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Distribusi Suplai dan

Logistik Kespro
pada Pelayanan Kespro di
Situasi Darurat Bencana
01
KIT KESEHATAN
REPRODUKSI DALAM
SITUASI DARURAT
BENCANA
KEBUTUHAN KESEHATAN REPRODUKSI
DALAM SITUASI DARURAT BENCANA
 Ibu hamil yang membutuhkan layanan dan akan melahirkan bayinya kapan
saja
 Risiko kekerasan seksual meningkat dalam keadaan sosial yang tidak stabil
 Risiko penularan ims/hiv meningkat karena keterbatasan sarana untuk
melaksanakan kewaspadaan universal
 Kurangnya pelayanan kb akan meningkatkan risiko kehamilan yang tidak
dikehendaki
 Kurangnya akses ke layanan gawat darurat kebidanan komprehensif
SUPLAI DAN LOGISTIK KESPRO

Untuk melaksanakan komponen pelayanan PPAM (menyediakan layanan


klinis untuk para korban/penyintas perkosaan; mengurangi penularan
HIV; mencegah meningkatnya kesakitan dan kematian yang tinggi pada
ibu dan bayi baru lahir), Inter-agency Working Group on Reproductive
Health in Crises (IAWG)/Kelompok Kerja Antar Lembaga untuk
Kesehatan Reproduksi dalam situasi darurat telah merancang paket
perlengkapan yang berisi obat-obatan dan perlengkapan yang bertujuan
untuk memfasilitasi pelaksanaan layanan prioritas kesehatan reproduksi
ini, yaitu Interagency Reproductive Health Kits (RH Kit).
KIT KESEHATAN KESPRO PADA SITUASI DARURAT
BENCANA

Interagency Reproductive Health Kits (RH Kit) adalah alat dan bahan yang
dibutuhkan untuk pelayanan kesehatan dasar bagi ibu hamil, ibu bersalin,
bayi, dan balita dalam situasi darurat.

Terdapat 3 Jenis RH Kit, yaitu :

Kit Individu Kit Persalinan Kit Kespro


KIT INDIVIDU

Berisi barang kebutuhan pribadi sesuai


sasaran kesehatan reproduksi.

Dikemas dalam kantong/tas


dengan warna tertentu

Kit diberikan sesegera mungkin pada awal


terjadi krisis kesehatan sesuai kebutuhan
dari hasil kaji cepat tim lapangan
KIT INDIVIDU
CARA PENDISTRIBUSIAN KIT INDIVIDU

Mendistribusikan kit
individu sesuai dengan
Menghitung kebutuhan kit
sasaran, yaitu: Apabila kit individu belum
individu dengan
 Kit ibu hamil untuk ibu tersedia, penanggung jawab
menggunakan data riil di
PPAM dapat
lapangan, atau apabila data hamil trimester ketiga
mengkoordinasikan
belum tersedia, dapat  Kit ibu pasca
kebutuhan tersebut kepada
menggunakan estimasi melahirkan/pascapersalin para pemberi
jumlah sasaran dari total an untuk ibu nifas bantuan/donatur dalam krisis
jumlah pengungsi di wilayah
 Kit bayi baru lahir untuk kesehatan.
tersebut.
bayi sampai usia 3 bulan
 Kit higiene untuk WUS
KIT PERSALINAN

Merupakan paket alat, obat dan bahan habis pakai untuk


pertolongan persalinan. Perlu dipastikan alat dan obat
lengkap serta periksa tanggal kadaluarsa dari obat-obatan
tersebut.

a. Kit di distribusikan kepada bidan yang bertugas di


daerah terdampak/di lokasi pengungsian. Pastikan
tersedia transportasi dan akses menuju lokasi
terdampak.
b. Kit diberikan apabila tidak tersedia peralatan
pertolongan persalinan/alat-alat kebidanan mengalami
kerusakan atau hilang saat terjadi bencana.
KIT KESEHATAN REPRODUKSI

Kit ini hanya dipakai pada


bencana besar dimana banyak
Kit berisi alat kesehatan infrastuktur kesehatan yang
dan bahan habis pakai rusak, tidak berfungsi dan tidak
yang sudah di kemas dan mampu melakukan pelayanan
diberi nomor serta warna kesehatan seperti biasanya
sesuai dengan jenis
Tindakan medis yang akan
dilakukan, digunakan di
puskesmas maupun rumah
sakit.
KIT KESEHATAN REPRODUKSI

