MDGs_kuliah

8/10/2019 MDGs_kuliah

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The millenium development goalseight goals for 2015


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8 goals

1. Eradicate extrempoverty and hunger

2. Achieve universal primary education

3. Promote gender equality & enpower women4. Reduce child mortality

5. Improve maternal health

6. Combate HIV/AIDS,malaria &other diseases7. Ensure environmental sustainability

8. Develop a global partnership for development


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Eradicate extrem poverty

The proportion of people living on less than $1.25 a day fellfrom 47 per cent in 1990 to 24 per cent in 2008areduction from over 2 billion to less than 1.4 billion.

Preliminary estimates indicate that the global poverty rateat $1.25 a day fell in 2010 to less than half the 1990 rate. Ifthese results are confirmed, the first target of the MDGscutting the extreme poverty rate to half its 1990 levelwillhave been achieved at the global level well ahead of 2015.

Women are far more likely than men to be engaged invulnerable employment

The numbers of malnourished have stabilized since 1990


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advanced....

Progress in relieving food deprivation has slowed or

stalled in many regions Countries in sub-Saharan Africa were the hardest hit

by the food and financial crises

Nearly one in five children under age five in the

developing world is underweight Differences in undernutrition found between rural and

urban children are largest in Latin America and theCaribbean

Poverty is a major determinant of undernutrution inchildren in all regions

The number of refugees and of the displaced remainshigh, even with an upturn in repatriation in 2011


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Achieve universal primary education

In the developing regions, the net enrolment rate

for children of primary school age rose from 82 to

90 per cent between 1999 and 2010. However, a

closer look at the data reveals that nearly all of this

growth occurred between 1999 and 2004, and thatprogress in reducing the number of out-of-school

children slowed considerably after 2004.


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Promote gender equality and

empower women Parity is achieved in developing world primary

schools, even though some regions lag behind

Gender disparities emerge at different points throughthe education system

Girls from the poorest households face the highestbarriers to education

Equal access to job opportunities remains a distanttarget for women in some regions

Women, more often than men, turn to the informaleconomy


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Reduce child mortality

Globally, deaths within the first month of life fell from 32 per 1,000 livebirths in 1990 to 23 in 2010.

Since 1990, in the developing regions, the mortality rate of under-fiveyears old has declined by 35 percent, from 97 deaths per 1,000 births to

63. Sub- Saharan Africa has doubled its average rate of child mortality

reduction from 1.2 percent a year during 1990-2000, to 2.4 percentduring 2000-2010.

Sub-Saharan Africa suffers though a higher neonatal mortality rate (35deaths per 1,000 live births in 2010) than any other region, and has

recorded the least improvement over the last two decades. Children in the developing regions as a whole, are twice as likely to diebefore their fifth birthday as children in the richest 20 percent ofhouseholds.

Sub-Saharan Africa had a 85 percent drop in measles deaths between2000 and 2010.


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Improve maternal health An estimated 287,000 maternal deaths occurred in 2010

worldwide, a decline of 47 percent from 1990.

The regions with the highest maternal mortality, sub Saharan

Africa and Southern Asia, are also those with the lowest coverage

of births attended by skilled health personnelless than half.

The rural-urban gap in skilled care during childbirth has

narrowed.

The number of maternal deaths per 100,000 live births is down

from 440 in 1990 to 240 in 2010, for the developing regions as a

whole.


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advanced...

hile Southern Africa reported almost universal coverage in 2010,

in West Africa about one-third of women did not receive

antenatal care visits.

The use of contraception is lowest among the poorest women

and those with no education.

More than half of all women aged 15 to 49 who were married or

in a union were using some form of contraception in 2010 in all

regions except sub-Saharan Africa and Oceania.

Fewer teens are having children in most regions, but progresshas slowed.

Maternal health coverage has progressively increased in

developing regions from 63 percent in 1990 to 71 percent in 2000,

and then to 80 percent in 2010.


