Kementerian Kesehatan menargetkan layanan empat penyakit katastropik Jantung, Stroke, Ginjal, dan Kanker dapat dilakukan di seluruh rumah sakit Kabupaten/Kota di Indonesia. Mendukung upaya ini, secara bertahap dilakukan pemenuhan alat kesehatan di seluruh rumah sakit.

Sepanjang tahun 2022, layanan rujukan didorong agar dapat diakses oleh seluruh pasien di pelosok Indonesia dengan menyalurkan bantuan untuk pemenuhan alat kesehatan penyakit prioritas, pendampingan kateterisasi jantung dan bedah jantung terbuka.

Hasilnya, dana bantuan pemerintah telah disalurkan kepada 150 RSUD dan 25 RSUP di 34 provinsi untuk pemenuhan alat kesehatan penyakit prioritas.

“Di akhir tahun ada dana sebesar Rp.3,55 triliun, kita gunakan untuk memenuhi Alkes di RS daerah. Sampai saat ini, dana bantuan pemerintah 2022 ke 150 RSUD sudah tersalurkan 96,2%. Sementara bantuan pemerintah ke RS vertikal tersalurkan 100%,” sebut Jubir Kemenkes dr. Mohammad Syahril.

Upaya tersebut juga mendapatkan dukungan kerja sama dari 24 gubernur untuk mengembangkan RSUD sebagai jejaring layanan rujukan dengan rincian layanan jantung 24 provinsi, stroke di 13 provinsi, kanker di 12 provinsi, dan uronefrologi di 7 provinsi.

Tak hanya itu, Kemenkes juga telah melakukan program pendampingan kateterisasi jantung di 37 RS dan stroke di 3 RS.

Secara bertahap, ditargetkan sebanyak 50% kabupaten/kota memiliki alat kesehatan lengkap untuk 4 penyakit katastropik.

Alat kesehatan untuk pengobatan jantung dan stroke antara lain Echocardiography, CT-Scan, Cath lab, Set Kamar OK, IABP, Rotablator, IVUS-FFR, MRI, Mikroskop Neuro, Heart Lung Machine, dan OCT. Sementara untuk kanker terdiri dari Mammography, SPECT CT, Flowcytometer, IHK, Bronchoscopy, Brachiterapy, CUSA, LINAC, PET-CT, CT Simulator.

Ada pula alat kesehatan untuk uronefrologi adalah Set endourology, ESWL, C-Am, USG Doppler, Video Urodynamic, Laser Holmium, Automated Peritoneal Dialysis, PCNL, URS, dan Tissue typing.

Selain itu, dr. Syahril melanjutkan, pemerintah juga akan melengkapi alat kesehatan untuk kesehatan ibu dan anak, berupa mesin Anestesi, Patient Monitor, Ventilator, USG Fetomaternal, Inkubator Bayi, MALDI Tofs, Laser Ablation, HFOV, Mesin Nitrit Oxide, HFOT, dan HFNC.

Berita ini disiarkan oleh Biro Komunikasi dan Pelayanan Publik, Kementerian Kesehatan RI. Untuk informasi lebih lanjut dapat menghubungi nomor hotline Halo Kemenkes melalui nomor hotline 1500-567, SMS 081281562620, faksimili (021) 5223002, 52921669, dan alamat email kontak@kemkes.go.id (NI).

Kepala Biro Komunikasi dan Pelayanan Publik

dr. Siti Nadia Tarmizi, M.Epid

Changes in people's increasingly modern lifestyles have become one of the basics of GERMAS or the Healthy Living Community Movement proclaimed by the Ministry of Health of the Republic of Indonesia. Infectious diseases such as diarrhea, tuberculosis to dengue fever were previously common health cases; now there has been a marked change in the number of non-communicable diseases such as diabetes, cancer, and coronary heart disease.

