Profesi Kesmas Dalam TROPICAL DISEASES

Profesi Kesmas Dalam

TROPICAL DISEASES
Adang Bachtiar
adang@post.harvard.edu
Ketua Umum PP IAKMI 2007-2010; 2010-2013- 2013-2016

Adang Bachtiar
 Dokter (Dr.) from UNIVERSITAS INDONESIA
 Master of Public Health (MPH): HARVARD-USA
 Doctor of Science (DSc): JOHNS HOPKINS-USA
 Post Doctoral in Statistics: UNIV of MICHIGAN-USA

Current Activities:
 Indonesian Public Health Association, President, for 3rd period consecutive
 National Expert Panel on TB, Health Policy Spesialist
 Health Professions Coalition for Anti Smoking (KPK-AR), Chairman
 World Federation of Public Health Assocs (WFPHA) Panel on Oral Health Development, Expert Member
 World Federation of Public Health Assocs (WFPHA) Panel on Oral Health Development, Expert Member
 Committee on Hospital Research Ethics – Premier Hospital Networks, Expert Panel
 Committee on Hospital Research Ethics – Premier Hospital Networks, Expert Panel

 Komnas Penelitian & Pengkajian Penyakit Infeksi (PINERE) Litbangkes -Kemenkes, Expert Panel
 Komnas Penelitian & Pengkajian Penyakit Infeksi (PINERE) Litbangkes -Kemenkes, Expert Panel
 National Health Research Committee – Kemenkes, Expert Panel
 National Health Research Committee – Kemenkes, Expert Panel
 Dept of Health Policy & Administration, UI, Past Chairman; Advice & examnine more than 200 PhD dissertations in
 Dept of Health Policy & Administration, UI, Past Chairman; Advice & examnine more than 200 PhD dissertations in

medicine, dentistry, nursing, public health, regional planning, and social sciences
medicine, dentistry, nursing, public health, regional planning, and social sciences
 Year 2015 Recipient of APACPH Award for Public Health Achievement in Asia Pacific
 Year 2015 Recipient of APACPH Award for Public Health Achievement in Asia Pacific

POIN PENYAJIAN

• ss

Neglected Tropical Diseases (WHO)

• Buruli Ulcer
• Chagas disease (American

trypanosomiasis)

• Dengue/dengue
haemorrhagic fever

• Dracunculiasis (guineaworm disease)

• Fascioliasis
• Human African
trypanosomiasis

• Leishmaniasis
• Leprosy
• Lymphatic filariasis
• Neglected zoonotic diseases
• Onchocerciasis
• Schistosomiasis
• Soil transmitted helminthiasis
• Trachoma
• Yaws

Kelompok 10 Penyakit
Tropikal

KATEGORI-1
African Trypanosomiasis.
Dengue.
Leishmaniasis.
KATEGORI-2
Malaria.
Tuberculosis.
Schistosomiasis

KATEGORI-3
Onchocerciasis.
Leprosy.
Chagas disease.
Lymphatic filariasis

Klasifkasi didasarkan kepada…

• KATEGORI-1: Emerging or uncontrolled disease.
• KATEGORI-2: Control strategy available but disease burden
persists.

• KATEGORI-3: Control strategy proven effective, disease burden
falling, and elimination planned.

Proyeksi Angka Kematian Berdasarkan
Sebab & Pendapatan, 2004 to 2030
30

Intentional injuries
Other unintentional
Road traffic accidents

Deaths (millions)

25

Other NCD

20

Cancers

15
10

Cardiovascular dis.

