REPORTASE
INDONESIA HEALTHCARE FORUM (INDO HCF) PANEL DISCUSSION
Laporan : Edna Novitasari
Diskusi Panel INdo HCF Membedah Pengaruh JKN Terhadap Program UKM di Puskesmas - Gd. Granadi, MMR FK UGM, Jakarta (28/5/2015)
Mengangkat topik "Membedah Pengaruh JKN terhadap Program UKM di Puskesmas", Indonesia Healthcare Forum Panel Discussion digelar Kamis siang (28/5/2015) di Gedung Granadi Jakarta. Diprakarsai oleh Indonesia Healthcare Forum (Indo HCF) bekerjasama dengan Ikatan Konsultan Kesehatan Indonesia (IKKESINDO), serta PKMK FK UGM (siaran live melalui webinar). diskusi panel kali ini menghadirkan sejumlah pembicara di bidang kesehatan masyarakat baik dari kalangan praktisi, akademisi, hingga pembuat kebijakan.
Dalam pidatonya Chairman IndoHCF, Rufi I. Susanto menjelaskan bahwa IndoHCF ini merupakan bentuk dari Corporate Social Responsibility (CSR) 8 perusahaan penyedia alat kesehatan di Indonesia, yang concern pada edukasi dan perbaikan sektor kesehatan di Indonesia. Harapannya, dari forum-forum diskusi seperti ini akan dihasilkan rekomendasi-rekomendasi yang berguna bagi perbaikan kebijakan di sektor kesehatan.
Sementara itu, keynote speaker IndoHCF Panel Discussion kali ini, dr. Anung Sugihantono, M.Kes selaku Dirjen Bina Gizi dan KIA Kementrian Kesehatan RI mengakui bahwa sebagai tumpuan kesehatan wilayah, puskesmas belum maksimal dalam fungsinya terutama di era JKN ini. Ada beberapa komponen yang belum siap secara pembiayaan, seperti di sektor Promosi Kesehatan (Promkes). Ironisnya anggaran nasional yang dialokasikan untuk puskesmas cukup besar. Bahkan yang cukup memprihatinkan, belum semua tenaga kesehatan di puskesmas memahami secara utuh dan menyeluruh tugas pokok dan fungsi (TUPOKSI) dari puskesmas sendiri sebagai fasilitas kesehatan tingkat pertama, yang memiliki pertanggungjawaban kewilayahan.
Menyambung materi dari keynote speaker, Ascobat Gani dari IKKESINDO mencoba menyajikan potret puskesmas sebagai faskes tingkat pertama yang dibebani banyak tugas dan tanggungjawab sebagai tumpuan kesehatan wilayahnya. Sedangkan menurut Gani ada dua malapetaka yang membuat puskesmas makin bergeser dari tanggungjawab kewilayahannya, yakni krisis multidimensi di tahun 1998, serta euforia otonomi sampai ke kabupaten sejak tahun 2000. Di era JKN sekarang ini, pergeseran semakin jelas terlihat sehingga puskesmas semakin berlomba dengan klinik pengobatan untuk mendapatkan pasien.
Sedangkan dari perspektif Social Determinant of Health, Laksono Trisnantoro selaku Guru Besar Ilmu Kesehatan Masyarakat Fakultas Kedokteran UGM mencoba menawarkan dua inovasi untuk menyiasati makin tergesernya program Upaya Kesehatan Masyarakat (UKM) di era JKN oleh puskesmas yang sudah banyak tersita waktu dan tenaganya untuk fungsi Upaya Kesehatan Perorangan (UKP). Pertama dengan membagi tupoksi UKM dengan lembaga lain baik di jajaran pengambil kebijakan hingga organisasi masyarakat. Misalnya untuk sektor promosi kesehatan bisa menggandeng Dinas Pendidikan atau LSM yang bergerak di bidang terkait. Inovasi kedua yakni dengan sistem kontrak atau meng-kontrak-kan program UKM ke sektor swasta. Menurut Laksono, diakui atau tidak , banyak program yang dijalankan sendiri oleh pemerintah dan tidak menggandeng pihak swasta sehingga kurang maksimal hasilnya.
