INDONESIA TOWARDS OCCUPATIONAL AND

ENVIRONMENTAL HEALTH SERVICES IN ASEAN ECONOMIC

COMMUNITY

OCCUPATIONAL HEALTH AND SPORT DIRECTORATE

MINISTRY OF HEALTH, REPUBLIC OF INDONESIA

SYAHRUL EFENDI P.SKM.MKKK.

The International Conference on Occupational and Environmental Disease, 1-3 Maret 2017, Bangkok Tahiland

PRESIDENTIAL VISION AND MISION

9 Prioritiy Agendas (NAWA CITA)

Agenda No. 5: Improve the Indonesians’ Life

quality

TRISAKTI:

Economically independent, Politically independent;

Characteristic in Culture

INDONESIA CLEVER PROGRAM WORKING INDONESIA PROGRAM

PROSPEREOUS INDONESIA PROGRAM

STRENGTHENING THE

OCCUPATIONAL HEALTH

SERVICES HEALTH PARADIGM

NATIONAL HEALTH

INSURANCE

HEALTHY FAMILY

INDONESIA’S OHS CHALLENGES

Men

65,11 Millions(62,09 %)

Women

39,8 Millions (37,91%)

FORMAL

45,6 Millions (40%)

INFORMAL

68,4 Millions (60%)

WORKERS

114 MILLIONS (48 %)

INDONESIA

POPULATION

(237,64 MILLIONS)

OD AND WRD (122 CASES)

OFFICESS

INDUSTRY

HEALTH FACILITIES

INFORMAL SECTOR

(SME ENTREPRISE)

ALL OF THE WORKPLACES

HAVE POTENTIAL HAZARDS Health Human

Resources

Action Control

ENVIRONMENTAL HEALTH ISSUES Water and Sanitation

Air Pollution, Waste and Radiation &

Environmental Emergencies

Food Security

LAJU DOSIS RADIASI GAMMA

DAERAH MAMUJU, SULAWESI BARAT

Issue Pencemaran udara,

Tanah dan Kawasan

Air and Land Pollution

Peringkat Tahun 2010

1 Accute Respiratoy Infections

1 Stroke 1 Stroke

2 Tuberkulosis 2 Tuberkulosis 2 Traffic Accidents

3 Diarrhea 3 Traffic Accidents 3 CVD

4 Stroke 4 Diarrhea 4 Cancer

5 Traffic Accidents 5 CVD 5 Diabetes Melitus

6 Birth Complication 6 Diabetes Melitus 6 Tuberkulosis

7 Anemia 7 Low Back Pain 7 Accute Respiratoy Infections

8 Malaria 9 Accute Respiratoy Infrctions

8 Depression

13 CVD 12 Birth Complication 9 Asphyxia and Birth Problems

Diabetes Melitus 26 Malaria 10 Penyakit Paru Obstruksi Kronis

2015 2010 1990

Sumber data: Global burden of diseases (2010) dan Health Sector Review (2014) 7

The Main Causes of Diseases’ Load, 19 90-2015 Accident

7%

NCD 37%

CD 56%

Accident 13%

NCD 57%

CD 30%

OCCUPATIONAL AND ENVIRONMENTAL

HEALTH SERVICES IN AEC

ROK DITJEN KESMAS 2017 9

PUBLIC HEALTH APPROACH

BEHAVIOUR CHANGE

COMMUNITY EMPOWERMENT

ENVIRONMENTAL IMPROVEMENT

INDIVIDU

FAMILY

GROUP

COMMUNITY

Vulnerable Group

STRATEGIC GROUP

AR

EA

BA

SED

AR

EA

BA

SED

DESENTRALISATIO

N

AREA INSTITUTION

STRENGTHEING

1. HUMAN RECOURCE –

capacity

2. MEDIUM – Equipment.

3. REGULATION – working

method.

4. MANAGERIAL

RESOURCES

INTEGRATION IN THE

CENTRAL including

NETWORKING

PUBLIC

NUTRITION

HEALTH AND

CLEAN LIFE

BEHAVIOUR

HIGH-RISK GROUP

1. Pregnant women

2. Infant

3. Toddler

4. REMAJA PUTRI

STRATEGIC GROUP

1. SCHOOLING

CHILDREN.

