2017 ISP Sesi 1 YSP Ilmu Sosial Perilaku dalam Kesehatan Masyarakat
MKDU - Ilmu Sosial dan
Perilaku dalam
Kesehatan Masyarakat
(ISP)
Kuliah Pendahuluan Pendekatan Ilmu Sosial dan
Perilaku dalam Kesehatan Masyarakat 2017
Disampaikan oleh:
Yayi Suryo Prabandari
PROGRAM STUDI S2 ILMU KESEHATAN
MASYARAKAT FAKULTAS KEDOKTERAN
UNIVERSITAS GADJAH MADA
Tujuan Umum mata kuliah
• Formulate socio-anthro-psychological theories and
approach in understanding health social problem
comprissing how to function, conflict and interaction,
promotion, prevention and curative delivery in health
services, management and policy decision making
process.
• Evaluate the social, behavioral and cultural aspects
related to community health status and the role of
health workforce function in controlling community
health
Tujuan Umum mata kuliah
• Analyze the reasons and causes of people in
accepting or refusing healthy behavior in
perspective and context of individual, family, social
structure and culture.
• Debate global and international health issues
related to social determinant of health
Tujuan khusus
• Explain rationale to learn about social behavioral
approach in public health, trans-disciplinary perspective
and the complexity of social behavioral science
• Debate main behavioral theories to learn about healthy
and unhealthy behavior (Group assignment and
discussion)
• Appraise the main principle of anthropological approach
to understand health
• Debate main anthropological principles to sharp human
approach in public health (Group assignment and
discussion)
Tujuan khusus
• Review sociological theories and perspective in
understanding health
• Debate main sociological theories in public health
(Group assignment and discussion)
• Analyze social determinant of health, equity and
public health program
• Review new paradigm health promotion and the
application of social behavioral theories for
promoting health
Tujuan khusus
• Appraise behavior change theories and its
application of selected theories on tobacco control
• Analyze dimension of social culture on health and
illness including gender perspective
• Debate the health seeking behavior of the
community in relation to health and illness (Group
assignment and discussion)
• Appraise the shift of health organization, services,
and health workforces, in relation to social change
Tujuan khusus
• Debate the shift of health organization and services –
observation from the field (group assignment and
discussion)
• Appraise society action and the application of ecological
theory in particular public health issues: a case of
community empowerment and local policy application
for tackling NCD
• Appraise social anthropological perspective related to
public health in particular issues – International and
Global Health – case of communicable disease AIDS and
TB (including stigma)
• Appraise social behavior approach related to public
health in particular issues-occupational and environment
health
LATAR BELAKANG PERLUNYA
KOMPETENSI SOSIAL PERILAKU:
SOCIAL DETERMINANTS
OF HEALTH
SDG – Sustainable Development Goals
10
Kondisi dasar Kesehatan (WHO)
Pendidikan
Ekosistem
yg stabil
Sumber yang
berkelanjutan
Penghasilan
Perumahan
Kedamaian
keadilan
sosial dan
kesetaraan
Penentu Sosial Kesehatan
Penghasilan
Status sosial
Pendidikan
STATUS
SEHAT
WHO Commission on Social Determinants
of Health (2008)
• The determinants of health include the social,
physical and economic environments, as well as
individual characteristics and behaviors.
• The co text of people’s lives deter i es their
health, not less than their genetic inheritance and
their personal choices and way of life thus, health
is inappropriate
*KEY DEFINITIONS
• Social determinants of health These refer to the social,
economic, and political situations that affect the health
of individuals, communities, and populations.
• Inequity in health and health care
• Inequity in health is a normative concept and refers to those
inequalities that are judged to be unjust or unfair because
they result from socially derived processes.
• Equity in health care requires active engagement in planning,
implementation, and regulation of health systems to make
unbiased and accountable arrangements that address the
needs of all members of society.
WHO’s Commission on Social Determinants
of Health (2008) established the following
overarching recommendations:
improve the conditions of daily life - the circumstances in
which people are born, grow, live work and age
tackle the inequitable distribution of power, money and
resources - the structural drivers of those conditions of daily
life – globally, nationally and locally;
measure the problem, evaluate action, expand the
knowledge base, develop a workforce , that is
trained in the social determinants of health, and
raise public awareness about the social
determinants of health.
WHO’s Commission on Social Determinants
of Health (2008) established the following
overarching recommendations:
• to tackle the health inequities within and across countries
through political commitment on the main principles of
'closi g the gap i a ge eratio ’ as a atio al co cer ,
as is appropriate, and to coordinate and manage
intersectoral action for health in order to mainstream
health equity in all policies, where appropriate, by using health
and health equity impact assessment tools;
• to develop and implement goals and strategies to improve public
health with a focus on
health inequities;
What is socioeconomic of illness?
• Social determinant of
health
• Economic and macro
situation in a country
Socioeconomic
Illness
• Communicable
disease
• Non communicable
disease
• Burden of illness to
the sites (district/city,
province, nation)
• Social impact of
illness to the family
Socioeconomic
Fakta
* Beberapa slide diambil dari presentasi Promkes Dinkes
Propinsi Yogyakarta
Laporan
WHO 2011
Perbandingan
Penyebab
kematian
2000-2011
Penyebab
Kematian
Terbanyak
berdasarkan
Penghasilan
Negara
Impact of Non-Communicable
Diseases on Productivity
• Countries throughout the world are expected to lose significant
a ou ts of atio al i co e as a result of chro ic disease’s
negative impact on labor supplies and a reduction in GDP.
• Labor supplies are reduced as a result of premature death or
illness causing inability to work.
• In 2005, heart disease, stroke and diabetes caused an
estimated loss in national income of 18 billion
international dollars in China, 9 billion in India and 3
billion in Brazil These losses accrue over time because more
people die each year so estimates for 2015 are three to six times
that of 2005 for the same countries.
Costs of Absenteeism and
Presenteeism
• Absenteeism is defined as absence from work due to illness while
presenteeism is defined as productivity lost from ill employees coming to work
and performing below the normal standard.
• In 2006, the United Kingdom had a working population of 37.7 million
individuals. There were 175 million days lost in 2006 to absence from illness.
This amounts to 4.64 days lost due to illness per person. In the UK, the
estimated cost – both direct and indirect – of absences due to
illness was 20.2 billion pounds in 2006.
