Regulation Of The Minister Of Health Number 1109/menkes/per/iv/2010 A 2011

Original Language Title: Peraturan Menteri Kesehatan Nomor 1109/MENKES/PER/IV/2011 Tahun 2011

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Microsoft Word-bn377-2011 REPUBLIC of INDONESIA No. 377, 2011 MINISTRY OF HEALTH. Thalassaemia. Treatment. Guarantee. REGULATION of the MINISTER of HEALTH of the REPUBLIC of INDONESIA NUMBER 1109/MENKES/PER/VI/2011 ABOUT TECHNICAL INSTRUCTIONS GUARANTEE SERVICE of THALASSAEMIA TREATMENT with the GRACE of GOD ALMIGHTY the MINISTER of HEALTH of the REPUBLIC of INDONESIA, Considering: a. that in order to improve access to and quality of health services of the poor, have held public health assurance program (Jamkesmas); b. the Jamkesmas program that has undergone an expansion, including the expansion of the membership in the form of administering health services for patients with Thalassaemia Major; c. that Thalassaemia Major is a descendant of the disease there is no cure, and because of his illness can be impoverishing families sufferers; c. that based on considerations as referred to in letter a and letter b, letter c, need to establish the regulation of the Minister of health about the technical instructions Guarantee Service of Thalassaemia Treatment; www.djpp.kemenkumham.go.id 2011, no. 377 2 Remember: 1. Act No. 17 of 2003 about State Finances (State Gazette of the Republic of Indonesia Number 47 in 2003, an additional Sheet of the Republic of Indonesia Number 4286); 2. Act No. 1 of 2004 on the Treasury of the State (State Gazette of the Republic of Indonesia in 2004, an additional Sheet No. 5 of the Republic of Indonesia Number 4355); 3. Act No. 3 of 2004 concerning the examination of the management and financial responsibility of the State (State Gazette of the Republic of Indonesia Number 66 in 2004, an additional Sheet of the Republic of Indonesia Number 4400); 4. Act No. 29 of 2004 concerning the practice of Medicine (State Gazette of the Republic of Indonesia Number 116 of 2004, an additional Sheet of the Republic of Indonesia Number 4431); 5. Law Number 32 of 2004 concerning Regional Government (State Gazette of the Republic of Indonesia Number 125 of 2004, an additional Sheet of the Republic of Indonesia Number 4437) as last amended by law No. 12 of 2008 (State Gazette of the Republic of Indonesia Number 59 in 2008, an additional Sheet of the Republic of Indonesia Number 4844); 6. Act No. 33 of 2004 concerning the Financial Equalization Between the Central Government and local governments (State Gazette of the Republic of Indonesia Number 126 in 2004, an additional Sheet of the Republic of Indonesia Number 3637); 7. Act No. 40 of 2004 on National Social Security Systems (State Gazette of the Republic of Indonesia Number 126 in 2004, an additional Sheet of the Republic of Indonesia Number 4456); 8. Act No. 36 of 2009 about health (State Gazette of the Republic of Indonesia year 2009 www.djpp.kemenkumham.go.id 2011, no. 144, Extra Number 3773 Gazette of the Republic of Indonesia Number 5063); 9. Act No. 44 of 2009 about hospitals (State Gazette of the Republic of Indonesia Number 153 in 2009, an additional Sheet of the Republic of Indonesia Number 5072); 10. Act No. 10 of 2010 about the budget revenue and Expenditure of the State fiscal year 2011 (State Gazette of the Republic of Indonesia Number 126 of 2010, an additional Sheet of the Republic of Indonesia Number 5267); 11. Government Regulation Number 32 in 1996 about the health workforce (Gazette of the Republic of Indonesia Number 49 in 1996, an additional Sheet of the Republic of Indonesia Number 3637); 12. Government Regulation Number 72 in 1998 about Security Preparations pharmaceutical and health equipment (State Gazette of the Republic of Indonesia Number 138 in 1998, an additional Sheet of the Republic of Indonesia Number 3781); 13. Government Regulation Number 38 in 2007 about Government Affairs Divisions between the Government, local governance and local governance of the province, Kabupaten/Kota (State Gazette of the Republic of Indonesia Number 82 in 2007, an additional Sheet of the Republic of Indonesia Number 4737); 14. Government Regulation Number 41 in 2007 about the Organization of the device area (State Gazette of the Republic of Indonesia Year 2007 Number 89, an additional Sheet of the Republic of Indonesia Number 4741); 15. Government Regulation number 7 in 2011 about Blood Services (State Gazette of the Republic of Indonesia number 18 in 2011, an additional Sheet of the Republic of Indonesia Number 5197); 