Indonesia 1

NATIONAL COMMITTEE PREVENTION OF HEARING IMPAIRMENT & DEAFNESS KOMNAS PGPKT Dr.DAMAYANTI SOETJIPTO RESOURCE PERSONS : Dr.RONNY SUWENTO, Dr.SEMIRAMIS Z., DR.Dr.JENNY BASHIRUDDIN, PROF.HENDARTO H, Dr.UPIK

GB MEETING SOUND HEARING 2030 JAKARTA, 15 Dec.2007

NATIONAL COMMITTEE OF

PREVENTION OF H.IMPAIRMENT & DEAFNESS (KOMNAS PGPKT)

OFFICIALLY LAUNCHED BY THE MINISTRY OF HEALTH

14 DEC.2007 2005

HAS BEEN DONE/PERFORMED

Why, Goals

FUTURE PROGRAM

NATIONAL COMMITTEE REASON TO FORM

• • •

HIGH PREVALENCE H.IMP & DEAFNESS & ITS DREADFUL EFFECT MINISTRY OF HEALTH - LIMITED FUNDS, EQUIPMENT OTHERS WHO RECOMMENDATION: Sound Hearing 2030  Better Hearing for All  RATE OF H.IMP AND DEAFNESS IN SEA (50%-2015 & 90%-2030)  EVERY COUNTRY SHOULD FORM NATIONAL COMMITTEE PREV.H.IMP & DEAFNESS

DATAS OF H.IMP. & DEAFNESS IN INDONESIA 

WHO Multicenter Study (’98) : Sri Lanka (8,8%); Myanmar (8,4%); India (6,3%) 4) Indonesia 4,6%.



SURVEY 7 PROVINCES in Indonesia (1994-1996)  ENT morbidity : 38.6%  ear diseases 16.8% includding :  EXTERNAL EAR DISEASES 6.8%  MIDDLE EAR DISEASE 3.9%  PRESBYCUSIS 2.6%  OTOTOXIC DEAFNESS 0.3%  CONGENITAL DEAFNESS 0.1% HEARING IMPAIRMENT : 16.8% (35.6 Milyun)  DEAFNESS 0.4% (850,000 people) RATE OF BIRTH in Indonesia + 2,6%  5,000-10,000 newborn w.h.impair & deafness / year SCHOOL-CHILDREN (Tambora, Semarang, Medan, Surabaya  CERUMEN 30-50% 

 

ONE OF MAIN CONCERN  



RECREATIONAL NOISE MALS – PLAY ZONE FOR CHILDREN UNDER 5 YEARS. WALKMAN, IPOD, MUSIC ROCK OTHERS

TEMPA T

Total Childr

MAKAS SAR (05) PAKAN BARU (06) JAKART A (06)

196

57%

36%

167

68%

34%

12%

11%

412

78%

50%

30%

7% (31)

PALEM BANG

AUD. CERUNormal MEN

AbN. SEVERE TIMPA- H.Imp NOGR. 41% 28%

ABD 25

>100

NOT YET NOT YET NOT YET NOT YET CALCULAT CALCULAT CALCULAT CALCULAT ED ED ED ED

GOALS NATIONAL COMM KOMNAS PGPKT AS GOVERNMENT PARTNER TO RATE OF H.IMPAIR.& DEAFNESS IN INDONESIA THROUGH EFFORTs IN INCREASING THE DEGREE OF HEALTH OF THE HEARING SENSE TO ESTABLISH HUMAN POWER / RESOURCES WITH QUALITY AND TO ACHIEVE THE GOAL OF SOUND HEARING 2030 VIA collaboration with GOVERNMENT AND NON GOV/PRIVATE sectors.

MEMBERS NAT.COMM KOMNAS PGPKT (SK.Menkes 768/MENKES/SK/VII/2007  

 



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PATRON : MENKES ADVICERS :  DIRJEN BINA KESMAS  DIRJEN BINA PEL.MEDIK CHAIRPERSON  Dr.DAMAYANTI S VICE CHAIRPERSONS  Dr.EDI SURANTO MPH  Dr.SOSIALISMAN SECRETARIES  DR.Dr.RATNA D.RESTUTI  Dr.SULASTINI TREASURER  Dr.SEMIRAMIS Z.



MEMBERS  PROF.Dr.HENDARTO H  PROF.Dr.BAMBANG HERMANI  Dr.RONNY SUWENTO  Dr.SUKIRMAN SOEKIN  DR.Dr.JENNY B  HATTA KASOEM  MANFRED STOIFL  DR.STEFANUS INDRAJAYA  NY.IFFET SIDHARTA  CHARLES BONAR SIRAIT

PROGRAMs ALREADY PERFORMED •

•

SOCIALISATION & ADVOCATION • MIDDLE & WEST JAVA, BALI, SOUTH SULAWESI TRAINING PROGRAMS • For OTOLOGIST under the PROGR of HIJ, HII in OTOLOGY PROGR.in INDONESIA • TBD LAB CME TBD DISSECTION • NOW : 13/18 ENT TRAINING CENTERS PERFORM EAR SURGERIES • NOW : 50 OTOLOGIST in Indonesia (formerly 5) • For PARAMEDICS IN SOUTH SULAWESI

PROGRAMs ALREADY PERFORMED •

BOOKS : • GUIDELINE CSOM (ENT,GP) • GUIDELINE OF PREV. EAR & HEARING PROBLEMS (BY MIN.OF HEALTH) FOR PRIMARY HEALTH CARE • TEXTBOOK OF OTOLOGY / EAR SURGERY (Prof.HELMI)

PROGRAM 1. 2.