Materi presentasi
Pengaruh pelaksanaan JKN terhadap program KIA - Trihono
Perspektif Puskesmas Sebagai Pembina Kesehatan Wilayah - Ascobat Gani
Berbagai kemungkinan pelaksanaan UKM di Puskesmas: Perspektif Social Determinant of Health - Laksono Trisnantoro
TOR
LATAR BELAKANG
Program Jaminan Kesehatan Nasional/ SJSN bidang kesehatan yang telah bergulir sejak 1 January 2014 merupakan salah satu program nasional yang secara bertahap diharapkan seluruh penduduk Indonesia akan memperolah Jaminan Kesehatan pada tahun 2019 yang kita sebut sebagai Universal Health Coverage (Jaminan menyeluruh). Dalam implementasinya di pelayanan primer maka pada saat ini yang menjadi pelaksana sebagian besar adalah Puskesmas dalam pola pembiayaan Kapitasi dan Non-Kapitasi. Dana Kapitasi/ Non-kapitasi yang diterima Puskesmas sebagai fasilitas kesehatan tingkat pertama, dimanfaatkan seluruhnya untuk pembayaran jasa pelayanan kesehatan dan dukungan biaya operasional upaya kesehatan perorangan.
Sesuai Permenkes RI No. 75 tahun 2014 Puskesmas adalah fasilitas pelayanan kesehatan yang menyelenggarakan Upaya Kesehatan Masyarakat (UKM) dan Upaya Kesehatan Perseorangan (UKP) tingkat pertama, dengan lebih mengutamakan upaya promotif dan preventif, untuk mencapai derajat kesehatan masyarakat yang setinggi-tingginya di wilayah kerjanya. Sesuai pasal 35 & 36 Permenkes RI No. 75 tahun 2014, UKM dan UKP harus dilaksanakan secara terintegrasi dan berkesinambungan. UKM tingkat pertama meliputi UKM esensial (Promkes, Kesling, KAI dan IKB, Gizi, Pencegahan dan pengendalian penyakit) dan UKM pengembangan (upaya yang sifatnya inovatif dan / bersifat ekstensifikasi dan intensifikasi pelayanan sesuai prioritas masalah pelayanan dan potensi sumber daya di wilayah kerjanya. UKP di tingkat pertama (Puskesmas) dilaksanakan dalam bentuk rawat jalan, pelayanan gawat darurat, pelayanan satu hari (one day care), home care, dan/ rawat inap berdasarkan pertimbangan kebutuhan pelayanan kesehatan yang dilaksanakan sesuai standar prosedur operasional dan standard pelayanan (pasal 27 Permenkes tahun 2014).
Dihadapkan kepada kondisi tersebut di atas dimana Puskesmas mempunyai tugas/ tanggungjawab yang kompleks dan berat tetapi di sisi lain pada umumnya SDM Tenaga Kesehatan terbatas, maka dengan beban pelayanan peserta JKN yang pada umumnya relatif berat maka pada diskusi panel & webinar ini akan melakukan kajian/ analisa sejauh mana pengaruhnya terhadap program UKM yang pada umumnya anggaranya relatif kecil dan dalam jangka panjang sangat menentukan tinggi rendahnya derajat kesehatan masyarakat.
Diskusi panel ini akan diikuti oleh para pakar khususnya di bidang kesehatan masyarakat, akademisi, praktisi, komunitas media, serta stakeholder lainnya. Serta melalui web seminar (webinar) yang akan diikuti secara langsung (online) oleh para akademisi dari berbagai perguruan tinggi di Indonesia, maupun berbagai kelompok peserta yang mendaftar sebagai peserta webinar.
TUJUAN KEGIATAN
Tujuan umum
Untuk mengetahui seberapa besar pengaruh program JKN di Puskesmas terhadap program UKM (risk & benefit), sebagai bahan pertimbangan pemerintah dalam proses pengambilan kebijakan.
Tujuan khusus
Untuk memperoleh gambaran pengaruh program JKN di Puskesmas terhadap program UKM :
- Dalam perspektif Puskesmas sebagai Pembina Kesehatan Wilayah (Comprehensive Health Financing viability, affordability, dan sustainability JKN dengan penguatan Public Health).
- Dalam Perspektif Social Determinant of Health (SDoH).
- Dalam Perspektif : Kapasitasi profesi kesmas di era JKN.
- Dalam mendukung/ menunjang rencana penelitian tentang : "KAJIAN PENGARUH PROGRAM JAMINAN KESEHATAN NASIONAL (JKN) TERHADAP PROGRAM KESEHATAN IBU DAN ANAK (KIA)".
