43.309.707 11.331.558 14.946.

488

4.211.532

121.352.608 11.112.702

KOMITE PENANGGULANGAN KANKER NASIONAL

Soehartati Gondhowiardjo
 Why We Need to Fight Cancer

The Time to Act is

NOW…….

“When someone has cancer, the whole family and everyone who loves them does, too.” -Terri Clark-
 • Cancer Mortality Rate:
– Higher compare to Cardiovascular
and Stroke
– Higher then the total mortality of
TBC + Malaria + HIV/AIDS
• And the number is
INCREASING……..

“Whenever you read a cancer booklet or website or whatever, they always list depression among the side effects of cancer. But, in fact,
depression is not a side effect of cancer. Depression is a side effect of dying.” ― John Green, The Fault in Our Stars –
 Post-2015 Agenda

4a. End preventable infant and under-5 deaths

4b. Increase by x% the proportion of children, adolescents, at-risk adults and

4 older people that are fully vaccinated
Ensure Healthy
Lives 4c. Decrease the MMR to no more than x per 100,000

4d. Ensure universal sexual &reproductive health and rights

4e. Reduce the burden of disease from HIV/AIDS, tuberculosis, malaria,

neglected tropical diseases and priority non-communicable diseases

4
The WHO Global NCD Action Plan 2013-2020
unites governments, international partners and WHO around a common agenda
HOW ABOUT INDONESIA?
Let’s analyze using the UICC five key questions:
- What is Indonesia's cancer picture?
- Who can help develop and implement a cancer plan?
- What will be Indonesia’s plan?
- How to communicate and implement the plan?
- How to measure the successful of the program?
 43.309.707 11.331.558 14.946.488
4.211.532
121.352.608 11.112.702

Area:
17,508 islands (6000 inhabited), 34 province
Total area : 1.904.569 sq km total (fresh water: 93.000 sq km)
3.257.483 sq km sea Trend for Population Growth in Indonesia

Population :
237.556.363 (2010 Census), 255,461,700 (Central Bureau Statistics 2015 est.)
4th most populous in the world

Population (million) Growth rate (%)

Source: BPS 2014

 1971

1980

POPULATION GROWTH PROJECTION

• 305 MILLION in 2035

• Increase of teenager
• Increase of elderly
2010

FURNERABLE
GROUP

8
FACT 1 BURDEN OF DISESASES IN INDONESIA

1990 2000 2010

Communicabl Communicabl
Communicabl e Diseases e Diseases
Injuries 7% e Diseases
Injuries Injuries9%
8%

33%
43%
37%
56%
49%
58%

Non Communicable Diseases

Non Communicable Diseases Non Communicable Diseases
 SHIFT IN DISEASE BURDEN

STROKE STROKE
Kecelakaan Lalin
Kecelakaan Lalin Jantung Iskemik
STROKE
Kanker
Kecelakaan Lalin Jantung Iskemik Diabetes
Diabetes

Jantung Iskemik
Diabetes
10
Sumber data: Global burden of diseases
PUBLIC INFORMATION

There are around 358.000 result if you search “kanker” in

google, but only 20% with trusted information
FACT 2
What is the general condition?
• A lot of miss leading information driven by • Lack of awareness and knowledge resulting in late
“business opportunities”………. diagnosis and treatment (83.4 %, 52 % patient s
delay ….. misleading information?)
• Estimated cancer incidence is continuously increased
Patients, and / or doctors, system delay
Of cancer treatment
 DATA BPJS

HIGHER COST

© Oliver Wyman
 UPAYA PEMERINTAH……..
Riwayat Terbentuknya KPKN

May 2014
FACTS ……
July 2014
Revitalized the idea Multisectoral September 2014
for NCCP meeting between November 2014
Govt – NGO – Setting up Strategic
Professional to set Plan for NCCP,
guided by Ministry of Health
up National Decree for NCCC
Organization for professional
Cancer control consultant
Organized by MoH
 STRUKTUR ORGANISASI KOMITE PENANGGULANGAN KANKER NASIONAL
Pelindung : 1. Menteri Kesehatan
2. Wa kil Menteri Kesehatan