Kit kesehatan reproduksi terdiri dari 3 (tiga) blok, masing masing blok ditujukan
bagi fasilitas pelayanan kesehatan yang berbeda. Kit dirancang untuk
penggunaan jangka waktu 3 (tiga) bulan untuk jumlah penduduk tertentu.
• Blok 1 : Tingkat masyarakat dan pelayanan kesehatan dasar untuk 10.000 orang/
3 bulan
• Blok 2 : Tingkat pelayanan kesehatan dasar dan rumah sakit rujukan untuk
30.000 orang/ 3 bulan
• Blok 3 : Tingkat rumah sakit rujukan untuk 150.000 orang/ 3 bulan
KIT KESEHATAN REPRODUKSI
BLOK 1
Penggunaan kit pada blok 1 terdiri dari 5 kit (kit 0 sampai kit 5) yang digunakan
ditingkat masyarakat dan pelayanan kesehatan dasar. Setiap kit cukup untuk
melayani kebutuhan 10.000 jiwa yang terdampak selama 3 bulan
Kit Jenis Kit Kode Warna
Kit 0 Kit Administrasi/Perlengkapan Pelatihan Oranye
Kit 1 Kit Kondom Merah
Kit 3 Kit Perawatan Korban Perkosaan Merah Jambu
Kit 4 Kit Kontrasepsi Oral dan Suntik Putih
Kit 5 Kit Pengobatan Infeksi Menular Seksual Biru Kehijauan
(IMS)
KIT KESEHATAN REPRODUKSI
BLOK 2
Blok 2 terdiri dari 5 kit (kit 6 sampai kit 10) yang berisi bahan habis pakai dan
bahan yang dapat digunakan kembali. Perlengkapan ini ditujukan untuk
memberikan pelayanan Kespro pada tingkat pelayanan kesehatan dasar di
puskesmas dan rumah sakit rujukan untuk pelayanan 30.000 jiwa yang terdampak
selama 3 bulan.
Kit Jenis Kit Kode Warna
Kit 6 Pertolongan persalinan di klinik Cokelat
Kit 7 Alat Kontrasepsi dalam Rahim (AKDR/IUD) dan Hitam
Implant Removal
Kit 8 Penanganan Keguguran dan Komplikasi Aborsi Kuning
Kit 9 Jahitan Robekan (Leher Rahim dan Vagina) dan Ungu
Pemeriksaan Vagina
Kit 10 Persalinan dengan Ekstraksi Vacuum Abu - abu
KIT KESEHATAN REPRODUKSI
BLOK 3
Blok 3 terdiri dari 2 kit yaitu kit 11 dan kit 12, yang berisi bahan habis pakai dan
perlengkapan yang dapat digunakan kembali untuk memberikan pelayanan
PONEK pada tingkat rujukan (bedah sesar), penggunaanya untuk tingkat rumah
sakit rujukan mencakup 150.000 jiwa yang terdampak selama 3 bulan.

Kit Jenis Kit Kode Warna


Kit 11 Kit Tingkat Rujukan untuk Kespro Hijau
(A+B)
Kit 12 Kit Transfusi Darah Hijau tua
PENYESUAIN KIT KESEHATAN REPRODUKSI
DENGAN KONDISI INDONESIA
PENGHITUNGAN
KEBUTUHAN KIT KESPRO
02 DALAM SITUASI DARURAT
BENCANA
HITUNG KEBUTUHAN KIT KESEHATAN
REPRODUKSI

We all feel lonely from time to time, here are some examples of such situations:

● When we don't have someone to sit down for lunch with


● When we move to a new city
● When nobody has time for us on the weekend
● When they give you good news and you have no one to share it with

Over the past decades this occasional feeling has become chronic
03
PERENCANAAN
TENTANG DISTRIBUSI
KIT KESPRO
Berdasarkan data inventarisasi kebutuhan maka disusunlah perencanaan
pendistribusian logistik dan peralatan kesehatan reproduksi. Perencanaan
pendistribusian terdiri dari data: siapa saja yang akan menerima bantuan,
prioritas bantuan logistik dan peralatan yang diperlukan, kapan waktu
penyampaian, lokasi, cara penyampaian, alat transportasi yang digunakan,
siapa yang bertanggung jawab atas penyampaian tersebut.

