Public Health Advancement
for Achieving Global Agenda
Presented in the 4th International Symposium on Health Research and the 14th National Congress of
Indonesian Public Health Association, in Sanur – Bali, on 27-30 November 2019
Agustin Kusumayati, MD, MSc., PhD.
Dean of the Faculty of Public Health Universitas Indonesia
Chairperson of the Indonesian Public Health Schools Association
● Dean – Faculty of Public Health Universitas Indonesia
● Chairperson – Indonesian Public Health School Association
● Advisory Board Member – Indonesian Public Health Association
● Advisory Board Member – Indonesia One Health University Network
● Advisory Board Member – South East Asia Tobacco Control Alliance
● Foundation Board Member – South East Asia One Health University Network
● Advisory Board Member – AUN Health Promotion Network
● President Elect – Asia Pacific Academic Consortium for Public Health
● International Committee Member – Global Partnership on Maternal and Child Health Handbook
OUTLINE
● What is Public Health … ?
● Responsibilities of Public
Health Professionals
● Impacts of the 4th Industrial
Revolution on Public Health
● Public Health challenges in the
4th Industrial Revolution era
What is Public Health…?
Public Health is a combination of science and
art, knowledge and skill, ethics and morality,
that mean to improve health status and prolong
the life of all people through organized
collective efforts to prevent diseases and fulfill
all health needs by empowering communities to
live healthy life.
Biostatistics
Epidemiology
Social and Behavioral Sciences
Health Policy and
Management
Environmental Health Sciences
Interdicciplinary/Cross-cutting Competencies
Communication and Informatics
Diversity and Culture
Leadership
Professionalism
Program Planning
Public Health Biology
Systems Thinking
Graphical Model of Public Health
Evolution of Public Health
Public Health 1.0
Comprehensive PH protection, from primary prevention to treatment
Development of astonishing array of health-protecting tools and capacity with increasingly sophisticated techniques to ensure sanitation and food safety
Public Health 2.0
Tremendously uneven PH capacity at the local levels
PH Department strained to address new infectious diseases challenges as well as the growing challenge of chronic non-communicable disease prevention/preparedness
Governmental Public Health came of age
Public Health 3.0
Social determinants of health are the conditions in which people are born, live, work and age - Economic opportunity - Housing - Environment - Education - Food - Safe neighborhoods - Transportation
Public Health Determinants
Modifikasi dari: Dorman, U
Pittsburg, 2009
TH
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UTU
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Public Health Genomics is the use of genomics information to benefit Public Health. This is visualized as more effective preventive care and disease treatments with better specificity, tailored to the genetic makeup of each individual. Public Health genomics is an emerging field of study that assesses the impact of genes and their interaction with behavior, diet and the environment on the population health.
The Purpose of Public Health
● Prevent epidemics and spread of disease
● Protect against environmental hazards
● Prevent injuries
● Promote and encourage healthy behaviors
● Respond to disasters and assist communities in recovery
● Assure the quality and accessibility of services
Core Functions & Essential Public Health Services
Responsibilities of
PH Professionals
+ Primary, Secondary and Tertiary
Public Health Care
Responsibilities of Public Health Officers1
Coordinate or combine the resources of health care institutions, social
service organizations, public safety personnel, or other agencies to enhance
the community health.
Design and/or use monitoring tools (e.g. screening, lab records, vital
information) to recognize health risks.
Develop tools to address behavioral causes of diseases.
Direct or control prevention programs in specialized areas such as work-
related, infectious disease, environmental medicine.
Assess the effectiveness of recommended risk reduction actions or other
interventions.
Recognize groups at threat for specific preventable diseases.
Responsibilities of Public Health Officers2
Carry out epidemiological research of acute and chronic diseases.
Prepare precautionary health reports which include problem explanations,
analyses, alternate solutions, and suggestions.
Deliver details about potential health risks and possible treatments to the
media, the public, other health care experts, or local, state, and national
health regulators.
Manage or coordinate the work of doctors, nurses, statisticians, or other staff
members.
Educate or train medical team regarding precautionary medicine problems.
