The document summarizes a speech given by Prof. Ari Natalia Probandari on COVID-19's impact on Indonesian health systems resilience. Some key points:
- The pandemic tested Indonesia's health system resilience based on characteristics of being aware, diverse, self-regulating, and integrated.
- Early response was slow and lacked reliable data. Supplies and testing capacity were insufficient. Many health workers got infected due to poor infection control.
- Lessons include the need for rapid diagnostic tools, coordination between sectors, reducing stigma, ensuring access to supplies and technology, and strengthening primary care to support outbreak responses while maintaining other health services.
- Recommendations are made to reorganize health services
Membuat Dokumen Panduan bagi Rumah SakitCahya Legawa
Dokumen panduan dalam area rumah sakit sangat penting. Namun belum banyak yang mampu menyusun dokumen panduan dari awal secara mandiri. Presentasi ini memberikan gambaran bagaimana menyusun sebuah dokumen panduan/pedoman yang dapat digunakan di rumah sakit. Mengingat juga saat ini pedoman menjadi sesuatu yang esensial dalam proses akreditasi rumah sakit.
Walau pun tidak lengkap, namun presentasi ini sudah meliputi memperkenalkan komponen-komponen apa yang sebaiknya ada di dalam sebuah panduan, baik itu komponen utama seperti pendahuluan, isi, dan penutup. Ataupun komponen tambahan seperti halaman judul, ISBN, dan lainnya, meskipun tidak diperinci kembali.
Anda bisa secara bebas menggunakan presentasi ini sesuai dengan keperluan Anda.
Delivering high quality, equitable care in india an ethically-resilient fram...Ahmad Ozair
Developing countries struggle to provide high-quality, equitable care to all. Challenges of resource allocation frequently lead to ethical concerns of healthcare inequity. To tackle this, such developing nations continually need to implement healthcare innovation, coupled with capacity building to ensure new strategies continue to be developed and executed. The COVID-19 pandemic has made significant demands of healthcare systems across the world-to provide equitable healthcare to all, to ensure public health principles are followed, to find novel solutions for previously unencountered healthcare challenges, and to rapidly develop new therapeutics and vaccines for COVID-19. Countries worldwide have struggled to accomplish these demands, especially the latter two, considering that few nations had long-standing systems in place to ensure processes for innovation were ongoing before the pandemic struck. The crisis represents a critical juncture to plan for a future. This future needs to incorporate a vision for the implementation of healthcare innovation, coupled with capacity building to ensure new strategies continue to be developed and executed. In this paper, the case of the massive Indian healthcare system is utilized to describe how it could implement this vision. An inclusive, ethically-resilient framework has been broadly laid out for healthcare innovation in the future, thereby ensuring success in both the short-and the long-term.
Membuat Dokumen Panduan bagi Rumah SakitCahya Legawa
Dokumen panduan dalam area rumah sakit sangat penting. Namun belum banyak yang mampu menyusun dokumen panduan dari awal secara mandiri. Presentasi ini memberikan gambaran bagaimana menyusun sebuah dokumen panduan/pedoman yang dapat digunakan di rumah sakit. Mengingat juga saat ini pedoman menjadi sesuatu yang esensial dalam proses akreditasi rumah sakit.
Walau pun tidak lengkap, namun presentasi ini sudah meliputi memperkenalkan komponen-komponen apa yang sebaiknya ada di dalam sebuah panduan, baik itu komponen utama seperti pendahuluan, isi, dan penutup. Ataupun komponen tambahan seperti halaman judul, ISBN, dan lainnya, meskipun tidak diperinci kembali.
Anda bisa secara bebas menggunakan presentasi ini sesuai dengan keperluan Anda.
Delivering high quality, equitable care in india an ethically-resilient fram...Ahmad Ozair
Developing countries struggle to provide high-quality, equitable care to all. Challenges of resource allocation frequently lead to ethical concerns of healthcare inequity. To tackle this, such developing nations continually need to implement healthcare innovation, coupled with capacity building to ensure new strategies continue to be developed and executed. The COVID-19 pandemic has made significant demands of healthcare systems across the world-to provide equitable healthcare to all, to ensure public health principles are followed, to find novel solutions for previously unencountered healthcare challenges, and to rapidly develop new therapeutics and vaccines for COVID-19. Countries worldwide have struggled to accomplish these demands, especially the latter two, considering that few nations had long-standing systems in place to ensure processes for innovation were ongoing before the pandemic struck. The crisis represents a critical juncture to plan for a future. This future needs to incorporate a vision for the implementation of healthcare innovation, coupled with capacity building to ensure new strategies continue to be developed and executed. In this paper, the case of the massive Indian healthcare system is utilized to describe how it could implement this vision. An inclusive, ethically-resilient framework has been broadly laid out for healthcare innovation in the future, thereby ensuring success in both the short-and the long-term.
As the world prepares to celebrate World Health Day on April 7th, the global focus turns to the critical issue of ensuring universal access to quality healthcare.
Review of "A Manifesto: Healing a Violent World," RF Mollica, et al.Université de Montréal
V Di Nicola. Review of A Manifesto: Healing a Violent World, RF Mollica, et al. Global Mental Health & Psychiatry Review, Autumn 2020, 1(3): 6-7.
his beautifully crafted volume, published in 2018, announces a manifesto for healing a violent world. It is in fact, not one but three manifestos – “Healing a Violent World,” “Healing the Healer,” and “Healing Power of Justice.” Each one is followed by a poem by Marjorie Agosin, ably translated from the Spanish by Celeste Kostopulos-Cooperman. The heart of the matter is these three manifestos which create a humanistic tapestry, compassionately stated, and deeply informed by the science and art of psychiatric medicine, while the tapestry is embroidered with original artwork by Nisha Sajnani and framed by the richly allusive poetry of Marjorie Agosin with a lovely Afterword.
Mollica touches on the themes that have animated his career: the trauma story and the wounded healer which were the core of his previous volumes, Healing Invisible Wounds (2006) and Textbook of Global Mental Health: Trauma and Recovery (2012). Each manifesto is rich and nuanced and carries a core message. “Manifesto I” recognizes the trauma around us and the need to heal a violent world. Key notions include the trauma story, the wounded healer, and the need for personal healing or self-care. This Manifesto’s most stirring phrase in my reading is: “Except in beauty, there is no healing. Beauty is the salve and ointment that creates our healing space and healing relationships.” (P.5). “Manifesto II” asserts hope to deal with the enormity of the world’s crises. The key words here are hope and empathy, along with gratitude to the wounded healer. It’s deepest affirmation is this: “Empathy is a biological miracle uniting all living creatures and the planet earth itself.” (P. 14). Manifesto III embraces the healing power of justice. The key here is the foundation of justice in beauty: “Justice is beautiful as it creates harmony and symmetry in the world that resonates with all animals, plants, and people. Injustice is ugly ...” (P. 28). The accompanying essays enrich Mollica’s core message of beauty and caring for others in the healing context of relationships.
This is a volume to read slowly, aloud if possible, inspired as it is by poetry and sacred texts; a volume that instructs as it heals; a volume to cherish. It sums up the masterful life and career of a healer, synthesizing the compassionate mission of psychiatric medicine with a paean to justice and beauty. It should not surprise that Mollica has a Master’s degree in Religious Arts from Yale. With its humanistic message and call for healing, Mollica’s Manifesto joins the corpus of devotional literature resonant with Teresa d’Ávila’s The Interior Castle and Ignatius Loyola's Spiritual Exercises.
THE ROLE OF PUBLIC HEALTH SYSTEM IN IMPROVING THE HEALTH OF INDIANSShalvi Shankar
Public Health helps achieve the discovery, test and dissemination of health threat and problems. India is a nation that comprises many languages, religions, life styles and food habits which accounts one sixth of the world’s population occupying less than 3% of the world’s area
The COVID-19 pandemic provided lessons for health policies across the globe. We assessed the knowledge, attitudes and practices of vulnerable populations in an informal settlement in Mumbai,
India, during the pandemic.
Nachiket Mor IT for primary healthcare in indiaPankaj Gupta
An Approach Towards Health Systems Design in India,
Information technology for Primary Healthcare in India,
Johns Hopkins University,
March 2020,
13 citations - [Streveler and Gupta, 2019] - Health Systems for New India - Niti Aayog Book published in Nov 2019,
eObjects - eClaims, eDischarge, ePrescription, eEncounter, eReferral,
In the works, an Epidemic Intelligence Service by Dr.Mahboob ali khan Phd Healthcare consultant
The professional activities of EIS graduates demonstrate the significant contributions they make to the practice of public health. Approximately one hundred of them have been or are state epidemiologists, sixteen have been state health commissioners, and twelve have been deans of schools of public health. Others have had important positions at universities and colleges, such as chancellors, deans, and department chairs.
COVID-19 Pandemic impacted food security and caused psychosocial stress in so...Olutosin Ademola Otekunrin
The COVID-19 disease has infected many countries, causing generalized impacts on different income categories. We carried out a survey among households (n = 412) representing different income groups in Nigeria. We used validated food insecurity experience and socio-psychologic tools. Data obtained were analyzed using descriptive and inferential statistics. The earning capacities of the respondents ranged from 145 USD/month for low-income earners to 1945 USD/month for high-income earners. A total of 173 households (42%) ran out of food during the COVID-19 pandemic. All categories of households experienced increasing dependency on the general public and a perception of increasing insecurity, with the high-income earners experiencing the greatest shift. In addition, increasing levels of anger and irritation were experienced among all categories. Of the socio-demographic variables, only gender, educational level of the household head, work hours per day, and family income based on society class were associated (p < 0.05) with food security and hunger due to the COVID-19 pandemic. Although psychological stress was observed to be greater in the low-income earning group, household heads with medium and high family income were more likely to have satisfactory experiences regarding food security and hunger. It is recommended that socio-economic groups should be mapped and support systems should target each group to provide the needed support in terms of health, social, economic, and mental wellness.
Similar to Pidato pengukuhan guru besar Prof. Ari Natalia Probandari (20)
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
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Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
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Maxilla, Mandible & Hyoid Bone & Clinical Correlations by Dr. RIG.pptx
Pidato pengukuhan guru besar Prof. Ari Natalia Probandari
1.
2.
3. COVID-19 PANDEMIC AND INDONESIAN
HEALTH SYSTEMS RESILIENCE:
Lessons Learned and Ways Forward
Professor Inaugural Speech
Public Health Science
Faculty of Medicine
Universitas Sebelas Maret
Delivered in General Academic Senate Assembly
Universitas Sebelas Maret
20th of May, 2020
By:
Prof. Ari Natalia Probandari, dr., M.P.H., Ph.D.
UNIVERSITAS SEBELAS MARET
SURAKARTA
2020
4.
