chem

icals

that

are

pro

hibi

ted

and

regu

late

d fo

r wea

pons

and

for p

recu

rsor

s M

inist

ry o

f Ind

ustr

y (M

OI)

x

• Re

visio

n of

Min

istry

of I

ndus

try

regu

latio

n No

. 23/

2013

on

Labe

ling

base

d on

GHS

M

OI

x

• Pr

epar

atio

n of

Min

ister

of I

ndus

try

Regu

latio

n on

list

chem

icals

and

orga

nic c

hem

icals

MOI

x

•

Min

istry

of M

anpo

wer

regu

latio

n No

. 5/ 2

018

on th

e Sa

fety

and

Hea

lth o

f the

Wor

k En

viro

nmen

t (la

unch

ing

July

18,

201

8)

Min

istry

of

Man

pow

er (M

OM

)

x

Indi

cato

r CE.

2. E

nabl

ing

envi

ronm

ent i

s in

plac

e fo

r man

agem

ent o

f che

mica

l eve

nts →

201

7 Ca

pacit

y le

vel 3

•

Revi

ew a

nd u

pdat

e of

Nat

iona

l Im

plem

enta

tion

Plan

on

POPs

M

OEF

x

x

• Cr

oss P

rogr

am C

oord

inat

ion,

Cro

ss M

inist

ries a

nd In

stitu

tions

rela

ted

to C

hem

ical

Even

ts re

spon

se

MOE

F

x

x x

x

• Pr

epar

atio

n of

Roa

dmap

for C

hem

ical E

vent

s M

OEF

x

• M

appi

ng o

f the

dist

ribut

ion

and

pote

ntia

l risk

s of c

hem

ical i

ndus

try

on Ja

va is

land

M

OEF

x

• Ev

alua

tion

on th

e im

plem

enta

tion

of n

atio

nal a

ctio

n pl

ans f

or re

ducin

g an

d el

imin

atin

g m

ercu

ry

MOE

F

x x

x x

x

83

83

ACTI

VITI

ES A

ND T

IMEL

INE

PRIO

RITY

ACT

IVIT

IES

MIN

ISTR

Y UN

IT

2018

20

19

2020

20

21

2022

In

dica

tor C

E.1.

Mec

hani

sms a

re e

stab

lishe

d an

d fu

nctio

ning

for d

etec

ting

and

resp

ondi

ng to

chem

ical e

vent

s or e

mer

genc

ies →

201

7 Ca

pacit

y le

vel 2

•

Guid

elin

e Pr

epar

atio

n fo

r Par

ticip

ator

y Ap

proa

ch fo

r Com

mun

ities

in S

mal

l-Sca

le G

old

Min

ing

Area

s (PE

SK)

MOH

Ke

sling

x

x

• St

reng

then

ing

the

Chem

ical L

abor

ator

y Ne

twor

k M

OEF

x

• Re

visio

n of

Gov

ernm

ent R

egul

atio

n No

. 74/

2001

on

Man

agem

ent o

f Haz

ardo

us a

nd

Toxic

Mat

eria

ls M

OEF

x

• Pr

epar

atio

n of

Min

istry

of E

nviro

nmen

t Reg

ulat

ions

conc

erni

ng B

3 em

erge

ncy

resp

onse

syst

ems a

nd B

3 w

aste

M

OEF

x

• Re

vita

lizat

ion

of th

e Na

tiona

l Mer

cury

Res

earc

h Ce

nter

M

OEF

X

• He

alth

Offi

cer T

rain

ing

Mod

ule

Prep

arat

ion

for t

he Im

plem

enta

tion

of P

artic

ipat

ory

Appr

oach

for C

omm

uniti

es in

PES

K M

OH

• Pr

epar

atio

n of

Min

istry

of I

ndus

try

regu

latio

n on

chem

icals

that

are

pro

hibi

ted

and

regu

late

d fo

r wea

pons

and

for p

recu

rsor

s M

inist

ry o

f Ind

ustr

y (M

OI)

x

• Re

visio

n of

Min

istry

of I

ndus

try

regu

latio

n No

. 23/

2013

on

Labe

ling

base

d on

GHS

M

OI

x

• Pr

epar

atio

n of

Min

ister

of I

ndus

try

Regu

latio

n on

list

chem

icals

and

orga

nic c

hem

icals

MOI

x

•

Min

istry

of M

anpo

wer

regu

latio

n No

. 5/ 2

018

on th

e Sa

fety

and

Hea

lth o

f the

Wor

k En

viro

nmen

t (la

unch

ing

July

18,

201

8)

Min

istry

of

Man

pow

er (M

OM

)

x

Indi

cato

r CE.

