PPT Referat_Putrisuci Andyticha Alfath_2065050033.pptx

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1. The National Health Resilience System  National Resilience System Dynamic condition of the nation which contains the nation's resilience and ability to develop national strength to face various types of threats, challenges, obstacles and disturbances originating from within and outside, which can threaten and endanger integrity, identity and sustainability live the nation and state Law of the Republic of Indonesia Number 3 of 2002, article 9 paragraphs 1 and 2 about State Defense Every citizen has the entitled and obliged to participate in defending the country which is manifested in the implementation of state defense

2. Minister of Defence Regulation No 20 of 2014 Article 1 (6) An order to assemble various efforts of Indonesia in integrated and mutually supportive manner , to make the health elements capable of providing health support to the implementation of national defense efforts The ability of national resilience to maintain the health of the nation depends on the ability of the country to anticipate technological developments that are developing rapidly Impact on the defense strategy of each country, changes in threat patterns, and increasingly competitive competition. Closely related to the theory of globalization, where there are dynamics of the global economy, changes in the concept of defense, as well as various ethnic conflicts and terrorism

3. THE MAIN TOPIC Development Of National Health Resilience System

4. The governments of various countries are trying to achieve health equity. The most significant challenge is ensuring that suburban, disadvantaged and remote areas have access to quality health services, competent health workers, and adequate health facilities Indonesian Medical Council 2017 Ratio of Doctors Per 100,000 Population

5. Ratio of Doctors per 1.000 Population in South East Asia World Bank Data, 2017

6. Asean Economic Community (AEC) was inaugurated in December 2015 with the aim of  a chieving a strong and prosperous society through accelerating economic integration, the idea of ​​a single market supported by free flow of trade in services and a qualified workforce In 2006, the Mutual Recognition Arrangements (MRA) in medicine were signed by ASEAN to facilitate the mobility of intra-regional health professionals for the freedom of health service alliances within the AEC Necessary to prepare a strategic mapping for the health service platform in the era of globalization Differences in the quality of medical education in ASEAN

7. The threat of bioterrorism is difficult to predic t Concern for national and international security Although preparedness for bioterrorism is increasing, there are still many challenges related to biological attack Should make a coordinated effort to develop policies and preventive measure for possible future bioterrorism attacks

8. The components of Indonesia's national defense are not ready to face bioterrorism Coordination of all aspects of health is needed, and comprehensive policies that refer to national laws and regulations The Indonesian government can raise awareness of bioterrorism among the military and increase cooperation between military groups and important leaders in public health The knowledge of health resilience has an important role to support the national health system from various threats, the knowledge of health defense must be developed in order to adapt to the conditions of national defense in facing complex threats (Tropical & Infection Disease Division, Internal Medicine Department, Indonesia Army Central Hospital Gatot Soebroto , 2020)

9. DISCUSSION

10. To support the acceleration of equity and distribution of specialist doctors and dentists in Indonesia, the Bill on New Medical Education Law Article 26-29 (2) The implementation of specialist and specialist dentist study programs prioritized for students from remote, underdeveloped and border areas. (3) The government is obliged to allocate tuition fees for students as referred to in paragraph (2) in the form of tuition assistance. (4) Students receiving tuition assistance as referred to in paragraph (3) must devote themselves and work in their area of origin

11. The low number of doctors in primary care is due to low income The government needs to issue a redistribution policy for the placement of medical personnel in Indonesia , such as the placement of doctors in remote areas who will receive rewards, both material and non-material

12. Several problems in Indonesian medicine such as the lack of adequate staff and facilities, as well as limited experts. Various efforts have been made, such as the enactment of a law on medical education and a national accreditation system In the future, it is hoped that the support of international organizations in terms of funding, consulting, faculty development, and accreditation must be optimized

13. The standard of medical education in Indonesia must follow national and global health developments Improving the ability of information technology and medical technology Developing the abilities of five star doctors 1 2 Care givers Decision makers Communicators Community leaders Manager 3 Optimizing the doctor’s role Agent of treatment Agent of change Agent of development Agent of defense

14. Learning concepts that may be applied to medicine in the digital age. Using smart devices and medical applications 1 Virtual reality, augmented reality, and computer-assisted surgery 2 Artificial Intelligence 3

15. Procedures to Respond Bioterrorism The completeness of the hospital to handle sudden influx of patients Some things that must be ensured by the government Making a diagnosis quickly Stock of essential supplies such as vaccines, antimicrobials, and equipment can be shipped quickly Adequate emergency personnel can be deployed immediately Kaufer AM, Theis T, Lau KA, Gray JL, Rawlinson WD. Biological warfare: The history of microbial pathogens, biotoxins and emerging threats. Microbiol Aust. 2020;41(3):116–22

16. It is necessary to develop appropriate technology to detect chemical and biological agents with early identification This study has studied and developed biosense which can detect agents in chemical, biological, and pathogenic warfare Detect biochemical agents under lethal doses (LD50) such as sarin and VX ( Extremly Toxic Synthetic c hemical c ompound) with electrochemical measurements Protein toxins (Benzene, Toluene, Xylene virus / Influenza A-H1N1 virus / Hepatitis c virus and ricin) with Localized Surface Plasmon Resonance (LSPR) measurements Pathogens (imitation anthrax) with a Polymerase Chain Reaction (PCR) chip 5-15 minutes to collect and detect a biochemical agent

17. Cross-collaboration between health practitioners covering the military health sector, the central government health sector, the regional government health sector and the community or it can be called The National Health Resilience System. Strong cross-sector cooperation between the health sector, the migration sector, the tourism sector, exports, livestock, agriculture, including service agencies such as National Agency of Drug and Food Control (BPOM) Cross-country cooperation is urgently needed

18. To increase national resilience, the Indonesian medical system is expected to support the national health resilience goals which are part of the national resilience system by organizing postgraduate education programs (S2) / military medical specialists and health defense

19. CONCLUSIONS

20. CONCLUSIONS 01 Indonesia still has problems in health distribution. To overcome this, there is the Bill on New Medical Education Law Articles 26-29 Paragraph (2), (3), and (4) which state that specialist medical study programs are prioritized for students in remote, disadvantaged and border areas. With the help of education fees by the government, and the stipulation that these students are obliged to serve in their area of origin. Government policies are also needed to redistribute medical personnel in Indonesia by providing material or non-material rewards to doctors stationed in remote areas. 01 In facing the challenges of the AEC, medical education in Indonesia must follow the development of the globalization era. The quality of education in Indonesia can be improved by enacting the Law on Medical Education, national accreditation, and support from international organizations. Technological developments are also needed in the medical education system such as smart devices, virtual reality, augmented reality, and computer-assisted surgery, as well as Artificial Intelligence 02

21. CONCLUSIONS 03 In maintaining national security from bioterrorism, national preventive measures can be developed by ensuring the completeness of the hospital, making a diagnosis quickly, the availability of essential supplies and equipment can be dispatched quickly, adequate emergency personnel can be immediately deployed and technological development in detecting bioterrorism agents. 01 The component of Indonesia's national defense is considered not ready to face bioterrorism. State health threats can be prevented by Cross-collaboration between health practitioners, Cross-sector cooperation, Cross-country cooperation. In addition, increasing national resilience can be done by organizing postgraduate education programs (S2) / military medical specialists and health defense 04

22. THANKYOU!

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