16. the presidential Regulation No. 5 of 2010 about the national medium term development plan in 2010 – 2014; www.djpp.kemenkumham.go.id 2011, no. 377 4 17. Presidential regulation Number 24 of 2010 about the position, duties, and functions of the Ministries as well as the Organization, duties, and functions of the Echelon I Ministries; 18. Regulation of the Minister of health the number 1144/Menkes/Per/VIII/2010 about the Organization and the work of the Ministry of health; 19. The decision of the Minister of health the number 021/Menkes/SK/I/2011 Strategic Plan of the Ministry of health in 2010 – 2014; 20. Regulation of the Minister of health the number 903/Menkes/Per/V/2011 about the guidelines of public health Assurance Program Implementation; Decide: Define: REGULATION Of The MINISTER Of HEALTH ABOUT The TECHNICAL INSTRUCTIONS GUARANTEE SERVICE Of THALASSAEMIA TREATMENT. Article 1 (1) technical instructions Guarantee Service of the treatment of Thalassaemia is a reference for the Central Government, provincial governments, the Government of Kabupaten/Kota and related parties including Thalassaemia Foundation (YTI), Association of parents of sufferers of Thalassaemia Indonesia (POPTI) and hospitals in Thalassaemia treatment Program. (2) the Technical Instructions Guarantee Service of Thalassaemia Treatment referred to in subsection (1), as contained in the annex to this regulation. Article 2 the settings Guarantee Service of Thalassaemia Treatment aims to: 1. Improve access to and treatment services for patients with Thalassaemia Major including poor and incapable outside Jamkesmas Program participants; 2. service of process in this reference for patients with Thalassaemia Major referral health services facility; 3. Terkendalinya financing mechanism in the service of the treatment of Thalassaemia major. www.djpp.kemenkumham.go.id 2011, no. 3775 article 3 (1) Warranty service of the treatment of Thalassaemia Major Jamkesmas Program is part of the. (2) Membership Services Guarantee the treatment of Thalassaemia Major is the expansion of the membership of the Jamkesmas, integrated and managed following the governance and management of Jamkesmas. Article 4 this Regulation comes into force on the date of promulgation. In order to make everyone aware of it, ordered the enactment of this regulation with its placement in the news of the Republic of Indonesia. Established in Jakarta on June 8, 2011 MINISTER of HEALTH of the REPUBLIC of INDONESIA, ENDANG RAHAYU SEDYANINGSIH Enacted in Jakarta on July 1, 2011 MINISTER of LAW and HUMAN RIGHTS Republic of INDONESIA, PATRIALIS AKBAR www.djpp.kemenkumham.go.id 2011, no. 377 6 ATTACHMENT of REGULATION of the MINISTER of HEALTH of the REPUBLIC of INDONESIA NUMBER 1109/MENKES/PER/VI/2011 ABOUT TECHNICAL INSTRUCTIONS GUARANTEE SERVICE of THALASSAEMIA TREATMENT www.djpp.kemenkumham.go.id 2011, no. 3777 TECHNICAL INSTRUCTIONS GUARANTEE SERVICE of THALASSAEMIA TREATMENT CHAPTER I INTRODUCTION a. BACKGROUND to the 1945 Constitution article 28 H subsection (1) requires that everyone has the right to live prosperous and inner, live, and get a good environment and healthy and has the right to obtain health services, and on article 34 paragraph (3) stated that the State is responsible for the provision of health care facilities and public service facilities. In Act No. 36 of 2009 about health, specifically in article 5 paragraph (1) States that every person has equal rights to obtain access to resources in the field of health and on paragraph (2) noted that every person has the right to obtain health services that are safe, high quality, and affordable. In carrying out the mandate of the Constitution and laws of the Ministry of Health conducts public health Assurance Program (Jamkesmas) which provides health coverage for the poor and couldn't afford it. Jamkesmas program is a groundbreaking program that aims to remove barriers to financing health care for the poor and couldn't afford, so they were able to get her medical needs health care. It is known that many diseases that require great expenses so it can make the person is poor (impoverishment), this problem will become more severe again when going on the type of disease declines (genetic) unceasing cost since the birth, such as Thalassaemia disease. This disease is not a disease due to the pattern of life is wrong, but is disease www.djpp.kemenkumham.go.id