2. E

nabl

ing

envi

ronm

ent i

s in

plac

e fo

r man

agem

ent o

f che

mica

l eve

nts →

201

7 Ca

pacit

y le

vel 3

•

Revi

ew a

nd u

pdat

e of

Nat

iona

l Im

plem

enta

tion

Plan

on

POPs

M

OEF

x

x

• Cr

oss P

rogr

am C

oord

inat

ion,

Cro

ss M

inist

ries a

nd In

stitu

tions

rela

ted

to C

hem

ical

Even

ts re

spon

se

MOE

F

x

x x

x

• Pr

epar

atio

n of

Roa

dmap

for C

hem

ical E

vent

s M

OEF

x

• M

appi

ng o

f the

dist

ribut

ion

and

pote

ntia

l risk

s of c

hem

ical i

ndus

try

on Ja

va is

land

M

OEF

x

• Ev

alua

tion

on th

e im

plem

enta

tion

of n

atio

nal a

ctio

n pl

ans f

or re

ducin

g an

d el

imin

atin

g m

ercu

ry

MOE

F

x x

x x

x

84

84

TA R

ADIA

TION

EM

ERGE

NCIE

S

Targ

et: S

tate

s Pa

rtie

s sh

ould

hav

e su

rvei

llanc

e an

d re

spon

se c

apac

ity fo

r ra

dio-

nucle

ar h

azar

ds/e

vent

s/em

erge

ncie

s. Th

is re

quire

s ef

fect

ive

com

mun

icatio

n an

d co

llabo

ratio

n am

ong

the

sect

ors r

espo

nsib

le fo

r rad

io-n

ucle

ar m

anag

emen

t

JEE

Reco

mm

enda

tions

:

• Fi

naliz

e/es

tabl

ish n

atio

nal a

nd lo

cal r

espo

nse

plan

s for

radi

olog

ical/n

ucle

ar e

mer

genc

ies,

supp

orte

d by

gui

des a

nd p

roto

cols

and

base

d on

fo

rmal

ly e

stab

lishe

d cr

iteria

for

trig

gerin

g ur

gent

pro

tect

ive

and

othe

r re

spon

se a

ctio

ns s

uch

as s

helte

ring,

eva

cuat

ion,

iodi

ne t

hyro

id

bloc

king

(IT

B),

food

and

drin

king

wat

er r

estr

ictio

ns,

etc.

, as

wel

l as

cas

e-m

anag

emen

t pr

otoc

ols

for

clini

cians

. Ac

tions

cou

ld i

nclu

de

deve

lopm

ent o

f gui

delin

es a

nd p

roto

cols

for s

pecif

ic em

erge

ncy

scen

ario

s, tr

eatm

ent s

trat

egie

s or p

rote

ctiv

e ac

tions

. •

Stre

ngth

en th

e ca

pabi

litie

s of d

esig

nate

d he

alth

care

facil

ities

(i.e

. hos

pita

ls an

d la

bs) b

y de

velo

ping

the

nece

ssar

y in

frast

ruct

ure;