Peserta Kegiatan dibagi menjadi 2 (dua) :
- Peserta Diskusi Panel :
- Unsur Pemerintah (Kemenkes RI, DJSN, BPJS Kesehatan, dll)
- Assosiasi Profesi terkait
- Akademisi
- Pakar dan Praktisi di bidang JKN dan Kesehatan Masyarakat
- Media Cetak maupun elektronik
- Unsur Swasta dan perorangan lainnya
Peserta diskusi Panel yang mengikuti acara baik di Gedung Granadi ataupun UGM dibatasi hingga 50 peserta.
- Peserta Webinar (Dikoordinir oleh PMPK UGM)
- Akademisi dari perbagai perguruan tinggi di Indonesia
- Para pakar/praktisi/ kelompok masyarakat lainnya/ individu
- Mahasiswa
SUMBER DANA
Seluruh Anggaran didanai oleh INDO HCF (INDONESIA HEALTHCARE FORUM)
RENCANA KEGIATAN
Kegiatan akan dilaksanakan pada :
Hari& Tanggal : Kamis, 28 Mei 2015
Waktu : 10:00 – 13:00 WIB
Tempat : Gedung Granadi (S2 MMR FK UGM), lantai 10 sayap utara
Jalan HR Rasuna Said Blok X-1 Kav. 8-9, Jakarta Selatan
|
WAKTU/ JAM
|
KEGIATAN
|
NARA SUMBER
|
|
9:00 – 10:00
|
Pendaftaran
|
Panitia
|
|
10:00 – 10:05
10:05 – 10:10
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Pembukaan MC
Sambutan dari INDO HCF dan IKKESINDO
Laporan Ketua Panitia INDO HCF
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DR. dr. Supriyantoro, Sp.P. MARS
(Ketua Umum IKKESINDO)
|
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10:10 – 10:30
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Keynote Speech Dirjen GKIA KEMENKES
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dr. Anung Sugihantono, M.Kes
(Direktur Jenderal Bina Gizi dan KIA)
|
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10:30 – 11:30
|
Presentasi dipimpin oleh Moderator
- Dalam perspektif Puskesmas sebagai Pembina Kesehatan Wilayah (Comprehensive Health Financing viability, affordability, dan sustainability JKN dengan penguatan Public Health)
- Dalam Perspektif Social Determinant of Health (SDoH)
- Dalam Perspektif : Kapasitasi profesi kesmas di era JKN
- Dalam mendukung/ menunjang rencana penelitian tentang : “Kajian Pengaruh Program Jaminan Kesehatan Nasional (JKN) Terhadap Program Kesehatan Ibu dan anak (KIA)”.
|
Moderator : DR. dr. Supriyantoro, Sp.P. MARS
Prof. Ascobat Gani, MPH, DrPH
Prof. dr. Laksono Trisnantoro, M.Sc., Ph.D
dr. Adang Bachtiar, MPH, DSc,Ph.D
Dr. dr. Trihono, MSc
|
|
11:30 – 13:00
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Sesi Diskusi
|
|
|
13:00 – 13:30
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Makan Siang
|
|
INFORMASI
Kartika Indrawaty
Indonesia HealthCare Forum
Wisma 76 Lt. 17, Jl. Letjen S. Parman Kav. 76,
Slipi – Jakarta 11410
Phone : +62 21 2567 8989
Mobile : +62 85959 488436
Fax : +62 21 53661038
Email : This email address is being protected from spambots. You need JavaScript enabled to view it.
Website : http://indohcf.com
Comments
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https://gay0day.com/
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Historically, gay men faced challenges in decision satisfactory spaces to gather, much resorting to insurrectionists venues in arrears to societal taboos. The Stonewall Riots in 1969 sparked the gay rights activity, in the final analysis unsurpassed to more public and navigable platforms in the direction of gay dating.
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Challenges in Gay Dating
Despite evolution, challenges carry on:
Stain: In some regions, gay relationships are stilly interdicted or taboo.
Superficiality: Assorted feel dating apps can further idle interactions.
Internalized Homophobia: Struggles with individuality can obviate relationships.
Certifiable Healthfulness: Issues like loneliness and anxiety balance prevalent.
Structure Hale and hearty Relationships
To succeed in gay dating, communication, self-acceptance, and communal politeness are key. Structure a strong support system also helps cruise the complexities of dating in the LGBTQ+ community.
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Online dating apps like Tinder and Bumble arrange connecting easier but can have a irresistible due to too myriad choices. Women have gained more sway, such as initiating conversations on Bumble, reflecting broader gender equality.
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Keys to Shape Relationships
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Communication: Outstretched, on the up conversations bod trust.
Matter and Similarity: Valuing each other as equals fosters balance.
Diligence: Taking time to build connections reduces pressure.
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