5. COVID-19 pandemic and Indonesian health systems resilience
Prof. Ari Natalia Probandari, dr., M.P.H., Ph.D.| 1
Your excellency,
Rector of Universitas Sebelas Maret,
Chair of Academic Senate,
Vice-Rectors,
Secretary and members of the academic senate,
Deans and Directors,
Head of Departments,
Academic staff and students,
Journalists,
Families and relatives,
And all audiences that follow this event through teleconference and
social media.
Good Afternoon
Assalamualaikum warahmatullahi wabarakatuh
Selamat Siang
Salam Damai Sejahtera untuk kita semua
Om Swastyastu
Namo Buddhaya
Salam Kebajikan
Ladies and gentlemen,
First of all, let us give thanks to God the Almighty for giving us
blessings, strengths, and love within these days of COVID-19
pandemic.
6. COVID-19 pandemic and Indonesian health systems resilience
2 | Prof. Ari Natalia Probandari, dr., M.P.H, Ph.D.
Today, 20th of May 2020, our nation commemorates the national
resurgence day. On 20th of May 1908, several medical students at
STOVIA medical school established Boedi Oetomo, the first national
movement organization in Indonesia. This action triggered thinking
of Indonesia as a nation. Taking this important day, I deliver my
speech in the inauguration as a Professor in Public Health in the
Faculty of Medicine, Universitas Sebelas Maret. My speech is entitled,
COVID-19 pandemic and Indonesian health systems resilience:
lessons learned and ways forward.
Health systems
Ladies and gentlemen,
Health systems are defined as “the people, institution and
resources, arranged together in accordance with established policies,
to improve the health of the population they serve, while responding
to people’s legitimate expectations and protecting them against the
cost of ill-health through a variety of activities whose primary intent
is to improve health.” (WHO, 2000). The definition covers essential,
inter-related aspects that working together to improve the population
health status.
In health systems, there are six subsystems that called six
building blocks, including governance and leadership, financing,
medicine and medical technologies, human resources, health services
provision, and health information systems. To improve the health of
the population, we need good access to quality health services. The
provision of health services requires sufficient and competent health
7. COVID-19 pandemic and Indonesian health systems resilience
Prof. Ari Natalia Probandari, dr., M.P.H., Ph.D.| 3
workforces and optimum health infrastructure (drugs and medical
technologies). Valid, reliable, and timely health information supports
the provision of health services. All of those efforts need financing
and regulation in all subsystems.
World Health Organization (2010) illustrated indicators of well-
functioning health systems. Elaborating that concept, we could assess
the performance of the health system by analysing the performance
of the health system building blocks. For example, in well-
functioning governance and leadership, there are effective regulation
and enforcement mechanisms and effective policy dialogue with
other sectors. Good governance needs valid information on health
challenges. Useful health information provides timely information,
for example, on disease surveillance, access to health services, and
human resources for health. Well-performing health financing is
characterized by available and productive systems to raise funds for
health systems. This is necessary to provide universal coverage to
protect the community from catastrophic cost due to diseases and to
remove financial barriers to access health service. A well-performing
health workforces is characterized by sufficient, well-distributed, and
competent health staff to provide quality health services. We cannot
say that health systems have been well-functioning if there is
suboptimal service delivery.
Health systems resilience
All distinguish audience,
The reality says the fragility of health systems is often revealed
when they received struck like the situation of disease outbreak,
8. COVID-19 pandemic and Indonesian health systems resilience
4 | Prof. Ari Natalia Probandari, dr., M.P.H, Ph.D.
conflicts, and other disruption to the health of the population (Kieny
et al., 2014). Those situations triggered a surge of demand for health
services and responses in other subsystems of health systems (Kruk et
al., 2015). In other words, the performance of health systems is
reflected by the level of health system resilience. Health system
resilience can be defined as “the capacity of health actors, institutions,
and populations to prepare for and effectively respond to crises;
maintain core functions when a crisis hits; and, informed by lessons
learned during the crisis, reorganize if conditions require it.”
Let us use a synthesis of arguments on health systems resilient
in a various context like Ebola outbreak in Africa (Kruk et al., 2015),
waves of refugees in Lebanon and Syrian (Ammar et al., 2016) to
provide useful lessons learned about the health systems resilience in
relation with COVID-19 pandemic. There are four characteristics of
resilient health systems, i.e., aware, diverse, self-regulating, and
integrated (Kruk et al., 2015). Resilient health systems have updated
and utilized the health information system on the status of systems
and potential risks of crisis. They should be diverse to address a
broad spectrum of health challenges at all levels, including primary
health care facilities. Resilient health systems are self-regulating,
presenting the ability to recognize and isolate the public health
problem, reducing any unnecessary disruption of essential health
service provision during the crisis, and identify available locations
with excess capacity. Moreover, resilient health systems allow the
integration of actors and ideas for the development of collegial
actions for crisis solutions.
9. COVID-19 pandemic and Indonesian health systems resilience
Prof. Ari Natalia Probandari, dr., M.P.H., Ph.D.| 5
COVID-19 pandemic and health systems resilience
Disease outbreak has been shocking for the health system in
many countries, including Indonesia. The COVID-19 crisis has been
providing us the realities of our health systems resilience. As of 9th of
May, 2020, the COVID-19 has affected 13,645 people in Indonesia,
with 959 mortality. Furthermore, there were 29,690 probable cases in
hospitals across the country (https://covid19.go.id/peta-sebaran,
2020).
Using Kruk et al.’s framework of resilient health systems
(aware, diverse, self-regulating, and integrated), let us reflect the
performance of the Indonesian health systems in responding to the
COVID-19 pandemic.
Our government was late to response to the threat of the
COVID-19 pandemic in Indonesia (Djalante et al., 2020). In early
February 2020, a modelling study revealed a potential transmission of
COVID-19 in Indonesia. However, the Ministry of Health did not
utilize that information for a better outbreak response. After the
announcement of the first two cases of COVID-19 in Indonesia, the
government provides a web-based live data on the progress of
COVID-19 case detection and treatment. However, data transparency
and validation have been criticized. Nevertheless, in the situation of
the COVID-19 pandemic, there is a demand for real-time, valid, and
reliable disease monitoring systems (Leon et al., 2020) for case
detection, contact tracing and monitoring the isolation and care.
The COVID-19 pandemic is a test for our supply chain
management of medical supplies and technology. During the early
pandemic, there is a resurge of the need for medical supplies, while
10. COVID-19 pandemic and Indonesian health systems resilience
6 | Prof. Ari Natalia Probandari, dr., M.P.H, Ph.D.
the availability was limited. Many hospitals and primary health care
facilities announced through social media that they lacked personal
protective equipment for their staff. Many people were panic and
utilized medical personal protection devices, which made the
problem worse.
We learned that the capacity of the diagnostic of infectious
diseases like COVID-19 in primary health care facilities is lacking. In
addition to that, the capacity of the referral health care facilities is not
prepared for a sudden increase of diagnostic tests. On 19th of March,
2020 President Joko Widodo announced the plan of having mass
rapid diagnostic tests. However, the decision received critics due to
improper selection of the type of rapid diagnostic test. Later, the
government with a consortium of universities started to have a
research for a better rapid diagnostic test. Up to recent, the coverage
of diagnostic test for COVID-19 in Indonesia, is still below the
world’s average.
Similarly, for the medical technology, in the early response to
the pandemic, many hospitals suffered from lacking ventilators. In
April 2020, the government announced the plan to have mass
production of ventilators in collaboration with universities and
industries. In fact, the COVID-19 pandemic has been acting as a
lesson that health is not the business of health care facilities and
the government only. COVID-19 pandemic induced responses also
from the public, industry, and other sectors (Elavarasan &
Pugazhendhi, 2020). South Korea was succeeded to respond to the
COVID-19 outbreak by a rapid development of new diagnostic tools
and used that for screening the population (Oh et al., 2020). This
show lesson that domestic capacity and coordination among various
11. COVID-19 pandemic and Indonesian health systems resilience
Prof. Ari Natalia Probandari, dr., M.P.H., Ph.D.| 7
sectors are important aspects to aware, diverse, self-regulating, and
integrated health systems.
The COVID-19 pandemic revealed reality on lacking
awareness and proper practice of infection control. We learned that
many medical staff and nurses passed away due to COVID-19 as a
result of transmission in health facilities. In the condition of personal
protection equipment shortage, many health staff had less motivation
to keep the service. This is humane. Previous research showed that
even in the normal situation, lacking personal protective equipment
and supportive infrastructure of infection control influenced the
motivation of health staff in providing services for patients with an
infectious respiratory disease like Tuberculosis (Probandari et al.,
2019; Zinatsa et al., 2018). We thank solidarity movements by the
contribution of providing hazmat gown, surgical mask, and face
shields for health staff, even though there was a case of suboptimal
quality. The response of the government and private sectors to
increase the level of production of personal protective equipment had
contributed to a better supply.
Responding to the COVID-19 pandemic, many hospitals and
primary health care providers limit the services, particularly for
chronic diseases, and change the face-to-face consultation to online
interactions. Many webinars have been organized to discuss the
existing evidence that could be used for health care services in the
midst of the COVID-19 pandemic. This phenomenon also happened
in other countries. Telemedicine has been used for delivering health
services in the United States during the pandemic (Ohannessian et al.,
2020). Mobile apps and other digital health solutions have been
adopted to providing health services in Spain (Sust et al., 2020).
12. COVID-19 pandemic and Indonesian health systems resilience
8 | Prof. Ari Natalia Probandari, dr., M.P.H, Ph.D.
Hence, the COVID-19 pandemic exposed the demand for safe and
evidence-based health services by utilizing digital technologies.
We learned the phenomenon of stigma and discrimination to
COVID-19 patients and health staff. It reflects an iceberg
phenomenon of stigma and discrimination related to infectious
diseases because those problems have been identified and
acknowledged for many years (Craig et al., 2017). COVID-19
pandemic gives us lessons that we have not successfully reduced
the stigma and discrimination due to infectious diseases.
While there have been increasing access to COVID-19
information on social media in global level (Abd-Alrazaq et al.,
2020), including Indonesia, social media provide challenges on the
spread of fake news on COVID-19 (Sentell et al., 2020; Djalante et al.,
2020). This reality gives us lessons about how people access and
utilize health information during the pandemic. It perhaps also
modes of our public health communication in the future. Our
government provides a daily update on the COVID-19 epidemiology.
However, the question is how the information influences the
awareness of the community to contribute to the existing efforts to
flatten the epidemic curve. In everyday life in Indonesia, we still find
people without proper personal protective equipment and physical
distancing on streets and markets.
The policy of social distancing initiated by the national
government was challenged in the context of decentralization.
Further, coordination among ministries and local government has
been initiated. However, we learned that the implementation of the
policy on ground level is not systematic.