pro

vidi

ng

equi

pmen

t and

ser

vice

s in

cludi

ng b

ioas

says

and

cyt

ogen

etic

biod

osim

etry

ser

vice

s an

d a

natio

nal s

tock

pile

; and

trai

ning

the

wor

kfor

ce in

ra

diol

ogica

l/nuc

lear

em

erge

ncy

resp

onse

—es

pecia

lly a

t pro

vinc

ial l

evel

in a

reas

adj

acen

t to

nucle

ar re

acto

r fac

ilitie

s. •

Deve

lop

sust

aina

ble

trai

ning

pro

gram

mes

to st

reng

then

hum

an re

sour

ce ca

pacit

ies f

or n

ucle

ar/r

adio

logi

cal e

mer

genc

y re

spon

se, e

spec

ially

at

pro

vinc

ial a

nd n

atio

nal l

evel

s, th

roug

h re

gula

r tra

inin

g an

d ex

ercis

es ta

ilore

d to

spec

ific t

arge

t gro

ups a

nd a

reas

(e.g

. firs

t res

pons

e, p

re-

hosp

ital r

espo

nse,

clin

ical c

ase

man

agem

ent,

inte

rnal

con

tam

inat

ion

asse

ssm

ent a

nd m

anag

emen

t, lo

ng-te

rm fo

llow

-up,

man

agem

ent o

f no

n-ra

diol

ogica

l hea

lth co

nseq

uenc

es, e

tc.).

•

Deve

lop

advo

cacy

(aw

aren

ess

raisi

ng) a

nd ri

sk c

omm

unica

tion

mat

eria

ls (fr

eque

ntly

ask

ed q

uest

ions

/FAQ

s, fa

ct-s

heet

s, in

fogr

aphi

cs, e

tc.)

and

prov

ide

risk

com

mun

icatio

n tr

aini

ng fo

r em

erge

ncy

resp

onde

rs o

n ris

k co

mm

unica

tion.

85

ACTI

VITI

ES A

ND T

IMEL

INE

PRIO

RITY

ACT

IVIT

IES

MIN

ISTR

Y UN

IT

2018

20

19

2020

20

21

2022

In

dica

tor R

E.1

Mec

hani

sms e

stab

lishe

d an

d fu

nctio

ning

for d

etec

ting

and

resp

ondi

ng to

radi

olog

ical a

nd n

ucle

ar e

mer

genc

ies

→ 2

017

Capa

city

leve

l 2

• M

inist

er o

f Hea

lth's

Regu

latio

n on

the

Esta

blish

men

t of t

he N

atio

nal

Refe

rral

Hos

pita

l for

Nu

clear

Disa

ster

M

OH

KESL

ING

x x

x

• Do

cum

ents

for t

he co

ntin

genc

y pl

an o

f the

Ban

dung

Nuc

lear

are

a BA

TAN(

Nati

onal

Nu

clear

En

ergy

Ag

ency

)

x

x

• Do

cum

ents

for t

he co

ntin

genc

y pl

an o

f the

Yog

yaka

rta

Nucle

ar a

rea

BATA

N

x x

•

Mee

ting

on n

ucle

ar p

repa

redn

ess a

nd e

mer

genc

y re

spon

se co

ordi

natio

n of

the

Serp

ong

nucle

ar a

rea

BATA

N

x

x x

x

• M

eetin

g on

nuc

lear

pre

pare

dnes

s and

em

erge

ncy

resp

onse

coor

dina

tion

of th

e DI

Y nu

clear

ar

ea

BATA

N

x

x x

x

• M

eetin

g on

nuc

lear

pre

pare

dnes

s and

em

erge

ncy

resp

onse

coor

dina

tion

of th

e Ba

ndun

g nu

clear

are

a BA

TAN

x x

x x

• M

eetin

g on

nuc

lear

pre

pare

dnes

s and

em

erge

ncy

resp

onse

coor

dina

tion

of th

e Pa

sarJu

mat

nu

clear

are

a BA

TAN

x x

x

• Nu

clear

em

erge

ncy

resp

onse

BA

PETE

N(N

ucle

ar

Ener

gy

Regu

lato

ry

Agen

cy)

x

x x

x x

Indi

cato

r RE.