• It is widely accepted that presenteeism has a larger effect than
absenteeism, causing some to state that presenteeism is .8
times as important as absenteeism. The science of understanding
metrics and costs of presenteeism are still being developed, however
controlling presenteeism and absenteeism is an area that will save employers
money and also will contribute to the national economy
Pergeseran Beban Penyakit 2000 vs 2010
Sehat (85%*)
Mengeluh Sakit (15%*)
*
mber :Susenas2000*
Sehat (70%**)
Mengeluh Sakit (30%**)
Susenas 2010**
PERUBAHAN BEBAN PENYAKIT
1990 –2010 DAN 2015
*
PENYEBAB KEMATIAN
UTAMA
UNTUK SEMUA UMUR
DI INDONESIA
Penyebab kematian utama di
Indonesia 2015 SRS adalah
Stroke, Kardiovaskulair, DM
Komplikasi (6,7), TB,
*
Sumber: Litbangkes
24
Leading Causes Of Death In Indonesia
This page was published on August 30, 2016
Number Of
Deaths (in
thousands)
Rank
Cause Of Death
% Of Total
Deaths, 2012
1
Stroke
21.2%
328.5
2
Ischemic Heart Disease
8.9%
138.4
3
Diabetes
6.5%
100.4
4
Lower Respiratory Infections
5.2%
81.1
5
6
Tubeculosis
Cirrhosis
4.3%
3.2%
66.7
48.9
7
Chronic Obstructive
Pulmonary Disease
3.1%
48.1
8
Road Injury
2.9%
44.6
9
Hypertensive Heart Disease
2.7%
42.2
10
Kidney Diseases
2.6%
41
Risk factors of NCD in Indonesia
Societal policies and processes influencing the
population prevalence
of obesity
INTERNATIONAL
FACTORS
NATIONAL/
REGIONAL
Transport
Globalization
of
markets
Urbanization
Health
COMMUNITY
LOCALITY
Public
Transport
Public
Safety
Health
Care
Development
Social security
Media &
Culture
Media
programs
& advertising
Media
Education
Food &
Nutrition
National
perspective
Sanitation
System
Manufactured/
Imported
Food
Agriculture/
Gardens/
Local markets
WORK/
SCHOOL/
HOME
INDIVIDUALPOPULATION
Leisure
Activity/
Facilities
Labor
Energy
Expenditure
Infections
Worksite
Food &
Activity
Family &
Home
Food
intake :
Nutrient
density
S
I
T
Y
O
%
P
R
OBESE
E
VOR
A
UNDER
L
EWT
N
E
School
Food &
Activity
Modified from Ritenbaugh C, Kumanyika S, Morabia A, Jeffery R, Antipathies V. IOTF website 1999: http://www.iotf.org
2007
2013
(%)
(%)
1 Merokok (usia ≥ 15 th)
34,7
36,3
Aktifitas fisik kurang
2
(usia ≥ th)
48,2
26,1
93,6
93,5
4,6
n.a
FAKTOR RISIKO PTM
PROPORSI PENDUDUK
DENGAN
FAKTOR RISIKO PTM
DI INDONESIA
Mengubah perilaku
merupakan
tantangan utama
dalam pencegahan
dan pengendalian
PTM
*
3
Kurang konsumsi sayur &
buah (usia ≥ 10 th)
Konsumsi minuman
4
beralkohol
5
Konsumsi minuman beralkohol
berbahaya
0,3
n.a
6
Obesitas sentral
(usia ≥ 18 th)
18,8
26,6
7
Obesitas (usia >15 th,
19,1
15,4
IMT >25)
Sumber: Riskesdas 2007; Riskesdas 2013
Determinan
penyebab remaja
menjadi perokok*
*Prabandari, YS, 2012
Riskesdas 2013
Indonesia
Kurang
makan buah
dan sayur
Merokok
Kurang
aktifitas
fisik
93,5
64,9 29,3
26,1
DIY
Kurang
makan buah
dan sayur
85,0
26,9
Merokok
Kurang
aktifitas
fisik
Perokok di Indonesia
dari tahun ke tahun
20,8
Year
Male
Female Total
1995*
53.9
1.7
27.2
2001*
62.9
1.4
31.8
2004*
63.0
5.0
35.0
2007**
65.3
5.6
35.4
2010^
65.9
4.2
34.7
2011#
67.0
2.7
34.8
2013(+)
64.9
2.1
29.3
*Kosen, Aryastami, Usman, Karyana, Konas Presentation IAKMI XI, 2010
@Ministry
of Health, Basic Health Research, 2007 ( prevalence of > 10 years old)
of Health, Basic Health Research, 2010 (prevalence of > 15 years old)
^WHO, 2012 Global Adult Tobacco Survey: Indonesia Report 2012
(+) Ministry of Health, Basic Health Research, 2013 (prevalence of > 15 years old)
#Ministry
Prevalensi Perokok di Yogyakarta
RISKESDAS 2007, 2010, 2013
Status Merokok
2007
2010
2013
(10 th ke
atas)
(15 th ke atas)
(10 th ke
atas)
23,8
25,3
21,2
Perokok saat
ini
Setiap hari
Kadangkadang
6
6,3
5,7
Tidak
merokok
Mantan
5,9
10,4
9,1
Bukan
perokok
64,4
58,1
64,1
9,8
****
9,9
Jumlah rokok yang dihisap
****Dalam RISKESDAS 2010 jumlah rokok yang dihisap
dihitung secara dengan cara:
1- 10 batang/hari
= 66.3%
11-20 batang/hari
= 30,2%
21-30 batang/hari
= 3,0%
>30 batang/hari
= 0.6%
RISKESDAS 2010
ASI eksklusif 15,3 – 39,8
Akses terhadap air minum yang baik 67,5
Kepemilikan fasilitas BAB pribadi 69,7
Buang sampah sembarangan 9,0;
dibuang di laut/sungai/parit 10,2
Gizi buruk 4,9; Gizi kurang 13,0; Gizi lebih 5,8
RISKESDAS 2013
ASI eksklusif 38,0%, Inisiasi menyusui dini 34,5%
Akses terhadap air minum yang improved 66,8%
BAB dengan benar 82,6%
Buang sampah sembarangan 9,0;
dibuang di laut/sungai/parit 10,2
Kurus 8,7%; Gizi lebih 13,5%; Obes 15,4%
Gaya Hidup dan Kesehatan
• Evolusi Budaya: perubahan adaptif budaya
untuk menghadapi tekanan lingkungan
• Gaya Hidup: perilaku seseorang, cara
hidup seseorang
Adanya evolusi budaya menyebabkan
perubahan gaya hidup
35
Global trends
•
•
•
•
•
•
•
•
•
•
Demografi dan tekanan sosial
Kondisi ekologi
Pertumbuhan dan perkembangan ekonomi
Kesenjangan kemiskinan
Social fabric
Perkembangan teknologi
Perkembangan, konflik dan perdamaian
Beban ganda penyakit
Pekerjaan
Kecenderungan sistem kesehatan yg spesifik
36
Siapakah yang
e derita akibat
perubahan sosial?
