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INCREASING HEALTH POLICYINCREASING HEALTH POLICY

THROUGH EPIDEMIOLOGYTHROUGH EPIDEMIOLOGY

Intermediate Public HealthIntermediate Public Health

Prof. DR. Dr. Nasrin Kodim, MPHProf. DR. Dr. Nasrin Kodim, MPH

Department EpidemiologyDepartment Epidemiology

Adapted from R.A. Spassof, MD, University of Otawa

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POLICYPOLICY

Basic guide tools of decicion making

Public policy: government policy

Health policy: Promotion, preventionand health care

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PUBLIC HEALTH POLICYPUBLIC HEALTH POLICY

From health promotion movement

Use policy in all sectors to increase

health Policy can contribute on disease

preventive & curative in all level

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POLICY PRINCIPLEPOLICY PRINCIPLE

Value

Ideology

Politic Evidence

Not a primary influenced on commonpolicy, but a value which is fighting for

Primary epidemiology contribution

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PREMISEPREMISE

Decicion must be taken without payattention to quality of supporting

evidence Few evident is better than no evident

Epidemiology can provide a lot ofimportant evidence

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POLICY ANALYSISPOLICY ANALYSIS

Policy analysis consist of:

Process of Impact prediction of

various policy that posibbly occur Process of past policy evaluation

Epidemiology can provide big

contibution for both

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PUBLIC HEALTHPUBLIC HEALTH

ASSESMENTASSESMENT

Demography, population dynamics

Descriptive Epidemiology

Assess population health

Identify trend and pattern

Assess health risk

Assess health need

Identify priority target to develop policy Analytic Epidemiology

Causa on population & individual level

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ASSESSINGASSESSING

POTENTIAL INTERVENTIONPOTENTIAL INTERVENTION

Identify potential intervention policy

Synthetic an exist science focussing

on effectiveness Contribution new relevant research

Potential value for all approach

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POLICY OPTIONPOLICY OPTION

Impact of intervention potentialproject on public health

Different computer intervetionsimulation

Help developing consensus process

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POLICY EVALUATIONPOLICY EVALUATION

Value of various policy impact

Or future health

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EXAMPLE OF EPIDEMIOLOGYEXAMPLE OF EPIDEMIOLOGY

& HEALTH POLICY& HEALTH POLICY

Health population in 2010

Goal setting, target

Global disease burden Ethics base, SALYs

Public healt status and Nederlandforecast

Intergration process

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STRIVE FOR BIGGERSTRIVE FOR BIGGER

MESSAGE: RELEVANT EXPERTMESSAGE: RELEVANT EXPERT

Policy & the formation

Descriptive epidemiology

Data of health population Determinant of health social

Modeling of health & disease

Geography information system Multilevel engineering

Population dynamic

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STRIVE FOR BIGGER ROLE:STRIVE FOR BIGGER ROLE:

EXPAND DICIPLINEEXPAND DICIPLINE

Professional society

Bigger role of journal

Relevant policy research

Divergence on health

Assessing health need

Double health Analyse

Health & disease engineering

Communication skill & research transfer

Work with decicion maker

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Terima Kasih

Thank you