2 En

ablin

g en

viro

nmen

t in

plac

e fo

r man

agem

ent o

f rad

iatio

n em

erge

ncie

s →

201

7 Ca

pacit

y le

vel 3

•

Guid

elin

es fo

r Saf

egua

rdin

g th

e Im

pact

of R

adia

tion

on H

ealth

M

OH

KESJ

AOR

x

x

•

Min

ister

of H

ealth

regu

latio

n on

Gui

delin

es fo

r Med

ical M

anag

emen

t for

Nuc

lear

Em

erge

ncy

and

Radi

olog

y M

OH

KESL

ING

x x

• Pr

esid

entia

l Reg

ulat

ion

on N

atio

nal N

ucle

ar a

nd R

adia

tion

Safe

ty P

olici

es a

nd S

trat

egie

s BA

PETE

N

x

x x

85

85

ACTI

VITI

ES A

ND T

IMEL

INE

PRIO

RITY

ACT

IVIT

IES

MIN

ISTR

Y UN

IT

2018

20

19

2020

20

21

2022

In

dica

tor R

E.1

Mec

hani

sms e

stab

lishe

d an

d fu

nctio

ning

for d

etec

ting

and

resp

ondi

ng to

radi

olog

ical a

nd n

ucle

ar e

mer

genc

ies

→ 2

017

Capa

city

leve

l 2

• M

inist

er o

f Hea

lth's

Regu

latio

n on

the

Esta

blish

men

t of t

he N

atio

nal

Refe

rral

Hos

pita

l for

Nu

clear

Disa

ster

M

OH

KESL

ING

x x

x

• Do

cum

ents

for t

he co

ntin

genc

y pl

an o

f the

Ban

dung

Nuc

lear

are

a BA

TAN(

Nati

onal

Nu

clear

En

ergy

Ag

ency

)

x

x

• Do

cum

ents

for t

he co

ntin

genc

y pl

an o

f the

Yog

yaka

rta

Nucle

ar a

rea

BATA

N

x x

•

Mee

ting

on n

ucle

ar p

repa

redn

ess a

nd e

mer

genc

y re

spon

se co

ordi

natio

n of

the

Serp

ong

nucle

ar a

rea

BATA

N

x

x x

x

• M

eetin

g on

nuc

lear

pre

pare

dnes

s and

em

erge

ncy

resp

onse

coor

dina

tion

of th

e DI

Y nu

clear

ar

ea

BATA

N

x

x x

x

• M

eetin

g on

nuc

lear

pre

pare

dnes

s and

em

erge

ncy

resp

onse

coor

dina

tion

of th

e Ba

ndun

g nu

clear

are

a BA

TAN

x x

x x

• M

eetin

g on

nuc

lear

pre

pare

dnes

s and

em

erge

ncy

resp

onse

coor

dina

tion

of th

e Pa

sarJu

mat

nu

clear

are

a BA

TAN

x x

x

• Nu

clear

em

erge

ncy

resp

onse

BA

PETE

N(N

ucle

ar

Ener

gy

Regu

lato

ry

Agen

cy)

x

x x

x x

Indi

cato

r RE.

2 En

ablin

g en

viro

nmen

t in

plac

e fo

r man

agem

ent o

f rad

iatio

n em

erge

ncie

s →

201

7 Ca

pacit

y le

vel 3

•

Guid

elin

es fo

r Saf

egua

rdin

g th

e Im

pact

of R

adia

tion

on H

ealth

M

OH

KESJ

AOR

x

x

•

Min

ister

of H

ealth

regu

latio

n on

Gui

delin

es fo

r Med

ical M

anag

emen

t for

Nuc

lear

Em

erge

ncy

and

Radi

olog

y M

OH

KESL

ING

x x

• Pr

esid

entia

l Reg

ulat

ion

on N

atio

nal N

ucle

ar a

nd R

adia

tion

Safe

ty P

olici

es a

nd S

trat

egie

s BA

PETE

N

x

x x

86

86

• Re

visio

n of

the

Pasa

rJum

at n

ucle

ar a

rea'

s em

erge

ncy

prep

ared

ness

and

resp

onse

pro

gram

do

cum

ent

BATA

N

x

x x

• Re

visio

n of

the

Serp

ong

nucle

ar a

rea'

s em

erge

ncy

prep

ared

ness

and

resp

onse

pro

gram

do

cum

ent

BATA

N

x

x x

• Nu

clear

em

erge

ncy

prep

ared

ness

&re

spon

se tr

aini

ng a

t the

Ban

dung

nuc

lear

are

a BA

TAN

x

x

• Nu

clear

em

erge

ncy

prep

ared

ness

&re

spon

se tr

aini

ng a

t the

Pas

arJu

mat

nuc

lear

are

a BA

TAN

x

x

• Th

e pr

epar

atio

n of

the

IEC

Med

ia fo

r the

Com

mun

ity a

roun

d th

e Ar

ea

BATA

N

x x

87