• Pendidikan rendah
• Sosial ekonomi rendah
Banyak
penyakit
Miskin
37
THE HEALTH
HIRARCHY
HIRARKI
KESEHATAN
HIRARKI KESEHATAN
DAN SAKIT PADA
MANUSIA
HIRARKI KESEHATAN
SERTA DISIPLIN DAN
TEORI DALAM
KESEHATAN
HIRARKI
SISTEM
ALAMIAH
KAITAN ILMU SOSIAL
DAN MASALAH
KESEHATAN
SEBUAH CONTOH:
PENYEBAB KEMATIAN
ANAK
Maternal death determinant:
Indonesian case
Education
P
r
e
g
n
a
n
t
w
o
m
e
n
Nutrition
Infectious
disease
4 T’s
Behavior
Human resources
Economy
C
o
m
p
l
i
c
a
t
i
o
n
Gender
Social
Culture
Demand side
Late to identify of
red flag and make
decision
Death
Late in reach health
facilities
Late in get
services in health
facilities
Supply side
45
Facilities
Medication
BEHAVIORAL AND SOCIAL SCIENCES :
DEFINITIONS, DOMAINS,
CONTRIBUTION AND INTERVENTION
Social Sciences
•
•
•
•
•
•
•
•
•
•
•
Anthropology (and archaeology)
Demography
Economics
Geography
History
Law
Education
Linguistics
Political science
Psychology
Sociology
The social and behavioral
sciences provide tools for:
• Analyzing health and illness
• Developing greater competencies
(especially cultural competence)
• Developing a more critical and discerning
science.
WORKING DEFINITION OF THE
BEHAVIORAL AND SOCIAL SCIENCES
(ADAPTED FROM THE OFFICE OF BEHAVIORAL AND SOCIAL SCIENCE RESEARCH OF THE NIH)
• The Behavioral and Social Sciences are defined as the
sciences of behavior, including individual
psychological processes and behavioral interactions,
and the sciences of social interaction, including
familial, cultural, economic, and demographic.
• The core areas focus on the understanding of
behavioral or social processes and on the uses of
these processes to predict or influence health
outcomes or risk factors
#
HEALTH CARE CHALLENGES AMENABLE TO
BEHAVIORAL AND SOCIAL SCIENCE
INQUIRY
• Behavioral & Social Determinants of
Morbidity and Mortality
• Health and Health Care Disparities
• Medical Error Reduction
• Patient Safety
• Primary Care Shortage
• Physician Discontent and Burn-out
• Unequal Access to Care
#
Behavioral and Social Science Domains
related to Health and Health Care
•
•
•
•
•
Patient Behavior
Mind-Body Interaction
Physician Role & Behavior
Physician-Patient Interaction
Health Policy, Economics, and Systems
(including Population Health)
• Social and Cultural Context
#
Pengajar
• Dra. Yayi Suryo Prabandari, M.Si., Ph.D
(Koordinator)
– psikolog (klinis & kesehatan), promotor kesehatan
• Dr. Fatwa Sari Tetra Dewi, MPH., Ph.D – dokter,
epidemiolog dan promotor kesehatan
• Dr. Ratna Siwi Padmawati, MA – antropolog, antropolog
kesehatan dan kebijakan
• Dr. Mubasyisyir Hasan Basri, MA (dokter, kesehatan
masyarakat, sosiologi
• Supriyati, S.Sos., M.Kes., Ph.D (can) – sosiolog, promotor
kesehatan
PENUGASAN INDIVIDU DAN
KELOMPOK
Penugasan Individu
Penu- Buatlah diagram penentu sosial sebuah penyakit yang dilaporkan tinggi
gasan prevalensi atau insidensinya di daerah asal karyasiswa
1
Gunakan minimal 3 artikel jurnal terbitan 5 tahun terakhir sebagai dasar
pembahasan selain laporan kasus dari daerahnya. Jurnal minimal terdiri 1
artikel jurnal internasional reputasi (ambil data base yang dilanggan UGM)
dan 2 artikel jurnal nasional terakreditasi.
Jawaban diketik dalam kertas A4 maksimal 3 halaman termasuk judul dan
daftar pustaka, gunakan font times roman, dikumpulkan pada sekretaris
masing-masing minat paling lambat 1 minggu setelah kuliah sesi 5.
Penugasan Individu
Penu- Pilih salah satu kasus berikut:
- Mengapa orang yang berpendidikan cenderung mengonsumsi
gasan
pil/obat tinggi serat daripada makan buah dan sayur segar?
2
- Mengapa kawasan tanpa rokok tidak efektif di Indonesia?
- Mengapa terdapat 70% penduduk Indonesia yang mengonsumsi mie
instant setiap hari meskipun hal tersebut tidak sehat?
- Mengapa mahasiswa senang makanan ”sampah” (junk food)
Jawaban maksimal 2000 kata dan didasarkan minimal 5 artikel jurnal terbitan
5 tahun terakhir (3 artikel jurnal nasional terakreditasi Ristekdikti atau
Litbangkes dan 2 artikel jurnal internasional bereputasi – gunakan data base
yang dilanggan UGM).
Jawaban diketik dalam kertas A4, gunakan font times
roman/arial/Calibri/cambria, dikumpulkan pada sekretaris masing-masing
minat paling lambat 1 minggu setelah kuliah sesi 6.
Penugasan Individu
Penu- Pilihlah salah satu pesan kesehatan yang ada di media cetak
gasan atau web/virtual atau media berbasis teknologi lainnya dan
3
reviulah pesan kesehatan tersebut berdasar teori komunikasi,
perilaku, sosial atau antropologi, serta efektivitas media.
Jawaban maksimal 2000 kata dan didasarkan minimal 5 artikel
jurnal terbitan 5 tahun terakhir (3 artikel jurnal nasional
terakreditasi Ristekdikti atau Litbangkes dan 2 artikel jurnal
internasional bereputasi – gunakan data base yang dilanggan
UGM).
Jawaban diketik dalam kertas A4, gunakan font times
roman/arial/Calibri/cambria, dikumpulkan pada sekretaris
masing-masing minat paling lambat 1 minggu setelah kuliah
sesi 6.
