Final Report INDOHUN Symposium 2012

8/10/2019 Final Report INDOHUN Symposium 2012

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Foreword 1

Background 2

The Symposium 4

Day 1 6

Day 2 9

GROUP 1 PRESENTATION 10



CLOSING 16

design, photo, layoutWahyu Septiono

organizer Wiku Adisasmito (head)

Dinda Prita Vaudika

Wahyu SeptionoVilda Rachman Amir

Phatthamon JantalaePutu Mas Dewi

Anocha Chuenwanta

Contents


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This report documents the outcome of the INDOHUN Inaugural National Symposium.

INDOHUN is a national One Health University Network in Indonesia, linked to the

regional South East Asia One Health University Network (SEAOHUN), whose mission is to

leverage the training, education, and research capacities of the university network to

build the skills, knowledge and attitude base for One Health leaders. The INDOHUN

Inaugural National Symposium report reflects in detail on setting missions for Indonesian

Universities and on appropriate ways to work with the Government to embed and

implement the One Health approach to disease outbreak response, investigation,

surveillance and control in Indonesia. A strategic plan for INDOHUN and its member

organisations will be developed following the meeting. The organisers, Prof. Drh. Wiku

Adisasmito, MSc, Ph.D. (INDOHUN Chairperson), the team from the National

Coordinating Office at the University of Indonesia and SEAOHUN extend their gratitude

to every individual andorganisationwhocontributed to thesymposium, thegroup and

panel discussions, and this report, whetheron or offstage. The Chairperson would like to

thank in particular Mr. Brian McLaughlin, Regional Director of USAID-RESPOND, and Dr.

Stanley Fenwick, Regional Technical Director of USAID-RESPOND, for playing an

important part in the preparation of this meeting, and to all organizers, for making this

event success.

Prof. Wiku Adisasmito, DVM, MSc, PhD.

Foreword

1 - INDOHUN SYMPOSIUM REPORT 2012


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Faculties currently in the regional network includedMahidol University (Veterinary Science, TropicalMedicine), Chiang Mai University (VeterinaryMedicine, Nursing), University of Indonesia (PublicHealth), University of Gadjah Mada (Veterinary

Medicine, Medicine), Institut Pertanian Bogor (Veterinary Medicine), Universiti KebangsaanMalaysia (Medicine, Health Sciences), UniversitiPutra Malaysia (Veterinary Medicine), Hanoi Schoolof Public Health, Hanoi Medical University (Instituteof Preventive Medicine and Public Health),Universi ty of Agriculture Hanoi (VeterinaryMedicine).

Structure of SEAOHUN

BACKGROUNDAs we know there are many threats to our healthstatus, both globally and locally. These can alsocreate serious problems for Indonesia if this countrycannot effectively prepare for the threats. Thelatest pandemics (SARS, H5N1, and H1N1), globaltrade of livestock, climate change, pathogenecology and bioterrorism are all related to the

threats and should be handledprofessionally usingt he O ne H ea lt h ( OH ) a pp ro ac h, w he remult idiscip linary teams work both c ross-disciplinarily and cross-sectorally to respond. Thisneeds involvement from those who are in line withthevision to improve thehealth status in Indonesia.

Based on this need, the South East Asia One HealthUniversity Network (SEAOHUN) is supporting theimplementation and strengthening of One Healthin the South East Asia region and within countries inthe regionby the creation of national OH universitynetworks. In Indonesia, this network is starting todevelop across disciplines. The preparation offorming INDOHUN began in January 2012 at thefirst meeting of university faculties in Yogyakarta.This symposium in Bali follows on from thatinaugural meeting and is the first INDOHUNsymposium wi th many par ti cipant s f romuniversities, communities, government and other health-related stakeholders in Indonesia.


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Each of the four countries has set up a National Network (INDOHUN in Indonesia, MYOHUN in Malaysia, THOHUN inThailand, and VOHUN in Vietnam) to share anddisseminate the benefits of the regional network SEAOHUN. These involve multiple faculties within eachcountry who are involved in educating professionals in theskills required to support theOneHealthapproach.