5

Maternal/perinatal/nutr
Other infectious

0

HIV, TB, malaria
2004

2015

2030

High income

2004

2015

2030

Middle income

2004

2015

2030

Low income

http://www.who.int/entity/healthinfo/global_burden_disease/
GBD2004ReportFigures.ppt, data from WHO Global Burden of Disease

Dengue Hemorrhagic Fever

Number of Cases

Jumlah Kasus DBD Dilaporkan ke
WHO:
1955-2005
1000000
900000
800000
700000
600000
500000
400000

300000
200000
100000
0

Global Distribution of Dengue Virus Serotypes, 1970

DEN-1
DEN-2

Global Distribution of Dengue Virus Serotypes, 2006

DEN-1
DEN-2
DEN-3
DEN-4

DEN-1
DEN-2
DEN-3

DEN-4
DEN-1
DEN-2
DEN-3
DEN-4

DEN-1
DEN-2
DEN-3
DEN-4

DEN-1
DEN-2

DEN-1
DEN-2
DEN-3
DEN-4

DEN-1

DEN-2
DEN-3
DEN-4

DEN-1
DEN-2
DEN-3
DEN-4

DEN-1
DEN-2
DEN-3
DEN-4

Aedes aegypti

Dengue Virus
• Causes dengue and dengue hemorrhagic fever
• Arbovirus
• Transmitted by mosquitoes

• Composed of single-stranded RNA
• Has 4 serotypes (DEN-1, 2, 3, 4)

Dengue Viruses
• Each serotype provides specific lifetime immunity, and short-term
cross-immunity

• All serotypes can cause severe and fatal disease
• Genetic variation within serotypes
• Some genetic variants within each serotype appear to be more
virulent or have greater epidemic potential

Climate Change and Health
Implications

Varian Terbaru: Zika

Malaria: 20 Negara Endemis Termasuk Indonesia

SEAR countries
WPR countries

2012
(WMR
2013)

SEAR

WPR

Estimat
ed #
malaria
cases

26.8
mio
(21.732.5)

1.4
mio
(1.2-1.7
mio)

Estimat
ed #
malaria
deaths

42 000
(25
000-60
000)

3 500
(2 100
–5
200)

Populat
ion at
risk
(high
and low
transmi
ssion
areas)

1.6
billion

711
million

Malaria: Countries projected to achieve
>75% decrease in incidence of
microscopically
confrmedWPR
cases by 2015
SEAR

• India, Indonesia and Myanmar (SEAR), Papua New Guinea (WPR), Pakistan
(EMR) cannot be projected to achieve the 75% decrease by 2015
• In the SEAR, 3/10 countries, and in the WPR, 2/10 are in pre-/elimination phase
World Malaria Report 2013

MASALAH DAN TANTANGAN
•Investasi dan programming yang terhambat karena
•Pembiayaan tidak menentu
•Kekampuan pelaksanaan yang menurun
•Political will kemudian ikutan turun
•Gangguan wilayah karena industri
•Artemisinin resistance
• Disebabkan logistic obat yang tidak optimal, obat palsu dll
• Migrasi penduduk dan sulit terjangkau sehingga
pengobatan tidak sempurna

• Sektor lain tak acuh

Tuberculosis:
Distribution of Prevalent TB Patients, by Region
African Region
26.71%

Americas
3.25%
Eastern Mediterranean
7.78%
European Region
4.18%

Western Pacifc Region
18.58%

SouthEast Asia
Region
39.49%
2012 Estimates

SEAR

WPR

TB Cases (all forms)

3.4 mio

1.6 mio

TB Deaths

450,000

110,000

Multi-drug resistant TB

90,000

74,000

HIV-associated TB

170,000

22

24,000

Source: Global Tuberculosis Control 2013, WHO

TANTANGAN TB
1.Algoritme Dx kurang sensitive dalam
deteksi dini TB;

2.TB terkonsentrasi pada populasi
beresiko yang sulit terjangka;

3.Multi-drug resistant TB: hanya
sebagian kecil dapat dijangkau (di Dx
dan di Tx);

4.Pendanaan internasional semakin
menciut.

