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BY : drg. MULYONO SUSANTO, MHSM Head of Health Department Bangka Belitung Islands Province

IMPLEMENTATION OF HEALTH PROGRAMS IN THE DECENTRALIZATION ERA AT BANGKA BELITUNG ISLANDS PROVINCE. BY : drg. MULYONO SUSANTO, MHSM Head of Health Department Bangka Belitung Islands Province. WELCOME TO BANGKA BELITUNG ISLANDS. SYSTEMATICS. INTRODUCTIONS

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BY : drg. MULYONO SUSANTO, MHSM Head of Health Department Bangka Belitung Islands Province

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  1. IMPLEMENTATION OF HEALTH PROGRAMS IN THE DECENTRALIZATION ERA AT BANGKA BELITUNG ISLANDS PROVINCE BY : drg. MULYONO SUSANTO, MHSM Head of Health Department Bangka Belitung Islands Province

  2. WELCOME TO BANGKA BELITUNG ISLANDS

  3. SYSTEMATICS • INTRODUCTIONS • NATIONAL AND REGIONAL HEALTH DEVELOPMENT ACHIEVEMENT • RESOURCES ENDORSEMENT OF HEALTH DEVELOPMENT • CHALLENGES & STRATEGIC STEPS TO ACCELERATE HEALTH DEVELOMENT • BEST PRACTICES • NATIONAL HEALTH INSURANCE

  4. 1. INTRODUCTIONS

  5. I Background Information • Geographic and population - Total Population : 1.339.773 - Ecological zones : Tropical climate, and archipelagic geography

  6. History Of Decentralization • The issue of decentralization in the post-reform Indonesia emerged around 1999 - 2000. It was signed with the enactment of Law No. 32 of 2004 • Emergence of Law 32 0f 2004 on Regional Govermenthas brought a new wind the Indonesian goverment from centralizedto the decentralized • With a decentralized model of Health, local government is given full authority to regulate the sector of regional health systems. • In the process, the local government is highly dependent on several factors; the financial support, cooperation, coordination across sectors, etc. in the success of the health system in the region. • Bangka Belitung has officially ratified on 09 February 2001 when Indonesia has entered the era of decentralization. • PP 38 of 2007 on the division of power between central and regional government as well as covering the field of Health.

  7. CHART FLOW OF PUBLIC HEALTH MINISTRY OF HEALTH DEPARTMENT OF HEALTH PROVINCE PROVINCE HOSPITAL CENTER REGIONAL HOSPITAL DEPARTMENT OF HEALTH DISTRICT DISTRIC COMMUNITY HEALTH CENTER / PKM HEALTH VILLAGE POST (POSKESDES)/ SECOND COMMUNITY HEALTH CENTER (PUSTU) Cadre

  8. 2. NATIONAL AND PROVINCE HEALTH DEVELOMENT ACHIEVEMENT

  9. MIDTERM REVIEW HEALTH PROGRAM Ket : 1) SDKI, 2007; 2) Riskesdas, 2010; 3) SDKI, 2012; 4) Sensus Penduduk,2010; 5) Profil Kesehatan; 6) Program Terkait

  10. INFANT MORTALITY RATE MDG’s 2015 : ≤ 23/1000 KH

  11. FULL COVERAGE BASIC IMMUNIZATION Source : Ditjen P2PL, 2013

  12. FIGURE COVERAGE OF CHILDREN WEIGHED (D/S) Renstra’s Target : 75% Source : Report of the Director General Nutrition, Ministry of Health, Update 11 Januari 2013

  13. EVENT NUMBERS OF MALARIA (PER 1.000 of Population ) in Indonesia 2012 MDG’s Target : 1/1000 of Population Source :Diit.PPBB –Ditjen PP dan PL, Ministry of Healt 2011

  14. 3. SUPPORT RESOURCES FOR HEALTH DEVELOPMENT

  15. DOCTOR RATIO PER 100,000 POPULATION IN 2012 Source : Pusdatin

  16. MIDWIFE RATIO PER 100,000 POPULATION IN 2013 RasioBidan : 100 / 100.000 penduduk Souce : Pusdatin

  17. CENTRAL GOVERMENT PROVIDES DOCTORS, DENTIST AND MIDWIVES TO BE WORK IN REGENCY / MUNICIPALITY IN RURAL AREA Sumber : Data dan Informasi Prop. Kep. Babel

  18. PROVISION OF CENTRAL HEALTH BUDGET IN BANGKA BELITUNG PROVINCE 97,927,934,372 / 163,916,444,689 out of total = 59.74259298 %