The Indonesia One Health University Network (formallyknown as INDOHUN) was established in January 2012 as aplatform where leading academicians, stakeholders,scientists, communities, and professionals from Indonesiacould transcend provincial and national borders toaddress issues of regional and global concern. The missionof INDOHUN is to implement the One Health conceptacross the country with the support of multiple disciplines.The vision is to improve the health of people, animals andthe ecosystem, which are all interconnected for globalsurvival. This meeting aimed to unite all health sectors inIndonesia (especially university) to conceive and buildonehealth concept in Indonesia.

The discussion topics of the symposium are the vision,mission, objectives and Indonesian essential activities,

such as how to establish and sustain INDOHUN, to developcollaborative research, training and exchange programs,and to identify INDOHUNs OH core competencies for usein university curriculum mapping. The discussion topics arebased on academic necessities that are essential inIndonesia to meet the future needs of the integratedhealth systems. In the future, themembersof INDOHUN areexpected to collaborate responding the threats of healthstatus in Indonesia.


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13) Faculty of Medicine, Airlangga University

14) Faculty of Veterinary Medicine, Airlangga University

15) Faculty of Public Health, Hassanudin University

16) Faculty of Medicine, Hassanudin University

17) Faculty of Public Health University of North Sumatera

18) Faculty of Public Health Sriwijaya University

19) Faculty of Public Health University of Mulawarman

20) Faculty of Medicine University of Nusa Cendana

21) Faculty of Medicine University of Mataram

22) Chiangmai University

23) Universiti Kebangsaan Malaysia

24) Universiti Putra Malaysia

25) Hanoi School of Public Health

26) Hanoi University of Agriculture

27) World Health Organization (WHO) IndonesiaRepresentative

28) ASEAN

29) BBV Denpasar

Prof. Dr. Indri Safitri Mukono, dr., MS< >

Prof. Hj. Romziah Sidik, PhD.

Dr. drh. Anwar Ma'ruf, M.Kes< >drh. Didik Handijatno, MS, Ph.D< >

Prof. Dr. dr. H. M. Alimin Maidin, MPH< >

Prof. dr. Irawan Yusuf, Ph.D< >

Prof. Lucia Muslimin

Dr. Ir. Zulhaida Lubis, M. Kes < >

Hamzah Hasyim, S.KM, M.KM< >

dr. H. Emil Bachtiar Moerad, Sp.P< >

dr. A.A. Heru Tjahjono < >

dr. Doddy Ario Kumboyo, Sp.OG (K)< >dr. Ida Ayu Eka Widiastuti, M.Fis< >

Assoc. Prof. Dr. Lertark Srikitjakarn< >

Prof. Dr. Baharudin Bin Omar

Prof. Dr. Mohd. Hair Bejo < >

Dr. Nguyen Viet Hung < >

Assoc. Prof. Dr. Nguyen Huu Nam< >

Dr. Nirmal Kandel < >

Dr. Montira Pongsiri

[email protected]

[email protected], [email protected]

[email protected]

[email protected]

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[email protected]

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[email protected]

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[email protected],[email protected]

The Symposium

29) BBV Denpasar

30) DAAD

31) FAO Indonesia

32) USAID/INDONESIA

33) USAID-RESPOND,

34) Tufts University

35) USAID-PREVENT

36) Ministry Coodinator of People Welfare

37) Zoonotic National Committee

38) AIPTKMI

39) IDI

40) IAKMI

41) PAMKI

42) PDK3MI

drh. Anak Agung Gde Putra, M.Sc., Ph. D

(Deutscher Akademischer Austauschdienst)Dr. Irene Jansen < >

Dr. James McGrane < >

Dr. Artha Camelia < >regional office, Bangkok, Thailand

Dr. Brian McLaughlin < >Dr. Stanley Fenwick < >Anocha Chuenwanta< >Phatthamon Jantalae< >Dr. Jennifer Steele (Tufts University)

Dr. Saul Tzipori

Mr. Owen Wrigley < >

dr. Chabib Afwan < >Rama Fauzi < >

dr. Emil Agustiono, M.Kes< >

Dr. dra. Emma Rachmawati, M.Kes

< >(Indonesia Medical Association)Dr. Prijo Sidipratomo, Sp.Rad (K)< >

(Indonesia Public Health Association)Dr. dr. Ridwan Thaha, M. Sc.< >

(IndonesiaAssociation of Clinical MicrobiologyIndonesia Experts)Prof. dr. Agus Sjahrurachman, Sp.MK, Ph.D< >