13. COVID-19 pandemic and Indonesian health systems resilience
Prof. Ari Natalia Probandari, dr., M.P.H., Ph.D.| 9
COVID-19 pandemic influenced the performance of other
disease control programs. A recent modeling study from WHO
estimated a decrease in the global Tuberculosis detection by 25%
during three months of pandemic compared to the period before the
pandemic. The study also predicted a 13% increase in tuberculosis
death during the COVID-19 pandemic (Glaziou, 2020). That
happened because of the lockdown and reallocation of health
personnel and equipment to respond COVID-19 pandemic. The
recent national Tuberculosis program showed the lower performance
of the national tuberculosis indicators during the first quarter (Q1) of
2020 (January-April 2020) compared to the same quarter in 2019. For
instance, the number of notified drug-sensitive Tuberculosis cases in
Q1 2020 is only 34,289 compared to 145,307 in the Q1 of 2019. The
treatment success rate for drug-sensitive tuberculosis cases in the Q1
of 2020 in national and all provinces in Indonesia are less than the
target of 90%. There are concerns about the potential unnecessary
impact of COVID-19 pandemic to the morbidity and mortality of non-
communicable diseases like hypertension, cardiovascular diseases
(Kluge et al. 2020; Yang et al., 2020) and mental health (WHO Europe,
2020; Yao et al., 2020).
Meanwhile, the operational budget for the health programs is
reallocated for the COVID-19 pandemic response. However, COVID-
19 pandemic should not shift our attention to keep the core function
of public health programs. The cost due to reducing the performance
of other disease control programs will be unnecessary priceless.
Now, let us answer this question: are our health systems aware,
diverse, self-regulating, and integrated? We should appreciate all the
efforts from all parties in the phase of the disaster response of the
14. COVID-19 pandemic and Indonesian health systems resilience
10 | Prof. Ari Natalia Probandari, dr., M.P.H, Ph.D.
COVID-19 pandemic. However, facts showed that the health systems
are not adequately resilient, particularly in the early response of
disease outbreak. Gradually, our health systems are learning to
strengthen themselves. The access to screening, diagnosis, and
treatment of COVID-19 has been improving. However, without
sufficient awareness of the community on the strategy to reduce the
transmission of COVID-19, we could not have better health system
resilience. We also learned that our health systems are insufficient for
keeping the core public health functioning. Our community could be
both supporter and barrier to the health systems resilience.
How can we better strengthen the resilience of Indonesian
health systems to prepare for the crisis due to disease
outbreak?
I agree with the arguments of others that “the COVID-19 crisis
will force us to reimagine the broken systems of health.”
(Shamasunder et al., 2020). Adapting the conceptual frameworks on
resilient health systems (Kruk et al., 2015, Nuzzo et al., 2019), I would
propose nine recommendations to the national and local
government as the way forward for preparing health systems to the
potential crisis related to the disease outbreak. The
recommendations are shortened in the acronym of RESILIENT.
R : reorganize the health services provision in Indonesia by
strengthening the role of primary health care facilities in
preventive services. The investment should be given to
improve human resource capacity to conduct screening,
15. COVID-19 pandemic and Indonesian health systems resilience
Prof. Ari Natalia Probandari, dr., M.P.H., Ph.D.| 11
contact tracing, and surveillance. It will reduce the burden of
referral health care facilities in outbreak response. Health staff
in public and private health care facilities should receive
better training on infection control. This is essential to support
their motivation in providing health services and ensure the
optimal quality of services.
E : Ensure the production and access to medical supplies and
technology, including the infrastructures of infection
control, screening, diagnostic, and treatment. Nevertheless,
domestic capacity in the national industry should be
improved and the dependency to imported supplies and rapid
diagnostic as well as other medical technologies should be
minimized. More investment to the development of medicine
and medical technologies should be made. Incentives should
be given to the production of innovation.
S : Support the utilization of innovative procedures to provide
quality health services, like the use of telemedicine for health
services. More research should be conducted to give us
knowledge on the current situation of the Indonesian health
systems and identify which part of the health systems should
be organized. We have to assess how the pandemic changes
the treatment-seeking behavior of community. We have to
find “the new normal” for our health care provision.
I : Improve surveillance systems that could be adapted and
prepared for ‘a new disease’ and provide valid, reliable, and
timely information. The availability and utilization of valid,
reliable, and timely surveillance systems will provide
16. COVID-19 pandemic and Indonesian health systems resilience
12 | Prof. Ari Natalia Probandari, dr., M.P.H, Ph.D.
evidence for policy-making within the dynamic situation of
the disease outbreak. The improvement should include the
development of an algorithm of the new disease in integration
with other diagnostic algorithms of other disease with similar
symptoms. For example, there is a need for the development
of an algorithm to differentiating influenza, pneumonia, and
TB. Internet of things will be a potential technology for
supporting disease surveillance systems in the future.
L : Look into evidence on the unnecessary impact of disease
outbreak to the health status of the population in order to
reorganize the health systems if necessary. It includes the
impact of the crisis on other communicable diseases and non-
communicable diseases.
I : Investment in health systems strengthening, including
industry 4.0. technologies and other innovations that can
support the health services provision, health information, and
human resource capacity building.
E : Extend massive public health education with a proper
communication strategy to improve health literacy at all
levels. Public health education should involve religious
leaders and informal community actors. Interprofessional
collaboration with social scientists is needed in developing
and implementing communication strategy. The utilization of
social media to support health systems strengthening should
further explored.
N : Nurturing the governance and leadership at the
implementation level. It covers leadership in at the national
17. COVID-19 pandemic and Indonesian health systems resilience
Prof. Ari Natalia Probandari, dr., M.P.H., Ph.D.| 13
level among ministries and coordination between
surrounding districts and provinces. The national government
should keep the role of leading the “orchestra” of various
stakeholders in the national and local context
T : Tailor resources management to keep the core public health
programs in Indonesia. It will prevent higher catastrophic
costs due to undermanaged public health programs during
the pandemic.
I agree with the argument of our national government “to have
a peace with COVID-19 and to adapt the new normal”. However, in
order to have better new normal, we have to improve our health
systems resilience.
Ladies and gentlemen,
Before I end this speech, let me express my sincere gratitude to
Allah the Almighty who gave me blessing, strength and health so
that I could deliver my speech today. I would also give my
appreciations to individuals and institutions that contributed to this
academic achievement in both Bahasa Indonesia and English.
I express my deepest gratitude to the Minister of Education and
Culture, Republic of Indonesia for the decision to promote me for this
highest academic position as a professor in Public Health. I also thank
Rector and Vice Rectors, the Chair, Secretary and Members of the
Academic Senate of Universitas Sebelas Maret for support me to this
professorship promotion. I also express my gratitude to the Dean and
Vice Deans of the Faculty of Medicine Universitas Sebelas Maret for
their support.
18. COVID-19 pandemic and Indonesian health systems resilience
14 | Prof. Ari Natalia Probandari, dr., M.P.H, Ph.D.
My sincere thanks goes to Prof. Dr. Hartono, dr, M.Si., and Dr.
Budiyanti Wiboworini, dr, M.Kes., SpGK, the Dean and Vice Dean of
the Faculty of Medicine Universitas Sebelas Maret period of 2015-
2019 for all directions, support and advice. Thank you to Prof. Drs.
Suranto, M.Sc., Ph.D., and Prof. Dr. Tulus Haryono, S.E., M.Ek. for
their support and advice during the application of professorship
promotion.
I also thank to the inauguration assistance team: Prof. Drs.
Hasan Fauzi, M.B.A., Ph.D., Ak.; Prof. Dr. Agr. Ir. Vita Ratri Cahyani,
M.P.; Prof. Drs. Suranto Tjiptowibisono, M.Sc., Ph.D., Prof. Dr. Wakit,
M.Hum., Prof. Dr. Mahendra Wijaya, M.S., Prof. Dr. Dwi Aries
Himawanto, S.T., M.T., Prof. Dr. Sarwiji Suwandi, M.Pd., Prof. Drs.
Djoko Suhardjanto, M.Com (Hon), Ph.D., Ak, Prof. Dr. Soetrisno, dr.,
Sp.OG(K), Prof. Dr. Hartiwiningsih, S.H., M.Hum., Prof. Dr. Agus
Kristiyanto, M.Pd., and Prof. Dr. Narsen Afatara, MS, and all Senate
secretariat office staff for guidance and assistance during the
preparation of this inauguration ceremony. Special thanks for dr.
Vitri Widyaningsih, M.S., Ph.D., dr. Maria Endang Sumiwi, M.P.H.
and Dr. Eti Poncorini Pamungkasari, dr., M.Pd. who gave inputs on
this speech. I thank all staff at the faculty and university level who
helped with the preparation.
Ungkapan terima kasih saya pada guru-guru saya di SDN Cengklik I
Surakarta, SMPN 1 Surakarta, SMAN 1 Surakarta yang telah
menanamkan rasa cinta kepada ilmu pengetahuan. Terima kasih juga saya
sampaikan kepada dosen-dosen saya di Fakultas Kedokteran Universitas
Gadjah Mada atas inspirasi dan teladan menjadi dokter-dosen-peneliti. My
sincere gratitude to the late Prof. Iwan Dwi Prahasto, dr. MSc., Ph.D. who
19. COVID-19 pandemic and Indonesian health systems resilience
Prof. Ari Natalia Probandari, dr., M.P.H., Ph.D.| 15
passed away due COVID-19. I will remember his last advice to me for
conducting research for the benefits of Indonesia.
Thank to Prof. Anna-Winkvist, Prof. Anna Karin Hurtig, Prof.
Lars Lindholm and Prof. Adi Utarini, dr, M.Sc., M.P.H., Ph.D. who
were my supervisors during the training for master and doctoral
degree. They are my role models of humble scientists.
Kasih Allah sungguh hadir melalui orang-orang yang menjadi teman
perjalanan akademik dan kehidupan saya. Kepada teman sejawat saya di
Bagian Ilmu Kesehatan Masyarakat Fakultas Kedokteran
Universitas Sebelas Maret: Dr. Sumardiyono, S.K.M., M.Kes, Dr. Eti
Poncorini Pamungkasari, dr, M.Pd., dr. Vitri Widyaningsih, M.S., Ph.D.,
dr. Balqis, M.Sc., FM-CM., dr. Arsita Eka Prasetyawati, M.Kes., Dr. Anik
Lestari, dr, M.Kes., Dr. Diffah Hanim, dra, M.Si. Kepada para senior saya:
Prof. A.A. Subijanto, dr, M.S., Prof. Dr. Santoso, dr, SpOk, Prof. Bhisma
Murti, dr, M.P.H., M.Sc., Ph.D., Prof. Dr. Endang Sutisna Sulaeman dr,
M.Kes, dr. Liana Damayanti, M.Kes, Drs. Harjono, M.Kes. atas dukungan
yang diberikan.
Kepada para kolega saya di Jejaring Riset Tuberkulosis
Indonesia, dan Komite Ahli Tuberkulosis Kementerian Kesehatan
Republik Indonesia saya ucapkan banyak terima kasih. Khususnya Dr.
