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Since 1990, our country has made great progress in the field of health. See, 28 years ago, life expectancy increased by 8 years and decreased the burden of infectious diseases such as diarrhea and tuberculosis.
But currently, according to the Burden of Disease Global Study, Indonesia faces increasing challenges from various noncommunicable diseases, including heart disease, diabetes, stroke, cancer et al.
"Indonesia is currently facing the challenge of the double burden of disease We must remain diligent in our efforts to reduce infectious diseases such as tuberculosis, diarrhea and various maternal health problems At the same time, we must also improve prevention efforts and fight against noncommunicable diseases, the treatment of which costs a lot. "Nafsiah Mboi, Minister of Health of the Republic of Korea Indonesia (2012-2014), who was also the main author of the study. The problem is becoming more complex with the increase in life expectancy in Indonesia, with the challenge of combining various diseases in the elderly population.
The study is published today in The Lancet, covering the period 1990-2016; and is part of the Global Study of Disease Burden (GBD), a comprehensive scientific effort to quantify health problems worldwide. In this study, Dr. Nafsiah and the team of researchers from IHME and Indonesia, BAPPENAS, the Central Bureau of Statistics, Eijkman Oxford Institute, the University of Indonesia and BPJS Health, studied the causes of death and disability of 333 diseases in Indonesia and seven comparative countries. This study is the largest systematic effort ever undertaken to understand the health trends in Indonesia and its causes.
The life expectancy of Indonesians in 2016 has reached 71.7 years, longer than the life expectancy of 63.6 years in 1990 Indonesian women live a little longer than men. This increase in life expectancy is largely due to the success of Indonesia in the fight against infectious diseases, pregnancy diseases, neonatal and nutritional diseases.
In 1990, diarrheal diseases, lower respiratory tract infections, death and disability. More than 25 years later, tuberculosis ranked 4th, diarrhea ranked 10th and lower respiratory tract infections were no longer among the top 10 causes of death and disability.19659002 At the same time, the burden of noncommunicable diseases increased drastically. Heart disease and diabetes have increased rapidly over the past 25 years. This increase is due to an unhealthy diet, high blood pressure, high blood sugar levels and smoking habits, which are now the highest risk factors in Indonesia. Diabetes shows a worrying increase. The number of deaths and disabilities caused by diabetes has increased by 38.5% since 2006 and may increase the burden on society and the health system in the future.
Injuries caused by road accidents and various non-lethal diseases The neck, as well as visual and hearing impairments, are increasingly becoming a burden on public health in Indonesia.
This study was published at the right time for Indonesia. More than 180 million people – nearly 70% of the population – were enrolled in the National Health Insurance Scheme (JKN-KIS) launched in 2014 to provide universal health coverage for all Indonesians in which the government pays a premium for people who can not afford. The government has set an ambitious target of 95% of the population enrolled in the program by 2019, effectively achieving coverage of UHC health services.
"This study can help the government to develop policies and health investments.We need sustained research to better understand health trends, especially in the vast and diverse provinces and districts of our country", he explained
. various illnesses, injuries and risk factors that will affect health, as well as changes that occur from time to time. This information allows us to make more effective health decisions, "added Dr. Christopher Murray, Director of the Institute of Health Metrics and Assessment (IHME) at the University of Washington, Institute for Coordination of this Global Study.
Also part of the results of this study:
10 Causes of the burden of disease by 2016:
1. Ischemic heart disease
2. 2. Stroke
3 Diabetes
4. Tuberculosis (19459005) 5. Low back pain and neck pain
6. Complications caused by premature birth
7. Problems with the senses
8. Injury and traffic accidents
9. Skin diseases
10. Diseases related to diarrhea
10 Main risk factors – contributing to the burden of disease by 2016:
1. Diet
2. High systolic blood pressure
3. Fasting hyperglycemia
4. Smoking habits
5. Nutritional disorders in children and pregnant women
6. High body mbad index (overweight)
7. Occupational Hazards
8. Air Pollution
9. High Total Cholesterol
10. Renal Impairment
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