(Association of Indonesia Community

Medicine Pubic Health)dr. Harun Al Rasyid, MPH

[email protected]

[email protected]

[email protected]

[email protected] [email protected]

[email protected]

[email protected]

[email protected]

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Day 1


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The 1st day of the INDOHUN Inaugural National Symposium was on May 3rd, 2012 in Sanur Paradise Hotel, Bali. Participantsbegan the symposium by registering their attendance at 08.00 AM. Following registration, the Symposium was opened withWelcome Remarks by Prof. Dr. dr. I Made Bakta, Sp.PD (KHOM), Rector of Udayana University, and an Introductions andAgenda speech by Prof. drh. Wiku Adisasmito, MSc., Ph.D. Before closing his speech, Prof. Wiku also asked the participants totake a moment of silence and condolence for the Minister of Health Republic of Indonesia who passed away a day beforethe symposium began.At 09.15 AM, Dr. Stanley Fenwick presented a talk entitled Overview of One Health, SEAOHUN, and Indonesia Perspective.In addition, Dr. Nguyen Viet Hung presented his summary of the establishment of a sister network entitledVietnam OneHealth University Network (VOHUN): Lessons learned . After both presentations, a panel discussion was held to elicit moreinformation and to develop some new ideas. The discussion was facilitated by Prof. Em. drh. Setyawan Budiharta, MPH, Ph.D.Some participants were interested to discuss Dr. Fenwick and Dr. Hungs presentations. Firstly, the Dean of the Faculty ofMedicine, Gadjah Mada University, dr. Titi Savitri, shared her opinion about areas of One Health in education, research, andpractice and the collaboration of three disciplines such as Faculty of Medicine, Faculty of Veterinary Medicine and Facultyof Public Health. She wondered about how multidsciplinary would work in practice? She also wanted to discuss the role ofthe institutions in determining the competencies and how to get support and work together through other collaborativeprojects.Meanwhile, the President of IDI, dr. Prijo Sidipratomo, asked about an MoU between medicine and veterinary medicine andabout support from medicine and veterinary medicine professional associations. The Dean of the Faculty of MedicineHassanudin Makassar asked about standard competencies of medicine, public health, and veterinary medicine. Hewondered that is it as a guideline or not? because his faculty had the standards since long ago. He also shared his opinionabout a new paradigm: academic to social accountability. Dr. Irene Jansen, the DAAD Indonesia representative, alsodiscussed about the universities role in OH, the funding system for basic research, how the government will support this interms of funding, and consideration for capacity building in OH. After the discussion, the symposium was continued withIntroduction of the One Health Concept topic.Before the group discussion began, speakers who were from multiple disciplines introduced their views on OH concepts toparticipants. From medicine, the One Health concept was introduced by Vice Dean from Faculty of Medicine Gadjah MadaUniversity, Dr. Abu Tholib Aman, Sp.MK, MSc., Ph.D. The Public Health One Health concept was presented by Dean fromFaculty of Public Health Universitas Indonesia, Drs. Bambang Wispriyono, Apt., Ph.D. The last concept of One Health camefrom Faculty of Veterinary Medicine Dean, Bogor Agricultural Institute, Drh. Srihadi Agungpriyono, Ph.D.

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After a break, participants were separated into 3 different groups. Group 1 discussed Overview of SEAOHUN: Vision, Mission,Objectives and Indonesian needs - How to Make the INDOHUN Network work. The group discussion in Group 1 was headedbyDrs. Bambang Wispriyono, Apt., Ph.D. During discussion of the topic a number of issues were worked through, including nationalhealth problems, emerging pandemic threats (transportation, tourism, and bioterrorism), differentiated responsibilities andcollaboration,stakeholder identification, andboundarypartners.Group 2 discussed Research, Training and Exchange Programs which was facilitated by Dr. drh. DennyW. Lukman, MSi. Theyalso discussed curriculum-based research, emerging and re-emerging diseases, advanced technology, policy, universityinternationalization, trans-disciplinary approach, and student involvement. The last group, Group 3, talked about INDOHUNsstudent Core Competencies and Curriculum Mapping. Group 3 was facilitated by Prof. Dr. drh. Wayan T. Artama. Theydiscussed the topic around several approaches such as research-based curriculum, OH concepts on promotive, prevention,curative, and rehabilitation integrated into the curriculum, OH curriculum and module development, integrated OH field work,and the development of a credit transfer system. After group discussions, each group had to present the resultsof the discussionsonDay2.

