Government-led Innovation for Health :

Pencerah Nusantara” the case of Indonesia

Diah Saminarsih, Anindita Sitepu, Yurdhina Meilissa, and Olivia Herlinda

Office of President’s Special Envoy on MDGs, Indonesia

Keywords : Pencerah Nusantara, Primary Health Care, Health-oriented Innovation

Background

Access to health services and health equity are not yet met, health burden continues to increase, and communities have increasingly grown weary of their existing conditions. Health care system should respond better and faster toward demands of global and relevant in-country development frameworks of actions. Primary health care is at the forefront of community health care services. A well-developed and sustainable primary health care will promote health equity and improve access to health facilities among communities and resulted in resilient communities.

This problem inhibits Indonesia from meeting health-related Millennium Development Goals (MDGs) and executing impactful and sustainable health initiatives. With two years remaining to put more effort into achieving the Goals, an integrated action-oriented model of inter-professional collaboration must be designed for immediate implementation. Furthermore, Indonesia has 9,133 community-based health centers/Puskesmas spread across the nation as the architecture required for a health-oriented innovation and multisectoral collaborative effort.

Objective

Some changes happening in the workings of governments across the globe, have resulted in major innovations it’s structures and systems with an aim to deliver greater efficiency, and more responsive and flexible public services. Specifically for health-related impact, unequal distribution of competent health workers and the failure to reach the marginalized living in periphery locations, are few areas where the Government mechanism falls short.  Problems arise from policy, outreach, and action-oriented interventions that originated from the government as well as from the grass roots. This model is meant to allow health practicioners to interact, improve and provide the optimal delivery of patient care.

Methods

Pencerah Nusantara is an inter-professional collaboration practice initiated by Office of President’s Special Envoy on Millennium Development Goals (OSE MDGs), implemented in seven community-based health centers in six different Regions/Municipalities. The platform supports innovative actions, implemented to reach optimum impact for revitalization of nation-wide primary healthcare.

Key points of business process reengineering accommodated in Pencerah Nusantara platform are as follows:

a.Policy Advocacy: Recruitment, Selection and Competency Training

In the effort to harness active participation of early-career health professionals, OSE MDGs utilizes social media as the main avenue of public communication.

b.Technology:Use of IT, Universal Health Coverage and Health Economics issues

Utilization of IT/mobile phones to disseminate information and establish ongoing communication between health centers and Regional Hospitals.

c.   Multi Sector Collaboration as means of implementing partnerships

Engagement in sustainable funding and governance of programs between public, private, and civil societies.

Result

In its second year of implementation, preliminary findings of Pencerah indicate the following positive outcomes:

a.   On-the-ground engagements have moved to areas beyond health, such as education and community empowerment.

b.Knowledge Management and Program engagement includes team development, professional development, and improvement in business process, delivery of care and clinical practice tools and guidelines.

c.   Communities are getting stronger and more resilient communities after a year of engagement

Conclusion

Pencerah Nusantara is a breakthrough action in health that is highly relevant to be implemented not only in-country, but also on regional and global levels.

Areas for improvement include Research and Development, Strategic, Public and Media Communications and Innovative Health Financing.

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*loosely translated as: Guiding Lights of the Archipelago

Target Audience and Panel Session Plan

Target audience are multi-sectors, multi-actors of healthcare collaboration. To make panel discussion more interesting, memorable and encourage audience to participate, we will run a short video showing Pencerah Nusantara activities and achievements in various location in Indonesia.

 *Presented at the All Together Better Health VII Conference in Pittsburgh, United States (June, 2014)