PENUGASAN KELOMPOK 1
Tugas:
Penugasan dan diskusi kelompok (Kelas dibagi beberapa kelompok, satu kelompok terdiri
dari 4 atau 5 mahasiswa)
Dalam penugasan kelompok, karyasiswa diharuskan:
1. Melakukan wawancara semi struktur pada temannya di luar Prodi S2 IKM, masingmasing mahasiswa mewawancara 2 orang tentang perilaku sehat dan tidak sehat
2. Setelah wawancara, hasil dianalisis untuk memahami terbentuknya perilaku berdasar
teori perilaku
3. Melakukan reviu langkah pertama dan kedua dengan referensi yang diwajib dan
anjurkan di kuliah sesi 2
4. Hasil wawancara individu dan analisis digabung dalam satu kelompok, dikomparasi
dan disimpulkan
5. Setiap kelompok presentasi dalam diskusi kelompok yang dipandu fasilitator.
Presentasi disajikan dalam PPT atau lainnya (video pendek dsb). Setiap kelompok wajib
presentasi selama 10 menit dan dilanjutkan 10 menit diskusi.
6. Hasil presentasi kelompok dikumpulkan pada fasilitator masing-masing paling lambat 1
minggu setelah presentasi. Laporan penugasan kelompok diketik pada kertas A4, huruf
arial/times roman/Calibri/Garamond, minimal font 11, spasi 1.5 and maksimum 7
halaman, termasuk cover dan daftar pustaka. Gunakan pustaka artikel jurnal 5 tahun
terakhir, minimal 3 artikel jurnal nasional terakreditasi Ristekdikti atau Litbangkes dan 2
jurnal internasional bereputasi (gunakan data dasar EBSCO, PubMed, Cochrane,
Scopus, dan yang dilanggan oleh UGM
Penugasan Kelompok ke 2
Penugasan:
Kelas dibagi kelompok dan lanjutkan dengan kelompok yang sama pada penugasan
sebelumnya (penugasan 1).
Dalam penugasan kelompok, karyasiswa diharuskan:
Melakukan evaluasi prinsip antropologi yang berkaitan dengan sehat dan sakit
Melakukan debat prinsip antropologi yang berkaitan dengan kesehatan masyarakat
Reviu langkah 1 dan 2 dengan referensi yang wajib dan dianjurkan dalam kuliah sesi 3
Setiap kelompok presentasi dalam diskusi kelompok yang dipandu fasilitator. Presentasi
disajikan dalam PPT atau lainnya (video pendek dsb). Setiap kelompok wajib presentasi
selama 10 menit dan dilanjutkan 10 menit diskusi.
Hasil presentasi kelompok dikumpulkan pada fasilitator masing-masing paling lambat 1
minggu setelah presentasi. Laporan penugasan kelompok diketik pada kertas A4, huruf
arial/times roman/Calibri/Garamond, minimal font 11, spasi 1.5 and maksimum 7 halaman,
termasuk cover dan daftar pustaka. Gunakan pustaka artikel jurnal 5 tahun terakhir, minimal
3 artikel jurnal nasional terakreditasi Ristekdikti atau Litbangkes dan 2 jurnal internasional
bereputasi (gunakan data dasar EBSCO, PubMed, Cochrane, Scopus, dan yang dilanggan
oleh UGM)
Penugasan Kelompok ke 3
Tugas:
Penugasan dan diskusi kelompok (Kelas dibagi beberapa kelompok, satu kelompok
terdiri dari 4 atau 5 mahasiswa)
Dalam penugasan kelompok, karyasiswa diharuskan:
Melakukan reviu teori utama sosiologi yang berkaitan dengan kesehatan secara umum
dan kesehatan masyarakat
Melakukan depat perbandingan teori-teori sosiologi
Melakukan reviu langkah pertama dan kedua dengan referensi yang diwajib dan anjurkan
di kuliah sesi 4
Setiap kelompok presentasi dalam diskusi kelompok yang dipandu fasilitator. Presentasi
disajikan dalam PPT atau lainnya (video pendek dsb). Setiap kelompok wajib presentasi
selama 10 menit dan dilanjutkan 10 menit diskusi.
Hasil presentasi kelompok dikumpulkan pada fasilitator masing-masing paling lambat 1
minggu setelah presentasi. Laporan penugasan kelompok diketik pada kertas A4, huruf
arial/times roman/Calibri/Garamond, minimal font 11, spasi 1.5 and maksimum 7
halaman, termasuk cover dan daftar pustaka. Gunakan pustaka artikel jurnal 5 tahun
terakhir, minimal 3 artikel jurnal nasional terakreditasi Ristekdikti atau Litbangkes dan 2
jurnal internasional bereputasi (gunakan data dasar EBSCO, PubMed, Cochrane,
Scopus, dan yang dilanggan oleh UGM)
Reminding
GROUP WORK AND
SMALL DISCUSSION
(3 ASSIGNMENT)
Session 2
Session 3
Session 4
Mini Quiz diadakan 5 menit
sebelum kuliah dimulai –
berdasar Main Reference
INDIVIDUAL
ASSIGNMENT (3)
Session 5
Session 6
Session 7
Penilaian
•
•
•
•
MINI QUIZ ……………………………………………………
Group assig e t …………………………………………..
Individual assignment ……………….………………
Fi al exa …………………………………………………..
15%
25%
25%
35%
Satuan Acara Pengajaran ISP 2017
NO
TOPIK BAHASAN
1 Session 1 – Social behavioral approach in public health, trans-disciplinary
perspective and the complexity of social behavioral science
2 Session 2 – Behavioral theories underlying healthy and unhealthy behavior
3 Diskusi kelompok 1
4 Session 3 – The main principle of anthropological approach to understand health
5 Diskusi kelompok 2
6 Session 4 – Sociological theories and perspective in understanding health
7 Diskusi kelompok 3
8 Session 5 – Social determinant of health, equity and public health program
9 Session 6 – Communication & Behavior change theories and its application of
selected theories on tobacco control
10 Session 7 – New paradigm on Health Promotion and the use of Technology for
promoting health
11 Session 8 – Dimension of social culture on health, illness and gender perspective
12 Session 9 – Social change and the shift of health organization, services and
workforces
13 Session 10 – Society action and the application of ecological theory in particular
public health issues: a case of Community empowerment and local policy
application for tackling NCD
14 Session 11 – Social behavior related to public health in particular issues –
International and Global Health – case of communicable disease AIDS and TB,
including stigma
15 Session 12 – Social behavior related to public health in particular issues (delivered
on each department)
FINAL EXAMINATION (TAKE HOME)
PENGAJAR
YSP
YSP
Fasilitator
RSP
Fasilitator
SP
Fasilitator
MBS
YSP
FST
RSP
MBS
FST
RSP
departemen
terkait
Terima kasih
Perilaku dalam
Kesehatan Masyarakat
(ISP)
Kuliah Pendahuluan Pendekatan Ilmu Sosial dan
Perilaku dalam Kesehatan Masyarakat 2017
Disampaikan oleh:
Yayi Suryo Prabandari
PROGRAM STUDI S2 ILMU KESEHATAN
MASYARAKAT FAKULTAS KEDOKTERAN
UNIVERSITAS GADJAH MADA
Tujuan Umum mata kuliah
• Formulate socio-anthro-psychological theories and
approach in understanding health social problem
comprissing how to function, conflict and interaction,
promotion, prevention and curative delivery in health
services, management and policy decision making
process.
