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

LIK

INDON

ESIA

9

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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