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Combat HIV/AIDS, malaria and

other diseases In sub-Saharan Africa, annual new infections in 2011 reached 1.7

million people, including 300,000 children. This is 21 percent lowerthan the 1997 peak and 15 percent lower than in 2001.

The number of people dying of AIDS- related causes fell to 1.7 million

in 2011, a decline of 24% since the peak in 2005. At the end of 2011, an estimated 8 million people people were receiving

antiretroviral therapy for HIV or AIDS in low- and middle-incomecountries, up from 6.6 million people in 2010 and up from just 400 000in 2003.

HIV incidence and prevalence is substantially lower in Asia than in

some other regions. But the absolute size of the Asia population meansit has the second largest number of people living with HIV. 57% of HIV-positive pregnant women received treatment to prevent

HIV transmission to their child in 2011. The estimated incidence of malaria globally has decreased by 17

percent since 2000, and malaria-specific mortality rates by 25 percent.


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Ensure environmental

sustainability The net loss worldwide of forests decreased over the last 20

years, from -8.3 million hectares per year in the 1990s to -5.2 million hectares per year in the last decade.

Overexploitation of global fisheries has stabilized, butsteep challenges remain to ensure their sustainability.

The number of people who do not use any facility andresort to open defecation has decreased by 271 million since

1990. But there remain 1.1 billion people, or 15 percent ofthe global people with no sanitation facilities at all.

The number of people using improved drinking watersources reached 6.1 billion in 2010, up by over 2 billion

since 1990.


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advanced..

In 2010, 89 percent of the worlds population was usingimproved water sources, up from 76 percent in 1990.

The share of urban slum residents in the developingworld declined from 39 percent in 2000 to 33 percentin 2012.

More than 200 million people gained access to

improved water sources , improved sanitationfacilities, or durable or less crowded housing.

Slum prevalence remains high in sub-Saharan Africaand increase in countries affected by conflict


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A global partnership for development

Official development assistance stands at 0.31 per cent of thecombined national income of developed countries, still far short ofthe 0.7 per cent UN target.

Aid to the African continent increased by 0.9 percent to 31.4 billionin 2011, but remains below expectations.

Developing countries gain greater access to the markets ofdeveloped countries.

In 2011, 75 percent of the worldwide mobile cellular subscriptionswere in the developing regions, up from 59 percent in 2006.

By the end of 2011, over 160 countries in the world had launched 3Gmobile broadband services and 45 percent of the populationworldwide was covered by a high-speed mobile broadband signal.

The developing world share of the worlds Internet users rose to 63percent in 2011, when 35 percent of the world was online.

Only 1 in 6 people in the developing world has access to the Internet


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Sebagai salah satu anggota PBB, Indonesia

memiliki dan ikut melaksanakan komitmen

tersebut dalam upaya untuk mensejahterakanmasyarakat


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STRATEGI PENCAPAIAN MDGs

MELALUI AKREDITASI1. Memasukkan MDGs dalam standar dan elemen penilaian

akreditasi RS. Diharapkan standar yang telah ditetapkan

dalam rangka mempercepat Pencapaian MDGs khususnya

penurunan angka kematian bayi dan peningkatan kesehatan ibu,penurunan angka kesakitan HIV/AIDS,

PenurunanangkakesakitanTB akan dilaksanakan dengan sebaikbaiknya oleh RS seluruhIndonesia

2. Melakukan monitoring dan evaluasi untuk perbaikan

pencapaian program di RS melalui pembuatan perencanaan

perbaikan strategis (PPR) yang dievaluai setiap tahun

bersamaan dengan pelaksanaan proses survei pendampingan

Akreditasi


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BAGAN


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Sasaran Milenium Development

GoalsSasaran I : Penurunan Angka Kematian Bayi

dan Peningkatan Kesehatan Ibu

Sasaran II : Penurunan Angka KesakitanHIV/AIDS

Sasaran III : Penurunan Angka Kesakitan TB


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Penurunan angka kematian bayi

dan peningkatan kesehatan ibuStandar SMDGs .1.