INDOHUN SYMPOSIUM REPORT 2012


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Day 2


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GROUP 1PRESENTATION

On the 2nd Day, the symposium began with refreshment atthe opening followed by summaries of the group discussionsfrom Day 1. The first presentation came from Group 1 whichwas facilitated by Drs.Bambang Wispriyono, Apt.,Ph.D. Group1 presented about Overview of SEAOHUN : Vision, Mission,and Objectives & Indonesian needs - How to Make TheINDOHUNNetwork work.

Group 1 opened by presenting the vision of SEAOHUN which isfostering sustainable transdisciplinary capacity building torespond to emerging and re-emerging infectious andzoonotic diseases while its mission is to leverage the training,education, and research capacities of the university network to build the skills, knowledge and attitude base forOneHealthleaders and to develop education, research, and publicservices capacities of the university network to build thecompetencies for One Health leaders. They also presentedSEAOHUNs4 objectives (1) to promote andadvance theOneHealth approach for control of emerging and re-emerginginfectious and zoonotic diseases, (2) to improve thecompetencies of One Health professionals, (3) to build a OneHealth evidence base through research activities, and (4) to

build cadres of trained professional to be One Health currentand future leaders.

The discussion of group 1 resulted in their views on possibleINDOHUN objec t ives . These were (1 ) t o improvecompetencies in each profession to apply to One Health, (2)to build a sustainable network (International and NationalExperts, Institutions, etc), (3) to develop the One Healthapproach for control of emerging and re-emerging andzoonotic diseases, (4) to improve skills, knowledge, andattitude based on One Health approach, (5) to strengthen

One Health evidence base through research activities, and(6) to build strongleadership forthe futures ofOneHealth.

They also identified a numberof national OneHealth issues: Zoonoticdiseases Emergingand re-emerging diseases Approaches Lackof Communication Minimum Budget Mechanism System Low Awareness Decentralisation Skills Policy Leadershipat all level

How can universities assist government to further the OHapproach? Group 1 separated this into 4 ideas. The first ideawas related to zoonotic diseases. They argued thatuniversities can assist government in zoonotic diseases bydeveloping the curriculum of zoonotic diseases for

education, facilitating collaborative research on zoonoticdiseases, developing the laboratoryand other facilitieswhichare related to zoonotic diseases, and improving the skills ofuniversity staff in this area

With the second idea, they discussed approaches to supportgovernment with seminars, workshops, training, consultation,socialization to community (media electronic, mass media,etc). The third idea was research to assist government. Theyargued that the result of a study will contribute to improveand strengthen government. The last point was to include

education in assisting government using in-house training toproduce health workers, research, both applied and basic,and public services, and advocacy training. Group 1 alsodiscussedstrengthening of biosecurity and biosafety systemsandregulations foremergingpandemicthreats.



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The Group 1 representative also explained about the roles and responsibilities among multiple disciplines,government, and the community. Public health would take roles in surveillance, monitoring, and publicawareness while government and veterinary medicine also had those tasks with medical and veterinary services,with vaccination as further responsibilities. In addition, medicine only took roles in medical services, treatments ,

vaccination, and public awareness. Group 1 also argued that community only take responsibility in publicawareness.

INDOHUN SYMPOSIUM REPORT 2012 - 11

Roles & Responsibilities


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GROUP 2 PRESENTATION

The next presentation came from Group 2 who discussedResearch, Training & Exchange Programs. Theypresentedtheresultanddivideditin7mainideas.