Pengarah : 1. Sekretaris Jenderal

2. Di rektur Jenderal Pengendalian Penyakit dan Pe nyehatan Li ngkungan
3. Di rektur Jenderal Bina Upaya Kesehatan
4. Di rektur Je nderal Bina Kefarmasian dan Al at Kesehatan
5. Di rektur Jenderal Bina Gizi dan Kesehatan Ibu dan Anak
6. Kepa la Badan Pengembangan dan Pemberdayaan Sumber Daya Ma nusia Kesehatan
7. Ke pa la Badan Penelitian dan Pengembangan Kesehatan

Ketua : Prof. Dr. dr. Soehartati Gondhowiardjo, Sp.Rad (K.) Onk. Rad

Sekretaris : 1. Di rektur Penyakit Tidak Me nular

2. Di rektur Bina Upaya Kesehatan Rujukan

Anggota : 1. Di rektur Bina Upaya Kesehatan Dasar 10. dr. Sona r Soni Pa nigoro, Sp. B.Onk, M.Epid
2. Di rektur Bina Pe layanan Penunjang Medik dan Sarana Kesehatan 11. dr. Dra ja t R Suardi, Sp. B.Onk
3. Di rektur Bina Pe layanan Kefarmasian 12. Dr. dr. Dody Ra nuhardi, Sp.PD,KHOM, FINASIM

4. Ke pa la Pusat Promosi Kesehatan 13. dr. Eve l i na Suzanna, Sp. PA

5. Kepa la Pusat Pembiayaan dan Jaminan Kesehatan 14. dr. El i sna Sya hrudin, Ph.D, Sp.P(K)
6. Kepa la Pusat Data dan Informasi 15. dr. Angel a Giselvania, Sp.Onk. Rad
7. Ke pa la Pusat Perencanaan dan Pendayagunaan SDM Kesehatan
8. Prof. Dr.dr. Arry Ha rrya nto R, Sp.PD, KHOM
9. dr. Ari e Munandar, Sp.Onk.Rad

Sekretariat : 1. Di rektorat Penyakit Tidak Menular

2. Di rektorat Bina Upaya Kesehatan Rujukan
 Logical Framework Matrix
High Cancer Morbidity , Mortality
and COST

Late Diagnosis, > 70 % Not Optimal Uneffective

Treatment, > 50 % Treatment, WL +/- 3 bulan … 13 h working hour
CAM,
> 30 %

Limited Not Standardized Limited Limited Access Limited

Public Treatment Oncology and Number Hospice
Knowledge Resources of Facility Home Care

Less early detection,

palliative, rehabilitation
activity
Less Doctor Competencies in Cancer Not Effective HTA
Prevention, Early Detection, TREATMENT
and Rehabilitation
Resources not integrated Low Data Coverage and
Quality
 Logical Framework Matrix
Decrease in cancer morbidity, mortality
and COST

Health Seeking Behaviour Cancer Treatment Based on Standard Effective and efficient multidiscipline referral
system
Regulation

Effective National Cancer Quantity and Fulfillment of Empower

Healthy Lifestyle Treatment Quality oncology facilitites and Hospice
Education Guideline resources distribution Home care

Empower Primary Health Care

Oncology module in Research and HTA unit
medical curriculum for cancer

Effective Partnership and Advocacy

national and international
Establish IT system and
cancer registry
Langkah Pembuatan Renstra

Multisectoral meeting between Govt – NGO

– Professional to set up National
Organization for Cancer control

1. Strategic Issue formulation

2. Strategic Challenge formulation
3. Vision – Mission
4. Benchmark
5. Strategic Mapping
6. Strategic Objectives and KPIs
 VISION 2019
Reducing Cancer Morbidity and Mortality in Indonesia

S
FINANCIAL
Establishment of Monitoring the Effective and efficient
health seeking Implementation of cancer referral system for
Establishment of behavior treatment based on

STRATEGIC EFFORT
multidiscipline cancer
sustainable budgeting Empowering primary national guidelines ,
care
healthcare for early patient safety, and quality
detection, palliative standard
Establishment of
effective education for and rehabilitation care
ORGANIZATION healthy lifestyle and Empowering hospice and
cancer awareness home care system
Establishment of National
Body
I
Effective partnership and advocation Establishment of research unit Improvement of oncology
REGULATION with national and international bodies and HTA for cancer module in medical curriculum

