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INDONESIA EXPERIENCE IN DEVELOPING NATIONAL ACTION PLAN FOR HEALTH
SECURITY
THE 5TH GHSA MINISTRIAL MEETING 2018
Bali, 7 November 2018
Anung Sugihantono Director General of Diseases Control and Prevention
Ministry of Health, Republic of Indonesia
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ASIAN CONTINENT
AUSTRALIAN CONTINENT
PACIFIC OCEAN
INDONESIA
- Strategic location - Indonesia consists of more than 17,504 islands - Volatile to earthquakes and volcanic eruptions
- Population around 265 million - More than 129 international point of entries (29
airport, 90 seaport, 10 ground crossing) - Also as a wildlife migrant destination
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2005 2007 2009 2011 2012 2013 2014 2017 2018
Dissemination
Established the IHR
implementation Plan
Established IHR National Committee consists of
multi sectoral agencies to accelerate IHR
implementation in all sectors
IHR fully implemented
JEE by External Team
Develop NAPHS
Assessment Process Result: Lack of core capacities in some
areas (Surveillance, Response, Laboratory and Infection Control)
WHO recommendation: To strengthen the capacities through
multisector approach, and to emphasize at point of entries
Self Assessment 2010 - 2011
Result: Surveillance and PoE sectors have not met
requirements yet
Extension to implement the core capacities by June
2014
IHR National Committee sets strategies to achieve
core capacities requirements
IHR (2005) IN INDONESIA
2016
AI H5N1 H1N1 ZIKA Ebola,MERS-
CoV
GHSA
National Zoonosis Control
Committee (NZCC) NZCC
function transferred
to PMK
2010
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JEE
JEE ASSESSMENT AND NAPHS DEVELOPMENT
IMPLEMENTATION - Result of self
assessment reviewed by JEE external team from various organizations and countries confirming JEE result
PREPARATION - Ministry of Health and all
related sectors conduct self assessment using JEE Tools
• Results 63% • Recommenda
tions NAPHS
MONEV
IMPLEMENTATION
PLANNING
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JEE RECOMMENDATION AND PROGRESS
NO RECOMMENDATION PROGRESS
1 Develop and implement a fully integrated, multisectoral National Action Plan for IHR implementation, facilitated by a legal decree at the highest level
NAPHS in finalization (estimate completion of final report in December 2018)
2 Establish a mechanism to coordinate the IHR and global health security work of all relevant ministries, agencies and institutions
Indonesia has developed Presidential Decree on Enhancing Capabilities to Prevent, Detect, and Response to Public Health Emergency of International Concern (including Chemical, Biological, Radiological and Nuclear)
3 Evaluate and improve decision making structures and delegation of authority and responsibility to act, not only between the national and sub-national levels, but also at the national level
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LESSON LEARNT AND CHALLENGES OF NAPHS DEVELOPMENT
PLANNING IMPLEMENTATION MONEV
Indonesia’s GHSA Logic Model Approach: • Use indicators and level of capabilities in JEE tools
based on JEE result to determine priority activities and outcomes
• Harmonize activities already planned by Indonesia with JEE indicators and recommendations (involving multisector, academia, and partners)
• Use Indonesia’s cost standard (based on Ministry of Finance Regulation) to calculate costing for each activities
All Technical Areas implement NAPHS in collaboration with related sectors supported by the community in line with Indonesia’s standards and procedures
Cross sectors regular meeting for all Technical Areas to monitor and evaluate the implementation of NAPHS and followed by corrective actions
Challenges: 1. Collaboration need to be expanded to cover all related sectors and group of communities 2. Huge archipelagic areas, huge numbers of population, diverse social cultures 3. More resources need to be mobilized
19 TECHNICAL AREAS
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