Sistem Kesehatan Nasional & Daerah

Vera Wahyuni Ulandari

24 Aug 202205:08

Summary

TLDRThe Indonesian government is seriously promoting a national health system transformation to recover from a 20-month economic slump. The national health system aims to ensure the highest level of public health through integrated management by all national components. Challenges include low accessibility, insufficient funding, and inefficiency in resource management. The system includes education, economy, social security, and defense, with stakeholders like the public, government, legislative, and judiciary bodies. It comprises subsystems for health financing, human resources, medical supplies, community empowerment, and health management.

Takeaways

🌟 The Indonesian government is seriously promoting a transformation of the national health system to recover from the economic impact of a 20-month crisis.
🏥 A national health system is managed by all components of the Indonesian nation, integrated and mutually supportive to ensure the highest possible level of public health.
📊 The primary goal of the national health system is to develop regional areas through the involvement of all national components, including government, private entities, and international cooperation.
📉 There has been a significant decrease in maternal mortality rates from 301 per 100,000 live births in 1997 to 228 per 100,000 in 2007.
📉 The population density burden in Indonesia has been reduced, as indicated by the decrease in certain health metrics.
🚑 Access to healthcare in Indonesia is still considered low, with challenges in financing, efficiency, and effectiveness of health expenditure.
💊 There is a lack of sufficient human resources for health, inadequate quality control, and improper implementation of drug use across the country.
🏛️ The national health system (SKN) is interconnected with other national systems such as education, economy, social security, and national defense and security.
👥 The implementation of SKN involves inputs, processes, outputs, and the environment, with stakeholders including the public, government, legislative bodies, and the judiciary.
🔄 The components of SKN include subsystems for health financing, human resources for health, drugs and medical supplies, community empowerment, and health management.
🛠️ The process of establishing SKN includes policy formulation, advocacy and socialization, facilitation of regional health system development, implementation of SKD and SKB, and control of SKM and SKD.

Q & A

What is the significance of the ability to quickly recover from the mycophyta intense hantavirus outbreak for the national economy?
-The ability to recover quickly from the mycophyta intense hantavirus outbreak is a determining factor for the national economic recovery, as it has been ongoing for 20 months.
What is the definition of a national health system according to the script?
-A national health system is a health management assumed by all components of the Indonesian nation, integrated and mutually supporting to ensure the highest possible degree of public health.
What are the main goals of the national health system?
-The main goals of the national health system are to ensure the development of regions by all components of the nation and to involve government, community, legal entities, and business entities, as well as international cooperation.
What is the role of Regional Health Development (Pembangunan Kesehatan Daerah) in the script?
-Regional Health Development is a foundation for organizing and building self-reliant health systems in Indonesia.
What challenges does the Indonesian health system face according to the script?
-The script mentions challenges such as low accessibility of health services, insufficient health financing, inefficiency and ineffectiveness in budget use, inadequate development and supervision of health workforce quality, and poor implementation of drug use and surveillance.
What is the historical context of the Indonesian health system mentioned in the script?
-The script refers to President Regulation No. 72 of 2012 regarding the national health system, and the impact of the 1997 financial crisis which accelerated the death rate, and a decrease in maternal mortality rates from 301 per 100,000 live births in 1997 to 228 in 2007.
What is the relationship between the health system and other national systems as per the script?
-The script indicates that the health system is related to the national education system, the national economic system, the social security system, and the national defense and security system.
What are the main actors involved in the health system (SKN) according to the script?
-The main actors in the health system include the community, government, legislative bodies, and the judiciary.
What are the elements of the health system (SKN) mentioned in the script?
-The elements of the health system include the health financing subsystem, the health workforce subsystem, the drugs and health supplies subsystem, the community empowerment subsystem, and the health management subsystem.
What are the stages of implementing the health system (SKN) as described in the script?
-The stages of implementing the health system include policy formulation, advocacy and socialization of SKN, facilitation of regional health system development, implementation of SKD and SKB, and control of SKN and SKD.
What is the meaning of 'suprasistem SMKN' as used in the script?
-Suprasistem SMKN refers to the national resilience system designed to achieve national goals in Indonesia.

Outlines

00:00

💉 National Health System Transformation

The script discusses the importance of the national health system in Indonesia's economic recovery from a 20-month crisis. The government is promoting a transformation of the health system to ensure the highest possible health standards for its citizens. The national health system is managed by all components of the Indonesian nation in an integrated and mutually supportive manner. The primary goal is to support regional development through a synergistic approach involving government, communities, legal entities, and businesses. Challenges include the development of the health system, financing, and the efficiency of resource use. There's also a mention of the need for better quality control, human resource development, and proper medication use.

05:02

🌱 Building Good Habits

This paragraph is a short call to action encouraging the audience to build good habits, possibly related to health, as indicated by the context of the previous paragraph discussing health systems.

