Faculty of Public Health - Andalas University - OCS, 13th IEA SEA Meeting and ICPH - SDev

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ACHIEVEMENT OF MILLENIUM DEVELOPMENT GOALS CONCERNING PUBLIC HEALTH IN INDONESIA CHALLENGES TO RUN SUSTAINABLE DEVELOPMENT GOALS
Buchari Lapau

Last modified: 2018-08-17

Abstract


Abstract

Background: Three out of 8 goals of Millennium Development Goals (MDGs) concern with public health. MDGs were not successfully achieved by the majority of developing countries. The government should develop effective health programs through evidence-based health policy for Sustainable Development Goals. Scientific research may develop health policy continued with health programs to improve health outcomes, health performance, and to use resources efficiently. The study objective is to find information concerning health outcomes and performance, resources, and other relevant factors. The significant of study is to present information for evidence-based health policy.                                                                                                                                                                  Method: To review the literature and curriculum, and to combine literature review and field observation.

Results: In the MDG period (2000 -2015), achievement of health outcomes are the decrease in deaths was less than that before MDG, maternal health problems decreased but maternal mortality rate increased, prevalence rate of communicable diseases including malaria and diarrheal diseases decreased but prevalence rate of tuberculosis, pneumonia, hemorrhagic fever, diphtheria, and AIDS increased. This problem of health outcomes caused by health performance related to the problems in curative, preventive and promotive health services, epidemiological surveillance, and research. Resource problems are no education applying integration of scientific disciplines in public health, and the policy of decentralization had not continued to provide competent health personnel. Other factors affecting health performance are the gap between theory from university and practice to .public health services,  health services delivery has not adjusted to cultural-socio-economic community, scientific knowledge obtained by graduates of public health is not easily accepted by health officials, and  Information from Master Thesis and Doctoral Dissertation based on data from various location of research may be not appropriate to formulate national health policy applied to all districts.                                                                                                                                                                    Conclusion: MDGs had not been achieved completely in Indonesia because of some problems in health performance. Innovative suggestions are as follows: to integrate scientific discipline in public health education, to cooperate between public health education and services formulating evidence-based health policy, and to establish field laboratory of public health based on epidemiology.                                                                                                                                                           Keywords: health outcomes and performance, integration of scientific disciplines in public health, epidemiology, cooperation, field laboratory.