SITUATION OF OCCUPATIONAL HEALTH SURVEILLANCE IN...
Transcript of SITUATION OF OCCUPATIONAL HEALTH SURVEILLANCE IN...
SITUATION OF OCCUPATIONAL HEALTH SURVEILLANCE IN INDONESIA
DIREKTORAT KESEHATAN KERJA DAN OLAHRAGA DIREKTORAT JENDERAL KESEHATAN MASYARAKAT
MINISTRY OF HEALTH REPUBLIC OF INDONESIA 2017
OUTLINE
• Function and authority of Ministry of Health
• Concerning Occupational Health Activities
• Occupational Health Legislation
• Situation of health Surveillance Procedure for Occupational Health
MINISTRY OF HEALTH
• Directorate General of Public Health that handle of health community.
• Directorate of Occupational Health and Sports
Function: • Preparing the formulation of national policies
(Norms, Standards, Procedures and Criteria) in the health sector
• 2. Monitoring and Evaluation in health
STRATEGIC STEPS MINISTRY OF HEALTH
Penerapan pendekatan continuum of care
Intervensi berbasis resiko kesehatan (health risk)
PROGRAM INDONESIA SEHAT
Pilar 1. Healthy Paradigm
Program • Promotive -
preventive as the foundation of health development
• community empowerment
• Cross-sectoral engagement
Pilar 2. Strengthtening Healthcare Facilities
Program • Main access
improvements on FKTP • Referral System
Optimization • Quality improvement
Pilar 3. National Helath Insurance
Program • Benefit • System of financing:
insurance - the mutual principle of cooperation
• Quality Control & Cost Control
• Target:beneficiaries and non beneficiaries
• “Kartu Indonesia Sehat” membership
Healthy Family
Application of the Continuum of care approach
Basic Health risk information Government
Employers
Healthcare facilities
Community workers
Healthy family Healthy
workers
A healthy paradigm will change the
mindset (mental revolution) then the
mainstream of health in every policy-
making is no exception in economic
development
Indonesian Population (Central Bureau of Statistics, Feb 2015)
WORKER 114 million • FORMAL : 39,98%
• INFORMAL (SMEs) : 60,02%
• Male : 68.2 million • Female : 41,8 million
Total Population
237,64 million
people
Working age (15 – 64 yr) : 121,87 million
Unemployee 7,4 million
WORKER
Nutrition
Reproduction
Non-
Communicable
Diseases
Communicable Diseases
TB, HIV-AIDS, Hepatitis
Occupational
diseases
Injury
WORKERS HEALTH PROBLEMS
Anemia
Abortus menstrual disorders
Hypertention DM
Cardiovascular Diseases
Access woman worker to manage
muscle skeletal disorders Mental disordes skin disorders hearing disorders, etc
absentism Dead
Accident
Breast Feeding
OCCUPATIONAL HEALTH SERVICES SYSTEM IN INDONESIA
Tertiery Healthcare (Provincial Hospital)
Secondary Healthcare (District Hospital)
Primary Healthcare (Public health centre, private clinics )
Community Empowerment
PREVENTIVE
DAN
PROMOTIVE
KURATIVE DAN
REHABILITATIVE
STRATEGY: • Community
empowerement and partnership
• Socialization and advocacy
• Strengthening health services
• Regulation • Strengthening
information system
OCCUPATIONAL HEALTH PROGRAMS IN INDONESIA
Small enterprises
•Basic Occupational Health Services through occupational health post/ Pos Upaya Kesehatan Kerja (Pos UKK)
Medium and Big Enterprises
• Healthy and Productive Women Workers Movement or Gerakan Pekerja Perempuan Sehat dan Produktif (GP2SP)
Health Facilities
• Accreditation
• Promotion of Occupational Health and Safety in Hospital and Public Health Centre or PUSKESMAS
Offices
• Health promotion
• Exercise at offices
• Provision of healthy food in canteen
Migrant workers
• Facilitating the development of policies on health services for migrant workers
• Strengthening Health Secreening Providers
• Desmigrative Program
OCCUPATIONAL HEALTH POST/
POS UKK
Health Promotion
Health Risk Identification
Health Counselling
Injury Prevention
Basic Health Examination
BASIC OCCUPATIONAL HEALTH SERVICES
-Informal sector / SMEs workers-
Pos UKK’s Cadre
Healthy and Productive Woman Workers
Movement (GP2SP) is a strategy to reduce
Indonesia health problems through women
working groups approach ;
Encouraging health knowledge through advocating and regulation strengthening
Improving accessibility and quality of workplace-based health care services
Promoting and protecting reproductive health in workplace
Improving nutritional status in women workers
Encouraging breastfeeding during work-hours.
11
OCCUPATIONAL HEALTH IN
OFFICES
Exercise
STRETCHING
NUTRITION
EARLY DISEASE
DETECTION/
SCREENING
HEALTH PROMOTION
ERGONOMi,SSSAFETY,
SANITATION.
OCCUPATIONAL HEALTH IN OFFICES
12
OCCUPATIONAL HEALTH PROGRAMS IN HEALTH FACILITIES
• OCCUPATIONAL HEALTH PROGRAMS FOR HEALTHCARE WORKERS Universal Health Precaution Environmental risk management Screening Health Examination
• OCCUPATIONAL HEALTH AND SAFETY AS ONE OF REQUIREMENTS TO GET ACCREDITATION
• INCREASE HEALTH WORKERS CAPACITY Occupational Disease Diagnosis Training Basic Occupational Health Training Training of Occupational health in community health centre Occupational health socialization
REPORTING OF OCCUPATIONAL DISEASE National
Level
Province Level
Provincial Health Office
District Health Office District Level
Gov . Public Health Center (PUSKESMAS)
Occupational services in work place
MINISTRY OF HEALTH
Occ Health Directorate
RE
PO
RT
ING
Occupational Health Post (Pos UKK)
RECORDING AND REPORTING FORM
Community Health Centre (Puskesmas)
Employee monthly report (LBKP) 1 District Health Office (Dinkes Kabupaten/Kota)
Employee monthly report (LBKP) 2 : Recapitulation monthly employee health report
Province Health Office (Dinkes Provinsi)
Employee monthly report LBKP 3 : Recapitulation monthly employee health report
REPORTING PERIOD ONCE A MONTH IN THE BEGINNING
No Description Amount Information
1 Sick workers served (promotive,preventive, curative and
rehabilitative)
2 Common diseases in the workers
3 Suspect Occupatioanl disease in the workers
4 Occupational disease in the workers
5 Occupational Injury case in the workers
MONTHLY EMPLOYEE HEALTH REPORT FORM
==============================================================================
Community Health Centre /District/Province :................................................ Number of Community Health Centre which report:................................................
Information : Reporting from the company's clinic, and it will record by the Community Health centre (Puskesmas), combined with the Puskesmas report. It is reporting once a month, at the beginning of the month.
OBSTACLES OF IMPLEMENTING HEALTH WORK SURVEILLANCE: Incomplete reporting and recording Data is not analyzed and rarely have feed back to the
data source Doctors and workers are less concerned about the
relation between the disease and the work environment / occupational health risks
Occupational health surveillance systems are not integrated with other health surveillance systems.
CONCLUSION
1. Occupational health is a strategic program in relation to the high number of working-age population in Indonesia.
2. Implementation of occupational health programs is expected to improve public health status
3. Occupational health surveillance is essential for the development of occupational health programs, in the prevention of occupational diseases and occupational accidents, and also improving workers health.
17