PENCAPAIAN INDONESIA DALAM GHSA

PENCAPAIAN INDONESIA
DALAM GHSA
Dr. Jane Soepardi
Direktur Surveilans dan Karantina Kesehatan
Ditjen Pencegahan dan Pengendalian Penyakit
Kementerian Kesehatan

Disampaikan pada Seminar Sehari
Ketahanan Kesehatan Global dalam Prespektif Pertahanan Negara
Jakarta, 9 November 2017

OUTLINE
Overview GHSA

Implementasi
Pencapaian

Rencana Tindak Lanjut

Ancaman Kesehatan
Masyarakat

EBOLA
POLIO

ANTHRAX
MDR TB

FOOD
SUPPLY

AVIAN FLU

Globalization
of travel, food
and medicines

MERS COV

Emergence &
spread of
new

pathogens

Rise of
drug
resistance

Intentional
Release
and/or
Engineering

Reemergence
of known
pathogens

Why Global Health Security?
• In today’s increasingly interconnected world we remain
vulnerable.
• No one nation can achieve Global Health Security on its own.
• The vitality of the global economy is only as secure as the

collective health of our people.
• 11 years ago SARS cost $30 billion in only 4
months.
• The anthrax attacks of 2001 infected 22 people,
killed 5, and cost more than $1 billion to clean up.
• The 2009 H1N1 influenza pandemic killed
284,000 people in its first year alone.
• AIDS spread silently for decades.
GHSA  Accelerate the implementation of WHO’s
International Health Regulations (2005), OIE’s
Performance Veterinary Services (PVS), and other
global health security frameworks.
6

Global Health Security Agenda Objectives
Prevent Avoidable Epidemics
1. Prevent the emergence and spread of antimicrobial drug resistant organisms
and emerging zoonotic diseases and strengthen international regulatory
frameworks governing food safety.
2. Promote national biosafety and biosecurity systems.

3. Reduce the number and magnitude of infectious disease outbreaks.

Detect Threats Early
4. Launch, strengthen and link global networks for real-time biosurveillance.
5. Strengthen the global norm of rapid, transparent reporting and sample sharing
in the event of health emergencies of international concern.
6. Develop and deploy novel diagnostics and strengthen laboratory systems.
7. Train and deploy an effective biosurveillance workforce.

Respond Rapidly and Effectively
8. Develop an interconnected global network of Emergency Operations Centers
and multi-sectoral response to biological incidents.
9. Improve global access to medical and non-medical countermeasures during
health emergencies.
7

Overlap Between GHSA and IHR
IHR

GHSA


• Legislation, Policy &
Financing
• Risk communication
• Coordination and NFP
Communication
• Points of Entry
• Food Safety
• Chemical Events
• Radiological
Emergencies

• Surveillance
• Laboratory
• Preparedness
• Response
• Zoonotic diseases
• Human Resources

• Prevent AMR

• Vaccination
Programs
• Nosocomial infection
control
• Regional bio
surveillance hubs
• Sample sharing
• Novel diagnostics
• Sharing medical
countermeasures
and personnel

Joint External Evaluation

Pencapaian Indonesia
1.Ketua Troika tahun 2016
2.Lead Country untuk Zoonosis Action
Package
3.Mendukung Pelaksanaan Joint External
Evaluation (JEE)

4.Mengupayahan Agenda Ketahanan
Kesehatan di semua fora
5.Menguatkan Koordinasi Antar Action
Package
6.Meningkatkan Jumlah Negara Anggota
GHSA

Pernyataan Bersama
Presiden RI dan Presiden AS
 Kedua presiden memahami

pentingnya memperluas
kerjasama di bidang kesehatan
dan membangun kapasitas guna
mencegah, mendeteksi dan
menindaklanjuti tantangan
kesehatan global, termasuk
ancaman epidemi.
 Melihat peningkatan kerjasama di bidang ini, kedua negara memiliki komitmen
untuk membuat perjanjian pada bidang kesehatan yang akan mampu memberikan

landasan dan arah di masa mendatang.
 AS menyambut baik kepemimpinan Indonesia pada inisiatif lima tahunan agenda

keamanan kesehatan dunia (GHSA) yang bertujuan untuk mencapai target yang telah
disepakati bersama, termasuk memimpin Steering Group GHSA pada tahun 2016.

JEJARING GLOBAL HEALTH SECURITY

KEMKES

KEMENKO
POLHUKAM
KEMENKO
PMK

KEMTAN

GHS

KEMENRIS

DIKTI

BNPB

KEMHAN

K/L
KEMLU

Indonesia Future Commitments

1.Tetap sebagai Anggota Troika
dalam GHSA
2.Melaksanakan Penilaian JEE
pada 20-24 November 2017
3.Host 5th GHSA Ministerial
Meeting in 2018.