• Evaluate the social, behavioral and cultural aspects
related to community health status and the role of
health workforce function in controlling community
health
Tujuan Umum mata kuliah
• Analyze the reasons and causes of people in
accepting or refusing healthy behavior in
perspective and context of individual, family, social
structure and culture.
• Debate global and international health issues
related to social determinant of health
Tujuan khusus
• Explain rationale to learn about social behavioral
approach in public health, trans-disciplinary perspective
and the complexity of social behavioral science
• Debate main behavioral theories to learn about healthy
and unhealthy behavior (Group assignment and
discussion)
• Appraise the main principle of anthropological approach
to understand health
• Debate main anthropological principles to sharp human
approach in public health (Group assignment and
discussion)
Tujuan khusus
• Review sociological theories and perspective in
understanding health
• Debate main sociological theories in public health
(Group assignment and discussion)
• Analyze social determinant of health, equity and
public health program
• Review new paradigm health promotion and the
application of social behavioral theories for
promoting health
Tujuan khusus
• Appraise behavior change theories and its
application of selected theories on tobacco control
• Analyze dimension of social culture on health and
illness including gender perspective
• Debate the health seeking behavior of the
community in relation to health and illness (Group
assignment and discussion)
• Appraise the shift of health organization, services,
and health workforces, in relation to social change
Tujuan khusus
• Debate the shift of health organization and services –
observation from the field (group assignment and
discussion)
• Appraise society action and the application of ecological
theory in particular public health issues: a case of
community empowerment and local policy application
for tackling NCD
• Appraise social anthropological perspective related to
public health in particular issues – International and
Global Health – case of communicable disease AIDS and
TB (including stigma)
• Appraise social behavior approach related to public
health in particular issues-occupational and environment
health
LATAR BELAKANG PERLUNYA
KOMPETENSI SOSIAL PERILAKU:
SOCIAL DETERMINANTS
OF HEALTH
SDG – Sustainable Development Goals
10
Kondisi dasar Kesehatan (WHO)
Pendidikan
Ekosistem
yg stabil
Sumber yang
berkelanjutan
Penghasilan
Perumahan
Kedamaian
keadilan
sosial dan
kesetaraan
Penentu Sosial Kesehatan
Penghasilan
Status sosial
Pendidikan
STATUS
SEHAT
WHO Commission on Social Determinants
of Health (2008)
• The determinants of health include the social,
physical and economic environments, as well as
individual characteristics and behaviors.
• The co text of people’s lives deter i es their
health, not less than their genetic inheritance and
their personal choices and way of life thus, health
is inappropriate
*KEY DEFINITIONS
• Social determinants of health These refer to the social,
economic, and political situations that affect the health
of individuals, communities, and populations.
• Inequity in health and health care
• Inequity in health is a normative concept and refers to those
inequalities that are judged to be unjust or unfair because
they result from socially derived processes.
• Equity in health care requires active engagement in planning,
implementation, and regulation of health systems to make
unbiased and accountable arrangements that address the
needs of all members of society.
WHO’s Commission on Social Determinants
of Health (2008) established the following
overarching recommendations:
improve the conditions of daily life - the circumstances in
which people are born, grow, live work and age
tackle the inequitable distribution of power, money and
resources - the structural drivers of those conditions of daily
life – globally, nationally and locally;
measure the problem, evaluate action, expand the
knowledge base, develop a workforce , that is
trained in the social determinants of health, and
raise public awareness about the social
determinants of health.
WHO’s Commission on Social Determinants
of Health (2008) established the following
overarching recommendations:
• to tackle the health inequities within and across countries
through political commitment on the main principles of
'closi g the gap i a ge eratio ’ as a atio al co cer ,
as is appropriate, and to coordinate and manage
intersectoral action for health in order to mainstream
health equity in all policies, where appropriate, by using health
and health equity impact assessment tools;
• to develop and implement goals and strategies to improve public
health with a focus on
health inequities;
What is socioeconomic of illness?
• Social determinant of
health
• Economic and macro
situation in a country
Socioeconomic
Illness
• Communicable
disease
• Non communicable
disease
• Burden of illness to
the sites (district/city,
province, nation)
• Social impact of
illness to the family
Socioeconomic
Fakta
* Beberapa slide diambil dari presentasi Promkes Dinkes
Propinsi Yogyakarta
Laporan
WHO 2011
Perbandingan
Penyebab
kematian
2000-2011
Penyebab
Kematian
Terbanyak
berdasarkan
Penghasilan
Negara
Impact of Non-Communicable
Diseases on Productivity
• Countries throughout the world are expected to lose significant
a ou ts of atio al i co e as a result of chro ic disease’s
negative impact on labor supplies and a reduction in GDP.
• Labor supplies are reduced as a result of premature death or
illness causing inability to work.
• In 2005, heart disease, stroke and diabetes caused an
estimated loss in national income of 18 billion
international dollars in China, 9 billion in India and 3
billion in Brazil These losses accrue over time because more
people die each year so estimates for 2015 are three to six times
that of 2005 for the same countries.
Costs of Absenteeism and
Presenteeism
• Absenteeism is defined as absence from work due to illness while
presenteeism is defined as productivity lost from ill employees coming to work
and performing below the normal standard.
• In 2006, the United Kingdom had a working population of 37.7 million
individuals. There were 175 million days lost in 2006 to absence from illness.
This amounts to 4.64 days lost due to illness per person. In the UK, the
estimated cost – both direct and indirect – of absences due to
illness was 20.2 billion pounds in 2006.
