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Issues in Health Service

Issues in Health Service. Indah Amelia – Public Health Department. Content. Issues in health service management Health issues in the world Health issues in Indonesia. Health Service Management.

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Issues in Health Service

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  1. Issues in Health Service Indah Amelia – Public Health Department

  2. Content • Issues in health service management • Health issues in the world • Health issues in Indonesia

  3. Health Service Management • Health services management will become even more challenging, because it is the point where increasing service demands, cost containment strategies, inter professional tensions, technological change pressures, guide lines implementation, and quality improvement mandates all converge. • The managerial function in health service is unique because of the relative autonomy of providers and the complexity of assessing the quality of the service rendered

  4. The new managerial challenges • Cost Efficiency • Quality Improvement • Greater Accountability in delivering services • Turbulence environment • Inter-organizational Complexity

  5. New roles for managers LEADER DESIGNER STRATEGIST

  6. The organization and the environment • Changing social norms and expectations • Demographic composition and epidemiology • Technology Development • Organizational arrangements • Financing • Social experimentation

  7. Health issues in the World

  8. MDGs

  9. MDGs’ Targets Target 2. Halve, between 1990 and 2015, the proportion of people who suffer from hunger

  10. MDGs’ Targets Target 10. Halve, by 2015, the proportion of people without sustainable access to safe drinking water and basic sanitation Target 11. Have achieved by 2020 a significant improvement in the lives of at least 100 million slum dwellers Goal 8: Develop a Global Partnership for Development

  11. MDGs’ Targets Target 8. Have halted by 2015 and begun to reverse the incidence of malaria and other major diseases

  12. Emerging and re-emerging infections

  13. Why these diseases emerge or re-emerge? • Misused of drugs  drug resistance • Increased in migration because of war or international travelling • Ecological destructions  human exposed to previously unknown disease • The change of human sexual behavior • Immunization coverage is low

  14. Non Communicable Disease • Non communicable diseases - or NCDs - like heart attacks and strokes, cancers, diabetes and chronic respiratory disease account for over 63% of deaths in the world today. Every year, NCDs kill 9 million people under 60. The socio-economic impact is staggering. (WHO)

  15. Health issues in Indonesia

  16. Decentralization • Decentralization  handing over some of the central government’s authority to the province government. • Decentralization in health sector • 1952  handing over about MCH and variolla immunization • UU No. 32/2004 article 13 and 14  Health become an obligatory affairs that become the authority of Province and Kabupaten/Kota

  17. SistemJaminanSosialNasional (SJSN)

  18. Situation in Indonesia • Budget for health sector from APBN/APBD is never more than 3% • 70% of health expense are come from the community, only 30% are by the government • Most of the community health expense are for curative expense • Most of the health financing are come from out of pocket • Only 20% from the community that already have health insurance

  19. ANY QUESTION??

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