INDONESIA STRATEGY IN ACHIEVING SDGs IN HEALTH SECTOR Oleh: KEYNOTE SPEECH MINISTER OF HEALTH OF THE REPUBLIC OF INDONESIA THE 2 ND INTERNATIONAL SYMPOSIUM OF PUBLIC HEALTH UNIVERSITAS AIRLANGGA, 11 NOVEMBER 2017 1
Eliminate poverty THE AIMS OF THE SDGs Create a safe Prosperous environment for human being 2
SDGs = UNFINISHED BUSINESS + NEW ISSUES UNFINISHED BUSINESS: 1. Decreased the prevalence of underweight children under five years of age (malnutrition and undernourishment) 2. Decreased the infant mortality rate (AKB) dan children under five years of age mortality rate (AKBa) 3. Decreased the maternal mortality rate (AKI) 4. Decreased the prevalence of HIV and AIDS (%) from total population 5. Increased comprehensive knowledge about HIV and AIDS at the population aged 15-24 years 6. Discrepancy in the access to drinking water and adequate sanitation (in the context of PHBS) NEW ISSUES: 1. Nutritional problems, Integration with improve to food access and agricultural production 2. Universal Health Coverage 3. Death due to noncommunicable disease and tobacco control 4. Drugs abuse and alcohol 5. Death and injury due to traffic accidents 6. Contamination and pollution of water, air, and soil 7. Handling crisis and emergencies 8. Gender equality as a cross-cutting issue ANUNG untuk Lustrum Poltekkes Jakarta III 3 9. Adolescent girls as an important actor of sexual and reproductive health
Follow-up dan Review Mechanism in International Level Global On the frame of High Level Political Forum on SDGs (HLPF) There are 2 forum Presidential level, every 4 years under UN General Asembly Ministrial Level, every year under ECOSOC As a part of HLPF, the implementation of SDGs is being reviewed: Voluntary National Review (VNR) First VNR : HLPF 2016, 22 countries Second VNR : HLPF 2017, 10-19th July 2017, 44 countries, include Indonesia HLPF 2017, New York, 10-19 Juli 2017 High level session: 17-19 Juli 2017 Big theme: "Eradicating poverty and promoting prosperity in a changing world
Presidential Decree Number 59 Year 2017 on the Implementation of the Achievement of Sustainable Development Goals The duties of each Ministry/agency (article 5 and 6) Planning, implementing, monitoring and evaluating SDGs in accordance with their duties and respective authorities; Providing and updating data, and Annually submitting report of the achievement of national target of SDGs to Minister of National Development Planning. The aims of SDGs (article 2) Continuously improve the economic welfare of society, Maintain the sustainability of community social life, Preserve the quality of the environment and inclusive development, and Implement good governance to maintain the quality of life from one generation to next generation.
PRINCIPLES OF SDGs IMPLEMENTATION 1 UNIVERSALITY Encourages the implementation of SDGs in all countries, both developed and developing countries. In national context, implementation of SDGs will be in throughout Indonesia. 2 INTEGRATED SDGs are implemented in an integrated and interlinkage between social, economic and environmental dimensions. This second principle has been firmly adhered to the making process of an action plan specifically in the making of program and its activities and budget 3 NO ONE LEFT BEHIND ensures that the implementation of SDGs should be benefit for all, especially for vulnerable groups and all involved stakeholders. This principle has been applied in every stage of implementation of SDGs in Indonesia. 6
17 GOALS, HEALTH AND RELATED HEALTH SDGS AND HEALTH GOAL 1 GOAL 2 GOAL 3 GOAL 5 GOAL 6 GOAL 8 GOAL 10 GOAL 16 GOAL 17 10 Indicators 6 Indicators 23 Indicators 5 Indicators 2 Indicators 1 Indicators 1 Indicators 8 Indicators 7 Indicators ANUNG untuk IMOPH 2017
RPJMN 2015-2019 3 PILARS PROGRAM MAINSTREAMING HEALTH IN THE DEVELOPMENT PROMOTIVE- PREVENTIVE COMMUNITY EMPOWERMENT HEALTHY FAMILY HEALTHY INDONESIA PROGRAM PILAR 1 HEALTH PARADIGM PILAR 2 STRENGTHENING HEALTH SERVICE PILAR 3 NATIONAL HEALTH INSURANCE PROGRAM IMPROVE THE ACCESS TO PRIMARY HEALTH SERVICE REFERRAL SYSTEM IMPROVE THE QUALITY SERVICE WITH CONTINUUM OF CARE AND HEALTH RISK- BASED INTERVENTION PROGRAM EXPANDING THE TARGETS AND BENEFITS QUALITY AND COST CONTROL
PUBLIC HEALTH PROMOTIF (7) epidemiology. (1) public health administration, (2) health education and behavioral sciences, PREVENTIF KURATIF (6) occupational health PILARS OF PUBLIC HEALTH (3) Biostatistic s/health statistics, REHABILITATIF (5) community nutrition, (4) environme ntal health,