Mindmap

Keywords

💡National Health System

The National Health System refers to the comprehensive health management undertaken by all components of the Indonesian nation in an integrated and mutually supportive manner to ensure the highest possible level of public health. In the context of the video, it is highlighted as a critical factor in the recovery of the national economy, especially after the prolonged impact of the mycophyta intense hantaman. The government is pushing for a transformation of this system to enhance its effectiveness.

💡Regional Health Development

Regional Health Development (Pembangunan Daerah) is mentioned as a key objective of the National Health System, implying the development of health infrastructure and services at the regional level. It is part of the broader goal to improve health standards across different parts of Indonesia, as indicated by the script's mention of 'Pembangunan Daerah oleh seluruh komponen bangsa'.

💡Health Financing

Health Financing is a subsystem within the National Health System that deals with the mechanisms and sources of funding for health services. The script points out that there are challenges with the current financing model, such as insufficient funding and inefficiency in the use of health budgets, which are critical issues to be addressed for the system's transformation.

💡Human Resources for Health

Human Resources for Health refers to the workforce required to deliver health services effectively. The script mentions that there is a shortage of qualified health personnel and that the development and supervision of this workforce are areas that need improvement. This is crucial for achieving the goals of the National Health System.

💡Drug and Medical Supplies

Drug and Medical Supplies are essential components of the health system, necessary for the provision of healthcare services. The script indicates that there are issues with the distribution and management of these supplies, which is a challenge that needs to be overcome to enhance the overall health system.

💡Community Empowerment

Community Empowerment is about enabling communities to participate in and contribute to their own health and well-being. The script suggests that empowering communities is one of the subsystems within the National Health System, which is important for improving health outcomes and involving local populations in health initiatives.

💡Health Management

Health Management involves the organization, direction, and coordination of health services. It is mentioned in the script as a subsystem that requires strengthening to ensure the effective operation of the health system. Effective health management is key to achieving the system's goals.

💡Health Services Quality

Health Services Quality refers to the standard of healthcare provided. The script highlights the need for better quality control and supervision in health services, indicating that this is an area where improvements can significantly impact the effectiveness of the health system.

💡Maternal Mortality Rate

Maternal Mortality Rate is a key indicator of a country's health system performance, reflecting the number of women who die from pregnancy-related causes. The script provides data showing a decrease in this rate from 1997 to 2007, which is an example of progress in the health sector but also indicates that there is still room for improvement.

💡Supersistem SKM

Supersistem SKM, or the National Resilience System, is mentioned as a system designed to achieve national goals. It has connections with other systems such as education, economy, social security, and national defense and security. The script suggests that the health system is part of this larger framework, indicating the interconnectivity and importance of health within the broader societal context.

💡Health Surveillance

Health Surveillance involves monitoring and evaluating health conditions and trends within a population. The script mentions that surveillance is not being implemented well or routinely, which is a critical issue as effective surveillance is necessary for early detection of health problems and for guiding policy and interventions.

Highlights

The ability to recover quickly from the impact of mycophyta intense that has been going on for 20 months is a determining factor for the national economic recovery.

The government is now seriously promoting the transformation of the national health system.

National health system is managed by all components of the Indonesian nation in an integrated and mutually supportive manner to ensure the highest level of community health.

The first goal of the national health system is the development of the region by all components of the nation.

The second goal is the involvement of government, community, legal entities, business entities, and international institutions to synergize effectively.

The system of regional health (SHD) is the foundation and guideline for organizing and building self-reliance.

The development and challenges of the health system in Indonesia are outlined, including the Presidential Regulation No. 72 of 2012.

The cost, financing, and pharmaceutical aspects are discussed as critical elements of the health system.

The impact of the 1997 financial crisis on the health system is highlighted, showing a decrease in maternal mortality rates.

The number of maternal deaths in 1997 was recorded at 301 per 100,000 live births, decreasing to 228 per 100,000 in 2007.

The challenges of health access, financing, and the efficiency of budget use are discussed.

The quality of health workforce and resource management is identified as lacking.

The implementation of drug use and surveillance is mentioned as not being well-executed.

Supersistem SKM is described as a national resilience system aimed at achieving national goals.

The relationship between the health system and other systems such as education, economy, social security, and national defense and security is highlighted.

The process of implementing SKN includes input, output, and environment.

The stakeholders of SKN include the community, government, legislative bodies, and the judiciary.

The elements of SKN are outlined, including subsystems for health financing, human resources for health, drugs and health supplies, community empowerment, and health management.

The stages of SKN establishment include policy setting, advocacy and socialization, facilitation of regional health system development, implementation of SKD and SKB, and control of SKM and SKD.

The importance of building good habits for health is emphasized.