1. Pendahuluan..1
A. Latar Belakang

• SK Menkes No: HK.02.02/MENKES/273/2016 Tentang
Kelompok Kerja Ketahanan Kesehatan Global di Lingkungan
Kemenkes, maka terdapat 19 technical areas / bidang
• Pertimbangan:
– Indonesia sebagai anggota PBB telah menyepakati untuk
melaksanakan IHR 2005.
– Untuk bisa melaksanakan IHR harus memiliki kemampuan
dalam pencegahan, deteksi dini, dan respon cepat
terhadap munculnya penyakit atau kejadian kegawat
daruratan kesehatan yang meresahkan dunia (PHEIC).
– Penilaian IHR 2005 dan GHSA menggunakan JEE tool yang
menggabungkan sebelas Action Packages dalam GHSA dan
8 kapasitas inti IHR 2005

1. Pendahuluan..2
B. Tujuan JEE
• Untuk melakukan penilaian kemampuan suatu
negara untuk mencegah, mendeteksi, dan
melakukan respon secara cepat secara
independen terhadap ancaman kedaruratan

kesehatan masyarakat yang meresahkan dunia
(Public Health Emergency of International
Concern) yang dapat berupa kejadian penyakit
(biologis), kimia maupun radionuklir.

PREVENT

DETECT

RESPOND

1. National Legislation,
Policy and Financing
(Kapus ADK).

1. National Laboratory System
(Dir. Fasyankes/Dir SKK)
2. Real Time Surveillance
(Dir. P2MPL/Dir SKK)
3. Reporting
(Kapusdatin)
4. Workforce Development
(Kapus PSDMK/Dir SKK)

1. Preparedness
(Dir P2ML/Dir. SKK)

2. IHR Coordination,
Communication and
Advocacy
(Dir. SKK)
3. Anti-microbial
Resistance (AMR)
(Dir. Yanfar/Dir BUKR)
4. Zoonotic Disease
(Dir. P2PTVZ)
5. Food Safety
(Dr. Kesling/Dir SKK)

6. Biosafety and
Biosecurity
(Kapus. BDTK)
7. Immunization
(Dir. SKK)

JEE
Technical Area
INTRODUCTION
1.Health System
Kapus ADK

2.JEE Preparation
Dir SKK)

2. Emergency Operation Centres
(Ka PPKK/Dir SKK)
3. Linking PH and Security
Authorities
(Karo Hukor/Dir SKK)
4. Medical Countermeasures and
Personnel Deployment
(Dir. BUKR)
5. Risk Communication
(Karokoyanmas)

Other IHR related HAZARDs and
PoEs
1. Point of Entries (PoEs)
(Dirjen P2P/Dir SKK)
2. Chemical Events
(Dir. Kesling/KesjaOR)

3. Radiation Emergencies
(Dir. KesjaOR/Kesling)

Real time surveillance

PREVENT
Capacity Element

Label

Score

Legislation, laws, regulations, administrative requirements,
policies or other government instruments in place are
sufficient for implementation of IHR.

P.1.1

3

The state can demonstrate that it has adjusted and aligned its
domestic legislation, policies and administrative arrangements
to enable compliance with the IHR (2005)

P.1.2

3

P.2.1 A functional mechanism is established for the
coordination and integration of relevant sectors in the
implementation of IHR

P.2.1

4

P.3

Antimicrobial resistance (AMR) detection

P.3.1

3

Antimicrobial Resistance
(AMR)

Surveillance of infections caused by AMR pathogens

P.3.2

3

Healthcare associated infection (HCAI) prevention and control
programs

P.3.3

4

Antimicrobial stewardship activities

P.3.4

4

Surveillance systems in place for priority zoonotic diseases
/pathogens

P.4.1

3

Veterinary or Animal Health Workforce

P.4.2

3

Mechanisms for responding to infectious zoonoses and
potential zoonoses are established and functional

P.4.3

3

Mechanisms are established and functioning for detecting and
responding to foodborne disease and food contamination.

P.5.1

4

Whole-of-government biosafety and biosecurity system is in
place for human, animal, and agriculture facilities

P.6.1

3

Biosafety and biosecurity training and practices

P.6.2

3

P.7

Vaccine coverage (measles) as part of national program

P.7.1

4

Immunization

National vaccine access and delivery

P.7.2

4

P.1
National Legislation,
Policy, and Financing

P.2
IHR Coordination,
Communication and
Advocacy

P.4
Zoonotic Disease

P.5
Food Safety
P.6
Biosafety and
Biosecurity

Indicator

DETECT
Capacity Element
D.1
National Laboratory
System

D.2
Real Time Surveillance

D.3
Reporting
D.4
Workforce
development

Indicator
Laboratory testing for detection of priority diseases
Specimen referral and transport system
Effective modern point of care and laboratory based
diagnostics
Laboratory Quality System
Indicator and event based surveillance systems
Interoperable, interconnected, electronic real-time
reporting system
Analysis of surveillance data
Syndromic surveillance systems
System for efficient reporting to WHO, FAO and OIE
Reporting network and protocols in country
Human resources are available to implement IHR core
capacity requirements
Applied epidemiology training program in place such as
FETP
Workforce strategy