• It is widely accepted that presenteeism has a larger effect than
absenteeism, causing some to state that presenteeism is .8
times as important as absenteeism. The science of understanding
metrics and costs of presenteeism are still being developed, however
controlling presenteeism and absenteeism is an area that will save employers
money and also will contribute to the national economy
Pergeseran Beban Penyakit 2000 vs 2010
Sehat (85%*)
Mengeluh Sakit (15%*)
*
mber :Susenas2000*
Sehat (70%**)
Mengeluh Sakit (30%**)
Susenas 2010**
PERUBAHAN BEBAN PENYAKIT
1990 –2010 DAN 2015
*
PENYEBAB KEMATIAN
UTAMA
UNTUK SEMUA UMUR
DI INDONESIA
Penyebab kematian utama di
Indonesia 2015 SRS adalah
Stroke, Kardiovaskulair, DM
Komplikasi (6,7), TB,
*
Sumber: Litbangkes
24
Leading Causes Of Death In Indonesia
This page was published on August 30, 2016
Number Of
Deaths (in
thousands)
Rank
Cause Of Death
% Of Total
Deaths, 2012
1
Stroke
21.2%
328.5
2
Ischemic Heart Disease
8.9%
138.4
3
Diabetes
6.5%
100.4
4
Lower Respiratory Infections
5.2%
81.1
5
6
Tubeculosis
Cirrhosis
4.3%
3.2%
66.7
48.9
7
Chronic Obstructive
Pulmonary Disease
3.1%
48.1
8
Road Injury
2.9%
44.6
9
Hypertensive Heart Disease
2.7%
42.2
10
Kidney Diseases
2.6%
41
Risk factors of NCD in Indonesia
Societal policies and processes influencing the
population prevalence
of obesity
INTERNATIONAL
FACTORS
NATIONAL/
REGIONAL
Transport
Globalization
of
markets
Urbanization
Health
COMMUNITY
LOCALITY
Public
Transport
Public
Safety
Health
Care
Development
Social security
Media &
Culture
Media
programs
& advertising
Media
Education
Food &
Nutrition
National
perspective
Sanitation
System
Manufactured/
Imported
Food
Agriculture/
Gardens/
Local markets
WORK/
SCHOOL/
HOME
INDIVIDUALPOPULATION
Leisure
Activity/
Facilities
Labor
Energy
Expenditure
Infections
Worksite
Food &
Activity
Family &
Home
Food
intake :
Nutrient
density
S
I
T
Y
O
%
P
R
OBESE
E
VOR
A
UNDER
L
EWT
N
E
School
Food &
Activity
Modified from Ritenbaugh C, Kumanyika S, Morabia A, Jeffery R, Antipathies V. IOTF website 1999: http://www.iotf.org
2007
2013
(%)
(%)
1 Merokok (usia ≥ 15 th)
34,7
36,3
Aktifitas fisik kurang
2
(usia ≥ th)
48,2
26,1
93,6
93,5
4,6
n.a
FAKTOR RISIKO PTM
PROPORSI PENDUDUK
DENGAN
FAKTOR RISIKO PTM
DI INDONESIA
Mengubah perilaku
merupakan
tantangan utama
dalam pencegahan
dan pengendalian
PTM
*
3
Kurang konsumsi sayur &
buah (usia ≥ 10 th)
Konsumsi minuman
4
beralkohol
5
Konsumsi minuman beralkohol
berbahaya
0,3
n.a
6
Obesitas sentral
(usia ≥ 18 th)
18,8
26,6
7
Obesitas (usia >15 th,
19,1
15,4
IMT >25)
Sumber: Riskesdas 2007; Riskesdas 2013
Determinan
penyebab remaja
menjadi perokok*
*Prabandari, YS, 2012
Riskesdas 2013
Indonesia
Kurang
makan buah
dan sayur
Merokok
Kurang
aktifitas
fisik
93,5
64,9 29,3
26,1
DIY
Kurang
makan buah
dan sayur
85,0
26,9
Merokok
Kurang
aktifitas
fisik
Perokok di Indonesia
dari tahun ke tahun
20,8
Year
Male
Female Total
1995*
53.9
1.7
27.2
2001*
62.9
1.4
31.8
2004*
63.0
5.0
35.0
2007**
65.3
5.6
35.4
2010^
65.9
4.2
34.7
2011#
67.0
2.7
34.8
2013(+)
64.9
2.1
29.3
*Kosen, Aryastami, Usman, Karyana, Konas Presentation IAKMI XI, 2010
@Ministry
of Health, Basic Health Research, 2007 ( prevalence of > 10 years old)
of Health, Basic Health Research, 2010 (prevalence of > 15 years old)
^WHO, 2012 Global Adult Tobacco Survey: Indonesia Report 2012
(+) Ministry of Health, Basic Health Research, 2013 (prevalence of > 15 years old)
#Ministry
Prevalensi Perokok di Yogyakarta
RISKESDAS 2007, 2010, 2013
Status Merokok
2007
2010
2013
(10 th ke
atas)
(15 th ke atas)
(10 th ke
atas)
23,8
25,3
21,2
Perokok saat
ini
Setiap hari
Kadangkadang
6
6,3
5,7
Tidak
merokok
Mantan
5,9
10,4
9,1
Bukan
perokok
64,4
58,1
64,1
9,8
****
9,9
Jumlah rokok yang dihisap
****Dalam RISKESDAS 2010 jumlah rokok yang dihisap
dihitung secara dengan cara:
1- 10 batang/hari
= 66.3%
11-20 batang/hari
= 30,2%
21-30 batang/hari
= 3,0%
>30 batang/hari
= 0.6%
RISKESDAS 2010
ASI eksklusif 15,3 – 39,8
Akses terhadap air minum yang baik 67,5
Kepemilikan fasilitas BAB pribadi 69,7
Buang sampah sembarangan 9,0;
dibuang di laut/sungai/parit 10,2
Gizi buruk 4,9; Gizi kurang 13,0; Gizi lebih 5,8
RISKESDAS 2013
ASI eksklusif 38,0%, Inisiasi menyusui dini 34,5%
Akses terhadap air minum yang improved 66,8%
BAB dengan benar 82,6%
Buang sampah sembarangan 9,0;
dibuang di laut/sungai/parit 10,2
Kurus 8,7%; Gizi lebih 13,5%; Obes 15,4%
Gaya Hidup dan Kesehatan
• Evolusi Budaya: perubahan adaptif budaya
untuk menghadapi tekanan lingkungan
• Gaya Hidup: perilaku seseorang, cara
hidup seseorang
Adanya evolusi budaya menyebabkan
perubahan gaya hidup
35
Global trends
•
•
•
•
•
•
•
•
•
•
Demografi dan tekanan sosial
Kondisi ekologi
Pertumbuhan dan perkembangan ekonomi
Kesenjangan kemiskinan
Social fabric
Perkembangan teknologi
Perkembangan, konflik dan perdamaian
Beban ganda penyakit
Pekerjaan
Kecenderungan sistem kesehatan yg spesifik
36
Siapakah yang
e derita akibat
perubahan sosial?
