- 1. TRANSFORMATION PUBLIC HEALTHLEADERSHIPProf. Dr. Ridwan
Amiruddin, SKM., M. Kes., MSc. PHKetua Penjaminan Mutu Fak.
Kesehatan Masyarakat Universitas Hasanuddin Seminar Nasional Alumni
FKM UNHAS. Wasma Kalla 25-26 Feb 2012 1
2. Outline presentation Essential Public Health MDG achievement
Public Health Challenge Leading the Transformation of the Public
Health SystemSeminar Nasional Alumni FKM UNHAS. WasmaKalla 25-26
Feb 2012 2 3. Public Health Prevents epidemics and the spread of
disease Protects against environmental hazards Prevents injuries
Promotes and encourages healthy behaviors Responds to disasters and
assists communities inrecovery Assures the quality and
accessibility of healthservicesSeminar Nasional Alumni FKM UNHAS.
WasmaKalla 25-26 Feb 2012 3 4. Essential Public Health Services
Monitor health status to identify community health problems
Diagnose and investigate health problems and health hazards in the
community Inform, educate, and empower people about health issues
Seminar Nasional Alumni FKM UNHAS. Wasma Kalla 25-26 Feb 2012 4 5.
Essential Public Health Services Mobilize community partnerships to
identify and solve health problems Develop policies and plans that
support individual and community health efforts Enforce laws and
regulations that protect health and ensure safety Seminar Nasional
Alumni FKM UNHAS. Wasma Kalla 25-26 Feb 2012 5 6. Essential Public
HealthServices Evaluate effectiveness, accessibility, and qualityof
personal and population-based health services Research for new
insights and innovativesolutions to health problems Seminar
Nasional Alumni FKM UNHAS. WasmaSource. 1990 Centers for25-26 Feb
2012 Kalla Disease Control and Prevention 6 7. Public Health: The
foundation of a national health system Tertiary MedicalCare
Secondary Medical Care Primary Medical CareEssential
Population-Based Public Health ServicesHuman Resources Development
(Training)Information SystemsCommunity Planning SystemsCapacity to
Deliver Public Health ServicesPublic Health System
InfrastructureHuman Resources Development (Training) Information
SystemsSeminar Nasional Alumni FKM UNHAS. Wasma Community Planning
SystemsKalla 25-26 Feb 20127 8. Main characteristics of PH and CH
Public HealthCollective Health Microbial paradigm, based Critic to
the positivism.Origin biomedical model Structural adjustment
Flexner report - of experimentalProposals: "Health For All in the
YearModel of reference character of sub-individual the 2000" and
Promotion base. paradigm (Ottawa Letter)Health-disease-intervention
Natural history of the diseases andObject of studyprocesss social
physiopathology determinant. Endemics/epidemicSustentationlogic
controlPromotion and prevention Proposes visions, forms,
figuresPracticePreventive predictiveand scenes in a holistic and
systemic context .PublicIndividualCollectivities Management,
epidemiology,DisciplinesExplain the disease natural history
statistic, demography. 9. Seminar Nasional Alumni FKM UNHAS.
WasmaKalla 25-26 Feb 2012 9 10. Seminar Nasional Alumni FKM UNHAS.
WasmaKalla 25-26 Feb 2012 10 11. Seminar Nasional Alumni FKM UNHAS.
WasmaKalla 25-26 Feb 2012 11 12. Seminar Nasional Alumni FKM UNHAS.
WasmaKalla 25-26 Feb 2012 12 13. Seminar Nasional Alumni FKM UNHAS.
WasmaKalla 25-26 Feb 2012 13 14. Seminar Nasional Alumni FKM UNHAS.
WasmaKalla 25-26 Feb 2012 14 15. Dengue Haemorhagic Fever
DecentralizationSource: Bappenas, 200815 16. Malnutrition Problem
DecentralizationMoH ProjectionSource: Bappenas, 2008 16 17. Under
Five Mortality DecentralizationSource: Bappenas, 200817 18. Infant
Mortality Rate . DecentralizationSource: Bappenas, 200818 19.
Maternal Mortality Rate DecentralizationSource: Bappenas, 200819
20. Delivery attended by trained health workersStagnant
Decentralization20 21. Seminar Nasional Alumni FKM UNHAS.