Getting to know GERMAS - Healthy Living Community Movement

GERMAS is a movement that aims to promote a culture of healthy living and leave behind unhealthy habits and behaviors of people. This GERMAS action was also followed by promoting clean and healthy living behavior and support for community-based infrastructure programs.

This program has several focuses, such as building access to meet drinking water needs, public health installations, and the development of livable settlements. These three are the basic infrastructure that forms the foundation of the healthy living community movement.

Knowing the Meaning of the GERMAS

Logo The GERMAS logo, which seems simple, has a deep meaning; knowing the meaning behind the logo can be the beginning of a better understanding and appreciation of the Healthy Living Community Movement which has been launched since 2015. The logo contains three fields in turquoise blue which are symbols of the 3 Pillars of the Healthy Indonesia Program. The three pillars are the Implementation of the Healthy Paradigm, Strengthening Health Services, and National Health Insurance.

While the bright green field with the shape of a heart is a symbol of the universal and sincere spirit of efforts to bring all Indonesian citizens to healthier regardless of ethnicity, race, social strata, and cultural background.

• The letter K in the logo represents the word Health which is a part of the Ministry in charge of GERMAS.
• The five-pointed logo section on a rounded area represents the five MoH values; namely Pro people, Responsive, Effective, and Clean, and based on Pancasila.
• While the line resembling an arrow symbolizes the goal of the Health of the Republic of Indonesia form of realizing a healthy Indonesian state.

Picture Benefits of GERMAS

7 Steps of Healthy Living Community Movement

There are at least 7 important steps in implementing the Healthy Living Community Movement. These seven steps are an important part of habituation to a healthy lifestyle in the community to prevent various health problems that are at risk of being experienced by the people of Indonesia. Here are 7 GERMAS steps that can be a guide to living a healthier lifestyle.

1. Doing Physical Activity
   The behavior of modern life often makes many people not do the physical activity; whether it's physical activity due to work or exercise. The conveniences in everyday life due to the help of technology and the lack of time due to a lot of busyness have made many people live an unhealthy lifestyles. The Germas section of physical activity is one of the movements that is prioritized to improve the quality of one's health.
    
2. Eating Fruits and Vegetables The
   desire to eat practical and delicious foods often makes the time to eat fruits and vegetables less, which is much healthier and beneficial for the health of the body. Some types of food and beverages such as junk food and soft drinks should be reduced or stopped consumption. Increasing the amount of food consumption from fruits and vegetables is an example of GERMAS that can be done by anyone.
   
   The next problem is how to overcome so that children want to eat fruit and vegetables, for this you can apply tips for children to eat fruit and vegetables as follows, one of which is by creating food from fruit and vegetables by turning it into an attractive appearance, for example from characters. cartoons that children like use tomatoes and cucumbers so at first it was difficult for children to eat fruit and vegetables to want to eat vegetables and fruit.
   
   One of the GERMAS campaigns is a campaign to eat fruit and vegetables which provides information on how much the benefits are and why you should eat fruits and vegetables every day. Because you have to understand the importance of why you have to eat fruits and vegetables every day, here are the effects of not eating fruits and vegetables for your health, for example, defecation problems, increased risk of non-communicable diseases, high blood pressure, and others.
   
   By understanding the importance of fruit and vegetable eating behavior, it is hoped that the community can be more active in increasing fruit and vegetable eating campaigns to improve public health throughout Indonesia.
    
3. Not Smoking
   Smoking is a habit that has a lot of negative effects on health. Quitting smoking is an important part of the healthy living movement and will have no impact on smokers; but also the people around them. Asking for expert help through hypnosis or other smoking cessation methods can be an alternative to breaking this bad habit.
    
4. Not Consuming Alcoholic Beverages Alcoholic
   beverages have similar adverse effects to smoking; whether it's a bad effect on health to social effects on the people around them.
    
5. Conducting Periodic Health Checks
   One part of the meaning of Germas as a movement for a healthy living community is to better manage health. Among them is to do regular health checks and not just come to the hospital or health center when sick. This step has the benefit of being able to make it easier to detect diseases or health problems early.
   