Regulation for cancer AWARENESS PENDATAAN /

RESOURCES

prevention REGISTRY Fulfillment and

Increased quantity and Availability and distribution of Establishment of national
quality of human implementation of IT cancer facility as cancer treatment
Regulation of Complementay
and Alternative Medcine resources in Oncology system and cancer standard guidelines
registry
 Program Kerja Strategis
Sasaran Strategis KPI Bobot Target Program
2015 2016 2017 2018 2019
1 Meningkatnya kuantitas Persentase trained 5 10% 20% 30% 40% 50% • Penyusunan sistem penanganan kanker pada
dan kualitas sdm bidang personal bidang onkologi di Kesehatan Primer
onkologi di Indonesia tingkat puskesmas • Promosi peningkatkan keahlian nakes terhadap:
perkotaan (TOT) kanker anak, deteksi dini, pencegahan primer,
pencegahan sekunder,

Persentase rumah sakit 5 10% 20% 50% 80% Pedoman pembentukan tim onkologi rumah
yang memiliki tim sakit
multidisiplin onkologi

2 Tersedianya sistem IT dan Persentase rumah sakit 8 10% 30% 50% 70% 80% • Penyusunan sistem registrasi nasional
registrasi kanker rujukan propinsi dan rumah • Analisa data kanker eksisting
sakit vertikal yang • Pengumpulan dan analisa data kanker nasional
melaksanakan registrasi
kanker

Jumlah propinsi yang 3 1 2

melakukan registrasi kanker
berbasis populasi
 Program Kerja Strategis
Sasaran Strategis KPI Bobot Target Program
2015 2016 2017 2018 2019
3 Pemenuhan dan Persentase rumah sakit 2 10% 20% 50% 80% Penyusunan sistem untuk pengembangan pusat
pemerataan fasilitas rujukan propinsi dan rumah layanan kanker regional
sesuai standar pelayanan sakit vertikal yang memiliki
kanker fasilitas pelayanan kanker Peningkatan kegiatan di RS untuk: IVA dan pap
sesuai standar smear, CBE, mammografi dan USG payudara

4 Terimplementasi nya  Jumlah pedoman 7 3 5 7 9 10 • Pedoman Penanggulangan Kanker Nasional

pedoman nasional penanggulangan kanker • Survey pelaksanaan pedoman
penanggulangan kanker

 Tingkat kepatuhan 6 20% 30% 40% 50%

pelaksanaan pedoman
nasional di rumah sakit
propinsi dan rumah sakit
vertikal

 Tingkat kepatuhan 5 5% 10%

pelaksanaan pedoman
nasional di puskesmas
 Program Kerja Strategis
Sasaran Strategis KPI Bobot Target Program

2015 2016 2017 2018 2019

5 Kemitraan dan  Jumlah SKB dan 4 1 3 5 Audiensi dengan kementerian
advokasi efektif lintas perjanjian kerja sama terkait untuk penyusunan
sektor dalam dan luar kegiatan penanganan peraturan pemerintah
negeri kanker lintas sektor Audiensi dengan DPR untuk
 Jumlah hasil kajian ilmiah penyusunan Undang-undang
(naskah akademik) untuk
advokasi
2 1 1 2 3 5

6 Terwujudnya badan  Jumlah problem solved 2 1 3 5 10 Penelitian kanker nasional

penelitian dan research yang
penapisan teknologi diimplementasi kan
kanker  Jumlah kajian HTA

4 1 2 3 4 5
7 Penyempurnaan modul Persentase institusi 6 1 3 5 10 Pengembangan modul onkologi
onkologi dalam pendidikan yang
kurikulum pendidikan mengimplementasi modul
onkologi
 Program Kerja Strategis
Sasaran Strategis KPI Bobot Target Program
2015 2016 2017 2018 2019
8 Terwujudnya Tingkat kesadaran pola 6 10% 20% 30% 50% • Seminar awam dan Training of
efektiktifitas edukasi hidup sehat masyarakat dan Trainer
dampak pola hidup kanker • Promosi peningkatan
sehat dan kanker pengetahuan masyarakat
tentang: SADARI pada
perempuan yang sudah
menstruasi, bebas asap rokok,
pola makan sehat dan tinggi
serat, kanker prostat, deteksi
dini

