INDONESIA TOWARDS OCCUPATIONAL AND
ENVIRONMENTAL HEALTH SERVICES IN ASEAN ECONOMIC
COMMUNITY
OCCUPATIONAL HEALTH AND SPORT DIRECTORATE
MINISTRY OF HEALTH, REPUBLIC OF INDONESIA
SYAHRUL EFENDI P.SKM.MKKK.
The International Conference on Occupational and Environmental Disease, 1-3 Maret 2017, Bangkok Tahiland
PRESIDENTIAL VISION AND MISION
9 Prioritiy Agendas (NAWA CITA)
Agenda No. 5: Improve the Indonesians’ Life
quality
TRISAKTI:
Economically independent, Politically independent;
Characteristic in Culture
INDONESIA CLEVER PROGRAM WORKING INDONESIA PROGRAM
PROSPEREOUS INDONESIA PROGRAM
STRENGTHENING THE
OCCUPATIONAL HEALTH
SERVICES HEALTH PARADIGM
NATIONAL HEALTH
INSURANCE
HEALTHY FAMILY
INDONESIA’S OHS CHALLENGES
Men
65,11 Millions(62,09 %)
Women
39,8 Millions (37,91%)
FORMAL
45,6 Millions (40%)
INFORMAL
68,4 Millions (60%)
WORKERS
114 MILLIONS (48 %)
INDONESIA
POPULATION
(237,64 MILLIONS)
OD AND WRD (122 CASES)
OFFICESS
INDUSTRY
HEALTH FACILITIES
INFORMAL SECTOR
(SME ENTREPRISE)
ALL OF THE WORKPLACES
HAVE POTENTIAL HAZARDS Health Human
Resources
Action Control
ENVIRONMENTAL HEALTH ISSUES Water and Sanitation
Air Pollution, Waste and Radiation &
Environmental Emergencies
Food Security
LAJU DOSIS RADIASI GAMMA
DAERAH MAMUJU, SULAWESI BARAT
Issue Pencemaran udara,
Tanah dan Kawasan
Air and Land Pollution
Peringkat Tahun 2010
1 Accute Respiratoy Infections
1 Stroke 1 Stroke
2 Tuberkulosis 2 Tuberkulosis 2 Traffic Accidents
3 Diarrhea 3 Traffic Accidents 3 CVD
4 Stroke 4 Diarrhea 4 Cancer
5 Traffic Accidents 5 CVD 5 Diabetes Melitus
6 Birth Complication 6 Diabetes Melitus 6 Tuberkulosis
7 Anemia 7 Low Back Pain 7 Accute Respiratoy Infections
8 Malaria 9 Accute Respiratoy Infrctions
8 Depression
13 CVD 12 Birth Complication 9 Asphyxia and Birth Problems
Diabetes Melitus 26 Malaria 10 Penyakit Paru Obstruksi Kronis
2015 2010 1990
Sumber data: Global burden of diseases (2010) dan Health Sector Review (2014) 7
The Main Causes of Diseases’ Load, 19 90-2015 Accident
7%
NCD 37%
CD 56%
Accident 13%
NCD 57%
CD 30%
OCCUPATIONAL AND ENVIRONMENTAL
HEALTH SERVICES IN AEC
ROK DITJEN KESMAS 2017 9
PUBLIC HEALTH APPROACH
BEHAVIOUR CHANGE
COMMUNITY EMPOWERMENT
ENVIRONMENTAL IMPROVEMENT
INDIVIDU
FAMILY
GROUP
COMMUNITY
Vulnerable Group
STRATEGIC GROUP
AR
EA
BA
SED
AR
EA
BA
SED
DESENTRALISATIO
N
AREA INSTITUTION
STRENGTHEING
1. HUMAN RECOURCE –
capacity
2. MEDIUM – Equipment.
3. REGULATION – working
method.
4. MANAGERIAL
RESOURCES
INTEGRATION IN THE
CENTRAL including
NETWORKING
PUBLIC
NUTRITION
HEALTH AND
CLEAN LIFE
BEHAVIOUR
HIGH-RISK GROUP
1. Pregnant women
2. Infant
3. Toddler
4. REMAJA PUTRI
STRATEGIC GROUP
1. SCHOOLING
CHILDREN.