2011, no. 377 8 offspring. There are two types of Thalassaemia Minor and Thalassaemia i.e. Thalassaemia major. Types of Thalassaemia minor does not interfere with the health of its victims but when married fellow Thalassaemia minor, then 25% can decrease disease Thalassaemia Major to his son. Thalassaemia Major is a serious blood disease and there is no cure, so to keep his health and stamina to do a blood transfusion regularly since a child, and in order to survive they need a huge cost on a regular basis. Financing services and treatment for patients with Thalassaemia major for this to be a burden on the family gathered in the Association of parents of sufferers of Thalassaemia Indonesia and hereinafter referred to as POPTI, assisted by Indonesia and Thalassaemia Foundation hereinafter referred to as YTI. Based on the above, the Government through the Ministry of health to provide assistance to special treatment for Thalassaemia major treatment services are served through public health Assurance Program. To give good service then disusunlah Technical Manual Warranty service of Thalassaemia Treatment as a technical description of the manual execution of the Assurance of public health in the service of Thalassaemia treatment. This technical guide is a section that is inseparable from the implementation Guidelines (Manlak) Guarantees the health of the community. B. the PURPOSE of the treatment of Thalassaemia Services Assurance Program has the following objectives: 1. General purpose Increasing access and quality of service of Thalassaemia treatment to achieve optimal health degrees effectively and efficiently through the warranty service of Thalassaemia Treatment as one public health Assurance Program. www.djpp.kemenkumham.go.id 2011, no. 3779 2. Special purpose: a. Provide convenience and access to services and treatment for sufferers of Thalassaemia in the hospital; b. Conducts quality control through improved health care services and treatment of Thalassaemia are optimal. c. Organizing the control of the health care costs through financial management that is transparent and accountable. C. Service Guarantee Treatment Targets TARGET Thalassaemia Major sufferer of Thalassaemia is a whole in Indonesia already enforced diagnosis. www.djpp.kemenkumham.go.id 2011, no. 377 10 CHAPTER II ORGANIZATION of the TREATMENT of THALASSAEMIA SERVICES Organizing Ministry consists of Thalassaemia Treatment Tatalaksana Receiver Warranty and Service Tatalaksana the treatment of Thalassaemia. A. TATALAKSANA RECEIVER WARRANTY Tatalaksana Warranty Service Recipient Thalassaemia Treatment consists of the determination of the recipient of the guarantee, the procedure for obtaining the service of Thalassaemia Treatment, as well as the rights and obligations of each Partner 1. Determination of the recipient of the Guarantee Beneficiary a guarantee of service and treatment of Thalassaemia include: a. any person who has upheld the positive diagnosis was suffering from Thalassaemia major and has a membership card issued by the Center or its name YTI has been registered in the Data Base Thalassaemia Foundation Indonesia b. one who has upheld the positive diagnosis was suffering from Thalassaemia major sufferer but not yet registered at YTI. Thalassaemia Foundation Indonesia reporting database all recipients of Service Guarantee the treatment of Thalassaemia (by name, by address) into the center of the financing and health coverage, the Secretariat-General of the Ministry of health through Team Manager Jamkesmas Center. 2. The procedure for obtaining the service of treatment of Thalassaemia Major a. all recipients of Treatment Guarantee Service of Thalassaemia Treatment Service is entitled to a Thalassaemia major, with www.djpp.kemenkumham.go.id 2011, no. 37711 advance already registered at YTI Center and already have a membership card issued by YTI Center. b. If sufferers of Thalassaemia recently has been in the diagnosis by doctors at the hospital as a Thalassaemia Major sufferer, then the sufferer can apply to get Warranty service of Thalassaemia Treatment with the settings as follows: 1) contact the nearest POPTI YTI branch/local/and apply to get a membership card. 2) YTI/POPTI branch will forward the petition to the Thalassaemia YTI sufferers Center. 