• Pendidikan rendah
• Sosial ekonomi rendah
Banyak
penyakit
Miskin
37
THE HEALTH
HIRARCHY
HIRARKI
KESEHATAN
HIRARKI KESEHATAN
DAN SAKIT PADA
MANUSIA
HIRARKI KESEHATAN
SERTA DISIPLIN DAN
TEORI DALAM
KESEHATAN
HIRARKI
SISTEM
ALAMIAH
KAITAN ILMU SOSIAL
DAN MASALAH
KESEHATAN
SEBUAH CONTOH:
PENYEBAB KEMATIAN
ANAK
Maternal death determinant:
Indonesian case
Education
P
r
e
g
n
a
n
t
w
o
m
e
n
Nutrition
Infectious
disease
4 T’s
Behavior
Human resources
Economy
C
o
m
p
l
i
c
a
t
i
o
n
Gender
Social
Culture
Demand side
Late to identify of
red flag and make
decision
Death
Late in reach health
facilities
Late in get
services in health
facilities
Supply side
45
Facilities
Medication
BEHAVIORAL AND SOCIAL SCIENCES :
DEFINITIONS, DOMAINS,
CONTRIBUTION AND INTERVENTION
Social Sciences
•
•
•
•
•
•
•
•
•
•
•
Anthropology (and archaeology)
Demography
Economics
Geography
History
Law
Education
Linguistics
Political science
Psychology
Sociology
The social and behavioral
sciences provide tools for:
• Analyzing health and illness
• Developing greater competencies
(especially cultural competence)
• Developing a more critical and discerning
science.
WORKING DEFINITION OF THE
BEHAVIORAL AND SOCIAL SCIENCES
(ADAPTED FROM THE OFFICE OF BEHAVIORAL AND SOCIAL SCIENCE RESEARCH OF THE NIH)
• The Behavioral and Social Sciences are defined as the
sciences of behavior, including individual
psychological processes and behavioral interactions,
and the sciences of social interaction, including
familial, cultural, economic, and demographic.
• The core areas focus on the understanding of
behavioral or social processes and on the uses of
these processes to predict or influence health
outcomes or risk factors
#
HEALTH CARE CHALLENGES AMENABLE TO
BEHAVIORAL AND SOCIAL SCIENCE
INQUIRY
• Behavioral & Social Determinants of
Morbidity and Mortality
• Health and Health Care Disparities
• Medical Error Reduction
• Patient Safety
• Primary Care Shortage
• Physician Discontent and Burn-out
• Unequal Access to Care
#
Behavioral and Social Science Domains
related to Health and Health Care
•
•
•
•
•
Patient Behavior
Mind-Body Interaction
Physician Role & Behavior
Physician-Patient Interaction
Health Policy, Economics, and Systems
(including Population Health)
• Social and Cultural Context
#
Pengajar
• Dra. Yayi Suryo Prabandari, M.Si., Ph.D
(Koordinator)
– psikolog (klinis & kesehatan), promotor kesehatan
• Dr. Fatwa Sari Tetra Dewi, MPH., Ph.D – dokter,
epidemiolog dan promotor kesehatan
• Dr. Ratna Siwi Padmawati, MA – antropolog, antropolog
kesehatan dan kebijakan
• Dr. Mubasyisyir Hasan Basri, MA (dokter, kesehatan
masyarakat, sosiologi
• Supriyati, S.Sos., M.Kes., Ph.D (can) – sosiolog, promotor
kesehatan
PENUGASAN INDIVIDU DAN
KELOMPOK
Penugasan Individu
Penu- Buatlah diagram penentu sosial sebuah penyakit yang dilaporkan tinggi
gasan prevalensi atau insidensinya di daerah asal karyasiswa
1
Gunakan minimal 3 artikel jurnal terbitan 5 tahun terakhir sebagai dasar
pembahasan selain laporan kasus dari daerahnya. Jurnal minimal terdiri 1
artikel jurnal internasional reputasi (ambil data base yang dilanggan UGM)
dan 2 artikel jurnal nasional terakreditasi.
Jawaban diketik dalam kertas A4 maksimal 3 halaman termasuk judul dan
daftar pustaka, gunakan font times roman, dikumpulkan pada sekretaris
masing-masing minat paling lambat 1 minggu setelah kuliah sesi 5.
Penugasan Individu
Penu- Pilih salah satu kasus berikut:
- Mengapa orang yang berpendidikan cenderung mengonsumsi
gasan
pil/obat tinggi serat daripada makan buah dan sayur segar?
2
- Mengapa kawasan tanpa rokok tidak efektif di Indonesia?
- Mengapa terdapat 70% penduduk Indonesia yang mengonsumsi mie
instant setiap hari meskipun hal tersebut tidak sehat?
- Mengapa mahasiswa senang makanan ”sampah” (junk food)
Jawaban maksimal 2000 kata dan didasarkan minimal 5 artikel jurnal terbitan
5 tahun terakhir (3 artikel jurnal nasional terakreditasi Ristekdikti atau
Litbangkes dan 2 artikel jurnal internasional bereputasi – gunakan data base
yang dilanggan UGM).
Jawaban diketik dalam kertas A4, gunakan font times
roman/arial/Calibri/cambria, dikumpulkan pada sekretaris masing-masing
minat paling lambat 1 minggu setelah kuliah sesi 6.
Penugasan Individu
Penu- Pilihlah salah satu pesan kesehatan yang ada di media cetak
gasan atau web/virtual atau media berbasis teknologi lainnya dan
3
reviulah pesan kesehatan tersebut berdasar teori komunikasi,
perilaku, sosial atau antropologi, serta efektivitas media.
Jawaban maksimal 2000 kata dan didasarkan minimal 5 artikel
jurnal terbitan 5 tahun terakhir (3 artikel jurnal nasional
terakreditasi Ristekdikti atau Litbangkes dan 2 artikel jurnal
internasional bereputasi – gunakan data base yang dilanggan
UGM).
Jawaban diketik dalam kertas A4, gunakan font times
roman/arial/Calibri/cambria, dikumpulkan pada sekretaris
masing-masing minat paling lambat 1 minggu setelah kuliah
sesi 6.