Perencanaan penyediaan logistik dapat dilaksanakan dengan melibatkan


semua pihak, seperti penanggung jawab program, organisasi
kemasyarakatan, CSR lembaga, organisasi profesi kesehatan, organisasi
keagamaan, lembaga kerja sosial, lembaga internasional dengan
menggunakan spesifikasi yang telah ditentukan pemerintah
TUJUAN PRINSIP
• Mengetahui sasaran penerima
bantuan dengan tepat. Dukungan logistik dan peralatan
• Mengetahui jenis dan jumlah yang dibutuhkan harus tepat
bantuan logistik dan peralatan waktu, tepat tempat, tepat jumlah,
yang harus disampaikan. tepat kualitas, tepat kebutuhan dan
• Merencanakan cara tepat sasaran, berdasarkan skala
penyampaian atau prioritas dan standar pelayanan
pengangkutannya.
PENDISTRIBUSIAN KIT
04 KESEHATAN REPRODUKSI
CARA PENDISTRIBUSIAN

Pendataan Mengusulkan Mengadakan Sendiri Permohonan

Berkoordinasi dg Kesediaan Penyimpanan Memeriksa Alat dan


Lembaga Transportasi Sementara Obat

Distribusi sesuai Petunjuk Penggunaan Menyerahkan kpd


Kriteria Fasilitas KIT Penanggungjawab
05

DISTRIBUSI SUPLAI
LOGISTIK SAAT SITUASI
PANDEMI COVID
CARA PENDISTRIBUSIAN
Dalam situasi pandemi covid 19 dan dalam upaya penekanan penyebaran wabah
Covid-19, pergerakan barang dan manusia dibatasi sekaligus dikendalikan, baik
pada wilayah yang telah maupun belum/tidak menetapkan status tanggap
darurat bencana. Kebutuhan pokok tetap harus terpenuhi sehingga diperlukan
sistem logistik yang menjamin pendistribusiannya dengan meminimalkan potensi
penyebaran wabah.

Sistem logistik harus meminimalkan kedatangan, pertemuan, dan kerumunan


pembeli di toko yang berpotensi meningkatkan penyebaran wabah Covid-19.
Minimalisasi interaksi juga harus dilakukan dalam proses penyerahan barang
kepada pemesanProses pengiriman barang harus memperhatikan keamanan
operator pengiriman (supir truk, driver transportasi online, dll.) dari risiko
penularan wabah
CARA PENDISTRIBUSIAN
Distribusi sesuai
Manajemen Informasi Progress
Kriteria Fasilitas

• Mengadakan Rapat Memuat :


Koordinasi Setiap bulan • portal khusus yang Advokasi mengenai
secara terbuka terkait Keberlanjutan layanan
memuat tentang SOP,
layanan klister Logistik esensial keseatan
Notulen Rapat dan
reproduksi
aturan terkait
• Koordinasi mengenai • Informasi seputar
isu – isu tertentu APD
• Peta Konsep Operasi
THANK YOU
ANY QUESTION?
KIT KESEHATAN REPRODUKSI

“The most connected generation in history is


also the loneliest”
A PICTURE ALWAYS
REINFORCES
THE CONCEPT
Images reveal large amounts of
data and meanings
REVIEW OF SYSTEMS

ANXIETY UNHAPPINESS WEAKNESS UNHEALTHY


Despite being red, Mercury is the Venus has a beautiful Saturn is a gas giant
Mars is a cold place smallest planet name and has rings
TIMELINE

FIRST WESTERN MODERN


CIVILIZATIONS SOCIETY WORLD
You grew up and lived in Started talking about High sociability doesn’t
groups of 150 people individualism as a person mean less loneliness
EPIDEMIC OF LONELINESS

DEPOPULATION
RAPID GROWTH INDUSTRIAL
IN THE
OF CITIES REVOLUTION
VILLAGES
When modern life arrived, Cities grew. We moved away Loneliness was more likely
people left cattle jobs and from collectivism and than ever: work, love, daily
left the villages focused on the self routine, etc.
IF YOU WANT TO LIVE LONGER,
SPEND LESS TIME ALONE
FINDINGS