FAKTOR PENYEBAB DINAMIKA
tak ada political will
• Pengabaian,
PENYAKIT
• Pertumbuhan penduduk
• Urbanisasi
• Pemanfaatan lahan
• Peternakan

• Mobilitasi penduduk, mahluk hidup lain dan barang
• Dinamika perilaku dan gaya hidup
• Adaptasi mikroba termasuk karena perubahan iklim
• Bencana termasuk dengan sengaja

AGENDA 2050 PEMBANGUNAN SUSTAINABEL
FOKUS PD
EKOLOGI

SDA dan Kapasitas
Ekologis
Sistem2 Ekonomi

Modal Sosial &
Tujuan Kesejahteraan

FOKUS PD
EKONOMI

FOKUS PD
SOSIAL

Memerlukan “HEALTH IN ALL DEVELOPMENT
POLICY” untuk HEALTHY CONSUMERISM

TRANSISIONAL(1)
•

•

DARI:

KEARAH:

Tata ruang destruktif unbalanced
Bahan material kehidupan menuju

1. Menuju tata-ruang sehat kearifan sosial

Energy poverty, inaccesible& tdk merata
Mobilitas penduduk ineffective & unsafe
Keamanan pangan terganggu akibat

3. Sosial justice energy use

Yankes

6. Healthy consumerism 5-level prevention

konsumtif boros

kerusakan ekologis tmsk climate change
non-comprehension ineffective

2. Recycling economy yg efisiensi

berdayakan

4. Mobilitas aman adaptif ekologis
5. Food safety yg efektif dlm healthy

biosphere

TRANSISIONAL(2)
•

DARI:

•

KEARAH:

Pembelajaran lamban tidak merata
Sistem2 ekonomi pertahankan ketidak-

1. Teknologi tinggi dg cultural competencies

Pembangunan sosial terabaikan
Daya dukung ekologis terdegradasi
Tata hubungan internasional eksplotatif

3. Caring society yang inklusif

seimbangan “Utara-Selatan”

2. Ekon low-carbon, low raw-material, ekologi

& persaingan sosial sehat & adil

4. Menumbuhkan biodiversitas
5. Tata hub egaliter saling menguntungkan

yang berbudaya tinggi

STRATEGI PROFESI KEDEPAN?

4-PILAR
Efisiensi =
STRATEGI
Berdaya & Transparansi
Glorekalisasi
• IHR2005; GOARN
• BWC

P2M
Mitigatif & Adaptif

Nakes
Profesional
(Uji kompetensi;
UU Nakes)

Glorekalisasi

International Health Regulations
2005

From three diseases to all public health threats
From passive to pro-active using real time surveillance/evidence
From control at borders to detection and containment at source

Operationalizing the IHR in the 21st century:
partnership for global alert and response to
infectious diseases
WHO Regional
& Country Offices

WHO Collaborating
Centres/Laboratories

Countries/National
Disease Control
Centres

Epidemiology and
Surveillance Networks

Military
Laboratory
Networks

UN
Sister Agencies

GPHIN
NGOs
Media

Electronic
Discussion sites

FORMAL
INFORMAL

Alert & Response Ops

Coordination
• Monitoring
• Reporting
• Resource mobilisation
• Administration

IHR Bodies &
Procedures
• IHR Focal Points
• Roster of experts
• Emergency Committee
• Review Committee
• National legislation

Project
Management

WHO Alert,
Preparedness,
and Response
Operations

IHR Communication
• information

National Core
Capacity

• education
• advocacy

Points of Entry
• Ports
• Airports
• Ground crossings

• IHR Contact Point
• Intelligence
• Verification
• Risk assessment
•Risk communication
• Notification
• Response

Specific threats
• influenza
• polio
• smallpox
• SARS
•Chemical/Radionuclear
• others

Country Alert & Response
• IHR NFP Operations
•National ARO
• Laboratory training / support
• Epidemiology training / support
• National system assessment
•Response preparedness
-Social mobilization
-Case management

DARI IHR2005 MENUJU GLOBAL
SECURITY
Individual Health Security:
Access of persons to health care and to medicines/vaccines and other
health goods; removal of obstacles to good health
Public Health Security:
Activities required to minimize vulnerability to public health events that
endanger the health of populations
Global Public Health Security:
Collective activities required to protect the public health of populations
living across geographical regions and international boundaries

IHR DAN BWC
• International Health

Regulations (IHR) of
the World Health
Organization

• The Biological

Weapons Convention
(BWC)