Group 2 was interested to explain in more detail about curriculum-based research. The discussion decided that basic research was based on local context using a holisticand comprehensive approach. The second point of theirdiscussion was multidisciplinary research. It meant research not only in one field of study but also across thedisciplines. They thought that it was related to the OneHealth concept. The group also argued that researchactivities should be embedded in the curriculum. Theresearch must have benefits to the curriculum in theuniversity. They were interested in the development of research trees at faculty, university, or regional levels andthe dissemination of result of the studies. The group alsoexplained that research should be classified based oncapacity levels of researchers. It had to be defined amongundergraduate, postgraduate, junior or senior stafflevels.Howtoimplementit?Group2hadtheideaofinsertingthecurr iculum in specific subjects (e .g . researchmethodology, planning health program, thesis, paper,assignments,etc)

Group 2 shared their ideas in advanced technologyresearch in response to emergingzoonotic diseases.Theythought that this was a new idea with some newapproaches such as vaccine development, new-drugdevelopment, technology that has the ability to detect threats earlier (early detection), bio-marker detection(genetics, proteins, etc), exchange activities for bio-

markers.

1) Curriculum-basedResearch

2) Advanced technology inresponse toemergingzoonoticdiseases

3) Policy-relatedresearch

4) Emergingand re-emergingdiseases

5) UniversityInternationalization

Group 2 was also interested in developing a study about policy. The results can be used in an advocacy role to the

policy makersbased on theresearch results.This canalsobe involved in the implementation of policy and in themonitoring and evaluation process of the policy. Bygaining lessons learned from the policy implementation,it would improve curricula in the universities. Thedissemination of the research results can be informedthroughseminars,workshops, press conferences,etc

Group 2 used preparation for emerging and re-emergingdiseases as a topic of training. The target of the trainingwas health officers, students, community, communityleaders, and lecturers. The training would be held basedon One Health Core Competencies (OHCC). The materialsand technical subjects included were surveillance,statistical analysis, biostatistics, project management,strategy development, collaboration skills, communitydiagnosis, and laboratory diagnosis. The training wouldbe implemented using simulations (disaster responsesimulation), elective modules for students, workshopseries, collaborative workshop between universities, andMoU with governments (e.g. Puslitbangkes, relatedministries,departments).

University Internationalization was an idea that Group 2were concerned about. It was related to exchangeprograms that would be used in INDOHUN acrossregional and local institutions. Group 2 thought that shared curricula,studium generale, seminars, workshopsdissemination of OH material, student exchanges,l e c t u r e r e x c h a n g e s , c o l l a b o r at i v e r e s e a rc h ,

benchmarking, joint publications, and developing a OneHealth Journal can be used as a way of UniversityInternationalization.



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7) Student involvement inOne HealthGroup 2 explained that the involvement of studentscould occur in lectures, discussions, public service,special interest groups (SIG) meetings (example SIG onzoonotic, SIG on poultry, etc), student field practice(KKN), seminars, research, campaigns, and student exchanges.6) Trans-disciplinaryTeachingTrans-discipl inary teaching was based on the

competency in the One Health concept. Group 2 gaveAvian Influenza as an example. Virologists took the placeof virus examiners because it was related with their field.Furthermore, the diseases would be examined byspecialists in internal medicine and radiology.Pathologists (Clinical Pathologist & AnatomicalPathologist) would take responsibility to learn thepathology of the disease. In addition, public awarenesswould be introduced by Public Health and VeterinaryPublic Health experts. The OH concept in Trans-disciplinary Teaching that group 2 presented, not onlytalked about health but also included economistss,sosiologists, anthropologists, communication experts,andinformationtechnology experts.



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The last presentation conducted by Group 3. This grouppresented INDOHUNs student Core Competencies andCurriculum Mapping. Their discussions centred roundcore competencies in One Health for response toEmerging Infect ious Diseases outbreaks . Thecompetencies included technical , leadership ,management skills, communication and collaboration,analyticalskills, andculturalandethical values.

Technical Competencies of One Health for response toEmerging Infectious Diseases outbreaks consisted of diagnosing (identifying the cause of) the outbreaks,analyzing, and solving problems. Furthermore, theleadership skills would improve the ability to develop orimplement the One Health approach, problem-solvingskills, the ability to work as a group (internally and

externally), and the ability to compromise (win-winsolution). The communication and collaboration skillsconsisted of inter-professional Communication andCollaboration (internally and externally), makingnetwork skills, relationship building, interfacing withothers, and making Effective communication throughothers.

