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Health and Environmental Challenges in Indonesia: Insights from the ASEAN Meeting 2005

The Second High-Level Meeting on Health and Environment in ASEAN and East Asia, held in Bangkok on December 12-13, 2005, highlighted Indonesia's pressing health issues. The nation faces high rates of communicable diseases and an increasing prevalence of non-communicable diseases (NCDs) across urban and rural areas. Key discussions included the epidemiological transition faced by Indonesia, the impact of environmental factors such as water and sanitation, air pollution, and hazardous substances, and the need for integrated health and environment management schemes.

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Health and Environmental Challenges in Indonesia: Insights from the ASEAN Meeting 2005

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  1. The Second High Level Meeting on Health and Environment in ASEAN and East Asian Countries held in Bangkok, 12-13 Dec 2005Review Indonesia Activities

  2. National Health issues: Communicable diseases persist high and NCD tends to increase in both rural and urban areas  double/multiple burden? Epidemiological Transition (Delayed Transition?). New and Re emerging Diseases ( HIV/Aids, Malaria, Dengue, TB, SARS, AI )

  3. EPIDEMIOLOGICAL TRANSITION IN INDONESIA DOUBLE / MULTIPLE BURDEN?

  4. Environmental Health Issues • Water and Sanitation • Air pollution • Chemical/Hazardous substances • Biological/vector • Natural and Man-Made Disaster

  5. the environmental health programmes and coordination WATER & SANITATION POP’S HEALTH ENVIRONMENT AGRICULTURE TRADE INDUSTRY PUBLIC WORK FORESTRY RESEARCH PLANNING BOARD TRANSPORT ENERGY AND MINE HOME AFFAIR TOURISM SEA & FISHERY UNIVERSITIES NGO’s AIR POLLUTION HAZARDOUS SUBSTANCE PESTICIDES HAZE POLLUTION WASTE DOMESTIC CLIMATE CHANGE

  6. Water and sanitation • Sector involved ( public work, health, home affair, national planning board, Environment) • Coordinator water and sanitation supply for low income communities ( ministry of health ) • Coordinator urban water and sanitation supply ( ministry of public work) • Water and sanitation policy and action plan (WASPOLA)

  7. PESTICIDES • Sector involved ( agriculture, health, forestry, sea& fishery, environment, drug &food, universities) • National pesticides committee, coordinator ( agriculture) • National, provinces, districts, municipalities control committee • National pesticides action plan

  8. Institutional mechanism • MINISTRIES COORDINATION MEETING • SENIOR OFFICIALS COORDINATION MEETING • TECHNICALS COORDINATION MEETING ( SPECIFIC) • NATIONAL COORDINATING COMMITTEE and TECHNICAL WORKING GROUP ON INTEGRATED MANAGEMENT ENVIRONMENT AND HEALTH ???? NOT DEVELOPED YET

  9. National Planning and NEHAP • National Development Plan 2004-2009 • Strategic Plan (sectors, provinces, districts) • Operational strategic plan for specific actions e.g. urban air quality improvement national strategy and action plan ( by Gov,NGO’s, Academe) water and sanitation action plan. NATIONAL ENVIRONMENTAL HEALTH ACTION PLAN ( NEHAP) ????????

  10. Health and environment assessment • Environmental impact assessment ( AMDAL) • Environmental Health impact assessment (ADKL) • Planning for Environmental monitoring & management (RKL and RPL) • National, provinces, regencies, cities EIA

  11. Seminar/workshops • Health impact on heavy metal pollution ( Hg, Pb and As ) held in Bandung Dec 8-10, 2005 • Involving stakeholders ( environment, health, industry, research institute, universities, environmental health laboratory, home affair, meteorology and geo-physic agency, NGO, energy and mine, transport

  12. Environmental Health Country Profile ( EHCP) ?????????? • Environmental Health Data Sheet ( EHDS) ?????????? Not updated yet

  13. Merci Thank You TERIMA KASIH

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