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Jakarta – Indonesia has made great strides in health since 1990, with the increase in life expectancy – so eight years more and reducing the burden of infectious diseases such as diarrhea and tuberculosis (TB) .But at present, Indonesia is also facing the problem of increasing the noncommunicable diseases, including heart disease, diabetes, stroke, cancer and other diseases.
"Indonesia faces the challenge of double various efforts to reduce infections infectious diseases such as tuberculosis, diarrhea and various health problems of mothers and infants ", explained Dr. Nafsiah Mboi, former Minister of Health of the Republic of Indonesia (2012-2014)
At the same time, said the head of the study team, we must also improve prevention efforts and fight against noncommunicable diseases. "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," he said. and is part of the global "Burden of Disease" (GBD) study, a comprehensive scientific effort to quantify health conditions around the world.
In this study, Nafsiah and a team of researchers from the IHME and Indonesia, BAPPENAS, the Central Bureau of Statistics, Eijkman Oxford Institute, 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 of the year 1990. Indonesian women live a little longer than men. This increase in life expectancy is largely due to Indonesia's success in fighting infectious diseases, pregnancy-related diseases, neonatal and nutritional diseases.
In 1990, diarrheal diseases, lower respiratory tract infections and tuberculosis) are still three major causes of illness and disability. More than 25 years later, tuberculosis was ranked 4th, diarrhea ranked 10th, and lower respiratory tract infections were no longer among the top 10 causes of death and disability
"However, these diseases "This is a great health problem," said Dr. Nafsiah
At the same time, the burden of noncommunicable diseases has increased dramatically.Cardiac diseases and diabetes have increased rapidly over the last 25 years. This increase is due to an unhealthy diet, high blood pressure, high blood sugar levels and smoking habits, which is currently the highest risk factor in Indonesia.
Diabetes shows an alarming increase The number of deaths and disabilities caused by diabetes has increased by 38.5% since 2006, which is likely to increase burden of 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, or nearly 70% of the population, have been enrolled in the National Health Insurance Program (JKN KIS). The program was launched in 2014 and aims to cover all Indonesians, (19659004) The government has set an ambitious target of 95% of the population enrolled in the program by 2019, which will achieve effectively the coverage of the health services of UHCs.
The Expansion of Coverage Health services in a relatively short time, of course, require a larger and more strategic investment with more effective management, added Dr. Nafsiah.
"This study can help the government develop health policies and investments, and it requires ongoing research to better understand health trends, particularly in the vast and diverse provinces and districts of our country. . (19659004) "This study of the global burden of disease allows Indonesian policymakers and staff to better understand the various diseases, injuries, and risk factors that will affect health, as well as how changes occur over time. time, we need to make more effective decisions in Kesehamn, "adds Dr. Christopher Murray, director of the Institute for Health Metrics and Evaluation (IHME) at the University of Washington, coordinating institute of this study World War
TAGS: Infectious Disease PTM Dr. Nafsuah TBC Kemenkes