Design, implement, or assess health service delivery systems to enhance the
health of specific communities
10 Great PH Achievement Worldwide
● Reduction in Child Mortality
● Reduction of Vaccine-Preventable Diseases
● Increase Access to Safe Water and Sanitation
● Malaria Prevention and Control
● Prevention and Control of HIV-AIDS
● Tuberculosis Control
● Control of Neglected Tropical Diseases
● Tobacco Control
● Increased Awareness and Response for Improving Global Road Safety
● Improved Preparedness and Response to Global Health Threats
12 Great PH Achievement in USA
● Reduce Vaccine-Preventable Diseases
● Promote Motor Vehicle Safety
● Safer Workplaces and Promote Occupational Health
● Prevention and Control of Infectious Diseases
● Decline in Deaths from Coronary Hearth Diseases and Stroke
● Safer and Healthier Foods
● Healthier Mothers and Babies
● Family Planning
● Fluoridation of Drinking Water
● Tobacco Control
● Childhood Lead Poisoning Prevention
● Public Health Preparedness and Response
Impacts of the 4th IR
on Public Health
Industrial Revolution
Being developed or new on the market
Robotics Artificial Intelligence
Self
driving
cars
Virtual reality
3D printing
Internet of Things (IoT)
Bioengineering
Metadata & analytics
Digital currencies and
blockchain
Quantum computing
WHO Definition of e-Health
e-Health is the cost-effective and secure use of
information and communications technologies in
support of health and health-related fields, including
health-care services
health surveillance
health literature
health education, knowledge and research
[World Health Organization, 9th Plenary Meeting, 25 May 2005 - Committee A, 7th Report]
Delivering health information to health professionals and
health consumers through the internet & telecommunication
Using IT and e-commerce to improve public health services
[e.g. through the education and training of health workers]
Applying e-commerce and e-business practices in health
system management (planning, budgeting, accounting, etc.)
e-Health Interventions
Public Health Challenges
in the 4th IR Era
ADDRESSING
BEYOND-HEALTH
DETERMINANTS
Public Health 3.0
m-Health
Health knowledge management
Electronic Medical Records
Telemedicine
Consumer Health Informatics
Virtual healthcare teams
e-Cardiology
e-Radiology
1. Improve the EFFICIENCY of healthcare
2. ENHANCE the quality of healthcare
3. Make interventions EVIDENCE-BASED
4. EMPOWERING consumers and patients
5. ENCOURAGING new relationships between patients and health professionals
6. EDUCATING physicians and consumers through online sources
7. ENABLING the standardized exchange of information and communications
between healthcare centers
8. EXTENDING the scope of healthcare beyond its conventional borders
9. E-health requires new forms of patient-physician interactions that put an
emphasis on ETHICS – informed consent, privacy and equity issues.
10. Reducing the gap between the "haves" and the “have-nots" by promoting
EQUITY in access to healthcare
The 10 “E”s in e-Health
Applying ICT Advances in Public Health
Applying new technology and advances in life sciences in developing
promotive and preventive programs
Adjusting promotive & preventive actions towards changes in healthcare
Redefining position in the relationship between health care providers
and other stakeholders
Considering the new power of the people in developing promotive and
preventive interventions
Developing individual personalized promotive & preventive measures
Developing ICT-based integrated Health Information System and
Surveillance System that allow effective communication across
administrative borders (sub-national, national, regional, global)
Impacts of Technology Advances on Health and Social Life
Biomedical and
technological advances
Potential societal risks
and consequences
Future implications for
health and medicine
• Biotechnology,
biomedicine
• Physics, chemical
science, engineering
science
• Data science, artificial
intelligence
• Digital technology,
automation, robotics
• Access, affordability
• Workforce
• Governance, regulation
• Ethics, equity, social
considerations
• Norms, standards,
responsible conducts
• Data ownership,
privacy, sharing
• Cybersecurity concerns
• Prevention, prediction,
early detection
• Effective treatment/
intervention, cure
• Elucidation of disease
pattern
• Ensuring a care
continuum
• Improving care delivery
How to be an agile PH Professionals ADAPT
and
CHANGE
Influence curriculum
Emotional intelligence
Critical thinking
Cognitive flexibility
Creativity
Communication & negotiating
Collaboration and teamwork
Complex problem solving
Judgement & decision making
Service orientation
Computational thinking
Global awareness
Financial, economic, business
and entrepreneurial literacy
Civic literacy
Health literacy
Environmental literacy
Influence approaches to
teaching & learning
New skills and
competencies
required
Critical Skills Needed in the 4th IR Era
1. Continuously improved higher education
2. Ensure quality graduates/PH workforce
3. Continuing Public Health Education
4. Ready to adapt and change
Ensuring and Improving
PH Professionals Competencies
TERIMA KASIH THANK YOU KHWAP KHUN KHA