3) if the petition is approved, then the YTI Center will publish a membership card c. for sufferers who do not already have a membership card for Thalassaemia Treatment Services, can obtain treatment services Thalasaemia using the letters of recommendation the Director of a local hospital and then immediately take care of card members at YTI POPTI/Centre. d. for sufferers who do not already have a membership card for Thalassaemia Treatment Services, but it has been registered in the Data Base YTI, then the sufferer can get Services the treatment of Thalassaemia Major, with a letter of recommendation imposed temporary local branch POPTI/YTI, before getting a membership card for Thalassaemia Treatment Services. e. in the event of loss of membership card for Thalassaemia Treatment Services, do the steps as below: 1) sufferers must immediately report to local or POPTI YTI/YTI/nearest POPTI henceforth do checking of the Data Base as sufferers registered, 2) YTI/POPTI local or nearest POPTI/YTI obligation published affidavits that concerned is correct as the sufferer, 3) YTI/POPTI Branch apply to YTI Center so that it can immediately published a new Member Card. www.djpp.kemenkumham.go.id 2011, no. 377 12 f. for sufferers who have died, then automatically the right will be lost and cannot be transferred to others. g. For sufferers of abusing membership card for Thalassaemia Treatment Services, then be penalized legally in accordance with the provisions of the Laws applicable invitation. www.djpp.kemenkumham.go.id 2011, no. 37713 YTI/POPTI YTI BRANCH/REGION PEMBUATANKARTU BAGANARUS CENTRE BRANCH YTI/POPTI SUFFERERS new 1. NEW SUFFERER of APPLICATION for CARD MEMBER DATA BASE MEMBERSHIP CARD www.djpp.kemenkumham.go.id 2011, no. 377 14 YTI/POPTI YTI BRANCH BAGANARUS CENTER/RELIC CARDS-MAKING BRANCH YTI/POPTI RECOMMENDATIONS 2. OLD OLD SUFFERER SUFFERERS DATA BASE MEMBERSHIP CARD * old Sufferers don't have KartuAnggota www.djpp.kemenkumham.go.id 2011, no. 37715 YTI/POPTI C ABA NG Y TI/PUSSY AT B AG AN MBUATAN PE RELIC CARD CURRENT CAB ANG YTI/POPTI PEN D ER ITA 3. LOST KAR TU LA PO R AN a K EH ILA NG AN D ATA B ASE KAR TU ANGG O TA * ta La ma deri Pen y an g k g lan an ehi K ar tu à ng go t a S K N ETERANGA URIC www.djpp.kemenkumham.go.id 2011, no. 377 16 YTI HOSPITAL CENTER CHART the CURRENT CARD in the REGION that NO BRANCH YTI/POPTI CARD MEMBERS the NEW SUFFERERS DATA BASE K ARTU KETE RA N LETTER MEMBERS GAN R EKOMEN D with the LETTER of KETE RA N GAN COP Y R a D A EKOMEN SI www.djpp.kemenkumham.go.id 2011, no. 37717 3. Rights and obligations of Each Partner's work considering the implementation of the Guarantee Service of the treatment of Thalassaemia is a partnership involving YTI/POPTI, then for sufferers not participants Jamkesmas, procedures and mechanisms are certainly more complex than Jamkesmas program. To ensure the smooth running of the service of treatment Sufferers Thalassaemia then needs to be poured on the rights and obligations of each partner, in order to make the implementation of this program can run optimally. a. the rights of sufferers of Thalassaemia Major Sufferer Thalassaemia Major) who has upheld diagnosis is entitled to service of Thalassaemia Treatment according to the standard medical service. 2) for service and the treatment of the disease outside diagnosis Thalassaemia major, then: a. for patients with Thalassaemia Major and participants Jamkesmas, remains FUNDED payment patterns follow Jamkesmas (INA-DRG./INA-CBG's). b. for patients with Thalassaemia Major and not participants Jamkesmas, NOT FINANCED by the Government. 3 Thalassaemia treatment Services) held in the entire Hospital/Government and private health facilities who have made MCC (cooperation agreement) with Jamkesmas. Thalassaemia Major Sufferer 4) who seek treatment at hospitals that cooperate with Jamkesmas urun costs, are not subject to the entire cost of health services financed from the STATE BUDGET funds. b. liability of Thalassaemia Major Sufferer: 1) Sufferers who have upheld the diagnosis of Thalassaemia Major sufferer as the obligation to report and register to YTI/POPTI branch. (the address of the Secretariat YTI and POPTI attached). 2) Thalassaemia Major Sufferer who has been getting the service of Thalassaemia Treatment is obligated to carry out the advice of a doctor, by means of blood transfusions regularly, taking medication as well as drugs usage bosun iron in an orderly and organised. www.djpp.kemenkumham.go.id


