agus purwadianto awi
TRANSCRIPT
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Disasters in Indonesia:Disasters in Indonesia:An Ongoing ChallengeAn Ongoing Challenge
Agus Purwadianto, M.D., J.D., Ph.D.Agus Purwadianto, M.D., J.D., Ph.D.
Law and Organization Bureau, MOHLaw and Organization Bureau, MOH
University of Indonesia, School ofUniversity of Indonesia, School ofMedicineMedicine
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Indonesia: Waiting For The NextIndonesia: Waiting For The Next
DisasterDisaster EarthquakesEarthquakes
TsunamisTsunamis
VolcanoVolcano
EruptionsEruptions
FloodingFlooding
AvianAvian
InfluenzaInfluenza
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EARTH QUAKE PRONEEARTH QUAKE PRONEin INDONESIAin INDONESIA
Crisis & Management Center, MOH, RI 2006
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Tsunami DevastationTsunami Devastation
Aceh, IndonesiaAceh, Indonesia
December 26, 2004December 26, 2004
Over 200,000 deaths or missing personsOver 200,000 deaths or missing persons Over 300,000 persons displacedOver 300,000 persons displaced
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Gambaran Bencana yang Terjadi di Bulan
Februari 2006
37%
11%11%5%
21%
5%5% 5%
Banjir
Tanah Longsor
Banjir dan tanah longsor
Kecelakaan industri
Angin puyuh/angin puting
beliungPetir
Kesakitan dan Kematian
Akibat Perubahan Cuaca
KelaparanCrisis & Management Center, MOH, RI 2006
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Gambaran Bencana yang Terjadi di Bulan Maret 2006
28%
5%
5%18%9%
5%
10%
5%5% 10%
Banjir
Gelombang Pasang
Banjir Bandang
Tanah Longsor
Gempa
Kecelakaan Industri
Angin Puyuh/Puting
BeliungKeracunan
Kerusuhan massa
Ledakan BomCrisis & Management Center, MOH, RI 2006
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Gambaran Jenis Bencana
yang Terjadi pada Bulan Oktober 2006
28,57%
7,14%
7,14%21,43%7,14%
7,14%
7,14%
7,14% 7,14%
Asap
Banjir
Tanah longsor
Kecelakaan transportasi
Jembatan gantung ambruk
Konflik sosial
Angin puting beliung
Ledakan pabrik alumunium
Keracunan makanan
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Gambaran Jenis Bencana
yang Terjadi pada Bulan November 2006
30,00%
10,00%20,00%
10,00%10,00%
10,00%
10,00%
Angin puting beliung
Ledakan bom
Kecelakaan kereta api
Ledakan pipa gas
Banjir
Semburan gas disertai
lumpur
Tanah longsorCrisis & Management Center, MOH, RI 2006
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TOTAL DISASTER & EMERGENCIESTOTAL DISASTER & EMERGENCIES
VICTIMS 2006VICTIMS 2006
DeathDeath :: 7.6797.679 personperson
Severe wound/hospitalized : 30.506Severe wound/hospitalized : 30.506 personperson
Minor wound/out patient : 260.604Minor wound/out patient : 260.604 personperson
MissingMissing :: 712712 personperson
Jum lahJum lah Kese lu ruhanKese lu ruhan :: 2 9 9 . 5 0 12 9 9 . 5 0 1 personperson
Crisis & Management Center, MOH, RI 2006
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1.1.
Prioritize onPrioritize onpre disasterpre disasterefforteffort2.2.
Organize withOrganize with dedeccentralientralizationzationand auand autonomtonomyyss
spiritspirit
3.3.
Strengthening the coordinationStrengthening the coordination& partnership& partnership
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4.4.
Empowering & developingEmpowering & developingprogram & interprogram & inter--sectorsectornetworknetwork
5.5.
Assuring the SIM &Assuring the SIM &communicationcommunication6.6.
Increasing healthIncreasing healthpersonnel & communitypersonnel & communityssmanpower capacitymanpower capacity
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7.7.
Step by step of Health care &Step by step of Health care &fulfilling facilities, manpower,fulfilling facilities, manpower,
drug and health equipmentdrug and health equipment8.8.
Every victim shall be treatedEvery victim shall be treatedhumanely & optimallyhumanely & optimally a.s.a.pa.s.a.p
9.9.
Emergency response phase :Emergency response phase :government guarantee thegovernment guarantee thehealth care. Post emergency :health care. Post emergency :adjusted policy by MOH & localadjusted policy by MOH & localgovernmentgovernment
10.10.
RegionalizationRegionalization polcypolcy
to empowerto empower
rapid response teamrapid response team
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Minister Of Health
(Responsible in charge)
Secr
General
(Coordinator) Pj.Eselon
IPj.Eselon
I
Crisis & Management Center(Daily Coordinator)
(Unsur
teknis)
(Unsur
teknis)
(Unsur
teknis)
(Unsur
teknis)
(Unsur
teknis)
(Unsur
teknis)
Pj.Eselon
IPj.Eselon
I
Echelon IEchelon I
C e n t r a l C e n t r a l
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Head of Health Office
(Responsible in charge)
Special Unit(Coordinator)
(Unsur
teknis)
(Unsur
teknis)
(Unsur
teknis)
(Unsur
teknis)
(Unsur
teknis)
(Unsur
teknis)
P r o v P r o v / D i st r i ct / Ci t y/ D i st r i ct / Ci t y
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99 Basically using the local government fundBasically using the local government fundincluding preincluding pre--, during, post disaster, during, post disaster
99 In case lack of fund : propose to the upper levelIn case lack of fund : propose to the upper levelof Governmentof Government
99 UsingUsing nonnon--bindingbinding donation from foreigndonation from foreign
countriescountries :: International Agencies, NGOInternational Agencies, NGOs, masss, massorganization,organization,
99 Donation distribution should be on needDonation distribution should be on need--basedbased
datadata
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CollaborationCollaboration
Syiah KualaUniversityin Aceh
University ofIndonesia in
Jakarta
Indonesian
DoctorsAssociation
University ofWashington
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Emergency Disaster ReliefEmergency Disaster Relief
Aceh, IndonesiaAceh, Indonesia 25 tons of medicines25 tons of medicines& medical supplies& medical supplies
Funded >300 doctorsFunded >300 doctorsfor 5 monthsfor 5 months
Treated ~19,000Treated ~19,000patientspatients
Worked with localWorked with local
medical students onmedical students onsupply chainsupply chain
managementmanagement
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Rebuilding Phase After DisasterRebuilding Phase After Disaster
ReliefRelief
Rebuilding aRebuilding a
research library,research library,
computer centercomputer center
and classrooms ofand classrooms ofSyiahSyiah KualaKuala
University MedicalUniversity Medical
School, the onlySchool, the onlymedical school inmedical school in
AcehAceh
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LongerLonger--term Capacity Buildingterm Capacity Building
ProgramsProgramsUplift InternationalUplift International
Disaster Management Training forDisaster Management Training forIndonesian Doctors AssociationIndonesian Doctors Association
Avian Flu Community and HealthAvian Flu Community and HealthProfessional Training ProgramsProfessional Training Programs
TOT Medical School CurriculumTOT Medical School CurriculumReformReform
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CONCLUSIONCONCLUSION
RI has a preparedness organization to cope the onRI has a preparedness organization to cope the on
going disaster using our local resources but alsogoing disaster using our local resources but alsowith open policy networking with internationalwith open policy networking with international
agenciesagencies
MOH establish the Crisis & Disaster ManagementMOH establish the Crisis & Disaster Management
Unit to coordinate every disaster in RIUnit to coordinate every disaster in RI