2. FEMALE WORKERS
3. ELDERLY
4. SOCIAL MEDIA USER
UKK
TARGET
OCCUPATIONAL HEALTH AND ENVIRONMENTAL
HEALTH IMPLEMENTATION IN AEC ERA
• THE OCCUPATIONAL HEALTH AND ENVIRONMENTAL HEALTH IMPLEMENTATION ACCORDING TO THE
INTERNATIONAL STANDARD THAT FOLLOWED BY ASEAN COUNTRIES.
• THE STANDARD INVOLVING THE WORKERS, THE MEDIA, AND THE EQUIPMENT USED.
• THE OCCUPATIONAL HEALTH AND ENVIRONMENTAL HEALTH SERVICES GUARANTEE THE ASEAN WORKERS
• THE INTERNATIONAL WORKING COMPLY WITH THE EXISTING REGULATIONS IN EVERY ASEAN COUNTRIES
HEALTH WORKERS FACE THE AEC
1. The Foreign Workers Usage In Regulation No. 13 Year 2003 Article 42
2. The Foreign Workers Usage In Regulation No. 16 Year 2015
3. Strengthening The Domestic Regulation:
• Regulation No. 38 Year 2014 About Nursing
• Regulation No. 36 Year 2004 About Health Workers
• Regulation No. 29 Year 2004 About Medicine Practice
• Regulation No. 44 Year 2009 About Hospital
• MOH Regulation No. 67 Year 2013 About The Foreign Workers Usage
• Perkonsil No. 157/KKI/PER/XII/2009 About ASEAN Doctor And Dentist Registration Process
4. The Council Form Of Health Workers
5. The Establishment Of Service Standard And The Practice Forms
6. The Harmonization Of Occupational Health Workers And Service System
7. Certification Through Competency Test, Registration, Licensing, And Health Workers Rights.
8. Do The Health Service Market Review
Health Workers Quality
Improvement
Health Services Quality
Improvement
MOH REGULATION NO. 67 YEAR 2013 ABOUT
FOREIGN WORKERS USAGE
FOREIGN WORKERS TYPE
a. MEDICAL WORKERS,
MINIMAL SPECIALISTS
(DOCTOR AND DENTIST)
b. OTHER HEALTH WORKERS
(MINIMAL HAVE BACHELOR
DEGREE)
FOREIGN WORKERS
USAGE ACTIVITIES
a. Health Services
b. Health training
c. Health charity
d. Research
Kualifikation & Standar Foreing
Workers Diffirens for occupation
OCCUPATIONAL HEALTH AND ENVIRONMENTAL HEALTH WORKERS STRENGTHENING RELEVANT
TO AEC
Services Strengthening 1. Services standard
2. Facilities and infrastructure
standard
3. Competency improvement
Health Workers
Quality Improvement The determination of
services, competency,
registration, certification,
and licensing standards
THE ROLES STRENGTHENING:
Central and Local Government
• Ministry of Health : Chamber of Indonesia Migrant Workers
• Ministry of Labor : The general management of workers
• Ministry of Research, Technology and Higher Education : competency Test and publish the competency certification
Health Facilities/Industry (Hospital, Primary Health Care)
• Reward dan Punishment
• Human resources improvement through certification
Professional Organisation
• Professionalism strengthening to all members’ improvement
• The works competency standard making
• Competency test with universities and accredited certification agencies
Health Workers Council
• Council Forming
• Registration system strengthening, foreign workers supervision with the government.
Health workers work according to the standards
OCCUPATIONAL HEALTH AND SPORT DIRECTORATE
PUBLIC HEALTH DIRECTORATE
MINISTRY OF HEALTH
GEDUNG ADHYATMA LANTAI 7 RUANG 722
JL. H.R. RASUNA SAID BLOK X-5 KAV.4-9
JAKARTA SELATAN 14950
TLP/FAX : 021 – 5214891 / 021 – 5273422
THANK YOU
HEALTHY, FIT, AND PRODUCTIVE: YES!
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