9 Pemberdayaan fasilitas  Persentase (jumlah) 6 10% 20% 30% 40% 50% • Penyusunan sistem penanganan
layanan kesehatan puskesmas perkotaan kanker pada Kesehatan Primer
primer untuk diagnosa yang melaksanakan • Promosi peningkatkan keahlian
dan deteksi dini,
diagnosa dan deteksi dini nakes terhadap: deteksi dini,
paliatif, rehabilitasi
 Persentase (jumlah) pencegahan primer, pencegahan
puskesmas perkotaan sekunder
yang melaksanakan • Pelatihan penanganan nyeri
paliatif dan rehabilitasi pada pusat pelayanan primer
5 10% 20% 30% 40% 50%
 Program Kerja Strategis
Sasaran Srategis KPI Bobot Target Program

2015 2016 2017 2018 2019

10 Terwujudnya  Persentase fasilitas 3 10% 20% 30% 50% Penyusunan sistem penanganan
penanggulangan kanker pelayanan kesehatan primer kanker pada Kesehatan Primer
sesuai standar mutu yang menjalankan Promosi peningkatkan keahlian
nasional dan pelayanan sesuai standar nakes terhadap: deteksi dini,
keselamatan pasien mutu nasional pencegahan primer, pencegahan
 Persentase fasilitas sekunder
pelayanan kesehatan
sekunder yang menjalankan 3 10% 20% 30% 50% 75%
pelayanan sesuai standar
mutu nasional
 Persentase fasilitas
pelayanan kesehatan tersier
yang menjalankan
pelayanan sesuai standar
mutu nasional
3 10% 30% 50% 70% 100%
 Program Kerja Strategis
Sasaran Srategis KPI Bobot Target Program

2015 2016 2017 2018 2019

11 Pemberdayaan sistem Persentase (jumlah) propinsi 4 10% 20% 30% 50% Audiensi MPI dengan Menkes
hospis home care yang memiliki pelayanan mengenai : Peraturan tentang
hospis home care perawatan hospis, Peraturan
tentang penyediaan dan
penggunaan opiat sampai ke PPK II,
Peraturan tentang homecare

12 Jejaring pelayanan Persentase(Jumlah) propinsi 4 10% 30% 50% 70% 100% Pengembangan sistem rujukan
kanker multidisiplin yang sudah menjalankan berjenjang bidang onkologi
melalui sistem rujukan sistem rujukan berjenjang
berjenjang yang tepat
guna hasil guna

13 Terwujudnya health (Hasil survey) jumlah 4 10% 30% 50% 75% Survey pasien kanker
seeking behaviour penggunaan pengobatan CAM
dalam kanker
The Roadmap of NCCC

• Collecting available resources, self financed

Phase 1 • Capacity building
Catch
• Decide the highest priority the
in grass time
root to solve, the
….. AWARENESS highest
CANCER priority
SCREENING, STANDART GUIDELINES, CANCER
(First Year) DATA / REGISTRY

Phase 2
(Second Year)

• Go Professionally
Phase 3 Mature System
• Evaluating programs
(Third to Fifth • Continuous Improvement Cycle
Year)
Hasil Kegiatan
TIMELINE KPKN

November 2014 15 Des 2014

SK Menkes Rapat Koordinasi
Nomor HK Anggota KPKN
02.02/MENKES/389/2014 dengan Struktural
Tentang KPKN KemKes

17 Nov 2014
Rapat Koordinasi
Anggota KPKN
dengan Dirjen BUK
 27 Januari 2015 31 Januari 2015
Audiensi KPKN dengan Ketua KPKN LIVE di Berita
DPD Irman Gusman Satu

29 Januari 2015
Seminar Awam tentang Kanker
Sesi I: pegawai kemkes, pegawai
dinkes, LSM
Sesi II: artis, public figure,
pengusaha, media
 Hearings and seminar with parlemen, first lady n the group of ministries
Kick Off – WCD 2015, 4 Febr 2015 wife, celebrities, media, NGO, rich people in the country ets

