Agus Purwadianto AWI

7/30/2019 Agus Purwadianto AWI

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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



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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

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Agus Purwadianto AWI