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IMPROVING QUALITY OF LIFE THROUGH
MULTISECTORALCOLLABORATION
ANUNG untukUAD 1
dr. ANUNG SUGIHANTONO, M.Kes
DG OF PUBLIC HEALTH,
THE MINISTRY OF HEALTH
International Conference University of
Ahmad Dahlan, 21 February 2018
Outline• Regulation
• Triple Threats of Diseases
• SDGs Commitments
• Four Waves of Public Health
• Health In All Policies
• Healthy community movement (GERMAS)
• Multisector Coordination
• Partnership and Collaboration
• Challenges
• The Roles of college students
• Conclusion
Humanity
Balance
Benefit
Protection
Right and responsibilit
iesJustice
Gender
non-discriminati
ve
Religious Norm
Awareness, Willingness, and
ability to live healthy for everyone
Investing in Human Resource Development to be more productive
socially and economically.
To improvethe highestattainabledegree of
public health
HEALTH DEVELOPMENTDECREE NO. 36/2009
HealthDevelopment
Goals
Public Health
Problems in Indonesia
Non communicable diseases
Communicable deseases
New threats to health
Avian influenza , HIV/AIDs,
injuries, etc
Re-emerging diseases TB, malaria, dengue, etc
MDGs Unfinished Agenda Maternal Child Health,
Teenagers and elderly
1990
Communicable Diseases NCDs
STUNTING
26.6% Male32.9% Female
OBESITY
11.8% <5 year
DOUBLE BURDEN NUTRITION
19.6 BalitaUNDERWEIGHT
SHIFTING DISEASES
37,2%
2010ISPA, TB,
DIARE
STROKE, INJURY, HEART DISEASE, CANCER, DIABETES
Triple Threats of diseases
INDONESIA COMMITMENT ON
SDGS
Post MDGs goes to SDGs
FOUR WAVES OF PUBLIC HEALTH
1830 1900 19801950 2000
Current
Sanitary reform, great public workgrowth of
municipal power, concernFor civil order
Rise of scientific medicine,
hospitals, health services,
Welfare state, institutional reformSocial Insurance, Social Housing,Focus on living conditions
Focus on risk factors (lifestyles and behaviors; emerging concerns aboutinequalities
MULTISECTORAL APPROACH?
Year
1st wave
2nd wave
3rd wave
4th wave
5th wave???
HEALTH IN ALL
POLICIESWhole of Government approach to health and determinants of health
HEALTY LIFESTYLES COMMUNITY MOVEMENT(GERMAS)
(Presidential Instruction No.1 / 2017)
A systematic and planned action done jointlyby all components of the nation with anawareness, willingness and ability to livehealthy in improving the quality of life
REPUB
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ESIA
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Multisectoral Approach in GERMAS
A
PHYSICAL ACTIVITY
Ministry of Youth and Sport, Ministry of ,
Ministry of Public Works and Housing,
Ministry Of National Education and culture ,
Ministry of Labor, Ministry of Health,
Ministry of BUMN, Ministry of Research and
higher education, Ministry of Tourist,
Ministry of Religion, others stakeholders,
Local Govt non-state actors Stakeholders.
HEALTHY ENVIRONMENT
Ministry of Health, Ministry of
environment, Ministry of Public Works and
Housing, Ministry Of National Education
and culture, Ministry of Religion, Ministry
of Tourist, Ministry if Social, , others
stakeholders, Local Govt, non-state actors
Stakeholders.
HEALTH EDUCATION
Ministry of National Officer and
Bireaucracy Reform, Ministry if Religion,
Ministry Of National Education and culture,
Ministry of Communication and Information,
Ministry of Health, National Board og Family
Planning, National Narcotics Board, Ministry
of Village and Remote Areas, Ministry of
Public Works and Housing , Local Govt, non-
state actors Stakeholders.
HEALTHY FOODS AND
NUTRITION
Ministry of Agriculture,
Ministry of Health,
Ministry of Marines and
Fisheries, Minitry of
Trade, Ministry of
Industry, Kemenperin,
FDA, others stakeholders,
Local Govt, non-state
actors Stakeholders.
EARLY DETECTION
Ministry of Labor,
Ministry of Health,
Ministry of Women
and Children
Empowerment, BPJS,
Ministry of
Defence/National
Army, National Police,
others stakeholders,
Local Govt non-state
actors Stakeholders.
HEALTHY BEHAVIOR
Ministry Of National Education and
culture, Ministry of Religion, Ministry
of Research, technology and higher
education,Ministry of Finance,
Ministry of Health, Ministry of Labor,
Ministry of Trade, others
stakeholders, Local Govt non-state
actors Stakeholders.
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Partnership and Collaboration
Platform SDGsPartnership Principles
Building
trust
Equity
participation
Accountable
benefeciaries
GOVT AND
PARLEMENTARY
Academic
and
Professional
PHILLANTROPY
AND
BUSINESS
CIVIC
SOCIETY AND
MEDIA
SDGs Implementation
1. Set the objectives, policy and program
2. Development Data and indicators
3. Dissemination, Communication, Advocay
4. Support : Regulation and Funding
5. Monitoring, Evaluation and Report
1. Advokasi Pelaku Usaha2. Fasilitasi Program
(Komunikasi, Peningkatan Kapasitas, Dukungan Sumberdaya)
1. Capacity Building2. Evaluation3. Policy Paper/Policy
Brief, 4. Data Development
and Indicators
1. Dissemination and Advocacy
2. Facilitate Program3. Advocacy, Awareness,
and capacity buidling4. Monitoring
Challenge in Multisectoral Approach
Coordination
Commitment
Low awareness on Roles and
Responsibilties
Conflict of Ineterest
Shared goals are not priority
Roles of College Students(Tri Dharma Perguruan Tinggi)
Identify key sectors that have a major impact
on policy making, equity and health
impacts and building
partnerships
Develop common goals for health and other impacts
(mutual benefits).
Policy dialogue with an
interdisciplinary partner that
includes health-proof leadership
Demonstrate data on the impact of health policies and programs
through a participatory
process
Develop a partnership
network that supports health
development
Monitoring and evaluation, monitoring, distribution and achievement; learning.BE DYNAMIC
BE
AGENT
OF
CHANGE
BE
PROFESSIONAL
ENGGAGE
POSITIVE
ATTITUDE
BRiNG
POSITIVE
ENERGY
ConclusionMultisector approach has many
strategic roles to increase the awareness of healthy lifestyle in the era of SDGs to improve
quality of human life.
S A L A M S E H A T
THANK
YOU
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