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JANTUNG KORONER
DI INDONESIA
5.8 M
50 million
40 million
26.0 M
( above the age of 60 )
30 million
9.0 M
20 million
10 million
18.0 M
0 million
Low-income countries
+ 52%
5
Causes of Death
Stroke
Tuberculosis
Hypertension
Injury
Perinatal/maternal
Diabetes Mellitus
Neoplasm/cancer
Liver disease
Ischemic Heart Dis.
Lower resp. tract dis.
Heart disease
15,4
7,5
6,8
6,5
6,0
5,7
5,7
5,1
5,1
5,1
4,6
Pneumonia
Diarrhea
Gastric ulcer
Typhoid
Malaria
Meningitis/Encephalitis
Congenital malform
Dengue
Tetanus
Septicemia
Malnutrition
3,8
3,5
1,7
1,6
1,3
0,8
0,6
0,5
0,5
0,3
0,2
60
49.9
50
44.2
41.7
NCDs meningkat
+ 19% /6 yrs
+ 31% /10 yrs
40
31.2
28.1
30
Africa + 27%
E. Mediterranean + 25%
20
10
10.1
6
5.9
7.3
6.5
HHS 1995
HHS 2001
0
Maternal and
Perinatal
conditions
Communicable Noncommunicable
Disease
Disease
Injury
BHR 2007
40
China
30
Africa
Middle East
20
South America
Other Asia
10
0
1990
2000
2010
2020
8
PREVALENSI NCDs
NCDs cases
Hypertension
Stroke
Heart disease
Arthritis
Land traffic injuries
Asthma
DM
DM (urban population)
Tumor / cancer
%
31.7
8.3
7.2
30.3
25,9
3.5
1.1
5.7
4.3
NO
HYPERTENSION
BHR 2004
%
24.5*
12.8*
93.6*
48.2*
34,7**
19.1#
11.6#
4.6*
11
Indonesia :
300,000 deaths each year due to tobacco
INDONESIAN SMOKERS
Smoking Prevalence (>15 Th)
Male Smokers (>15 Th)
Women (>15 Th)
Population exposed to
cigarette smoke
BHR
2007
33,4%
BHR
2010
34,7%
65,3%
5,06%
84,5 %
65,9%
4,2%
76,1%
12
40
32.8
35
30
24.2
25
20
15
18.8
12.7
10
5
17.3
13.7
7.1
0.3
0.2
Laki
Male
Perempuan
Female
Total
1.9
1.6
0
1995
2001
2004
2007
13
Patient
8060
1499
(18,6%)
2005
8306
1678
(20,2%)
2006
8661
9634
8007
1882
(23,5%)
2007
Year
Total patient admitted to ER
2332
(30,4%)
2008
3402
(35%)
3402
2009
15
66%
45%
33%
Active smoker
Ex smoker
Hypertension
Hypercholesterol
55%
12%
44%
40%
16
No reperfusion
N= 379 (59%)
STEMI
N= 654 (31.1%)
NSTEMI
N= 622 (29.6%)
Fibrinolytic
N= 81 (12%)
Primary PCI
N= 194 (29%)
UAP
N= 827 (39.3%)
17
PPCI
N
Year
18
Changes in
6.6%
5.3%
4.1%
th. 2007
th. 2008
th. 2009
2
1
0
th. 2007
th. 2008
th. 2009
19
3
6
Padang
5
3
Samarinda
2
9
3.5
Bengkulu 2
2
2
11
11
30
36
- RSJPD HK
- RSCM
- RSHS - Bdg
40
3
RS Dr.S
RS SA - Malang
21
4
Secondary
CV Care
Primary CV Care
Basic Health Care
INDONESIAN NCVC
INTEGRATED CV SERVICE
IN PROVINCE HOSPITAL
(TYPE A & B)
CV SERVICE IN
DISTRICT HOSPITAL
(TYPE C & D)
PRIVATE PRACTICE
PUBLIC HEALTH CARE
NGO IHF etc.
22
KESIMPULAN :
CVDs penyebab kematian utama di Indonesia
KESIMPULAN :
Paket efektif prevensi & pengendalian CVDs
Perkuat Primary Health Care Dr. KELUARGA
- melaksanakan prevention and control
- deteksi dini & terapi emergensi
- melakukan surveillance dampak intervensi
THANK YOU
FOR YOUR ATTENTION
25
20