Global Outbreak Alert and Response Network:
Regional Collaboration
APEC
Mekong
Basin
Disease
Surveillance
(MBDS)

EIDIOR

SEAMIC
SEANET

GPHIN
Pacific Public
Health
Surveillance
Network
(PPHSN)

Flu Net

ASEAN

+ Red Cross,
other NGOs

Tanpa Global Linkage-Regional CollabLocal Empowerment

CASES

First
case

Late
reporting

Delayed
response

90
80
70
60
50
40
30
20
10
0

Lost opportunity for control/
risk of international spread

1

4

7

10

13

16

19

22

25

28

31

34

37

40 DAY

Dengan GLOREKALISASI

CASES

Early
reporting

Rapid
response

Potential cases prevented/
international spread prevented

90
80
70
60
50
40
30
20
10
0
1

4

7

10

13

16

19

22

25

28

31

34

37

40

DAY

Mitigatif &
Adaptif

MITIGATIF-ADAPTIF

GER-MAS HIDUP SEHAT














Merupakan gerakan multisektor termasuk swasta dan masyarakat sebagai
subyek (bukan obyek) untuk kegiatan2 mitigatif dan adaptif bencana
Program terstruktur masing2 sector dengan indicator terutama kesehatan
keluarga
Mendorong nilai-kepercayaan dan budaya hidup sehat dan bugar
Mendorong best practices (keberhasilan) setiap sektor dengan branding
yang kuat terkait “Hidup sehat dan bugar”
Target komunikasi “reach out and touch them”
Menu kegiatan yang mencakup perubahan perilaku menuju hidup sehat
bagi individu – keluarga – masyarakat - kelembagaan
Menciptakan mekanisme penguatan (incentive system) agar masyarakat
terus menjaga kesehatan dan kebugarannya
Ukuran kemandirian masyarakat sangat penting

Indikator Keluarga Sehat
A
1

Program Gizi, Kesehatan Ibu & Anak:
Keluarga mengikuti KB

2

Ibu bersalin di faskes

3

Bayi mendapat imunisasi dasar lengkap

4

Bayi diberi ASI eksklusif selama 6 bulan

5
B
6

Pertumbuhan balita dipantau tiap bulan
Pengendalian Peny. Menular & Tidak Menular:
Penderita TB Paru berobat sesuai standar

7

Penderita hipertensi berobat teratur

8

Gangguan jiwa berat yang diobati / tidak ditelantarkan

C

Perilaku dan kesehatan lingkungan:

9

Tidak ada anggota keluarga yang merokok

10

Keluarga memiliki/memakai air bersih

11

Keluarga memiliki/memkai jamban sehat

12

Sekeluarga menjadi anggota JKN/askes

GERMAS HIDUP SEHAT

PROPINSI SEHAT

KOTA
SEHAT

KELUARG
A SEHAT

3.
KESAMAAN
KEPENTINGA
N DALAM
1.GOAL:

..

MIRACLE
Germas Sehat
.

5.
KOMUNIK
ASI &
KERJASA
PARADIGMA
MA

4.
MENYUS
UN
RENCAN
SEHAT
A AKSI(HiAP)

JAMINAN KESEHATAN

MUTU YANKES

2.SINERGI
& BAGI
PERAN
MASING2

HiAP=Health in All Policies

Managi
Managi
ng
ng

Educat
ing

Showing
Showing
paths
paths for
for
healthy
healthy
life
life styles
styles

Leadin
g

Inspire
Inspire
and
and
develop
develop
people
people &
&
sectors
sectors
for
for
healthy
healthy
consume
consume
rism
rism

Use
Use
process
process
excellenc
excellenc
e
e to
to
fulfll
fulfll
Health
Health
Needs
Needs &
&
Satisfy
Satisfy
Communi
Communi
ty
ty

SoftskillsSoftskillsSoftskills

Communi
Communi
tarian
tarian

Live
Live with;
with;
for
for beneft
beneft
of
of and
and
establish
establish
self
self reliance
reliance
community
community