Bachti Alisjahbana, Sp.PD(KPTI), Ph.D. yang telah memberikan
kepercayaan pada saya untuk menjadi bagian dari jejaring riset yang luar
biasa. Terima kasih kepada Prof. Dr. Chatarina Umbul Wahyuni, dr, MS
dan Dr. Bagoes Widjanarko, dr, MA yang telah memberi banyak kesempatan
untuk berjejaring dalam pendidikan. Kepada para senior dan kolega lain: dr.
Pandu Riono, Ph.D., M. Noor Farid Ph.D, dr. Sumanto Simon, Sp.PK,
Ph.D, Dr. Wayan Gede Artawan Eka Putra, Dr. Erlina Burhan, SpP(K), dr,
M.Epid, Prof. Rovina Ruslami, dr, SpPD, Ph.D, dr. Finny Fitry Yani
20. COVID-19 pandemic and Indonesian health systems resilience
16 | Prof. Ari Natalia Probandari, dr., M.P.H, Ph.D.
SpA(K), Prof. Sudijanto Kamso, Dr. dr. Soedarsono, SpP(K), dr. Maria
Regina Loprang, dr. Setiawan Jatilaksono, drg. Rina Handayani, dra. Retno
Budiati, Nurjanah, S.K.M., M.Kes, dr. Asik Surya, M.P.P.M., drg. Dyah
Erti Mustikawati, M.P.H., dr. Wiendra Waworuntu, M. Kes., and dr.
Imran Pambudi, M.P.M.H.
In this important event, I would like to thank Pusat Kedokteran
Tropis UGM, Pusat Kebijakan dan Manajemen Kesehatan UGM, Balai
Besar Kesehatan Paru Surakarta, Yayasan KNCV Indonesia, Subdit
Tuberkulosis Kementerian Kesehatan, Regional Training Center
WHO Tropical Disease Research Asia Tenggara, WHO Jakarta, WHO
Tropical Disease Research, USAID, European Commission, and
Alliance for Health Policy and Systems Research for the opportunity
for collaboration in research, training and consultations.
To all Indonesian research collaborators who have been
working together with spirit of collegiality: dr. Yodi
Mahendradhata, M.Sc., Ph.D. (UGM), dr. Riris Andono Ahmad,
MPH, Ph.D. (UGM), Prof. Adi Utarini, dr, M.Sc., M.P.H., Ph.D.
(UGM), dr. Elsa Herdiana, M.Kes., Ph.D. (UGM), dr. Yanri Subronto,
SpPD(KPTI) Ph.D (UGM), Dr. Dra. Siwi Retna Padmawati, MA
(UGM), Prof. Tri Wibawa, dr, SpMK, Ph.D (UGM), Prof. Laksono
Trisnantoro, dr, MSc (UGM), dr. Astri Ferdiana, MPH, Ph.D (Unram),
dr. Trisasi Lestari, MPH (UGM), Luthfi Azizatunnisa, S.Ked, MPH
(UGM), Utsamani Cintyamena (UGM), dr. Rina Triasih, SpA(K),
Ph.D. (UGM), dr. Harry Parathon Sp.O.G. (UNAIR), dr. Luh Putu
Lila Wulandari, M.Sc., Ph.D. (Universitas Udayana), Deni Harbianto,
SE, M.Ec, Fransiska Meyanti Sitorus, S.K.M., M.K.M., Sampir
Widayati, SKM, M.Ec.Dev (Kabupaten Bantul, DIY), and Edi
Sunandar, S.K.M., M.Kes (Dinas Kesehatan Provinsi Papua Barat).
21. COVID-19 pandemic and Indonesian health systems resilience
Prof. Ari Natalia Probandari, dr., M.P.H., Ph.D.| 17
Thanks to all international partners for fruitful
collaborations: Prof. Virginia Wiseman (UNSW Australia), Dr.
Shunmay Yeung Ph.D. (London School of Hygiene and Tropical
Medicine UK), Marco Liverani Ph.D (London School of Hygiene and
Tropical Medicine UK), Prof. Stephen Jan (the George Institute for
Global Health Australia), Prof John Kaldor (UNSW Australia), Prof
Rebecca Guy (UNSW Australia), Gill Schierhout, Ph.D (the George
Institute for Global Health Australia), Prof. Nawi Ng (University of
Gothenburg, Sweden), Ailiana Santosa, MD, Ph.D (University of
Gothenburg, Sweden), Anni-Maria Pulkki-Brannstrom Ph.D (Umea
University, Sweden), Prof. Maarten Postma (University of Groningen,
the Netherland), Dr. Jaap Koot Ph.D (University of Medical Center
Groningen, the Netherland), dan Dr. Jeanet Landsman-Dijkstra
(University of Medical Center Groningen, the Netherland).
Terima kasih tulus kepada para sahabat di Masyarakat Lantai
7 Sahaja Gedung Pendidikan Dokter FK UNS (Dra. Sri Haryati,
M.Kes., dr. Amelia Sp.GK, dr, Kusmadewi Eka Damayanti, M.Kes., Dra.
Yulia Sari, M.Kes., dr. Sigit Setyawan, M.Kes. Kepada para sahabat di
research group Disease Control dan research group Integrated
Disease Management (dr. Maryani, M.Si., Sp.MK, Dr. Ratih Puspita
Febrinasari, dr, M.Sc., Siti Ma’rufah, S.Farm, Apt, M.Sc., Dr. Sri Mulyani,
S.Kep, Ns, M.Kes., Dr. Isna Qadrijati, dr, M.Kes, dr. Yusuf Ari Mashuri,
M.Sc., dr. Maryani, M.Si., Sp.MK dr. Widana Primaningtyas, MKM, dr.
Heni Hastuti, MPH, dr. Lukman Aryoseto, M.K.M., Hary Agus Sanjoto,
S.Sos, M.P.H.). Terima kasih atas teman-teman di Unit Penjaminan
Mutu Fakultas Kedokteran UNS yang menjadi rekan kerja sekaligus
sahabat (dr. Ratna Kusumawati, M.Kes, dr. Muthmainah, M.M.BioMed.,
ibu Ika Sumiyarsi, MSi.). Untuk para sahabat yang ikut
mempersiapkan acara ini: Ibu Susilowati, S.E., dr. Andri Putranto,
22. COVID-19 pandemic and Indonesian health systems resilience
18 | Prof. Ari Natalia Probandari, dr., M.P.H, Ph.D.
M.Si., Ibu Endang Martini, S.Pd., M.Si., Dr. Veronika Ika Budiastuti, dr.,
M.Pd.).
Terima kasih juga kepada para sahabat alumni Umea
University Sweden (dr. Maria Endang Sumiwi, M.P.H., Nurul Qodrijati,
Ns, M.P.H., Elli Nur Hayati, S.Psi, M.P.H., Ph.D., Danardono, Ph.D., dr.
Firdy Permana, M.P.H., Keluarga Yusuf Jauhary, dan keluarga Prof. Nawi
Ng.) yang telah menjadi keluarga saya ketika menempuh studi master
and doktoral.
Penghargaan tulus juga saya sampaikan kepada berbagai
komunitas yang membuat hidup saya menjadi lengkap dan berwarna
terutama: Gladhi Beksan Fakultas Kedokteran Universitas Sebelas Maret,
Paduan Suara Adiswara Gadjah Mada, Para guru, pengelola dan pengurus
Komite Sekolah SD Pangudi Luhur St. Timotius Surakarta, Komunitas
Nguri-Uri Budaya Jawa, Komunitas Pogung 8ce, Alumni FK UGM 93,
Alumni KMK FK UGM, Komunitas Yayasan ISKS, Komunitas Salam
Tempel, Komunitas Dokter Katolik Solo Raya, Alumni SMP 1
SURAKARTA, KASMAJI, dan Komunitas Paguyuban Kristiani
Universitas Sebelas Maret.
Perjalanan saya tidak pernah akan sampai pada titik sekarang
tanpa kehadiran dan dorongan keluarga. Terima kasih kepada Ibu saya,
Margaretha Prihatin Handayani yang menjadi pendidik sejati tentang
kehidupan dan memberi teladan tentang kemandirian, harapan dan
semangat hidup. Terima kasih untuk almarhum Bapak saya, FX. Musmin
Padmowijaya yang telah memberi teladan tentang kesederhanaan, ketekunan
dan kerja keras. Terima kasih atas pertanyaan Bapak ketika saya masih
remaja, “Opo sing mbok goleki nang uripmu Nduk?” Pertanyaan itu telah
menjadi pertanyaan refleksi saya setiap saat, agar saya mampu ‘Maneges
Kersanipun Gusti Allah’ dalam hidup saya. Terima kasih kepada Bapak/Ibu
23. COVID-19 pandemic and Indonesian health systems resilience
Prof. Ari Natalia Probandari, dr., M.P.H., Ph.D.| 19
Mertua saya: FX. Sungkono dan Almarhumah Theresia Maria Sri Hartini
atas dukungan doa yang diberikan.
Terima kasih kepada kakak dan adik saya atas dukungan moral dan
keguyuban: Agustinus Sudarisman S.Pd, Maria Theresia Rini Musmiyati,
S.Pd, Ir. Gatot Prihandono, Dra. Hindriyati Nurwidyasworo, Ign Gonggo
Prihatmono, S.K.M., M.Kes., drg. Damiana Endah Prabawati, Gandi
Rahmawan Setyadi, S.T., M.T., Pupung Ratna Tunjung Puri S.T., dr. Banu
Asmoro, drg. Nengah Tangkas, Bayu Murti, S.T., M.Sc., Ph.D., dr. Melna
Agustiani Purba Sp.A., Agustinus Wisnu Murti, S.T., dan Briliana
Pratiwi, S.T.
Terima kasih kepada suami saya, Gregorius Krisnohasmoro Murti,
Dipl. Eng. FH atas cinta yang memberi kebebasan, kesediaan berbagi tugas
rumah tangga, dan dorongan untuk mencapai hal yang terbaik.
Terima kasih untuk kedua anak saya, Bumi Praba Murti dan Tirta
Praba Murti. Dua orang yang mengajarkan kepada saya tentang semangat,
optimisme serta kerelaan menerima ketidaksempurnaan.
Terima kasih kepada Ibu Theresia Sri Kamtini dan Ibu Christina Srini
atas kesetiaan kepada keluarga saya.
Akhir kata, terima kasih untuk semua orang yang sudah mengukir
hidup saya sampai dengan saat ini, suatu rahmat panggilan Allah yang
harus saya tanggapi dengan sikap syukur. Ad Majorem Dei Gloriam. Semua
untuk Kemuliaan Tuhan.
Thanks for all audiences for being patient and giving attention
to this speech. Terima kasih kepada para wartawan yang meliput acara ini.
Salam Damai Sejahtera untuk Kita Semua.
Mugi Rahayu Ingkang Sami Pinanggih.
