The Second High Level Meeting on Health and Environment in ASEAN and East Asian Countries held in Bangkok, 12-13 Dec 2005Review Indonesia Activities
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 )
EPIDEMIOLOGICAL TRANSITION IN INDONESIA DOUBLE / MULTIPLE BURDEN?
Environmental Health Issues • Water and Sanitation • Air pollution • Chemical/Hazardous substances • Biological/vector • Natural and Man-Made Disaster
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
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)
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
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
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) ????????
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
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
Environmental Health Country Profile ( EHCP) ?????????? • Environmental Health Data Sheet ( EHDS) ?????????? Not updated yet
Merci Thank You TERIMA KASIH