National Movement of Prevention and Early Detection of Cancer among Women

Launched by the
AWARENESS First Lady
on 21 April 2015
AWARENESS

EDUCATIONAL AND PROMOTION PRODUCT

AWARENESS

Implementation of CERDIK Behavior

Check health status routine and regularly

Encourage to avoid smoking and
other air pollutant

Raise physical activity

Daily consumption with healthy diet (low
sugar, salt, dan fat), increase fruit and
vegetables

Implement adequate rest

Keep balance between body and
mind
 AWARENESS

Television / Radio Broadcast

No Programme Date Time Date of Air Time of Air Place Person Detail

1 SCTV 21-Jan-15 10.00 - 15.00 RSCM Profile SG

Sosok 22-Jan-15 07.00 - 11.00

27-Jan-15 09.00 - 10.00 1-Feb-15 12.00 - 13.00 RSCM SG + survivor interview dialog SOSOK

2 DAAI Tv 23-Jan-15 10.00 - 14.00 RSCM Profile

Dunia sehat 2-Feb-15 10.00 - 12.30 2-Feb-15 11.00 - 12.00 PIK dr.Rizal sp.U+ atlit Wawancara Live

3 Mediakom 28-Jan-15 10.00 -11.00 1-Feb-15 RSCM SG majalah bulanan kemenkes

4 Net TV 30-Jan-15 13.00-16.00 4-Feb-15 RSCM Dept Radioterapi RSCM Seputar Kanker leher rahim

5 Berita satu 31-Jan-15 06.30 - 08.30 31-Jan-15 07.00 - 08.00 Studio berita1 SG + survivor LIVE
Morning show Dewi Yuliarti
dr.Marlinda+ria
6 RCTI Dahsyat 4-Feb-15 4-Feb-15 7.30-09.30 Studio RCTI Irawan+jupe LIVE
7 Radio RPK 3-Feb-15 3-Feb-15 10.00-11.00 Studio dr.Evlina LIVE
8 VOI.RRI 3-Feb-15 4-Feb-15 11.00-12.00 RSCM SG
Jak FM 4-Feb-15 4-Feb-15 07.50-08.00 dr.Bobby Phone interview
9 Sonora FM 4-Feb-15 4-Feb-15 16.00-17.00
10 Berita satu 4-Feb-15 4-Feb-15 13.00-14.00 Studio SG+James Lumenta LIVE
Dialog siang
11 Kis FM 4-Feb-15 4-Feb-15 18.00-19.00 Dr.Dody HOM Phone interview
12 Delta FM
13 Berita satu Iklan layanan masyarakat
14 SCTV (TV) Iklan layanan masyarakat
15 Liputan6.com 13 Video dokter bicara kanker
16 Brosur edukasi on - going
17 Buku mewarnai on - going
18 Lembar Kerja siswa on - going
 AWARENESS

Television / Radio Broadcast

No Station Programme Theme Date Time Speaker
1 Berita 1 Talk show World Cancer Day 4 Februari 2016 13.00 - 14.00 Prof. Dr.dr. Soehartati, Sp.Rad(K)OnkRad
2 Berita 1 Talk show Cancer Early Detection 5 Februari 2016 13.00 - 14.00 dr. Angela Giselvania, Sp.OnkRad
3 DAAI TV Healthy World Pediatric Malignancy 15 Februari 2016 11.00 - 12.00 dr. Angela Giselvania, Sp.OnkRad
4 RRI Live Interview World Cancer Day 1 februari 2016 10.00 - 11.00 Prof. Dr.dr. Soehartati, Sp.Rad(K)OnkRad
5 SCTV Live 4 Februari 2016 Liputan khusus
Live Interview
6 Cancer Awareness Every Thursday
7 We Can, I Can 4 Februari 2016 10.00 - 11.01 dr. Alvita Sp.KN
Radio Pelita
8 CERDIK 11 Februari 2016 10.00 - 11.02 Dr. Elisna Syahruddin, PhD, Sp.P (K)
Kasih
9 Cancer and BPJS 18 Februari 2016 10.00 - 11.03 dr. Angela Giselvania, Sp.OnkRad
10 Indonesia Fight Against Cancer 25 Februari 2016 10.00 - 11.04 dr. Diani Kartini, SpB (K) Onk
11 Radio Sonora Live Interview dari KPKN + pertanyaan 4 Februari 2016 09.00 - 10.00 dr. Agus Rizal Hamid, Sp.U (K)
12 Radio Motion Phone Interview dari KPKN + pertanyaan 4 Februari 2016 08.00 dr. Arie Munandar, Sp.OnkRad
13 Liputan 6 Live ILM selama Feb akan dipasang Liputan khusus
14 Women Radio Prime time sore dari KPKN + pertanyaan 4 Februari 2016 17.00 - 18.00 dr. Evlina Suzanna, Sp.PA
15 Metro TV Live Metro Plus Pagi Peringatan Hari Kanker Sedunia 4 Februari 2016 10.00 - 11.00 dr. Evlina Suzanna, Sp.PA
16 TV One Apa Kabar Indonesia Bahaya Kanker 13 Februari 2016 07.00 - 08.00 Prof. Dr.dr. Soehartati, Sp.Rad(K)OnkRad
 AWARENESS