24. COVID-19 pandemic and Indonesian health systems resilience
20 | Prof. Ari Natalia Probandari, dr., M.P.H, Ph.D.
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https://covid19.go.id/peta-sebaran (accessed on 9th of May
2020)
Kieny MP, Evans DB, Schmets G, Kadandale S. Health-system
resilience: reflections on the Ebola crisis in western Africa.
Bull World Health Organ 2014; 92: 850. doi:
http://dx.doi.org/10.2471/BLT.14.149278
Kluge HHP, Wickramasinghe K, Rippin HL, Mendes R, Peters DH, et
al. Prevention and control of non-communicable diseases in
the COVID-19 response. Lancet, May 08, 2020. doi:
https://doi.org/10.1016/S0140-6736(20)31067-9.
Kruk M, Myers M, Varpilah ST, Dahn BT. What is a resilient health
system? Lessons from Ebola. Lancet 2015; 385: 1910-12.
Leon DA, Shkolnikov VM, Smeeth L, Magnus P, Pechholdova M,
Jarvis CJ. COVID-19: a need for real-time monitoring of
weekly excess deaths. Lancet 2020. Published online April 22,
2020 https://doi.org/10.1016/S0140-6736(20)30933-8.
Oh J, Lee J-K, Schwarz D, Ratcliffe HL, Markuns JF, Hirschhhorn LR.
National response to COVID-19 in the Republic of Korea and
Lessons Learned for Other Countries. Health Systems and
Reform 2020; 6(1): e1753464.
https://doi.org/10.1080/23288604.2020.1753464.
Ohannessian R, Duong TA, Odone A. Global telemedicine
implementation and integration within health systems to fight
the COVID-19 pandemic: a call to action. JMIR Public Health
and Surveill 2020; 6(2):e18810. doi: 10.2196/18810.
26. COVID-19 pandemic and Indonesian health systems resilience
22 | Prof. Ari Natalia Probandari, dr., M.P.H, Ph.D.
Nuzzo JB, Meyer D, Snyder M, Ravi SJ, Lapascu A, et al. What makes
health systems resilient against infectious disease outbreaks
and natural hazards? Results from a scoping review. BMC
Public Health 2019; 19: 1310. doi: 10.1186/s12889-019-7707-z.
Probandari A, Sanjoto H, Mahanani MR, Azizatunnisa L, Widayati S.
Being safe, feeling safe, and stigmatizing attitude among
primary health care staff in providing multidrug-resistant
tuberculosis care in Bantul District, Yogyakarta Province,
Indonesia. Human Resources for Health 2019; 17:16.
Sentell T, Vamos S, Okan O. Interdisciplinary perspectives on health
literacy research around the world: more important than ever
in a time of COVID-19. Int. J. of Environ. Res. Public Health
2020; 17: 3010. doi:10.3390/ijerph17093010.
Shamasunder S, Holmes SM, Goronga T, Carrasco H, Katz E, et al.
COVID-19 reveals weak health systems by design: why we
must re-make global health in this historic moment. Global
Public Health 2020. doi:
https://doi.org/10.1080/17441692.2020.1760915
Sust PP, Solans O, Fajardo JC, Peralta MM, Rodenas P, et al. Turning
the crisis into an opportunity: digital health strategies
deployed during the COVID-19 outbreak. JMIR Public Health
Surveill 2020; 6(2): e19106) doi: 10.2196/19106.
WHO. 2000. The world health report 2000: health systems: improving
performance. Geneva, World Health Organization, 2000.
Available at: http://www.who.int/whr/2000/en/whr00
_en.pdf
27. COVID-19 pandemic and Indonesian health systems resilience
Prof. Ari Natalia Probandari, dr., M.P.H., Ph.D.| 23
WHO. 2010. Key components of a well-functioning health systems.
Geneva, World Health Organization, 2010. Available at:
https://www.who.int/healthsystems/EN_HSSkeycomponen
ts.pdf?ua=1
WHO Regional Office Europe. Mental health and COVID-19.
http://www.euro.who.int/en/health-topics/health-
emergencies/coronavirus-covid-19/novel-coronavirus-2019-
ncov-technical-guidance-OLD/coronavirus-disease-covid-19-
outbreak-technical-guidance-europe-OLD/mental-health-
and-covid-19 (Accessed on 10th of May 2020).
Yao H, Chen JH, Xu YF. Patients with mental health disorders in the
COVID-19 epidemic. Lancet 2020; 7(4): E21. doi:
10.1016/S2215-0366(2)30090-0.
Yang J, Zheng Y, Gou X, Pu K, Chen Z. et al. Prevalence of
comorbidities and its effects in patients infected with SARS-
CoV-2: a systematic review and meta-analysis. International
Journal of Infectious Diseases 2020; 94: 91-95.
Zinatsa F, Engelbrecht M, van Rensburg AJ, Kigozi G. Voices from
the frontline: barriers and strategies to improve tuberculosis
infection control in primary health care facilities in South
Africa. BMC Health Services Research 2018; 18: 269.
https://doi.org/10.1186/s12913-018-3083-0.
28. COVID-19 pandemic and Indonesian health systems resilience
24 | Prof. Ari Natalia Probandari, dr., M.P.H, Ph.D.
CURRICULUM VITAE
PERSONAL DATA
Name : Ari Natalia Probandari
Address : Jalan Merapi Utara No. 10, Cengklik Rt 04/Rw
20, Nusukan, Solo 57135, Jawa Tengah,
Indonesia
Email : ari.probandari@staff.uns.ac.id
Sex : Perempuan
Place/Date of Birth : Surakarta/21 December 1975
EDUCATION
Ph.D, Umea University Sweden (2006-2010).
Master of Science in Public Health, Umea University Sweden (2003-
2004).
Pendidikan Dokter, Universitas Gadjah Mada Yogyakarta (1993-2000).
POSITIONS
Head of Doctoral Program in Public Health, Faculty of Medicine,
Universitas Sebelas Maret, Surakarta, Indonesia (2016-present).
Principal of Internal Quality Assurance, Faculty of Medicine,
Universitas Sebelas Maret, Surakarta, Indonesia (2016-present)
Secretary of Master Program in Family Medicine, Universitas Sebelas
Maret (2011-2013)
A guest lecturer at Public Health Sciences Postgraduate Program,
Faculty of Medicine, Universitas Gadjah Mada, Indonesia (2005-
present).
29. COVID-19 pandemic and Indonesian health systems resilience
Prof. Ari Natalia Probandari, dr., M.P.H., Ph.D.| 25
A guest lecture at Public Health Sciences Doctoral Program, Faculty of
Public Health, Universitas Airlangga, Indonesia (2017-present)
Faculty member, Faculty of Medicine, Universitas Sebelas Maret,
Surakarta, Indonesia (2005-present)
Temporary medical staff for the Ministry of Health Republic of
Indonesia served for North Sulawesi Province (2000-2003)
CURRENT POSITIONS
Head of Doctoral Program in Public Health, Faculty of Medicine,
Universitas Sebelas Maret, Surakarta, Indonesia (2016-present).
Faculty member, Faculty of Medicine, Universitas Sebelas Maret,
Surakarta, Indonesia (2005-present)
Researcher at Centre for Health Policy and Management, Faculty of
Medicine, Universitas Gadjah Mada Yogyakarta (2007-present)
Researcher at Centre for Tropical Medicine, Faculty of Medicine,
Universitas Gadjah Mada Yogyakarta (2009-present)
Principal of Internal Quality Assurance, Faculty of Medicine,
Universitas Sebelas Maret, Surakarta, Indonesia (2016-present)
A guest lecturer at Public Health Sciences Postgraduate Program,
Faculty of Medicine, Universitas Gadjah Mada, Indonesia (2005-
present).
A guest lecture at Public Health Sciences Doctoral Program, Faculty of
Public Health, Universitas Airlangga, Indonesia (2017-present)
RESEARCH PROJECTS
1. INSIGHT: Model integrase skrining tuberkulosis, diabetes dan
hipertensi pada pekerja (2021-2022). Kementerian Riset dan
Teknologi/BRIN – Hibah World Class Research. Principal
Investigator.
30. COVID-19 pandemic and Indonesian health systems resilience
26 | Prof. Ari Natalia Probandari, dr., M.P.H, Ph.D.
2. Indonesia tuberculosis patient cost survey (2020). World Health
Organization. Co-investigator.
3. Malaria di cross-border Indonesia: analisis situasi, tantangan dan
model kebijakan pengendalian (2020-2021). Kementerian Riset dan
Teknologi/BRIN – Hibah World Class Research. Co-investigator.
4. Kajian dan pengembangan model implementasi penyelenggaraan
pelayanan penyakit akibat kerja di era SJSN untuk upaya kesehatan
kerja holistic dan terintegrasi (2019). Kementerian Kesehatan
Republik Indonesia. Co-investigator.
5. Strengthening health systems- the role of drug shops (2019-2020).
Alliance for Health Policy and Health Systems Research. Principal
Investigator.
6. E-Nose TB: Inovasi electronic-nose untuk skrining Tuberkulosis di
Indonesia (2019-2020). Funding: Kementerian Riset, Teknologi dan
Pendidikan Tinggi – Hibah World Class Research (212,108,400 IDR).
Co-investigator.
7. Designing implementation research for integration of tuberculosis,
diabetes, and tobacco control programme: research link
collaboration between India, Indonesia, and Sweden (2019-2020).
Swedish Research Link (786,000 SEK). Co-investigator.
8. Scaling up Non-Communicable Diseases Interventions in South East
Asia (SUNI-SEA). Consortium: University Medical Center
Groningen (Netherlands), University of Groningen (Netherland),
University of Trnava (Slovakia), Help Age International (UK), Help
Age International UK (UK), University of Passau (Germany),
University of Public Health Myanmar, Thai Nguyen University
Vietnam, Health Strategy and Policy Institute Vietnam, Sebelas
Maret University (Indonesia) (2018-2021). Funding: Horizon 2020
European Union (3.992.625 Euro). Co-Investigator.
31. COVID-19 pandemic and Indonesian health systems resilience
Prof. Ari Natalia Probandari, dr., M.P.H., Ph.D.| 27
9. Improving the dispensing of antibiotics by private drug sellers in
Indonesia: a missing ingredient in the fight against antimicrobial
resistance. Consortium: UNS, UGM, UNSW Sidney, London School
of Hygiene and Tropical Medicine, The George Institute for Global
Health (2018-2020). Funding: DFAT Australia (1.910.000 AUD).
Principal Investigator.
10. TB-El: Aplikasi Elektronik untuk Mendukung Keberhasilan
Penanganan Tuberkulosis Resisten Obat (2018-2019). Funding:
Kementerian Riset Teknologi dan Pendidikan Tinggi. Co-
Investigator.
11. Formative Research: Pencegahan dan Penanganan Asma di Tiga
Provinsi di Indonesia (2018). Funding: HOPE Project, Astrazenica
(340 million IDR). Principal Investigator.