Innovat
ing

new PH
ideas and
develop
capabiliti
es to
make
them a
reality

Apprenti
Apprenti
cing
cing
for
for
perfection
perfection
PH
PH values
values
and
and norms
norms

Researc
Researc
hing
hing
for
for
rational
rational
PH
PH
decision
decision ss
&
& new
new
technolgy
technolgy

Nakes
Profesional

IAKMI ROLES

PH Educational
System

Professional Educ
CREDENTIALING
Licensing Certification

PH Professional
Ethics & conduct
PH workers Utiliz &
Empowerment

PROFESIONALISM
PROFESIONALISM

National Board
for PH
Competency
Exams

Universities
Accreditation

Health Contexts
Dynamics
Health Need &
Demand (Local &
Abroad)
Health
Technology

Scope of
Works for
PH workers

PH workers
Dynamics
Bachtiar 2008

Efisiensi SisKes

WHO, Everybody’s Business: Strengthening Health Systems to Improve
Health Outcomes, WHO’s Framework for Action (2007)

BERUBAH,,,,(1)
Individual care
providers

Collaborative teams
of providers

BERUBAH,,,,(2)

Treating individuals
when they get sick

Keeping groups of
people healthy

BERUBAH,,,,(3)
Emphasizing
adaptation

Emphasizing
mitigation with
adapatation

BERUBAH,,,,(4)
Maximizing the use of
resources & assets

Applying appropriate
levels of care at the
right place

BERUBAH,,,,(5)
Offering care at
centralized facilities

Offering care at sites
convenient to patients

BERUBAH,,,,(6)

Treating all
patients the same

Customizing
healthcare for each
patients

BERUBAH,,,,(7)

Avoiding the sickest
chronic patients

Creating venues to
provide special
chronic care services

BERUBAH,,,,(8)
Being responsible for
those who seek our
services

Being responsible for
the needs of the
community

BERUBAH,,,,(9)

Best efforts

High reliability
provider

KOMPETENSI

JAMINAN
KESEHATAN

YANKESMAS
BERMUTU

MIRACLE

VIRTUALISASI

HARMONISASI
GLOBALISASI

PARADIGMA SEHAT

SOFTSKILLS – SOFTSKILS –
SOFTSKILLS(1)

• 1. Bekerja dengan hati.

If you can’t be passionate about the work itself, be passionate about the reason
you do it.

• 2. Ajak keluarga dalam keputusan2 kerja.

Be passionate in your choice to do right by your family while also taking steps
to find a role you do love.

• 3. Carilah teman dengan enersi positif optimistik.

Surround yourself with positive people and you’ll have a positive outcome.

SOFTSKILLS – SOFTSKILS –
SOFTSKILLS(2)

• 4. Berikan waktu yg luas utk talenta yg dimiliki.

If you spend most of your time using your talents and doing things you are
good at, you’re more likely to be happy.

• 5. Bisa frustasi urusi kekuarangan diri. Waspada.

If you spend most of your time struggling to improve your weaknesses, you’re
likely to be frustrated.

• 6. Berlatihlah utk penyempurnaan. Yang sabar dalam hal baru.
Practice is the only true way to master a new skill. Be patient with yourself
while you learn something new.

SOFTSKILLS – SOFTSKILS –
SOFTSKILLS(3)

• 7. Bosan karena tak mau hal baru.

The only way to stay fresh is to keep learning new things.

• 8. Hal baru pasti lewati kesalahan2. Ikuti tahapannya.

To learn new things means being a beginner, and that means making
having a ‘beginner mind’ and making mistakes.

• 9. Nikmati setiap kesalahan dg ihlas.

The more comfortable you grow with making beginner mistakes, the
easier it is to learn new things.

SOFTSKILLS – SOFTSKILS –
SOFTSKILLS(4)

• 10. Jadilah pembaharu didepan.

If you think something needs changing, be the one to lead the change.

• 11. Mulai yg sederhana.

Start small and build from there.

• 12. Petik tujuan yg terjangkau dulu kmd yg sukar.