2. FEMALE WORKERS

3. ELDERLY

4. SOCIAL MEDIA USER

UKK

TARGET

OCCUPATIONAL HEALTH AND ENVIRONMENTAL

HEALTH IMPLEMENTATION IN AEC ERA

• THE OCCUPATIONAL HEALTH AND ENVIRONMENTAL HEALTH IMPLEMENTATION ACCORDING TO THE

INTERNATIONAL STANDARD THAT FOLLOWED BY ASEAN COUNTRIES.

• THE STANDARD INVOLVING THE WORKERS, THE MEDIA, AND THE EQUIPMENT USED.

• THE OCCUPATIONAL HEALTH AND ENVIRONMENTAL HEALTH SERVICES GUARANTEE THE ASEAN WORKERS

• THE INTERNATIONAL WORKING COMPLY WITH THE EXISTING REGULATIONS IN EVERY ASEAN COUNTRIES

HEALTH WORKERS FACE THE AEC

1. The Foreign Workers Usage In Regulation No. 13 Year 2003 Article 42

2. The Foreign Workers Usage In Regulation No. 16 Year 2015

3. Strengthening The Domestic Regulation:

• Regulation No. 38 Year 2014 About Nursing

• Regulation No. 36 Year 2004 About Health Workers

• Regulation No. 29 Year 2004 About Medicine Practice

• Regulation No. 44 Year 2009 About Hospital

• MOH Regulation No. 67 Year 2013 About The Foreign Workers Usage

• Perkonsil No. 157/KKI/PER/XII/2009 About ASEAN Doctor And Dentist Registration Process

4. The Council Form Of Health Workers

5. The Establishment Of Service Standard And The Practice Forms

6. The Harmonization Of Occupational Health Workers And Service System

7. Certification Through Competency Test, Registration, Licensing, And Health Workers Rights.

8. Do The Health Service Market Review

Health Workers Quality

Improvement

Health Services Quality

Improvement

MOH REGULATION NO. 67 YEAR 2013 ABOUT

FOREIGN WORKERS USAGE

FOREIGN WORKERS TYPE

a. MEDICAL WORKERS,

MINIMAL SPECIALISTS

(DOCTOR AND DENTIST)

b. OTHER HEALTH WORKERS

(MINIMAL HAVE BACHELOR

DEGREE)

FOREIGN WORKERS

USAGE ACTIVITIES

a. Health Services

b. Health training

c. Health charity

d. Research

Kualifikation & Standar Foreing

Workers Diffirens for occupation

OCCUPATIONAL HEALTH AND ENVIRONMENTAL HEALTH WORKERS STRENGTHENING RELEVANT

TO AEC

Services Strengthening 1. Services standard

2. Facilities and infrastructure

standard

3. Competency improvement

Health Workers

Quality Improvement The determination of

services, competency,

registration, certification,

and licensing standards

THE ROLES STRENGTHENING:

Central and Local Government

• Ministry of Health : Chamber of Indonesia Migrant Workers

• Ministry of Labor : The general management of workers

• Ministry of Research, Technology and Higher Education : competency Test and publish the competency certification

Health Facilities/Industry (Hospital, Primary Health Care)

• Reward dan Punishment

• Human resources improvement through certification

Professional Organisation

• Professionalism strengthening to all members’ improvement

• The works competency standard making

• Competency test with universities and accredited certification agencies

Health Workers Council

• Council Forming

• Registration system strengthening, foreign workers supervision with the government.

Health workers work according to the standards

OCCUPATIONAL HEALTH AND SPORT DIRECTORATE

PUBLIC HEALTH DIRECTORATE

MINISTRY OF HEALTH

GEDUNG ADHYATMA LANTAI 7 RUANG 722

JL. H.R. RASUNA SAID BLOK X-5 KAV.4-9

JAKARTA SELATAN 14950

TLP/FAX : 021 – 5214891 / 021 – 5273422

THANK YOU

HEALTHY, FIT, AND PRODUCTIVE: YES!

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