12. Intensified Case Finding of Tuberculosis Cases: A qualitative
component (2018). Funding: USAID TB Challenge KNCV Indonesia.
Principal Investigator.
13. Exploring the readiness for the implementation of Direct Observed
Treatment of Multidrug Resistant Tuberculosis in primary care
setting (REd DOT Project) (2016). Funding: Alliance for Health
Policy and Systems Research, WHO TDR, HRP. Principal
Investigator.
14. Impact of Operational Research on Policy of TB control Program in
Local Level (2014). Funding: USAID TB CARE. Principal
Investigator.
15. Hospital DOTS Management System (2013-2015). Funding: Otsuka
foundation. Principal Investigator.
16. Evidence for Policy Implementation: Equity and Tuberculosis in
Indonesia (2012). Collaborative Research with Umea University
Sweden. Co-Investigator.
32. COVID-19 pandemic and Indonesian health systems resilience
28 | Prof. Ari Natalia Probandari, dr., M.P.H, Ph.D.
17. Survey of Knowledge, Attitude and Practices on Tuberculosis
Management among Private Medical Practitioners at 12 Provinces in
Indoensia (2011). Co-Investigator.
18. The perception of stakeholders on the ongoing partnership: a
qualitative study. Funding: Umea International School of Public
Health Sweden (2008-2010). Principal Investigator.
19. Assessment of hospital DOTS implementation, TB-HIV collaboration
and current MDR-TB management Phase II. Funding: WHO and
DFID UK (2008). Co-Investigator.
20. Cost Effectiveness Analysis: Public-Private Mix DOTS in Indonesia.
Funding: WHO and KNCV (2006–2008). Co-Investigator.
21. Assessment of hospital DOTS implementation, TB-HIV collaboration
and current MDR-TB management Phase I (Java) Indonesia.
Funding: WHO and DFID (UK) (2006-2007). Co-Investigator.
OTHER PROFESSIONAL INVOLVEMENTS
1. Consultant to facilitate the writing of National Strategy to Control TB
in Indonesia 2020-2024 (2019-2020).
2. Team member to develop online course on Scientific Writing, in
collaboration with Institute of Tropical Medicine Antwerp Belgium
and Institute of Public Health India (2018-2019).
3. Consultant to facilitate the development of roadmap to TB
elimination in Indonesia 2020-2030 (2019).
4. Consultant to deliver technical assistance to WHO Maldives for
health research appraisal training (2017)
5. Principal of consultant team for the development of national action
plan of Sexual Transmitted Diseases control 2015-2019, SubDit AIDS
& PMS, Ministry of Health Republic of Indonesia (2014).
33. COVID-19 pandemic and Indonesian health systems resilience
Prof. Ari Natalia Probandari, dr., M.P.H., Ph.D.| 29
6. Principal of consultant team for the development of National
Strategies for TB Control in Indonesia update 2010-2016. Funding: TB
Subdirectorate MoH – TB Care I project USAID (2013).
7. Member of Global Health Research Network (2012-present)
8. Member of Tuberculosis Operation Research Working Group (2011-
present).
9. Member of consultant team for the development of National Action
Plan of Public Private Mix for Tuberculosis Control, SubDit
Tuberculosis, Ministry of Health Republic of Indonesia (2011).
ACADEMIC SERVICES
1. Invited Editor for PLoS One (2017-sekarang)
2. Section editor for Global health Action (2015-sekarang)
3. Associate editor for BMC Health Services Research (2015-sekarang)
4. Peer reviewer for: BMC clinical pathology, BMC Health Services
Research, BMC Public Health, Global Health Action, Human
Resource for Health, International Journal of Equity in Health, Social
Science and Medicine, Tropical Medicine and International Health
5. Grant reviewer Hibah Penelitian RISPRO LPDP (2016, 2019, 2020)
6. Grant reviewer Hibah Penelitian LPPM Universitas Sebelas Maret
(2016-sekarang)
7. Grant reviewer Hibah Penelitian LPPM Universitas Jenderal
Soedirman (2016)
PUBLICATIONS
Books / Book Chapters
1. Mahendradhata Y, Probandari A, Saleh-Danu S, Wilastonegoro NN,
Sebong PH. 2019. Manajemen Program Kesehatan. UGM Press.
34. COVID-19 pandemic and Indonesian health systems resilience
30 | Prof. Ari Natalia Probandari, dr., M.P.H, Ph.D.
2. Probandari A, Sanjoto H, Mahanani MR, Mas’udah. 2019.
Kesinambungan Pelayanan (Continuity of Care) Pengobatan Pasien
Tuberkulosis di Balai Besar Kesehatan Paru Masyarakat Surakarta.
UNS Press. ISBN 978-602-397-212-8.
3. Kementerian Kesehatan Republik Indonesia Direktorat Jenderal PP
dan PL. 2012. Kumpulan Hasil Riset Operasional Tuberkulosis
Indonesia Tahun 2010-2011 (Editor). Ministry of Health, Republic of
Indonesia. ISBN 978-602-235-074-8
4. Probandari, A. 2010. Revisiting the Choice: to Involve Hospitals in
the Partnership for Tuberculosis Control in Indonesia. Dissertation.
Sweden. Umea University.
5. Murti, B; Trisnantoro, L; Probandari, A; Maryanti, A.H; Harbianto,
D; Hasanbasri, M; Wisnuputri T. 2006. Perencanaan dan Penganggaran
untuk Investasi Kesehatan di Tingkat Kabupaten dan Kota (an essential
manual to planning and budgeting of health investment at district
and municipal levels). Gadjah Mada University Press. Indonesia
6. Utarini, A. Probandari A. 2006. Annual TB Report 2005: Indonesia.
Ministry of Health, Republic of Indonesia
Reputable International Journals
1. Arifin B, Probandari A, Purba AKR, Perwitasari DA, Schuilling-
Veninga CCM, Atthobari J, Krabbe PFM, Postma MJ. 'Diabetes is a
gift from god' a qualitative study coping with diabetes distress by
Indonesian outpatients. Qual Life Res. 2020;29(1):109–125.
doi:10.1007/s11136-019-02299-2
2. Putra, I WGAE; Kurniawati, NMD; Dewi, NPEP; Suarjana, IK;
Duana, IMK; Mulyawan, IKH; Riono, P; Alisjahbana, B; Probandari,
A; Notobroto, HB; Wahyuni, CU. The implementation of early
detection in Tuberculosis Contact Investigation to Improve Case
Finding. Journal of Epidemiology and Global Health 2019; 9(3): 191-
35. COVID-19 pandemic and Indonesian health systems resilience
Prof. Ari Natalia Probandari, dr., M.P.H., Ph.D.| 31
197. DOI: https://doi.org/10.2991/jegh.k.190808.001; ISSN 2210-
6006; eISSN 2210-6014
3. Probandari, A; Setyani, RA; Pamungkasari, EP; Widyaningsih, V;
Demartoto, A. Improving knowledge, acceptance, and utilization of
female condoms among sex workers through a peer education: a
mixed methods study in Surakarta Municipality, Central Java
Province, Indonesia. Health Care for Women International 2019;6: 1-
19. DOI: 10.1080/07399332.2019.1639710.
4. Kumar, R; Probandari, A; Ojha, B; Bhattarai, AH, Subronto, YW.
Implementation fidelity of provider-initiated HIV testing and
counseling of tuberculosis patients under the National Tuberculosis
Control Program in Kathmandu district of Nepal: implementation
research. BMC Health Services Research (2019) 19:543.
5. Probandari, A; Sanjoto, H; Mahanani, MR; Azizatunnisa, L;
Widayati, S. Being safe, feeling safe and stigmatizing attitude
among primary health care staff in providing Multidrug-Resistant
Tuberculosis care in Bantul District, Yogyakarta Province,
Indonesia. Human Resources for Health 2019; 17: 16. DOI:
https://doi.org/10.1186/s12960-019-0354-8
6. Thang, NT; Probandari, A; Ahmad, RA. Barriers to Engaging
Communities in a Dengue Vector Control Program: An
Implementation Research in an Urban Area in Hanoi City, Vietnam.
The American Journal of Tropical Medicine and Hygiene 2019. DOI:
https://doi.org/10.4269/ajtmh.18-0411
7. Nurhidayah, N; Syamsulhadi, M; Anantanyu, S; Probandari, A.
Psychosocial Factors and Leisure Perception of the Elder in Two
Districts Central Java Indonesia. Ageing International 2018. DOI:
https://doi.org/10.1007/s12126-018-9339-5
8. Karki, P; Prabandari, YS; Probandari, A; Banjara, MR. Feasibility of
school-based health education intervention to improve the
36. COVID-19 pandemic and Indonesian health systems resilience
32 | Prof. Ari Natalia Probandari, dr., M.P.H, Ph.D.
compliance to mass drug administration for lymphatic filariasis in
Lalitpur district, Nepal: A mixed methods among students, teachers
and health program manager. PLOS One 2018; 13(9):e0203547. DOI
https://doi.org/10.1371/journal. pone.0203547
9. Probandari, A; Mahendradhata, Y; Widjanarko, B; Alisjahbana, B.
Social multiplier effects: academics’ and practitioners’ perspective
on the benefits of a tuberculosis operational research capacity
building program in Indonesia. Global Health Action 2017; 10: 1. DOI
10.1080/16549716.2017.1381442.
10. Probandari, A; Arcita A; Kothijah, K; Pamungkasari, EP. Barriers to
utilization of postnatal care at village level in Klaten district, Central
Java Province, Indonesia. BMC Health Services Research 2017; 17:
541.
11. Probandari, A; Widjanarko, B; Mahendradhata, Y; Sanjoto, H;
Cerisha, A; Nungky, S; Riono, P; Simon, S; Farid, MN; Giriputra, S;
Putra, AE; Burhan, E; Wahyuni CU; Mustikawati, D; Widianingrum,
C; Tiemersma, EW; Alisjahbana, B. The path to impact of
operational research on tuberculosis control policies and practices in
Indonesia. Global Health Action 2016; 9: 29866 DOI
http://dx.doi.org/10.3402/gha.v9.29866.
12. Mahendradhata, Y; Lestari, T; Probandari, A; Indriarini, LE; Burhan,
E; Mustikawati D; Utarini, A. How do private general practitioners
manage tuberculosis cases? A survey in eight cities in Indonesia.
BMC Research Notes 2015; 8:564 DOI 10.1186/s13104-015-1560-7.
13. Mahendradhata, Y; Probandari, A; Riono, P; Widjanarko, B;
Mustikawati, D; Alisjahbana, B. Embedding operational research
into national disease control programme: lessons from 10 years of
experience in Indonesia. Glob Health Action 2014; 7: 25412 -
http://dx.doi.org/10.3402/gha.v7.25412.