Do the obvious stuff first, then progress to the harder stuff. (Otherwise
known as going for the low-hanging fruit.)

SOFTSKILLS – SOFTSKILS –
SOFTSKILLS(5)

• 13. Faham disemua aspek dlm organisasi tmsk hal teknis
smp kepemimpinan.

Always try to get better at your craft from the technical aspects to your
leadership skills.

• 14. Memutuskan adalah har tersukar. Biasakanlah.

The hardest lesson to learn is when to keep going and when to quit. No
one can teach you that. At some point, you have to choose.

SOFTSKILLS – SOFTSKILS –
SOFTSKILLS(6)

• 15. Gila kali ya berharap lebih dg cara sama.

The definition of crazy is to do the same thing the same way and expect a
different result. If the result isn’t good, change something and then try
again.

• 16. Bekerjasamalah. Begitulah Allah menciptakan.
No one succeeds alone.

• 17. Tanya kalau ga ngerti dan bersyukur abiss telah
dibantu.

Ask for help. Be specific when asking. Be graceful and grateful when help
comes.

SOFTSKILLS – SOFTSKILS –
SOFTSKILLS(7)

• 18. Setiap kita punya pandangan. Hargailah.

People experience the world differently. Don’t fight that. Use it.

• 19. Manfaatkan kelebihan org lain. Keberagaman itu PENTING.
Embrace diversity. The best way to compensate for your own weaknesses is
to pick teammates who have different strengths.

• 20. Hargai orang lain dg cara terbaikmu.

You don’t have to like someone to treat that person with respect and
courtesy.

SOFTSKILLS – SOFTSKILS –
SOFTSKILLS(8)

• 21. Jangan memaksa kehendakmu.

Don’t “should” all over someone, and don’t let someone else “should” all over
you.

• 22. Diatas gunung ada gunung lain.

No matter what you do or how much you achieve, there are always people
who have more.

• 23. Lihat kebawah utk bersyukur.

There will always people who have less, too.

SOFTSKILLS – SOFTSKILS –
SOFTSKILLS(9)

• 24. Sumberdaya itu milikNya ingat itu.

You will never have all the resources (time, money, people, etc.) that you
want for your project or company.

• 25. UjianNya dalam susah justru rahmat utk kreatif.

A lack of resources isn’t an excuse. It’s a blessing in disguise. You’ll have to
get creative.

• 26. Belajar cara baru utk pekerjaan yang sama itu kreatifitas
namanya.

Creativity and innovation are skills that can be learned and practiced by
doing your usual things in a new way.

SOFTSKILLS – SOFTSKILS – SOFTSKILLS(10)

• 27. Belajar absorbsi apa saja di awal dan tapis banyak hal bila
sudah pengalaman.

In the early stages of a company, career, or project, you’ll have to say “yes”
to a lot of things. In the later stages, you’ll have to say “no.”

• 28. Kritik miring itu perlu. Ariflah

Negative feedback is necessary. Don’t automatically reject it. Examine it for
the nuggets of truth, and then disregard the rest.

• 29. Pujian hhm.. waspada aja deh.
Ditto for positive feedback.

SOFTSKILLS – SOFTSKILS – SOFTSKILLS(11)

• 30. Opini barangkali ada mutiara didalamnya.

Don’t automatically accept it (or reject it). Examine it for the nuggets of truth.

• 31. Memberi kritisi itu ke obyek bukan ke subyek.

When delivering criticism, talk about the work, not the person.

• 32. Mimpilah setingginya.

Think big. Dream big. (The alternative is to think small, dream small.)

SOFTSKILLS – SOFTSKILS – SOFTSKILLS(12)

• 33. Mimpi itu artinya pelan2 dicapai.
Treat your dream as an ultimate road map.

• 34. Mimpi gede itu banyak protes. Sabar dan putuskan

If you think big, you will hear “no” more than you hear “yes.” They don’t get to
decide. You do.

• 35. Dibalik sukses ada peluang emas. Siapkan diri.

As you achieve successful outcomes, you will be pressured to do more and
do it faster.