Maksud dan Tujuan

Rumah sakit melaksanakan

pelayanan obstetrik & neonatus

komprehensif

Proses persalinan dan perawatan bayi harus

dilakukan dalam sistem terpadu dalam bentukpelayanan obstetrik & neonatus komprehensif di

rumah sakit dan pelayanan obstetrik dan neonatus

dasar di Puskesmas


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LANGKAHLANGKAH PELAYANAN

OBSTETRIK & NEONATUS

KOMPREHENSIF

1. Melaksanakan & menerapkan standar pelayanan

perlindungan ibu dan bayi secara terpadu & paripurna.2. Mengembangkan kebijakan&SPO sesuai standar

3. Meningkatkan kualitas pelayanan kesehatan ibu & bayi

termasuk kepedulian terhadap ibu & bayi.

4. Meningkatkan kesiapan RS dalam melaksanakan fungsi

pelayanan obstetrik & neonatus komrehensif

termasuk pelayanan kegawat daruratan


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LANJUTAN .....5. Meningkatkan fungsi RS sbg model &pembina teknis dalam Inisisasi Menyusui Dini

(IMD) dan pemberian ASI Eksklusif

6. Meningkatkan fungsi RS sbg pusat rujukanyankes ibu & bayi bagi saryankes lain

7. Meningkatkan fungsi RS dalam PerawatanMetode Kangguru (PMK) pada BBLR

8. Melaksanakan sistem Monev pelaksanaanprogram Rumah Sakit Sayang Ibu Bayi(RSSIB) 10 langkah menyusui & peningkatankesehatan ibu


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PENURUNAN ANGKA KESAKITAN

HIV/AIDSStandar SMDGs .II.

Maksud dan Tujuan

1.RS melaksanakan Penanggulangan HIV/AIDSsesuai pedoman rujukan ODHA

2.kemudahan akses bagi ODHA untuk mendapatkan

layanan pencegahan, pengobatan, dukungan &

perawatan, shg diharapkan lebih banyak ODHA

yang memperoleh pelayanan yang berkualitas di

RS yang ditetapkan sbg RS rujukan ODHA.


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Langkahlangkah

penanggulangan HIV/AIDS1. Meningkatkan fungsi yan VCT (Voluntary Counseling & Testing);

2. Meningkatkan fungsi pelayanan ART (Antiretroviral Therapy);

3. Meningkatkan fungsi pelayanan PMTCT (Prevention Mother toChild Transmision);

4. Meningkatkan fungsi pelayanan Infeksi Oportunistik (IO);

5. Meningkatkan fungsi pelayanan pada Orang Dengan HIV AIDS

(ODHA) dengan faktor risiko Injection Drug User (IDU); &6. Meningkatkan fungsi pelayanan penunjang: gizi, laboratorium,

dan radiologi, pencatatan dan pelaporan.


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Standar SMDGs .III.

Maksud dan Tujuan

1. Rumah sakit melaksanakan Penanggulangan TB

sesuai pedoman strategi DOTS2. Penerapan strategi DOTS TB di RS dalam

meningkatan angka :

-Penemuan kasus (care detection rate, CDR),-Keberhasilan pengobatan (cure rate), dan

-Keberhasilan rujukan (success referal rate).


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kesimpulanMasuknya sasaran MDGs dalam standar daninstrumen akreditasi RS diharapkan akan

Mempercepat Pencapaian sasaran MDGs

Khususnya Penurunan Angka Kematian Bayi

Dan Peningkatan Kesehatan Ibu serta

Penurunan Angka Kesakitan HIV/AIDS,

Penurunan Angka Kesakitan TB melaluipnerapan standar standar tersebut di rumah

sakit serta maupun monitoring dan

evaluasinya


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Merci bien

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