PENUGASAN KELOMPOK 1
Tugas:
Penugasan dan diskusi kelompok (Kelas dibagi beberapa kelompok, satu kelompok terdiri
dari 4 atau 5 mahasiswa)
Dalam penugasan kelompok, karyasiswa diharuskan:
1. Melakukan wawancara semi struktur pada temannya di luar Prodi S2 IKM, masingmasing mahasiswa mewawancara 2 orang tentang perilaku sehat dan tidak sehat
2. Setelah wawancara, hasil dianalisis untuk memahami terbentuknya perilaku berdasar
teori perilaku
3. Melakukan reviu langkah pertama dan kedua dengan referensi yang diwajib dan
anjurkan di kuliah sesi 2
4. Hasil wawancara individu dan analisis digabung dalam satu kelompok, dikomparasi
dan disimpulkan
5. Setiap kelompok presentasi dalam diskusi kelompok yang dipandu fasilitator.
Presentasi disajikan dalam PPT atau lainnya (video pendek dsb). Setiap kelompok wajib
presentasi selama 10 menit dan dilanjutkan 10 menit diskusi.
6. Hasil presentasi kelompok dikumpulkan pada fasilitator masing-masing paling lambat 1
minggu setelah presentasi. Laporan penugasan kelompok diketik pada kertas A4, huruf
arial/times roman/Calibri/Garamond, minimal font 11, spasi 1.5 and maksimum 7
halaman, termasuk cover dan daftar pustaka. Gunakan pustaka artikel jurnal 5 tahun
terakhir, minimal 3 artikel jurnal nasional terakreditasi Ristekdikti atau Litbangkes dan 2
jurnal internasional bereputasi (gunakan data dasar EBSCO, PubMed, Cochrane,
Scopus, dan yang dilanggan oleh UGM
Penugasan Kelompok ke 2
Penugasan:
Kelas dibagi kelompok dan lanjutkan dengan kelompok yang sama pada penugasan
sebelumnya (penugasan 1).
Dalam penugasan kelompok, karyasiswa diharuskan:
Melakukan evaluasi prinsip antropologi yang berkaitan dengan sehat dan sakit
Melakukan debat prinsip antropologi yang berkaitan dengan kesehatan masyarakat
Reviu langkah 1 dan 2 dengan referensi yang wajib dan dianjurkan dalam kuliah sesi 3
Setiap kelompok presentasi dalam diskusi kelompok yang dipandu fasilitator. Presentasi
disajikan dalam PPT atau lainnya (video pendek dsb). Setiap kelompok wajib presentasi
selama 10 menit dan dilanjutkan 10 menit diskusi.
Hasil presentasi kelompok dikumpulkan pada fasilitator masing-masing paling lambat 1
minggu setelah presentasi. Laporan penugasan kelompok diketik pada kertas A4, huruf
arial/times roman/Calibri/Garamond, minimal font 11, spasi 1.5 and maksimum 7 halaman,
termasuk cover dan daftar pustaka. Gunakan pustaka artikel jurnal 5 tahun terakhir, minimal
3 artikel jurnal nasional terakreditasi Ristekdikti atau Litbangkes dan 2 jurnal internasional
bereputasi (gunakan data dasar EBSCO, PubMed, Cochrane, Scopus, dan yang dilanggan
oleh UGM)
Penugasan Kelompok ke 3
Tugas:
Penugasan dan diskusi kelompok (Kelas dibagi beberapa kelompok, satu kelompok
terdiri dari 4 atau 5 mahasiswa)
Dalam penugasan kelompok, karyasiswa diharuskan:
Melakukan reviu teori utama sosiologi yang berkaitan dengan kesehatan secara umum
dan kesehatan masyarakat
Melakukan depat perbandingan teori-teori sosiologi
Melakukan reviu langkah pertama dan kedua dengan referensi yang diwajib dan anjurkan
di kuliah sesi 4
Setiap kelompok presentasi dalam diskusi kelompok yang dipandu fasilitator. Presentasi
disajikan dalam PPT atau lainnya (video pendek dsb). Setiap kelompok wajib presentasi
selama 10 menit dan dilanjutkan 10 menit diskusi.
Hasil presentasi kelompok dikumpulkan pada fasilitator masing-masing paling lambat 1
minggu setelah presentasi. Laporan penugasan kelompok diketik pada kertas A4, huruf
arial/times roman/Calibri/Garamond, minimal font 11, spasi 1.5 and maksimum 7
halaman, termasuk cover dan daftar pustaka. Gunakan pustaka artikel jurnal 5 tahun
terakhir, minimal 3 artikel jurnal nasional terakreditasi Ristekdikti atau Litbangkes dan 2
jurnal internasional bereputasi (gunakan data dasar EBSCO, PubMed, Cochrane,
Scopus, dan yang dilanggan oleh UGM)
Reminding
GROUP WORK AND
SMALL DISCUSSION
(3 ASSIGNMENT)
Session 2
Session 3
Session 4
Mini Quiz diadakan 5 menit
sebelum kuliah dimulai –
berdasar Main Reference
INDIVIDUAL
ASSIGNMENT (3)
Session 5
Session 6
Session 7
Penilaian
•
•
•
•
MINI QUIZ ……………………………………………………
Group assig e t …………………………………………..
Individual assignment ……………….………………
Fi al exa …………………………………………………..
15%
25%
25%
35%
Satuan Acara Pengajaran ISP 2017
NO
TOPIK BAHASAN
1 Session 1 – Social behavioral approach in public health, trans-disciplinary
perspective and the complexity of social behavioral science
2 Session 2 – Behavioral theories underlying healthy and unhealthy behavior
3 Diskusi kelompok 1
4 Session 3 – The main principle of anthropological approach to understand health
5 Diskusi kelompok 2
6 Session 4 – Sociological theories and perspective in understanding health
7 Diskusi kelompok 3
8 Session 5 – Social determinant of health, equity and public health program
9 Session 6 – Communication & Behavior change theories and its application of
selected theories on tobacco control
10 Session 7 – New paradigm on Health Promotion and the use of Technology for
promoting health
11 Session 8 – Dimension of social culture on health, illness and gender perspective
12 Session 9 – Social change and the shift of health organization, services and
workforces
13 Session 10 – Society action and the application of ecological theory in particular
public health issues: a case of Community empowerment and local policy
application for tackling NCD
14 Session 11 – Social behavior related to public health in particular issues –
International and Global Health – case of communicable disease AIDS and TB,
including stigma
15 Session 12 – Social behavior related to public health in particular issues (delivered
on each department)
FINAL EXAMINATION (TAKE HOME)
PENGAJAR
YSP
YSP
Fasilitator
RSP
Fasilitator
SP
Fasilitator
MBS
YSP
FST
RSP
MBS
FST
RSP
departemen
terkait
Terima kasih