SOFTSKILLS – SOFTSKILS – SOFTSKILLS(13)

• 36. Ini rahasia sukses: diskusi dg siapa saja.

Communicate your plans with other people and keep communicating those
plans in every way possible.

• 37. Jejaring itu PENTING.

Grow your network. Make an effort to meet new people and to keep in
contact with those you know.

• 38. Apapun pekerjaannya itu karena SDM. Hargai mereka.
It’s always about the people and the lives you will improve.

SOFTSKILLS – SOFTSKILS – SOFTSKILLS(14)

• 39. Dibalik sukses itu kegagalan.

No matter how successful you get, you can still fail and fail big.

• 40. Gagal itu bukan hal buruk.

Failure isn’t a bad thing. It’s part of the process.

• 41. Lakukan perhitungan setiap risiko.
Take risks. Not wild risks. Calculated ones.

• 42. Kegagalan itu terencana.

The best way to always win the big game is to have alternate plans for losing
various battles.

SOFTSKILLS – SOFTSKILS – SOFTSKILLS(15)

• 43. Hidup itu penuh risiko. Kuatkan hati.

No one can tell you when to do anything. If you feel strongly enough, Bismillah.

• 44. Hargai siapa saja walau saat menolak.
Learn how to respectfully, but firmly, say “no.”

• 45. Sanggupi segala hal. NTT, Nanti Tuhan Tolong.
Say “yes” as much as you can.

• 46. Sanggupi tapi jelas batasannya.

In order to say “yes” often, attach boundaries or a scope of work around your
“yes.”

SOFTSKILLS – SOFTSKILS – SOFTSKILLS(16)

• 47. Bahagia itu bukan karena sukses tp syukuri keberadaan,
apapun.

Happiness is the art of being satisfied with what you already have.

• 48. Teman kerja pasti ada yg bikin BeTe. Sabar hargai dan
tetap fokus.

Working with difficult personalities will be a part of every job. Be respectful,
do your job well, and cheerfully don’t let the difficult person derail your
project.

SOFTSKILLS – SOFTSKILS – SOFTSKILLS(17)

• 49. Fokus pada tujuan.

Focus on what you want, not on what you don’t want.

• 50. Mau mengubah dunia? Jaga amanah dg mulai diri sendiri
berubah.

If you truly want to change the world, you’ve got to earn a position of
influence or power and use that influence to change your part of the world.
Do it openly and as a role model and you will empower others to change, too

JATI DIRI “MIRACLE”
M
I
R
A
C
L
E

MENGELOLA KEBIJAKAN DAN PROGRAM KESEHATAN
INOVASI SEBAGAI KUNCI DAN PARADIGMA SEHAT
REAL TIME DATA UNTUK MEMBANGUN KEPUTUSAN2 BANGKES
APPRENTICING, MENJADI PEMBELAJAR UTK YANG TERBAIK
COMMUNITARIAN, MEMAHAMI DAN MELAYANI SELURUH KEBUTUHAN
PEMANGKU KEPENTINGAN
LEADING, MEMIMPIN MENUJU BUDAYA KELUARGA SEHAT MELALUI JEJARING
KERJA EFEKTIF
EDUKASI SEMUA UNTUK KELUARGA MAMPU MANDIRI

MIRACLE
REVOLUSI MENTAL
menggerakkan SEMUA
UNSUR untuk
menyehatkan bangsa

Dibutuhkan
kepemimpinan kesmas
untuk capai pekerjaan
keprofesian yang bermutu

Health in
All Policies

.
Asses
.

.

.

.
Develop

.
Manage
Professionalism

Gerakan Masyarakat
Untuk Hidup Sehat

KKNI Kesmas Untuk Profesi
MIRACLE
Karir Profesi
6-Ahli KM Pratama

MIRACLE

7-AKM Muda

identity

8-AKM Madya
9-AKM Utama
Jenjang
KKNI

*Elit tenaga
kesehatan
masyarakat yang
mampu menjamin
hak kesehatan
setiap individu

urabitur elit sanitati iurum humanorum