37. COVID-19 pandemic and Indonesian health systems resilience
Prof. Ari Natalia Probandari, dr., M.P.H., Ph.D.| 33
14. Putra, IW; Utami, NW; Suarjana, IK; Duana, IM; Astiti, CI; Putra IW;
Probandari, A; Tiemersma, EW; Wahyuni, CU. Factors associated to
referral of tuberculosis suspects by private practitioners to
community health centres in Bali Province, Indonesia. BMC Health
Services Research 2013; 13: 445 doi:10.1186/1472-6963-13-445.
15. Lestari, T; Probandari, A; Hurtig, AK; Utarini, A. High caseload of
childhood tuberculosis in hospitals on Java Island, Indonesia: a
cross sectional study. BMC Public Health 2011. 11:784.
16. Probandari, A; Utarini, A; Lindholm, L. Hurtig, AK. Life of a
partnership: The process of collaboration between the National
Tuberculosis Program and the hospitals in Yogyakarta, Indonesia.
Social Science & Medicine 2011; 73(9):1386-94. doi:
10.1016/j.socscimed.2011.08.017. Epub 2011 Sep 10.
17. Mahendradhata, Y; Probandari, A; Ahmad, RA; Utarini, A;
Trisnantoro, L; Lindholm, L; van der Werf, MJ; Kimerling, M;
Boelaert, M; Jhons, B; Van der Stuyft, P. The Incremental Cost-
Effectiveness of Engaging Private Practitioners to Refer Tuberculosis
Suspects to DOTS Services in Jogjakarta, Indonesia. American Journal
of Tropical Medicine and Hygiene 2010; 82(6): 1131-1139.
18. Probandari, A; Lindholm, L; Stenlund, H; Utarini, A; Hurtig, Anna-
Karin. Missed opportunity for standardized diagnosis and
treatment among adult Tuberculosis patients in hospitals involved
in Public-Private Mix for Directly Observed Treatment Short-Course
strategy in Indonesia: a cross-sectional study. BMC Health Services
Research 2010; 10:113 doi:10.1186/1472-6963-10-113.
19. Riyarto, S; Hidayat, B; Johns, B; Probandari, A; Mahendradhata, Y;
Utarini, A; Trisnantoro, L; Flessenkaemper, S. The financial burden
of ARV care, including antiretroviral therapy, on patients in three
sites in Indonesia. Health Policy and Planning 2010; 1-11
doi:10.1093/heapol/czq004.
38. COVID-19 pandemic and Indonesian health systems resilience
34 | Prof. Ari Natalia Probandari, dr., M.P.H, Ph.D.
20. Johns, B; Probandari, A; Mahendradhata, Y; Ahmad, RA. An
analysis of the cost and treatment success of collaborative
arrangements among public and private providers for tuberculosis
control in Indonesia. Health Policy 2009; 93:214-224
21. Probandari, A; Utarini, A; Hurtig, AK. Achieving quality in the
directly observed treatment short-course (DOTS) strategy
implementation process: a challenge for hospital public-private mix
in Indonesia. Global Health Action 2008. DOI: 10.3402/gha.v1i0.1831.
National Journals (the last 5 years), including:
1. Ramadhan S, Subronto YW, Probandari A. Identifikasi faktor yang
mempengaruhi keberhasilan pengobatan penderita tuberkulosis di
Kabupaten Bima 2014-2016. Media Litbangkes 2019; 29(2): 171-176.
2. Aini Z, Pamungkasari EP, Probandari A. Role of doctors at health
centers in applying principles of family medicine to prevent
diphteria in Banda Aceh. Indonesian Journal of Medicine and
Health 2019; 10(3): 229-238.
3. Puspitaningrum RA, Probandari A, Pamungkasari EP, Ardyanto
TD, Fitriana EN. Achievement of universal health coverage in
Surakarta city: policy analysis. Indonesian Journal of Medicine and
Health 2019; 10(2): 149-161.
4. Sumardiyono, Wijayanti R, Hartono, Probandari A. The correlation
between hearing loss and the quality of life of workers exposed to
the noise in the textile industry. Jurnal Kesehatan Masyarakat 2019;
15(1): 81-88.
5. Setiawan KH, Probandari A, Pamungkasari EP, Tamtomo DG.
Development of rabies eradication package, a family-based health
promotion media to prevent rabies in Buleleng, Bali, Indonesia. Bali
Medical Journal 2019; 8(2): 546-550.
39. COVID-19 pandemic and Indonesian health systems resilience
Prof. Ari Natalia Probandari, dr., M.P.H., Ph.D.| 35
6. Fitriana EN, Probandari A, Pamungkasari EP, Ardyanto TD,
Puspitaningrum RA. The importance of socialization in achieving
universal health coverage: case study of Jaminan Kesehatan
Nasional (JKN) implementation in two different regions in Central
Java province. Indonesian Journal of Medicine and Health 2019; 10
(2): 110-120.
7. Hanifa A, Probandari A, Pamungkasari EP. Effect of comdom use
on sexually transmitted infection in female sex workers in
Tulungagung District, Indoensia. Kesmas: National Public Health
Journal 2019; 1393): 150-156.
8. Reviono, Ramadhiana Y, Probandari A, Setianingsih W. Factors
associated with success rate for tuberculosis treatmentin hospital.
Journal of Epidemiology and Public Health 2019; 4(4): 283-295.
9. Renowening Y, Suradi, Probandari A. Correlation of smoking
habits, physical activities, and fat intake with cognitive ability in
Indonesian elderly. International Journal of Nutrition Sciences 2019;
4(4): 186-191.
10. Ramadhanty Z, Yarsa KY, Probandari A. Construct validity and
reliability of Indonesia version of RAND SF-36 quality of life
questionnaires in breast cancer patients. Indonesian Journal of
Cancer 2019; 13(2): 55-58.
11. Damayanti S, Sulisyowati S, Probandari A. Maternal characteristics
and the effects of early and late-onset types of preeclampsia on
maternal and perinatal complications. Indonesian Journal of
Medicine 2019; 4(4): 329-338.
12. Indrawati FL, Demartoto A, Probandari A. Perceived Benefit of
Condom Use Domination on the Perceived Benefit of Sexually
Transmitted Infection Screening on Queer in Yogyakarta. Journal of
Health promotion and Behavior (2018, 3(2): 126-129.
40. COVID-19 pandemic and Indonesian health systems resilience
36 | Prof. Ari Natalia Probandari, dr., M.P.H, Ph.D.
13. Sumardiyono, Hartono, Probandari A, Setyono P. Pengaruh bising
dan masa kerja terhadap nilai ambang pendengaran pekerja
industry tekstil. Journal of Industrial Hygiene and Occupational
Health 2018; 2(2): 122-131.
14. Sumardiyono, Hartono, Probandari A, Setyono P. The effect of
noise and work period to hearing threshold value in textile industry
workers. Journal of Industrial Hygiene and Occupational Health
2018; 2(2):122-131.
15. Dewi DH, Probandari A, Indarto D. Fasting blood glucose levels in
adult women with type 2 diabetes mellitus and its associated
factors. Jurnal Keperawatan Soedirman 2018; 13(3): 107-113.
16. Hermasari BK, Probandari A, Afifah ZN. Assesing midwifery and
medical student’s interprofessional learning: the use of portofolio.
Journal of Education and Learning 2018; 12(4): 581-588.
17. Pamungkasari EP, Probandari A, Randita ABT, Parwatiningsih SA.
Students’ and academic staffs’ perspective on interprofessional
education model. Jurnal Pendidikan Indonesia 2018; 7(3): 197-205.
18. Sumardiyono, Hartono, Probandari A, Setyono P. The association
between risk factors and blood pressure in the textile industry
workers. Global Medical & Health Communication 2017; 5(3): 228-
235.
19. Widyasrini ER, Probandari A, Reviono. Factors affecting the success
of multidrug resistance tuberculosis (MDR-TB) treatment in
residential Surakarta. Journal of Epidemiology and Public Health
2017; 2(1): 45-57 https://doi.org/10.26911/-
jepublichealth.2017.02.01.05
20. Kristiani SYM, Kusnanto H, Probandari A. Evaluasi pemanfaatan
early warning alert and response system di Kabupaten Boyolali.
Journal of Information Systems for Public Health 2016; 1(1): 55-63.
41. COVID-19 pandemic and Indonesian health systems resilience
Prof. Ari Natalia Probandari, dr., M.P.H., Ph.D.| 37
Conference Papers (the last 5 years), including:
1. Sumardiyono, Probandari A, Hartono, Wijayanti R. A path analysis:
study of correlation between noise intensity and quality of life of
workers in textile industry. Journal of Physics: Conference Series
1424 (2019) 012045 IOP Publishing doi:10.1088/1742-
6596/1424/1/012045
2. Asfawi A, Probandari A, Setyono P, Hartono. Economic valuation
of horiculture organic farming in Getasan, Semarang Regency. The
IOP Conf. Series: Earth and Environmental Science 328 (2019)
012029 IOP Publishing doi:10.1088/1755-1315/328/1/012029
3. Poerwati S, Sutrisno J, Probandari A, Ramelan AH. Uluk-uluk
(ipomea carnea) as a water antibacterial with approach of dynamic
model. AIP Conference Proceedings 2049, 020067
(2018); https://doi.org/10.1063/1.5082472
4. Nurhidayah N, Syamsulhadi M, Anantanyu S, Probandari A. The
associations of education level and health status with leisure
participation among the elderly. International Conference of Public
Health 2018. DOI: 10.26911/theicph.2018.02.37
5. Sumardiyono, Hartono, Probandari A, Setyono P. The effect of
continuous noise on blood cortisol level in textile industry workers.
The 4th International Conference on Public Health 2018, August
2018. DOI: 10.26911/theicph.2018.01.22
6. Eka Putra, IWGA; Astuti, PAS, Duana IMK, Suarjana IK, Mulyawan
KH, Kurniasari NMD, Ekaputra IBG, Probandari A, Wahyuni CU.
Obstacles and solutions for tuberculosis screening among people
with diabetes mellitus in Denpasar, Bali, Indonesia: a need
assessment. The 2nd International Symposium of Public Health
(ISOPH), 2017.
42. COVID-19 pandemic and Indonesian health systems resilience
38 | Prof. Ari Natalia Probandari, dr., M.P.H, Ph.D.
7. Eka Putra, IWGA; Astuti, PAS, Duana IMK, Suarjana IK, Mulyawan
KH, Kurniasari NMD, Ekaputra IBG, Probandari A, Wahyuni CU.
The association between tuberculosis stigma and the
implementation of diagnosis procedure on tuberculosis screening
program in Denpasar, Bali, Indonesia. The 3rd International
Conference on Public Health (ICOPH), Kuala Lumpur, 2017.
8. Noviani AN, Indarto D, Probandari A. High prevalence anemia in
female adolescents with low intake of vitamins and minerals.