WasmaKalla 25-26 Feb 2012 21 22. Public Health ChallengesSeminar
Nasional Alumni FKM UNHAS. WasmaKalla 25-26 Feb 2012 22 23. Public
Health ChallengesEmerging Diseases (SARS, Pandemic Flu)Re-emerging
Diseases (XDR-TB) Food SafetyBioterrorism Natural
DisastersObesityAging PopulationHealth Disparities Global Warming
Seminar Nasional Alumni FKM UNHAS. Wasma Kalla 25-26 Feb 2012 23
24. Health Care Crisis Seminar Nasional Alumni FKM UNHAS. Wasma
Kalla 25-26 Feb 2012 24 25. SARS and Pandemic Flu Seminar Nasional
Alumni FKM UNHAS. Wasma Kalla 25-26 Feb 2012 25 26. Health Care
Crisis PopulationAging Re-emerging DiseasesEmerging Diseases
Obesity Health Disparities Access to Quality Health CareHealth
Insurance Costs Uninsured and UnderinsuredSeminar Nasional Alumni
FKM UNHAS. WasmaKalla 25-26 Feb 2012 26 27. Pyramid of preparedness
: components of an effective public healthsystem (from Rowitz 2006)
Categorical Public Health Programs: Environmental Health, HIV/AIDS,
Chronic disease prevention and healthProgramservices
promotion,Immunization, Infectious disease control, injury
Leadership prevention, occupational Safety and HealthProgram
capacitySupporting scientificand technicalcapabilitiesLaboratory
Behavioural EpidemicSurveillance practicescience investigationCore
PublicInformation/WorkforceOrganisationalHealth
communicationcompetencycapacityInfrastructure capacity Leadership
28. The skills of the prepared public health leader in crisis
(Rowitz, 2006)Community buildingSystems thinkingAssets
planningSocial Capital Knowledge of public (capacity
building)Collaboration health law Crisis Management Change and
Visioning resilience Systems change Emotional intelligenceTipping
point PUBLIC HEALTH awarenessINFRASTRUCTUREForensic Crisis and
riskepidemiology communication 29. Public Health leadership
principles (fromRowitz, 2003)1.Core public health values2.Health
Prevention3.Community coalitions4. Local and state collaborations
and equity in access5.Partnerships and shared visions6. New leaders
must learn from experienced leaders mentoring7.Continuous
development of leadership skills8. Commitment to lifelong learning
and personalgrowth 30. Public Health leadership principles(from
Rowitz, 2003) (cont.)9. Infrastructure built on notion of
healthprotection for all10. Need to think globally but act
locally11. Need to be good managers12. Need to walk the walk13.
Proactive not reactive14. Leadership at all levels of an
organization15. Strong belief and commitment tocommunity16. Must
practice what they preach 31. Quotes on Collaboration None of us is
as smart as all of us Edward C. Register, 1915 Cooperation! What a
word! Each working withall, and all working with each. Warren
Bennis, 1996 Collaboration is damn tough Focus group participants,
1997 All quotes from Medicine and Public Health: The power
ofcollaboration, Lasker, et al. 32. A mutually beneficial and
well-definedrelationship entered into by two or moreorganizations
to achieve common goalsAmerst H. Wilder Foundation 33. Why
Collaborate Shared Concern Pool Power Overcome Gridlock (get
unstuck) Add Diversity Increase Ability to Handle Complex Issues
34. Context for Collaboration Identify the problem Understand what
makes leadership difficult Identify stakeholders Assess extent of
stakeholder agreement Evaluate communitys capacity for change
Identify where the problem/issue can be most effectively addressed
Chrislip and Larson 35. Rebalancing Health Priorities
GeneralTargeted Primary Secondary Tertiary protection protection
preventionprotection protection Affected people Safer
withoutAffected people Vulnerablecomplications Healthierwith
people(undiagnosed complications Peopleasymptomatic)Death
fromComplicationsSeminar Nasional Alumni FKM UNHAS. WasmaKalla
25-26 Feb 201235 36. Traditional HealthcareAffected PeopleSafer
withoutAffected
PeopleVulnerablecomplicationsHealthierwithPeople(undiagnosed
complicationsPeopleasymptomatic)Traditional Healthcare Disease
CareSeminar Nasional Alumni FKM UNHAS. WasmaKalla 25-26 Feb 2012 36
37. Traditional Public Health Affected PeopleSaferwithout Affected
People VulnerablecomplicationsHealthierwith
People(undiagnosedcomplicationsPeople asymptomatic)Public Health
System Seminar Nasional Alumni FKM UNHAS. Wasma Kalla 25-26 Feb
2012 37 38. Need to Rebalance HealthPrioritiesAffected PeopleSafer
without Affected PeopleVulnerablecomplicationsHealthier
withPeople(undiagnosedcomplicationsPeopleasymptomatic)Public Health
NetworkHealthcare Delivery SystemHealth Protection: Health
Promotion,Disease CarePrevention, and PreparednessSeminar Nasional
Alumni FKM UNHAS. WasmaKalla 25-26 Feb 2012 38 39. QuestionsGiven
the significant public health and health carechallenges we face,
are Public Health Leadersadequately prepared to address these
issues?What are the requisite leadership competenciesneeded to
address these challenges?Do we have a system of leadership
development thatcan meet this challenge? Seminar Nasional Alumni
FKM UNHAS. Wasma Kalla 25-26 Feb 2012 39 40. Transforming the
Public HealthSystem Seminar Nasional Alumni FKM UNHAS. Wasma Kalla
25-26 Feb 2012 40 41. Transforming the Public HealthSystem Seminar
Nasional Alumni FKM UNHAS. Wasma Kalla 25-26 Feb 2012 41 42.