  19. PROVISION OF LOCAL HEALTH BUDGET

  20. vi. STEP STRATEGIC CHALLENGES AND ACCELERATING THE DEVELOPMENT OF HEALTH

  21. PERSENTAGE OF FOUR PREGNANCY VISITE TO MIDWIVESAND PERSENTAGE OF MIDWIVES / MEDICAL LABOR K4 PN National’s Target 2015: 95% National’s Target 2015: 90% K4 PN Still below target Upper target

  22. PERCENTAGE OF CHILDREN UNDER 5 YEARS OLD WHO COMPLETE SCALED PROGRAM Source : Data and Information of Babel Province2013

  23. DATA OF HIV & AIDS DISEASE IN BANGKA BELITUNG PROVINCE

  24. MAP OF MALARIA IN BANGKA BELITUNG PROVINCE Malaria still an endemic disease in Bangka Belitung Province

  25. UNDER NUTRISION DATA IN BANGKA BELITUNG PROVINCE Number of Cases of Malnutrition Bangka Belitung: 95 Cases

  26. STRATEGISC STEP TO DECREASE MATERNAL MORTALITY RATE ( MMR ) & INFANT MORTALITY RATE ( IMR)

  27. STRATEGISC STEP TO DECREASE HIV DAN AIDS

  28. KONDOM TES HIV • PREVENTION • Prevention of Sexual Transmission Through (PMTS) • Bad effects of drug prevention (PDBN) • Prevention of transmission through the Maternal and Child ( PPIA) LASS IPWL EDUCATION • TREATMENT • Expansion Testing • STI patients • injecting drug users • HIV + Pregnant Women • serodiscordant couples • TBCoinfection • Patients with HepatitiesB & C • Early initiation of antiretroviral drugs on key populations, pregnant women, TB, Hepatitis B & C co-infection • MORAL • RELIGION • REPRODUCTIVE HEALTH • DANGER OF NAPZA L K B KPA P “PERKUAT JEJARING INTERNAL” “PERKUAT JEJARING EKSTERNAL” Health-care facilities communites

  29. 5. BEST PRACTICE

  30. BEST PRACTICES IN BANGKA BELITUNG J K N

  31. BEST PRACTICES Alert Village

  32. Descriptions MTBS Stand for Integrated Management of Childhood Illness or Integrated Management of Childhood Illness (IMCI in English) is an integrated approach / integrated in the management of sick children with a focus on the health of children aged 0-5 years (toddlers) thoroughly. UKS abbreviated school health is an effort made to help school pupils and the school community who are sick in the school environment. UKS is usually done in a school nurse's office. Adolescent Health Care Services (PKPR) is a Youth Care Health Services, serving all of the youth in the form of counseling and various things related to adolescent health. Here teenagers do not need to hesitate and worry for vent / counseling, getting the right information and the right to a variety of things to know teenagers. ANTE Natal Care (ANC) health examination given to pregnant women on a regular basis that is four times during pregnancy. CLASS OF PREGNANT WOMEN (Kelas Ibu Hamil) Pregnancy Class is a study group of pregnant mothers with gestational age between 20 weeks s / d 32 weeks with a maximum number of 10 participants. In this class of expectant mothers will learn together, discuss and exchange experiences on Maternal and Child Health thorough and systematic and can be done on a scheduled basis and continuously. .

  33. Descriptions 6. Integrated Service Post is a neighborhood health center providing primary health services, integrated with early childhood activities, BKB and SDIDTK.7. Early childhood education (PAUD/ECD) is the level of education before primary education which is an effort aimed at the development of children from birth to the age of six, which is done through the provision of educational stimulation to assist the growth and development of the child's physical and spiritual so has the readiness to enter further education, which was held in formal, non-formal, and informal. 8. Detection of Early Intervention Stimulation of Growth (SDIDTK) is to make an effort monitoring the growth and development of children. 9. PHBS is a set of behaviors that is practiced on the basis of consciousness as a result of learning that makes a person or family can help themselves in the field of health and play an active role in creating public health. .

  34. 6.NATIONAL HEALTH INSURANCE

  35. NATIONAL HEALTH INSURANCE (JKN)

  36. BASIC OPERATION LAW OF JKN • 1945 Article 28 H paragraph (1), (2), (3) • 1945 Article 34 paragraph (1), (2) • Law No. 40 of 2004 on National Social Security System (Navigation). • Act No. 24 of 2011 of the Social Security Agency (BPJS) • Regulation No 101/2012 on the Recipient Contribution (PBI) • Presidential Decree No. 12/2013 on Health Insurance • Regulations and other provisions there are 14 product regulation

  37. MEMBERSHIP Member Contribution

  38. PREMI FOR COMMUNITY CARE CLASS LEVEL 3 CARE CLASS LEVEL 2 CARE CLASS LEVEL 1

  39. Thank you

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