Health Policy Through Epidemiology

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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