StructureStandardsFunctionsSetting Agency and Public Health
Accreditation BoardSetting System Standards National Public Health
Performance StandardsEstablishing Public Health Laws and
PoliciesCommunity EngagementDecentralization (central local gov.
interaction)Seminar Nasional Alumni FKM UNHAS. WasmaKalla 25-26 Feb
2012 42 43. Transforming the Public HealthSystem Seminar Nasional
Alumni FKM UNHAS. Wasma Kalla 25-26 Feb 2012 43 44.
WorkforceCompetencies for Public Health professionals
Epidemiologists Environmental Health Nursing Nutritionist
EtcCredentialing and certification National Board of Public Health
Examiners (etc.; 2005) Existing programs in nursing,
environmentalhealth, laboratoriesSeminar Nasional Alumni FKM UNHAS.
WasmaKalla 25-26 Feb 2012 44 45. Transforming the Public
HealthSystem Seminar Nasional Alumni FKM UNHAS. Wasma Kalla 25-26
Feb 2012 45 46. The Strategic Influence of Public Health Leaders
PoliticsPolicyProgramsPHLeadersResources ExperienceCommunity
Seminar Nasional Alumni FKM UNHAS. Wasma Kalla 25-26 Feb 2012 46
47. Crisis Leadership CompetencyModelThis model lays out the nine
competencies that weredetermined to be the most critical for
leaders in a publichealth emergency response situation. Team
Leadership Communication Situational Awareness Connectivity Crisis
Leadership Competency Integrative ThinkingModel Courage and
PerseveranceEmotional EffectivenessCredibilityDecisiveness 48.
IntegrationThe crisis leadership competencies supplement both the
four-tier leadershipcompetencies and the emergency response
competencies. Four-Tier HHS Leadership Competencies Emergency
Response Competencies Basic Supervisor ManagerExecutive Leadership
Emergency All ManagersAll SupervisorsCompetencies, Management
SystemsAll Basic Competencies,plus: Agency Preparedness All Core
Competencies, plus:Strategic Thinkingand Emergency
Competencies,plus: Creativity/VisionResponse Roles
plus:ResilienceInnovation External Informatics Support
FlexibilityConflictFinancialAwareness
InterpersonalManagementManagement Political Savvy for Responses
Skills Team Building Technology Risk Communication Self-Direction
Influencing / Management and Media Relations TechnicalNegotiating
Entrepreneurship All Hazards Concepts CredibilityHuman Resources
Organizational Disaster Mental ProjectManagementSystems Management
Service Awareness Health PerformanceMotivation Management
Accountability Leveraging Four-Tier CDC Leadership Competencies
(supplement HHS) Diversity Cultural Awareness Ethics Leads Change
Dealing with Ambiguity HHS/CDC Operations Personal Leadership
Emotional IntelligenceCrisis Leadership Competencies Communication
Credibility Emotional Effectiveness Situational Awareness
Connectivity Decisiveness Integrative Thinking Team Leadership
Courage and Perseverance 49. Transforming the Public HealthSystem
Seminar Nasional Alumni FKM UNHAS. Wasma Kalla 25-26 Feb 2012 49
50. Goals and PrioritiesNational-level Goals and Priorities Health
Protection Goals Healthy PeopleState and Community-level Goals
State and Local Health DepartmentsSeminar Nasional Alumni FKM
UNHAS. WasmaKalla 25-26 Feb 2012 50 51. Leadership is Essential to
Success Agency StandardsLeadership System Standards Improved + Laws
and Policies Improved Performance Health Outcomes Community
EngagementWorkforce Portfolio ManagementSeminar Nasional Alumni FKM
UNHAS. WasmaKalla 25-26 Feb 2012 51 52. Issues Surrounding
Leadership Development Continuum Dilemma Leadership vs. Management
competencies Basic vs. Advanced Regional vs. National Crisis
Leadership Integrated or single program? Discipline specific
Leadership How to build effective networks Fragmentation Develop a
system for Leadership Shared vision, shared funding, common purpose
Seminar Nasional Alumni FKM UNHAS. Wasma Kalla 25-26 Feb 2012 52
53. recommendation Leadership course for public health leader for
all level Develop collaboration with all stakeholders Regular
meeting to response public health issue Prepare response for
emergency crisis Develop program for rebalancing health care system
Seminar Nasional Alumni FKM UNHAS. Wasma Kalla 25-26 Feb 201253 54.
Final ThoughtsSuccess is the child of audacity (Disraeli)Seminar
Nasional Alumni FKM UNHAS. WasmaKalla 25-26 Feb 201254