The average number of close


friends in the US
1988
The average number of close
friends is three
2011
Years later, this average drops
to two
2016
Finally, the average of close To modify this graph, click on it, follow the link, change
friends is one the data and paste the new graph here
STRESS CAUSED BY CHRONIC
LONELINESS DANGEROUSLY
AFFECTS HEALTH
CHRONIC LONELINESS

01 NO TIME
You don't have time to see
your friends

02 WORK & STUDIES


These factors take up a lot
of time every day

03 FAMILY
You dedicate your free time
to the family only
HOW LONELINESS KILLS

INSOMNIA APATHY OBESITY


Insomnia or hypersomnia, Disinterest in doing any Due to sedentary lifestyle or
frequent problems social activities inactivity

DEPRESSION DISCOMFORT DEPENDENCE


Feelings of excessive guilt Continuous reliance on
Headaches may be persistent
about yourself social networking sites
SELF-PRESERVATION MODE

NEGATIVE EVIL
You turn Good intentions
everything into towards yourself
negative things are seen as bad

DISTRUST COLDNESS
You tend to You become a cold
mistrust your and unfriendly
friends and family person
50,000
Our body and mind is as old as the human race and our
biology tells us that we need someone to be with us
COMPARISON

RELAXE
HAPPY SAD ANGRY
D

Insomnia

Energy

Comfort
333,000.00
Earths is the Sun’s mass

24h 37m 01s


Is Jupiter’s rotation period

386,000 km
Between Earth and the Moon
WHAT CAN WE DO
04 ABOUT IT?
You can enter a subtitle here if you need it
DISCUSSION

DR. JENNA DR. JOHN DR. DANIEL DR. ROBERTA


DOE JAMES POTTER BLAESE
“Mercury is the “Venus has a “Saturn planet is a “It’s a gas giant
closest planet to beautiful name and gas giant and also the
the Sun” is very hot” of hydrogen” biggest planet”
DISCUSSION
SUMMARY
Mercury is the smallest one in the
Solar System. The planet’s name
has nothing to do with the liquid
metal
PATIENT MONITORING

WEEK 1 WEEK 3
Mars is a cold place Mercury is the closest

Venus is nice name Jupiter is the biggest

WEEK 2 WEEK 4
Mars

45% 60%
Venus
First Phase Second Phase
TREATMENT

EXERCISE 1 EXERCISE 2
Contact someone today even if you feel Go somewhere that is usually
a little lonely. Brighten the day for the embarrassing for you, such as a social
other person event, for example
INDICATIONS & CONTRAINDICATIONS

● Go talk and have fun ● Loneliness makes you


with your friends age faster
● Spend one day a week ● Makes Alzheimer's
with your family progress faster
● Look at the bright side ● Your immune system
of things becomes weaker
POST-PREVENTION

RECOGNIZE SELF-EXAMINATION
Let go of feelings of sadness so Analyze and focus your attention
that thoughts about yourself and on positive things. Don't add
others are not negative negativity to things

TO ACCEPT OPEN YOUR MIND


Accepting loneliness is a normal Open yourself to the world and
feeling and there is no need to be avoid protecting yourself. Avoid
ashamed excuses for not meeting people
MOBILE APP
You can replace the image on the
screen with your own work. Just delete
this one, add yours and center it
properly
CASE TIMELINE
MERCURY SATURN
Mercury is the closest Saturn is a gas giant and
planet to the Sun has rings

DAY 1 DAY 2 DAY 3 DAY 4

JUPITER VENUS
It’s a gas giant and also Venus has a very
the biggest planet beautiful name
CONCLUSIONS

The goal is to open up a bit so that you


can exercise your muscles of
connection with others. This way,
you’ll be stronger over time or make
other people stronger
REFERENCES

● AUTHOR (YEAR). Title of the publication. Publisher

● AUTHOR (YEAR). Title of the publication. Publisher

● AUTHOR (YEAR). Title of the publication. Publisher

● AUTHOR (YEAR). Title of the publication. Publisher

● AUTHOR (YEAR). Title of the publication. Publisher


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Dr. Jenna Doe Dr. Hannah Will


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