HEALTH POLICIES 1) Health Minister Decree No 39 Year 2016 on Guidelines for the Implementation of Healthy Indonesia Program with Family Approach (2) Presidential Decree No. 1 Year 2017 on Healthy Living Community Movement (3) Health Minister Decree No 43 Year 2016 on Minimum Service Standards Health. G P 1. Determine Indicators in Each Target/Goal 2. Policy, Regulation, and Program/Activity Development 3. Data and Information 4. Socialization/Disseminatio n, Communication & Advocacy 5. Monev & Reporting 6. Funding 1. Advocacy to Business Actors 2. Facilitate Program/Activity to Business Actor 3. Capacity Building 4. Funding Support Platform of SDGs Implementasi TPB/SDGs 1. Capacity Building 2. Monitoring and Evaluation 3. Policy Research 1. Dissemination and Advocacy to the Community 2. Facilitate Program/ Activity in the Field 3. Building public understanding 4. Monitoring 10 A C
FAMILY APPROACH Health service from primary health care to the community in their area by doing home visits (Health Minister Decree 39/2016) 1 Healthy Families Families participating in Family Planning (KB) Mothers giving birth in health facilities Babies completing basic immunization requirement Babies with exclusive breasfeeding (6 months) Under 5 children growth monitored People with TB receving standardized care People with hypertension in treatment People with severe mental health conditions not neglected No family members are smokers Families with access to clean water Families with access to or using standardized healthy toilets Families who are members of JKN/BPJS 11
Transformation of Primary Healthcare 251 1358 Throughout 2015-2016 deployed 1358 health professionals In 251 Public Health Centers situated at borders, islands and most remote areas Under a special task force team Called Nusantara Sehat. 12
Presidential Instruction 1/2017 about Community Movement for Healthy Lifestyle (Germas) All stakeholders including government, private sectors and community are invited and have their own roles and responsibilities in actualizing Germas through: Increased physical activity Improvement of healthy life behavior Provision of healthy food and accelerated improvement of nutrition Improved prevention and early detection of disease Improvement of environmental quality Increasing the education of healthy living Minimum service standard Health Minister Decree 43/2016 13
Universal SDGs is implemented by both developed and developing countries, at the national and regional levels. Therefore, policies are developed to be implemented at both national and local levels. Integration implementation of health-related SDGs is not only focus on goal 3, but is also associated with other goals. Health policies are also strived to be achieved by the integration between programs, such as in the Family Approach which the entire program at the Ministry of Health is unified in a large program design. Another example is The provision of health personnel which is managed by Board for Development and Empowerment Human Resource of Health, while the programs are developed by Directorate General of Public Health and Directorate General of Disease Prevention and Control, and the management of health care facilities is under the control of Directorate General of Health Services meanwhile the data and information is provided by Centre of Data and Information and Board of National Research and Health Development. Inclusive (leave no-one behind) sets all citizens as the development target so that no community group is left behind. The community approach reaches families within public health centre working area.germas reaches a wider group of people, while the Minimum service standard also targets all citizens/districts/cities. Furthermore, cross-sectoral involvement in various health programs also embraces the principle of inclusiveness. 14
CHALLENGES TRIDARMA PERGURUAN TINGGI Idea and inspiration Education Modul Research Create the caring and giving personality Service based on the education Application innovation Idea and inspiration to development Community service 15
16 Presidential Decree 59/2017 1 year after the Presidential Decree has been signed Strategis plan document to achieve SDGs 2016-2030 SDGs Road Map SDGs Action plan Planning document to achieve SDGs in the national level 6 months after the Presidential Decree has been signed Planning document to achieve SDGs in the province level SDGs Action Plan 12 months after the Presidential Decree has been signed State actors Non-State actors
THANK YOU SDGs SECRETARIAT OF MOH E-mail: sekretariatpasca2015.kesehatan@gmail.com / post2015sdgs@kemkes.go.id ANUNG untuk Lustrum Poltekkes Jakarta III 17