UNAIR NEWS – Faculty of Medicine Universitas Airlangga has welcomed a team of imPACT-IAEA ( Integrated Mission of Program of Action for Cancer Therapy – International Atomic Energy Agency). Their arrival this time was to review the implementation of cancer countermeasure activities in Indonesia.
For the second time the PACT team came to Indonesia. Their arrival this time was to follow up the cancer countermeasure mission they have set up in 2010, and has been followed up by the National Cancer Countermeasures Committee (KPKN).
In 2018, the Ministry of Health of Republic of Indonesia re-invited the PACT team to review the implementation of cancer countermeasure programs that have been going on for eight years.
So far the IAEA is working with World Health Organization to evaluate the cancer control programs in Indonesia. The team consists of representatives of the Association of Professors from New York , The Women’s and Children’s Hospital, as well as the Union for International Cancer Control .
Dian Martiningrum, Representative of Directorate of Health Service Facilities Ministry of Health said that a lot have been done by government since 2010, it is necessary to evaluate and find out what has been done. And, perfect cancer countermeasure programs that have been disseminated so far.
On that occasion, PACT team visited several medical education institutions in Indonesia, one of them was FK UNAIR. Their arrival was welcomed by lecturer of oncology in Assembly Room A Faculty of Medicine UNAIR on Friday, January 26. Besides FK UNAIR, PACT team also visited FK Universitas Sumatera Utara, FK Universitas Indonesia, and FK Universitas Gadjah Mada.
In terms of cancer countermeasure, Indonesia is still constrained by a number of problems, such as shortages of doctors and the uneven distribution of doctors. To that end, the PACT team wanted to assess the extent of the role of medical education institutions for Cancer Care Indonesia.
During the visit, they sought information on medical education organized by several medical faculties in Indonesia, from the education curriculum, to the medical training that has been applied in each institution. Such as the implementation of the internship doctors program .
The PACT team monitoring agenda was continued by visiting Adi Husada Hospital and Indonesian Cancer Foundation.
“After that they have an internal meeting, and the recommendations will be submitted to the Ministry of Health RI to make the next policy,” she said.
Since 2010, Ministry of Health through the Directorate of Non-Communicable Disease Control and Directorate of Referral Health Services has endeavored to disseminate various integrated activities not only for cancer countermeasure, but also for other non-communicable diseases such as heart disease, diabetes, and so on.
So far, National Cancer Countermeasures Committee (KPKN) in collaboration with the Ministry of Health through the Directorate of Non-Communicable Disease Control and the Directorate of Referral Health Services are preparing 12 guidelines for the management of cancer.
Ministry of Health is also trying to disseminate the healthy community movement for the prevention of disease by routine health checks, and actively share the importance of consuming vegetables and fruits, routine physical activity, and avoid stress as a preventive measure of cancer. Other activities were also done to educate the public about the importance of early detection.
“All this time, the problem is in the early detection phase. Because previously most people do not realize if they have suffered symptoms that lead to cancer malignancy, ” she said.
Dian hoped that through the activities education on early detection can reduce mortality and improve the quality of life of cancer patients.
Unfortunately, until now there has been no accurate data showing the prevalence of cancer in Indonesia. However, if observed from the amount of BPJS fund allocation to cover the cost of cancer patients treatment until 2017, the claim reached third highest position with six trillion rupiah.
Therefore, Kemenkes RI is currently trying to develop a cancer registry system. This system accommodates data on the number of cancer patients from various hospitals in Indonesia. Hopefully, the data collected is really accurate, because it is online and updated in real time.
“The Ministry of Health through the Directorate of Non-Communicable Disease Control and Directorate of Referral Health Service is disseminating the information to various hospitals and training the human resources to be able to access this cancer registry system, ” she said.
About cancer treatment technology in Indonesia, Dian considered that the treatment is adequate. There is Linex (radiotherapy tool) from the government. In Indonesia 35 units of Linex has been operated to support cancer therapy.
It’s just that the distribution of Linex is not evenly done. Because, most are still concentrated in Java, Sumatra, Kalimantan, and Sulawesi. While the eastern part of Indonesia has not been reached.
This indicates that cancer patients in eastern Indonesia are difficult to get swift treatment. To be able to access therapy, most of them must be referred to Makassar or Surabaya, and it takes time and it is costly.
“When it is in advanced stage, the treatment is difficult, eventually patients with advanced cancer can not be saved,” she said. (*)
Writing: Sefya Hayu Istighfaricha
Editor: Binti Q. Masruroh