Promotion Materials Ditribution

Healthy Lifestyle and IVA
No Type Destination Qty Time
1 Brochure 11 Provinsi telekonferense 27.500 February 2015
2 Gubernur 23 Provinsi 34.500 February 2015
3 PKK Nasional 1200 March 2015
4 PDUI rakernas 2000 April 2015
5 Ekspedisi Nusantara Jaya 2500 May 2015
6 Doctor Share 500 May 2015
7 YKI-DKI 10.000 May 2015
8 YKI-Pusat 500 May 2015
9 FISIP UI 500 May 2015
10 Pameran Kokas 500 May 2015
Total 79.700

Healthy Lifestyle and Breast Cancer Awarenes

No Type Destination Qty Time
Provincial and Regional Refferal Hospital in
1 Brochure Indonesia 30000 October 2015
2 YKI DKI 5000
3 YKI Pusat 5000
4 CISC 5000
5 Ministry of Health, Health Promotion 5000
Total 50000 October 2015
 AWARENESS

Promotion Materials Ditribution

Distribution Atribute World Cancer Day 2016
Type Time

No Destination Pocket Calender T- Shirts Sticker Flyer

1 Hospital 43000 1469 25100 19000
2 Organisation/ NGO 12390 665 9500 -
3 YKI 6200 340 3700 -
4 KPKN Event 15000 300 10000 10000 Februari 2016
Total 76590 2774 48300 29000 Februari 2016
 AWARENESS

Video Distribution
No Type Detail Location
Educational Istana Negara
1 Video Fakta kanker & IVA Youtube, SCTV, Berita 1, Metro TV
Dokter Bicara Kanker 13
3 Video episode Liputan 6
Educational Pola Hidup CERDIK Hindari Youtube, social media, RS Besar seluruh
4 Video Kanker Indonesia, videotron di DKI Jakarta
Journey of HOPE : Jakarta
5 Video (bersama Gelang Harapan) Youtube
Youtube, social media, RS Besar seluruh
Educational Indonesia, Videotron di DKI Jakarta ( 6 Titik
6 Pengobatan Kanker
Video di DKI Jakarta)
https://www.youtube.com/watch?v=7D4r9tJqHNo Fakta kanker 1:39

https://www.youtube.com/watch?v=1l5MT9y8usw Jingle IVA 1:05

http://video.liputan6.com/health/dokter-bicara-kanker-seluk-beluk-kanker-
edisi-full-2190879 Dokter Bicara Kanker @11:00 – 15:00

https://www.youtube.com/watch?v=xW8emSVko0Q Pola Hidup CERDIK Hindari Kanker

https://www.youtube.com/watch?v=GmrWIYaMFZ4 Journey of Hope : Jakarta

Film About Cancer “I am Hope”
LOKASI DAN PENAYANGAN

Metropole XXI (Jl. Pegangsaan No.12)

Wednesday, 2 March 2016
Show 1 : 2:30 PM (126 person)
Show 2 : 4:45 PM (126 person)
Show 3 : 7:00 PM (126 person)