Label
D.1.1
D.1.2

Score
4
5

D.1.3

4

D.1.4
D.2.1

3
4

D.2.2

3

D.2.3
D.2.4
D.3.1
D.3.2

4
4
3
4

D.4.1

4

D.4.2

4

D.4.3

4

RESPOND
Capacity Element
R.1
Preparedness

R.2
Emergency Response
Operations

R.3
Linking Public Health
and Security Authorities
R.4
Medical
countermeasures and
Personnel Deployment
R.5
Risk Communication

Indicator
Multi-hazard national public health emergency
preparedness and response plan is developed and
implemented
Priority public health risks and resources are mapped and
utilized
Capacity to Activate Emergency Operations
Emergency Operations Centre Operating Procedures and
Plans
Emergency Operations Program
Case management procedures are implemented for IHR
relevant hazards
Public Health and Security Authorities, (e.g. Law
Enforcement, Border Control, Customs) are linked during a
suspect or confirmed biological event
System is in place for sending and receiving medical
countermeasures during a public health emergency
System is in place for sending and receiving health
personnel during a public health emergency
Risk Communication Systems (plans, mechanisms, etc.)
Internal and Partner Communication and Coordination
Public Communication
Communication Engagement with Affected Communities
Dynamic Listening and Rumour Management

Label

Score

R.1.1

4

R.1.2

4

R.2.1

3

R.2.2

2

R.2.3

3

R.2.4

4

R.3.1

4

R.4.1

5

R.4.2

5

R.5.1
R.5.2
R.5.3
R.5.4
R.5.5

4
4
4
4
4

RESPOND
(Other IHR-related Hazards and PoE)
Capacity Element
PoE
Points of Entry
CE
Chemical Events

RE
Radiation Emergencies

Indicator
Routine capacities are established at PoE.
Effective Public Health Response at Points of Entry
Mechanisms are established and functioning for detecting
and responding to chemical events or emergencies.
Enabling environment is in place for management of
chemical Events
Mechanisms are established and functioning for detecting
and responding to radiological and nuclear emergencies.
Enabling environment is in place for management of
Radiation Emergencies

Label
PoE.1
PoE.2

Score
4
4

CE.1

3

CE.2

3

RE.1

3

RE.2

3

7. Tim Assessor…2
Daftar Tim Assessor
NAME

Dr Karen Sliter

FROM

AREA TO ASSESS

C0-LEAD

DONE MISSION
BEFORE

APHIS,
(US) Govt.

Team Lead
 Linking PH & Security



Rajesh

yes

FAO
(Netherlands)
WHO, SEARO
(Nepal)
PH Sweden
(Sweden)

Team Co-Lead
 Food safety
 Immunization




Zhanat
Bibek

yes
yes




Laboratory System
Biosafety & Biosecurity




OIE
John

yes

Dr John Ridderhof

CDC
(US)




AMR
Emergency Response




Henk
Christophe

Dr Rajesh
Sreedharan
Zhanat Carr

WHO, HQ
(India)
WHO, HQ
(Kazakhstan)



Legislation



Karen

yes




Radiation Emergencies
Chemical Events




John
Daren

yes

Dr Henk Ormel
Dr Bardan J Rana
Dr Thomas
Tolfvenstam

yes

7. Tim Assessor…2
Daftar Tim Assessor
NAME

Dr Christophe
Bayer

FROM

(Germany)

AREA TO ASSESS



C0-LEAD

DONE MISSION
BEFORE




Michael
Maria

yes



Rajesh

Yes

Michael Adjabeng

(Ghana)



Med
Countermeasure
Workforce
Develop
PoE

Dr Daren Hunt

(New Zealand)
Sr. PH Admin
EDCD, (Nepal)

Preparedness
Risk Com
Coordination





Michael
Christophe
Bardan

yes

Dr Bibek Lal






Zoonotic
Diseases



Henk

yes



Real Time
Surveillance
Reporting
Report writing




OIE
Thomas

no



Ana Isabel Batalha OIE
( -)
Maria Consorcia
Quizon
Mark Nunn

SEAFTYNET
(Philippines)
(UK)




no

Yes

Thank You
Contact
Website :
ghsagenda.org
Email GHSA Secretariat :
ghsa.indonesia@gmail.com
ghsa.indonesia.org