   There is a variety of health check media information that provides tips on regular health checks, what exactly are the types of periodic health checks that you can do to find out your health condition? Here are some examples of checks that can be done.
   
    
   • Health Checks Weight (BB) and Height (TB) Routinely
     Performing Weight Checks is useful so that you can get a Body Mass Index (BMI) value which can later determine whether your weight and height are in ideal conditions or at risk of developing non-communicable diseases (PTM)
      
   • Check Abdominal Circumference Periodically
     By checking Abdominal Circumference regularly you can control belly fat, if excessive it can cause diseases such as stroke, diabetes to heart attack
      
   • Blood Pressure Check Blood
     Pressure Checking can help you detect the risk of stroke, hypertension to heart
      
   • Blood Sugar Levels Periodically
     can find out the level of glucose in the blood with this type of periodic health check, the result is that you can find out the potential for diabetes
      
   • Check
      
   • You
     . "Good" Cholesterol and Triglycerides
      
   • Check Expiratory Peak Flowthe
     in pulmonary function testing, this check is usually carried out on people with asthma or other diseases to assess lung ability.
      
   • Check and Early Detection of Cervical Cancer
     checks
      
   • Check Consciously Check Your Breasts Self
     Then the next in a variety of periodic health checks is breast self-examination.
      
6. Keeping the Environment
   An important part of healthy living is also related to improving the quality of the environment; one of them is serious about keeping the environment clean. Keeping the environment clean on a small scale such as at the household level can be done by managing waste. Another step that can be taken is to maintain cleanliness to reduce health risks such as preventing the development of disease vectors in the surrounding environment.
    
7. Using latrines
   The sanitation aspect is an important part of the movement for healthy living; one of them uses the latrine as a means of disposal of waste. The activity of defecating outside the latrine can increase the risk of transmission of various types of diseases as well as reduce the quality of the environment.

In general, the goal of GERMAS is to lead a healthier life. A healthy lifestyle will provide many benefits, ranging from improving the quality of health to increasing one's productivity. Another important thing that should not be forgotten in a healthy lifestyle is a clean and healthy environment and the reduced risk of wasting more money on medical expenses when sick.

The Minister of Health said that this platform will integrate patient health data from all health facilities such as hospitals, clinics, laboratories, and pharmacies into PeduliLindung.

"So that patients who are referred to hospitals don't have to bother sending medical documents containing lab results/diagnosis or repeating lab examinations, because all data such as ultrasound, heart records, CT scans, including drugs that have been given have been entered into PeduliLindung," said the Minister of Health in Jakarta. 26 July 2022.

This platform is also expected to provide convenience to health workers because they do not need to enter data repeatedly into various applications. Data is simply entered in SATUSEHAT, it will be directly connected to other health applications.

After the launch of this platform, it is hoped that regulations will be issued requiring every health application and health service facility to follow the standards set by the Ministry of Health on the SATUSEHAT platform. The Ministry of Health also plans to integrate SATUSEHAT with BPJS Health.

“I hope that One Health Data will continue to grow, integrating demographic data, medical data, and even genomic data, which we will launch next August. So that Indonesia will have the most complete and integrated digital health data system," said the Minister of Health.

Expert Staff of the Minister for Health Technology and Chief Digital Transformation Office, Setiaji, said that the trial of the alpha version had been carried out to around 41 hospitals, including 9 vertical hospitals and 32 DKI Jakarta Regional General Hospitals. IHS beta trials are currently underway at 31 institutions, from healthcare companies to health laboratories. By the end of 2022, the Ministry of Health targets that there will be around 8,000 health care facilities that have been integrated with SATUSEHAT and fully integrated by 2023.

Setiaji said the Ministry of Health has collaborated with the National Cyber ​​and Crypto Agency (BSSN) to ensure the security of users' personal data. This will also be strengthened by regulations from the Ministry of Health that will regulate the use of the SATUSEHAT platform.