Friday, 4 March 2016

Show 1 : 4:45 PM (126 person)
Show 2 : 5:00 PM (142 person)

Thursday, 17 March 2016

Show 1: 4:45 PM (142 person)
Medsos
Media cetak
Radio
Televisi
Seminar awam
Celebrities
Tokoh2 negara
unsur di masyarakat
Ruang tunggu
Di jalan (videotron)
Flyer
dlsb
IMPACT OF AWARENESS
Number of 30-50 Year Old Women
Screened 2009 - 2014
More increase
1,000,000
jan – april vs may – june 13 times
900,000
904,099
800,000

700,000
644,951
600,000
Number

575,503
500,000

400,000
338,531
300,000
291,473
200,000
172,316
100,000

-
2009 2010 2011 2012 2013 2014
Year
From 36,7 million (2.45%)
 National and Provincial Referral Hospital

STANDARD
GUIDELINES

14 national 20 provincial
referral hospital referral hospital
 Existing Resources

PERHOMPEDIN POI IKABDI

PERDATI
N
Ministry of Health
Analysis and revision

PUOI PORI IDAI HBTKI PERABOI Inter Sectoral

Partnership
PDGKI IAPI PABOI
PERDOS PDPI Input form experts and
SI
societies
HOGI PDSKJI
PERDAMI PERSPEBSI

PERHATI-KL PDSKJI
PDSRI

Reconsiliation and dan

Finalisation
YKI CISC YOAI

OASE HOPE YKAKI

Implementation
 STANDARD AND GUIDELINES

WORKSHOP

GUIDELINE FOR CANCER

SERVICE IMPLEMENTATION
in Referral System Hospital

GUIDELINE FOR MULTIDISCPLINE

TEAM DEVELOPMENT ACUAN PPK
 STANDARD AND GUIDELINES
PENCEGAHAN DETEKSI DINI TERAPI KANKER
PALIATIF
Training of Trainers IVA n SADARI
REGISTRASI KANKER
WORKSHOP
Master Trainer
COURSE DESIGNERS

Master Trainer
Supervision
Trainer Madya
Nasional PROVINCE TOT
Supervision
Trainer Madya
Provinsi Public seminar

MEDICAL SYMP PUBLIC SYMP

For MEDICAL AND SURVIVOR / PUBLIC GROUP

 Pengeluaran biaya kesehatan cenderung lebih
besar menjelang akhir masa hidup:
Futile treatment? Permintaan pasien?

?
Pengeluaran biaya Kesehatan pada 24 Bulan Terakhir Masa Hidup (Fassbender et al 2009)
Promotion Screening
Prompt
and and early Diagnosis Rehabilitation
Treatment
Prevention detection

Primary Health Service Secondary Health Service Tertiary Health Service

Puskesmas, Primary Clinic (Clinics, Hospital Type B-C-D) Referral Hospital (Type A)
INFORMATION AND DATA
National Official Website for Cancer Program and Information

http://www.kanker.kemkes.go.id
INFORMATION AND DATA

INACARE – Indonesian Cancer Profile

FILTERED BY NATIONAL ID NUMBER

Hospital Visitation

Collecting data from national hospitals to get a quick glimpse about the
cancer burden in all over Indonesia….. While awaiting for the real
National PBCR resultc

Update 18 February 2016:

Total 102.226 data from 21 hospitals in Sumatra, Java, Sulawesi
 1: 3.7 1: 3.7
Distribution and access………….
43.309.707
1: 4.3
11.331.558 14.946.488
4.211.532
to Radiotherapy Centers
121.352.608 11.112.702 0:~
1: 2.1 1: 3.7

Summary 2016
Total : 30 centers
19 Cobalt, 25 Linacs (44 RT Machines)
Estimated 2017
Total :
Add +7 centers (Total: 37 Centers)
Add +32 linacs (Total: 72 RT machines)
 VISION 2019
Reducing Cancer Morbidity and Mortality in Indonesia

S
FINANCIAL
Establishment of Monitoring the
health seeking Implementation of cancer Effective and efficient referral
Establishment of behavior treatment based on system for multidiscipline