Proceedings of the 2nd Public Health International Conference
(PHICo 2017). https://doi.org/10.2991/phico-17.2018.24
9. Sumardiyono, Hartono, Probandari A, Setyono P. Analysis of risk
factors increase blood pressure in the textile industry workers.
Prosiding Seminar Nasional dan Internasional Universitas
Muhammadiyah Semarang, 2017.
10. Sutaryono, Hartono, Probandari A, Setyono P, Budiastuti S.
Association between exposure to environmental tobacco smoke and
the risk of uncontrolled asthma in children. The 2nd International
Conference on Public Health 2017, September 2017. DOI:
10.26911/theicph.2017.034
11. Probandari, A; Mahendradhata, Y; Andayani, PE; Utarini A.
Barriers of research in university: a case study in Faculty of
Medicine Universitas Gadjah Mada Yogyakarta. iNORMS
conference, Melbourne, 2016.
12. Utarini, A; Probandari, A. Innovation in Disease Prevention and
Wellness Program in Indonesian Health System as an Important
Factor to Approach SDGs. Seminar on Wellness and Nutrition,
Yogyakarta, 2016.
13. Lestari T, Probandari, A; Sanjoto, H; Djasri, H; Iswanto;
Mahendradhata, Y; Utarini, A. Audit and improvement of the
clinical pathway for adult pulmonary tuberculosis in Bethesda
43. COVID-19 pandemic and Indonesian health systems resilience
Prof. Ari Natalia Probandari, dr., M.P.H., Ph.D.| 39
Hospital, Yogyakarta, Indonesia. The 46th Union World Conference
on Lung Health. Capetown, 2015.
14. Probandari, A; Mahendradhata, Y; Djasri, H; Lestari, T; Andayani,
PE; Hendra, Y; Wilastonegoro N, Sanjoto H, Utarini A. Patients’
perceived importance and performance of TB-HIV services in five
hospitals in Indonesia. 9th European Congress on Tropical Medicine
and International Health, Basel, 2015.
15. Probandari A, Mahendradhata Y, Djasri D, Lestari T, Andayani PE,
Hendra, Y; Wilastonegoro N, Sanjoto H, Utarini A. Challenges for
patient-centred tuberculosis care in five hospitals in Indonesia.
Health Systems and Policy Research Symposium, Cape Town, 2014.
16. Probandari A, Sanjoto H, Widjanarko B, Alisjahbana B. Evidence of
community contribution to TB control in five provinces in
Indonesia. National TB Parade, Jakarta, 2015.
17. Widyaningsih V, Probandari A, Pamungkasari EP, Prasetyawati
AE, Sanjoto H, Masudah. Identifying gaps between patients’
perceived performance and expectation of Tuberculosis-HIV
education: a cross sectional study in BBKPM Surakarta., National TB
Parade, Jakarta, 2015.
Copyrights
1. Hak Cipta Modul. (2019). Paket Eradikasi Rabies. EC00201929480,
12 Februari 2019
2. Hak Cipta Program. (2019). ToMo: Aplikasi Monitoring
Tuberkulosis Resisten Obat. EC00201933425, 20 Maret 2019
3. Hak Cipta Buku. (2018). Kesinambungan pelayanan pengobatan
pasien tuberkulosis di Balai Besar Kesehatan Paru Masyarakat
Surakarta.
44. COVID-19 pandemic and Indonesian health systems resilience
40 | Prof. Ari Natalia Probandari, dr., M.P.H, Ph.D.
Course/Conference/Seminar/Workshop
1. Workshop of Qualitative Research, LOTUS CARE, Yogyakarta:
facilitator (March 16, 2019)
2. Clinic of International Journal Publication, Universitas Ahmad
Dahlan, Yogyakarta: facilitator (January 21, 2019)
3. Workshop on the Development of Scientific Writing Course, ITM
Belgium, Antwerp: participant (2018)
4. KAVLI Meeting, Ambon: participant (2017)
5. Training on Good Health Research Practice, WHO Tropical
Disease Research, Yogyakarta: participant (27-30 July 2015).
6. Training on Good Clinical Research Practice, Badan POM RI,
Surakarta: participant (5-6 March 2015).
7. National TB Parade, Jakarta: oral presenter (11th-12th March 2015).
8. The 3rd Global Symposium on Health Systems Research,
Capetown: poster presenter (30th September – 3rd October 2014)
9. Indonesian Healthcare Quality Network Forum X 2014,
Surakarta: oral presenter (30th July – 1st August 2014).
10. Short course on TB Management, London: participants (13-19
January 2014).
11. International Union Against Tuberculosis and Lung Diseases
Symposium, Malaysia: poster presenter (13-18 November 2012).
12. Evidence for Policy Implementation (EPI-4) project: Project
Meeting, China: participant (28-31 October 2012).
13. Short course on An Introduction to Multilevel Analysis: An
Epidemiological Perspective, Umea University, Sweden:
participant (2012)
14. Workshop on TB Operations Research Proposal Development,
Tuberculosis Operations Research Group Indonesia: facilitator
(21-24 May 2012)
45. COVID-19 pandemic and Indonesian health systems resilience
Prof. Ari Natalia Probandari, dr., M.P.H., Ph.D.| 41
15. Workshop on REACHOUT Project, Liverpool School of Tropical
Medicine, UK: participant (23-27 January 2012).
16. Workshop on Patient Centeredness Approach Package TBCARE
USAID, Phnom Penh Cambodia: participant (10-14 October 2011)
17. Workshop on Proposal of Tuberculosis Operational Research
KNCV, Surakarta, Jawa Tengah: facilitator (15-19 August 2011).
18. Workshop on publication writing, Tuberculosis Operations
Research Group Indonesia: facilitator (8-13 August 2011).
19. The International Seminar on Evidence based Programmes for
Reproductive Health and HIV Interventions, Bali: oral presenter
(2011)
20. The Fifth Postgraduate Forum on Health System and Policy
Research, Yogyakarta: oral presenter (2011).
21. The National Congress of Tuberculosis, Jakarta: oral presenter
(2011).
22. The first international symposium on health system and policy
research, Montreux, Switzerland: participant (2010).
23. Short course on Global Health, University of Bergen, Norway:
participant (2010).
24. Course of Public-Private Mix for Tuberculosis Control TBCTA
Regional Training Centre (Re TRAC) Asia, Faculty of Medicine
Universitas Gadjah Mada Yogyakarta, Indonesia: facilitator
(2009).
25. Short course on Quality Management in International Health,
University of Heidelberg, Germany: participant (2008).
26. International Workshop of Hospital DOTS Linkage, di Bali –
Indonesia: facilitator (2007).
46. COVID-19 pandemic and Indonesian health systems resilience
42 | Prof. Ari Natalia Probandari, dr., M.P.H, Ph.D.
27. Short course on Ethics in Research, Umea University, Sweden:
participant (2007).
28. Short course on Health System Research, KIT Royal Tropical
Institute Amsterdam, the Netherland: participant (2007).
PEER REVIEW
International Journals
1. BMC Health Services Research: 1 article (2011), 1 article (2014), 3
articles (2015), 8 article (2016), 17 article (2017), 16 article (2018), 5
article (2019).
2. BMC Clinical Pathology: 1 article (2015)
3. BMC Public Health: 3 articles (2011)
4. Global Health Action: 1 article (2011), 2 articles (2012), 2 articles
(2013), 3 article (2014), 2 article (2015), 4 article (2017), 6 article
(2018), 1 article (2019)
5. Human Resources for Health: 1 article (2015).
6. International Journal on Equity in Health: 1 article (2011).
7. Social Science and Medicine: 1 article (2013).
8. Tropical Medicine and International Health: 1 article (2012)
9. PLoS One: 1 article (2017)
10. International Health: 1 article (2018)
National Journals
1. Jurnal Manajemen Pelayanan Kesehatan: 2 articles (2012), 1 article
(2013), 1 article (2014), 3 articles (2015), 1 article (2018).
2. Berita Kesehatan Masyarakat: 3 articles (2018), 1 article (2019)
3. Berkala Ilmiah Kedokteran Duta Wacana: 3 articles (2016-2018)
4. Indonesian Journal of Integrated Health Sciences: 1 article (2018)
5. Jurnal Kebijakan Kesehatan Indonesia: 1 article (2018)
6. Journal of Public Health for Tropical and Coastal Region: 1 article
(2017).
47. COVID-19 pandemic and Indonesian health systems resilience
Prof. Ari Natalia Probandari, dr., M.P.H., Ph.D.| 43
AWARDS AND FELLOWSHIPS
1. Third Prize for Senior Researcher Category – Tropmed Award 2019,
Centre for Tropical Medicine, Universitas Gadjah Mada, Indonesia
(2019)
2. Fellowships for the workshop of scientific writing course
development, Institute for Tropical Medicine Antwerp, Belgium
(2018)
3. Fellowship for IR training at Khong Kaen University Thailand,
WHO TDR (2018).
4. Fellowship for TropEd meeting, WHO TDR (2018).
5. Fellowship for capacity building of systematic review writing,
UNSW Seed funding (2018).
6. Fellowship for KAVLI meeting, USAID (2017).
7. Fellowship for participating Public speaking and media skills
training for TB advocates and researchers, ACTION global health
advocacy partnership USA (2017).
8. Second Best Research Paper on Tuberculosis Social Research,
Ministry of Health, Indonesia (2017)
9. Fellowship for participating Regional training for health research,
WHO TDR (2016)
10. Fellowship for participating 2016 Indonesian-American Kavli
Frontiers of Science Symposium, Knowledge Sector Initiative (2016)
11. Fellowship for participating Implementation Research in Public
Health for Low- and Middle-Income Countries (John Hopkins
School of Public Health, Baltimore, USA), WHO TDR (2016)
12. Fellowship for participating Participatory Teaching Techniques with
A focus of Adult Teaching (Heidelberg University, Germany), WHO
TDR (2016)
13. Fellowship for short course on TB research methods (McGill
University Montreal, Canada), WHO TDR (2016).
48. COVID-19 pandemic and Indonesian health systems resilience
44 | Prof. Ari Natalia Probandari, dr., M.P.H, Ph.D.
14. Achievement award for Academic Staff – 3rd Place, Universitas
Sebelas Maret, Surakarta, Indonesia (2016).
15. Fellowship for participating Regional Course on Good Health
Research Practice (Yogyakarta, Indonesia), WHO TDR (2015).
16. Fellowship to participate in a workshop to develop a short training
course on principles on implementation research at University of
Ghana, WHO TDR (2015).
17. Achievement award for Academic Staff – 2nd Place, Universitas
Sebelas Maret, Surakarta, Indonesia (2013).
18. Global Health Research Scholarship for Ph.D program at Umea
International School of Public Health, Sweden (2007-2010).
19. Vasterbotten County Council Scholarship for Ph.D program at
Umea International School of Public Health, Sweden (2006-2007).
20. STINT Scholarship for Master Program at Umea University, Sweden
(2003-2004).