“This regulation has been signed by the Minister of Health. Hopefully after launch we can issue the regulation," Setiaji said.

Head of BPJS Kesehatan Bogor Branch Fahrurozi said that BPJS Kesehatan Bogor Branch in order to provide the best service for JKN participants needs to increase the ability and competence of health service providers in collaboration with BPJS Health. One of them is the COLLAGE activity which invites specialist doctors to provide new knowledge to health workers, especially general practitioners so that they can provide optimal and good health services.   

“With changes in people's lifestyles, changes also occur in the world of health because of this. For this reason, BPJS Kesehatan Bogor Branch invites internal medicine specialists and clinical nutrition specialists as speakers to 17 health facilities in collaboration with BPJS Kesehatan. It is hoped that the competence and ability of these health workers in dealing with hypertension and diabetes mellitus can be optimal, both in terms of internal diseases and also the nutritional patterns that must be given to patients or JKN participants," said Fahrurozi at the COLLAGE event, Wednesday (14/09). .

On the same occasion, one of the participants of the Minarti activity who is a doctor from a health facility said that this activity really helps health workers to increase their knowledge and can also provide the best service to patients, especially to JKN participants who have a diagnosis of diabetes mellitus and hypertension.

“I hope that this COLLAGE activity can be carried out regularly so that our competence as health workers can always be updated by gaining new knowledge so that we can provide the best and optimal service to JKN participants in particular. We really appreciate BPJS Health for holding this activity and we can also immediately apply the knowledge we have learned after this activity is over," Minarti said to the Jamkesnews team. (hr)

Asone of the acceleration efforts, on Friday (9/9) the Indonesian Ministry of Health carried out the "Launching Movement to Prevent Stunting with Partners". The Minister of Health of the Republic of Indonesia in his speech invited all Partners of the Indonesian Ministry of Health to be part of the change for a healthier generation of the nation. He said that this movement needs to be done because the Government cannot run alone and stunting is not only a health problem but many other factors that affect it such as the economy, culture, and the environment. Support and assistance from various parties, including partners, is certainly needed to cover the existing gaps in stunting prevention interventions. So that together we can reach wider and more targets to accelerate the rate of stunting reduction in Indonesia.

For this reason, the Indonesian Ministry of Health already has program/activity packages that Partners can choose by adjusting the characteristics of each Partner to be carried out independently. Later the movement carried out will be supported by monitoring and reporting back to the Ministry of Health. Not to forget, the movements carried out also need amplification through various promotions so that more people are aware of the stunting problem.

Together, this movement will help 12.1 Million Young Women, 4.9 Million Pregnant Women, and 22 Million Toddlers.(ma)

The Minister of Health of the Republic of Indonesia Budi Gunadi Sadikin initiated a transformation in the health sector. He has determined that there are 6 types of transformation that will be carried out, namely the transformation of Primary Services, Referral Services, Health Resilience Systems, Health Financing Systems, Health Human Resources, and Health Technology.

"We carried out six transformations, the first is this primary service which is the most important in preventive promotion, the second is the transformation of hospital referral services, the third is the transformation of the health resilience system if there is another pandemic so that we are better prepared in terms of medicines, medical equipment. , the reserve health workers go there, including surveillance of infectious diseases. We want to make sure both local, national and regional must be ready," he said, Tuesday (31/5).

Minister of Health Budi continued that the fourth transformation was the transformation of the Health Financing system. Most of this is in BPJS, but there is also private insurance and it must be ensured that it is sustainable. The fifth transformation is Health HR and the sixth is Health Technology transformation, this is related to information technology and biotechnology.

"Those are 6 big frameworks that we will pursue until 2024," he said.

Primary Service Transformation

Health Budi said that currently there are around 12 thousand Puskesmas spread across all regions of Indonesia. He assessed that this amount would not achieve equal distribution of health services. There are a number of programs that will be carried out, including restructuring the network of health care facilities.