Group 3 also explained that analytical skills should beaccompanied by the ability to prioritize, ability todiagnose, analyze, and respond to situations, and the

ability to monitor and evaluate. Meanwhile, Cultural andEthical Values consisted of the ability to appreciate localwisdom, cultures and religions, and the ability to installlocal approaches in tacklinglocal issues.

The discussion in Group 3 resulted in the belief that eachfaculty should undertake curriculum mapping tointegrate the One Health concept. The One Healthconcept can be included into existing curricula byinserting the concept into existingcourses or modules orcreating new courses. It also can be fused with Student

Study-serviceActivities(KuliahKerjaNyata).

GROUP 3PRESENTATION


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The iIntegration of the One Health concept

couldoccur if thedisciplines foundsolutions forcollaboration among with others (physician,nurse, Vveterinarians. pharmacists, publicheal th and social sc ience special ists),collaboration among leaders, and carrying out pilot project integratingon among disciplines.They wouldbe used byinsertingtheOneHealthconcept into theexistingcurriculum in lectures,case studies, assignments, field works, visits,elective studies, seminars, symposiuma, orconferences for Continuing ProfessionalDevelopment(CPD). Theintegrationalsocanbeexerted in trainingswhich consistedof studentsactivities (extra-curriculumar) among faculties


(integrated field work/social services),

developed trainings specific on awareness andpreparedness of outbreak responses (possibletopics: disaster, anthrax, avian influenza, orothers relevant to local problems). The At least one trainings should be completed at least oneduring the period of study. This integration wascomposed proposed by a collaborative teamconsisteding of medicine, public Hhealth,Vveterinary medicine, Nnursesing, and sSocialscientists. The Credit Transfer System wouldbeused to develop new modules/courses andcurriculumagreement among thefaculties.


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In closing the Symposium, the Vice Minister of Health,Republic of Indonesia, Prof. Dr Ali Ghufron Mukti, MSc,PhD, reviewed the discussions from the beginning untilthe second day. He presented closing remarks andconclusions of this Symposium. He explained that the OneHealth concept consisted of three main disciplines,Medicine, Public Health, and Veterinary Medicine. Hestated that participants of this symposium came fromuniversities (81%), donors (8%), governments (4%), andprofessional organizations (7%). He also informed allparticipants that INDOHUN had a number of programs.Those programs were INDOHUN One Health Curriculum

Development Program, INDOHUN Capacity BuildingProgram, INDOHUN One Health Future Leader Program,and INDOHUN Research Program. Those were related tothe three topics of group discussions which consisted of How to Make The INDOHUN Network work, Research,training & exchange programs, and INDOHUN's student CoreCompetenciesand CurriculumMapping.

The final presentation, came from the Director of theZoonotic National Committee, dr. Emil Agustiono, M.Kes.

He presented Challenges and Opportunities to Build OneHealth National Policy across Sectors. Dr. Emil Agustiono,MPH (Epidemiologist) is the Deputy CoordinatingMinister for People's Welfare and Secretary of NationalCommission ofZoonotic Control. Dr. Emil said that theOneHealth approach complexity consisted of Wildlife health,Livestock health and Human health. Those were inagricultural, urban and natural ecosystem health. He alsodiscussed Current Challenges in Strengthening MultiSectoral Zoonotic Risk Reduction which were HumanSurve i l l ance , Vacc ina t ion, Accountab il i ty andTransparency, Wet Market Clean-Up, Biosecurity, Anti-virals, Social Isolation, Public private partnerships, etc.Based on his presentation, the government is now re-focusing its national strategies in zoonotic control &pandemicinfluenzapreparedness.

CLOSING



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This symposium released four conlclusions

First

Second

Third

Fourth

The participants who represent Indonesias prominent universities, agreed tosupport the national One Health University network and to participate in the future

activities

The participants agreed with and supported the three main INDOHUN programson training, education, and research

The participants and university networkat INDOHUN welcomed the RESPOND-USAID program to support One Health university networking in Indonesia

The Vice Minister of Health fully supports the One Health University network through its government policy to achieve the goal of controlling emerging zoonotic

diseases.

Documents

Final Report INDOHUN Symposium 2012