STRATEGIC EFFORT
sustainable budgeting Empowering primary national guidelines , cancer care
healthcare for early patient safety, and quality
detection, palliative standard
Establishment of
and rehabilitation care
effective education for
ORGANIZATION healthy lifestyle and Empowering hospice and
cancer awareness home care system
Establishment of National
Body
I
Effective partnership and advocation Establishment of research unit Improvement of oncology
REGULATION with national and international bodies and HTA for cancer module in medical curriculum

Regulation for cancer AWARENESS PENDATAAN /

RESOURCES

prevention REGISTRY Fulfillment and

Increased quantity and Availability and distribution of Establishment of national
quality of human implementation of IT cancer facility as cancer treatment
Regulation of Complementay
resources in Oncology system and cancer standard guidelines
and Alternative Medcine
registry
The Roadmap of NCCC

• Collecting available resources

• Capacity building
Phase 1 Catch the
• Decide the highest priority in grass roottime to solve, the
….. AWARENESS highest
CANCER priority
SCREENING, STANDART GUIDELINES, CANCER
(First Year) DATA / REGISTRY

Organizational workflow, and structure

Improved andConsolidating
completed thetoRENSTRA
set up sustainable andbudgeted
(countable and continuous) program
Phase 2
(Second Year) Receive feedback, Perfecting the products

• Go Professionally
Phase 3 Mature System
• Evaluating programs
(Third to Fifth • Continuous Improvement Cycle
Year)
Globalization is COMPETITION !.
TERIMA KASIH
 Distribusi geografik, Eksisting
1 RSPAD Gatot Subroto

RSU Sumber Waras RSUPN Dr Cipto

4 Mangunkusumo

RS Kanker Dharmais 2

1 RSUP Persahabatan

RSUP Fatmawati

RSU Pasar Minggu

 Indikasi RT (CCORE – Barton IMRT / SBRT (<20%=0, s/d Estimasi Load IMRT
Kasus Proporsi (GLOBOCAN) Jumlah et al) Estimasi Kebutuhan 80%=0.5, >80%=1) / SBRT
Lip, oral cavity 1.8 287 0.78 223 1 223
Nasopharynx 4.4 700 0.85 595 1 595
Other pharynx 0.7 111 0.78 87 1 87
Oesophagus 0.7 111 0.8 89 0.5 45
Stomach 2 318 0.68 216 0 0
Colorectum 9.3 1480 0.308 456 0 0
Liver 6 955 0.05 48 0.5 24
Gallbladder 0.5 80 0.13 10 0 0
Pancreas 1.9 302 0.57 172 0 0
Larynx 0.9 143 0.78 112 0.5 56
Lung 11.6 1846 0.76 1403 0.5 702
Melanoma of skin 0.4 64 0.38 24 0 0
Kaposi sarcoma 0 0 0 0 0 0
Breast 16.4 2610 0.83 2167 0 0
Cervix uteri 7 1114 0.8 891 0 0
Corpus uteri 2.2 350 0.35 123 0 0
Ovary 3.4 541 0.35 189  40% unt DKI  4 pesawat
10 pes 0 0
Prostate 4.6 732 0.6 439 1 439
Testis 0.6 96 0.49 47 0 0
Kidney 1.1 175 0.27 7500 /
47 500  15 – 4  11 kekurangan
0 …. 0
Bladder 2.3 366 0.58 212 0.5 106
Brain, nervous system 1.6 255 0.92 234 0.5 117
Thyroid 2.6 414 0.1 41 0 0
Hodgkin lymphoma 0.4 64 0.65 41 0.5 21

Non-Hodgkin lymphoma 4.4 700 0.65 455 0.5 228

Multiple myeloma 0.8 127 0.38 48 0 0
Leukaemia 3.3 525 0.04 21 0 0
Ekstrapolasi Globocan 2012 14469 0.514 7437 2643
 Distribusi geografik, Alokasi
B Koja +1
Cengkareng 1 RSPAD Gatot Subroto +1
Tarakan
+1 RSU Sumber Waras B
4
RSUPN Dr Cipto Mangunkusumo
+1
+1

+1 RS Kanker Dharmais 2

1 RSUP Persahabatan +1
+1 RSUP Fatmawati B

+1 RSU Pasar Minggu

Pasar Rebo
+1 B Budi Asih +1
RS PON