He will revitalize the Posyandu to become more formal with the appropriate budget. Later this Posyandu can be regulated by the Ministry of Home Affairs or the Ministry of Villages, Development of Disadvantaged Regions, and Transmigration. This Posyandu will act more actively not only serving babies and mothers but will serve the entire life cycle including adolescents, adults, and the elderly.

Minister of Health Budi also considered the need to reform public health laboratories.

"So every Puskesmas can perform laboratory services, for example 100 tests, then on top of it is a district/city health laboratory, on top of it a provincial laboratory, then regional and national laboratories," said Budi.

Referral Service

Transformation This transformation will begin with the three leading causes of death in Indonesia, namely heart disease, stroke, and cancer.

For example, for heart disease, the problem is that not all provinces have hospitals with facilities to install a ring in the heart.

"The data I have from 34 provinces that can carry out ring tide operations are only 28 provinces. Then if the patient has already been fitted with a ring, the next step is open heart surgery. This number has dropped again from 28 provinces, if I'm not mistaken, to 22 provinces," said Minister of Health Budi.

Minister of Health said Budi, his party has a target that hospitals in all provinces by 2024, must be able to serve heart disease, stroke, and cancer.

"Access to certain services and service standards for heart, stroke, and cancer I want to be evenly available in all provinces," said Minister of Health Budi.

Every hospital with doctors who excel, he added, he will meet with doctors from other countries to establish cooperation. Meanwhile, the best doctors from abroad will be brought to Indonesia to increase the capacity of Indonesian doctors.

Health Resilience

Health Budi said he wanted to ensure that all diagnostic and therapeutic vaccines were available in Indonesia. At least 50% of it is produced domestically from upstream to downstream.

"We want to make sure that we have made a plan later, this is more applicable to friends in the pharmaceutical and industrial fields. So if they produce domestically, all government procurement will give priority to them,” said Budi.

Health Financing

What will be done regarding the transformation of health financing is to carry out transparency and good calculations. This is to avoid problems between service providers and those who pay for services.

"We will make an annual health account every year and it is the obligation of all health facilities to report it," said Budi.

This annual health account must exist in order to measure its transparency. Minister of Health Budi assessed that with this information, the information became symmetrical now that the information is asymmetrical.

"We will make the information symmetrical and we will make it in the form of a regulation so that it will be transparent," he said.

Health HR

The standard number of doctors is one per 1000 population. Needs in Indonesia are still not met coupled with an uneven distribution.

The distribution of quality health human resources is needed to increase public access to health services. One of the efforts made is through the academic health system.

The academic health system is a policy model that accommodates the potential of each institution into a set of visions based on community needs. This concept is an integration of degree medical education, with other health professional education programs that have teaching hospitals or are affiliated with teaching hospitals, health systems, and health care organizations.

Through the academic health system, it is expected to be able to calculate the number and types of graduates of Health Human Resources and meet regional needs; Define the profile and values ​​of Health Human Resources needed in the region; and determine the distribution pattern of sustainable Health Human Resources starting from primary to tertiary services.

The need for doctors must be increased, there must be acceleration and in the last 10 years the acceleration has been very slow. So this must be accelerated, both general practitioners and specialists," said Minister of Health Budi.

Health Technology

One of the health technology transformations that are being pursued apart from the PeduliLindung application, Minister of Health Budi said that his party will ensure that medical records in hospitals are recorded and recorded properly digitally. He will ask the health workers at the health facility to submit the entire medical record to the patient.

“So we have arranged the standard medical records, we have arranged the dictionaries. So, for example, the ABC brand of stomach pain medicine must have the same code in all hospitals. Then other services have the same code," he said.

This will then be added to the hospital's database. So that if one patient moves hospital, the patient does not need to do another X-ray or repeat blood test so that it will be much more efficient

“So that information about the patient will be more transparent to the patient himself and all the data belongs to the patient.