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Socialisation: NAT.COMMITTEE & its PROGRAM COORDINATE formation of REGIONAL COMMITEE level of provinces, districts / cities (via Branch of ORL-HNS Society) SUPPORT & MOTIVATE NAT. COMMITEE, level of province, district / subdistrict To PEOPLE AWARENESS & related med.comm To EFFORTS in PROMOTIVE, PREVENTIVE, CURATIVE, REHABILITATIVE services GATHER / COLLECT OPERATIONAL FUNDS PERFORM PARTNERSHIP / NETWORK national/ regional, international TO related institution (PROFFESIONAL, SECTORAL, PROGRAMs)

DETAILED PROGRAM 

SOCIALISATION NAT.COMM & its Program  Advocation to provincial gov. (Gov, Major etc) (has been performed in MIDDLE & WEST JAVA, BALI, SOUTH SULAWESI)  SOCIALISATION  Already performed since 2005  will be performed until the next 5 years  Produce LEAFLET, BOOKS, PRINTING for ENT,GP, public, related medical personnels  DISEASES CAUSE DEAFNESS, ITS PREVENTION & MANAGEMENT  S.O.P. , GUIDELINES OTHERS

DETAILED PROGRAM 2. FORMATION OF REGIONAL COMMITTEE (coordination w.branch ENT Society) 

GUIDELINE TO PERFORM REGIONAL NAT.COMM. Has been published, content of GOALS, JOB DESCRIBTRION, PROGRAM and OTHERS.

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CANDIDATE OF REGIONAL COMMITTEE : • SEMARANG (MIDDLE JAVA) – 3 MARCH 2008 • SOUTH SULAWESI • BALI • BANDUNG • JAKARTA

DETAILED PROGRAM 3.

PEOPLE AWARENESS HEALTH PROMOTION  THE IMPORTANCE OF THE HEALTH OF SENSE OF HEARING  

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-AWARENESS THAT DEAFNESS CAN PRODUCE HANDICAPPED & DREADFUL EFFECTS SOSIALISATION VIA NEWSPAPER, TV, INFORMAL MEDIA, SELEBRITIES, TRADITIONAL PUPPET SHOW, RELIGION, OTHERS.  NATIONAL LAUNCHING, 14 DEC 2007 HOTEL ASTON JKT (SYMP &GB Meeting S.Hearing 2030) WEBSITE – www.ketulian.com Community meeting : seminar, symposium, others OTHERS

DETAILED PROGRAM 4. EFFORT in PROMOTIVE, PREVENTIVE, CURATIVE, REHABILITATIVE services.  Community services in ear health field from primary to tertiery services. (IN PROGRESS)  Promotive and preventive efforts via BKMM and BKIM (IN PROGRESS), PILOT PROJECT IN SOME CITIES / DISTRICTS: CIKAMPEK, SEMARANG, BALI, MAKASSAR  Rehabilitative Efforts as early as possible  Will ADOPT Program HEALTHY EAR DISTRICT (India)

DETAILED PROGRAM 4. EFFORT in PROMOTIVE, PREVENTIVE, CURATIVE, REHABILITATIVE services. EARLY DETECTION EFFORT : • HEARING SCREENING (EARLY DETECTION) HAS TO BE PERFORMED AND  • PERFORM IN JAKARTA  HUMAN RESOURCES IN ALL LEVEL OF REFERRAL SYSTEM  REFERRAL SYSTEM IN ALL LEVEL HORIZONTALLY, VERTICAL, INTERDEPT, INTER-SECTORAL

OPERATIONAL FUNDS PLAN OF RESOURCE funds : 2. HEALTH DEPARTEMENT / REGIONAL GOV (not yet, very small) 3. ENT Society (have their own difficulties) 4. OTOLOGY GROUP (Indon) 1,000 US$ 5. WHO have promised :  Expert meeting  Printing Promotion Media  Printing Guidelines 6. NGO 7. DONOR AGENCIES :  CBM (interested to CONTRIBUTE ?) 8. PRIVATE : 1,000 US$

PLAN OF BUDGETING 2007-2008 (US $) SECRETARIAT & ADMINISTRATION, WEBSITE, INTERNET, PHONE, MEDIA FOR PROMOTION

6,000

MEETING (FREQUENTLY) 6X/YEAR for 1st year  ev.3 mo

2,000

ADVOCATION TO REGIONAL AREAS (4x /year)

8,000

NAT. & REGIONAL LAUNCHING NATIONAL CONVENTION (Y 1 & 3

7,5000 5,000

2,000 $ at the moment

36,000 YEAR 1

HEALTH MINISTRY 

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PROMISE TO DEVELOP PROGRAM IN TOTAL WITH FOCUS TO SOME REGION VIA SIMPLE PROGRAM OF UKS (PROGRAM HEALTHY SCHOOL-CHILDREN) SIMPLE HEARING SCREENING DIAGNOSTIC OF EAR DISEASE PLAN : NEXT 3 YEAR