Biotechnology

Minister of Health Budi hopes that biotechnology can be used as a sophisticated diagnostic tool. Previously to see a person's health condition taken from the blood, MRI, CT Scan.

"In the future, the diagnosis will use genome sequencing because with this it can be seen in really detail, what is the condition in our bodies, what is our health, even in the future what it can be like," he said.

Currently there are only 12 genome sequencing machines, Minister of Health Budi continued, later there will be around 30 that will be used in the home. The national reference includes Dharmais Cancer Hospital, PON Hospital for stroke, RSCM for metabolic diseases such as diabetes and kidney, Hospital in Yogyakarta, then RSPI for infection, and RS Sanglah for aging and wellness.

This news was broadcast by the Bureau of Communications and Public Services, Ministry of Health of the Republic of Indonesia. For further information, please contact the Halo Ministry of Health hotline number via hotline 1500-567, SMS 081281562620, facsimile (021) 5223002, 52921669, and email address contact@kemkes.go.id (D2).

Head of the Bureau of Communication and Public Services,

drg. Widyawati, MK

Tuberculosis (TB) is the biggest health problem in the world after HIV. TB must be taken seriously. Based on data from the World Health Organization (WHO) in Indonesia, TB cases reached 1,000,000 cases. And the number of deaths due to tuberculosis is estimated at 110,000 cases per year.

TOSS TB itself is an acronym for Find and Treat TB.

One approach to finding, diagnosing, treating, and curing TB patients, is to stop the transmission of TB in the community.

You also need to know the steps for TB TOSS, namely:

1. symptoms in the community.
2. Treat TB properly and quickly.
3. Monitor TB treatment until it heals

Symptoms of Tuberculosis (TB) that you can know:

1. Cough for more than 2 week
2. Experiencing shortness of breath
3. Sweating at night without activity

If you find the above symptoms, then immediately seek treatment at the nearest health center or clinic for further examination.

As a precautionary measure to prevent TB transmission, you must understand the etiquette of coughing or sneezing as follows:

1. Use a mask
2. Cover your mouth and nose with the inside of your upper arm
3. Cover your mouth and nose with a tissue
4. Don't forget to throw it in the trash
5. Wash your hands with soap and running water

The Ministry of Health gives special attention to this, because if TB treatment is not carried out properly and quickly, the TB germs will become resistant to treatment, usually called Multi-drug Resistant Tuberculosis (MDR TB) or Extensively-drug Resistant Tuberculosis (XDR TB).

The Ministry of Health also stated that all Puskesmas in Indonesia were able to provide TB Treatment Services. In addition to health centers, clinics, hospitals, as well as private doctors have been able to provide TB treatment services.

In the last 7 decades, approximately 300,000 Tuberculosis patients are treated and served per year.

The success rate of tuberculosis treatment in Indonesia reaches 90% of TB patients, which means that 90% of patients with tuberculosis who are treated can be cured.

The process of cultivating GERMAS is one of the most important things to do in order to be able to accelerate and synergize promotive and preventive efforts for healthy living, so that people are able to be more productive and the burden of financing health services due to illness can decrease. With this discussion, it is hoped that it will have a good influence on the community, so that the realization of a healthy society can be achieved immediately.

The results of this activity raised problems related to the implementation of GERMAS, where GERMAS is still considered by some as a program that has not touched the basics of people's lives. GERMAS is still seen as only a ceremonial program within the government, both central and local. GERMAS is considered to only aim to fulfill the program's success indicators, as mandated by Presidential Instruction Number 1 of 2017 concerning the Healthy Living Community Movement and has not led to direct targets for community mobilization.

Based on the evaluation results of the Central Government, there are still many districts/cities in Indonesia that have not implemented GERMAS. Because based on records, until now there are still 3 provinces that have not issued GERMAS regulations. In 2020, as many as 33% of districts/cities have implemented GERMAS implementation with a target of 30% for 2020. However, the achievement in 2021 is still 8% with a target of 48%