2011, no. 377 18 3 Thalassaemia Major Sufferer) which should be referred to Hospitals far from the place of residence, all non-medical expenses become the responsibility of Thalassaemia Major Sufferer/family assisted by YTI/POPTI c. Obligations YTI/POPTI: 1) do logging and create a Data Base for all sufferers of Thalassaemia Major in Indonesia that will get the Guarantee Service of Thalassaemia Treatment. 2) Thalassaemia Major sufferer's truth check, especially for those who will get the service at the hospital but suffered various rights related problems, as follows: a) Thalassaemia Major Sufferer has been given a membership card YTI but when the Card service will get lost. b) have been diagnosed as sufferers of Thalassaemia Major but have not received the cards. 3) helps oversee and monitor the smooth running of the service of Thalassaemia treatment at the hospital. 4) by raising non-medical costs for patients with Thalassaemia Major that should be referred to Hospitals far from the place of residence, it is the responsibility of the agreement on shifting budget that funds donation YTI-POPTI originally for the treatment of Thalassaemia Major Sufferer, now redirected to support non-medical costs given the medical costs have become the Jamkesmas Program responsibilities. d. rights and obligations of hospitals: 1) has the right to ask for card members YTI or recommendation as a replacement Member Card YTI to eligibility for the administration. 2) has the right to receive the Data Base of Thalassaemia Major sufferer YTI/POPTI. www.djpp.kemenkumham.go.id 2011, no. 37719 3) obligation to provide service and treatment of Thalassaemia Major sufferer medical standards, using recommended drugs effectively and efficiently. 4) shall be obliged to provide drugs and health equipment in full compliance which has been prescribed by a doctor. 5) Before formed stewardship YTI/POPTI in area Director/Chief of service at the hospital was assigned as decision makers to be able to provide recommendations on the sufferers/patient who revealed the name of Thalassaemia undiagnosed YTI/POPTI and Hospitals should immediately send a copy of such recommendation to the Indonesia Center for Thalassaemia Foundation created a membership card. 6) obligation to verify and publish the SJP (letter of guarantee Treatment) for patients with Thalassaemia Major are not participants Jamkesmas. e. rights and obligations of Membership Verifikator (PT Askes) include: PT Askes obligation to verify and publish the SKP (validity of sufferers) for patients with Thalassaemia Major which is the participant Jamkesmas. B. TATALAKSANA TREATMENT SERVICES 1. Sufferers of Thalassaemia Major visiting hospitals work together in program Jamkesmas at the moment requires the Ministry of health. 2. all Thalassaemia Major Sufferer must be able to show proof of identity in the form of a card and/or Card Jamkesmas Member YTI. Address Centre JL. YTI Cipanas No. 7 Block Q-1, Kebayoran Baru South Jakarta. 12170 Tel. (021) 7246828, Fax (021) 7237952 Email: thalassaemia_ind@indo.net.id www.djpp.kemenkumham.go.id 2011, no. 377 20 3. For people with new and does not yet have a card YTI, can use a letter of recommendation from YTI branch office or the Director of the hospital. 4. next clerk PT Askes published SKP for sufferers who is a participant and officer Jamkesmas hospital published a sufferer for SJP not Jamkesmas participants. 5. After that sufferers of Thalassaemia get health services in accordance with medical needs. 6. The kind of Ministry that provided a guaranteed service Type. assurance program treatment services Thassaemia is a service of treatment requiring Outpatient and Inpatient b. Outpatient Service and Inpatient Jamkesmas program standards. For inpatient services is the services in class III Government and private Hospitals that have an Agreement of cooperation (MCC) with Jamkesmas. When sufferers are not on the class that is assigned all of its rights in the service of Thalassaemia treatment is not given. 7. Treatment Services provided to all sufferers of thalassaemia major patients/survivors/patient good Jamkesmas or non Jamkesmas should get treatment services which include; a. Consultation b. laboratory Examination consisting of the full Blood, blood banks, Ureum, Creatine, SGOT, and SGPT. c. health Equipment and Consumables provided is Spuit 3 ml, 10ml, Blood filters, Blood Set, Abocath No. 22, 100 ml NaCL, Alcohol Swab, plaster, wingneedle No. 27, aquabides 25 ml; d. Drugs include folic acid 5 mg, 80 mg, Vit E 200 IU Tabs, Vit C 100 mg Jelly Xylocain e., blood transfusion, complete with a transfusion and blood f. Drug bosun iron, which can be either a Bosun Iron Injection (DFO), bosun, Oral Iron (DFP) and Acting Oral Iron (DFX) corresponds to the fit acceptance is either in the body of the sufferer, must be given at the same time to the need/usage in a month. g. examination of ferritin should be carried out every three months. www.djpp.kemenkumham.go.id 2011, no. 37721 HOSPITAL UPPJ/PPATRS RWT. JLN/RWT. When the REGISTRATION/STATUS COUNTERS INPATIENT PHYSICIAN BLOOD BANK LABORATORY FLOW LAYOUT JAMPELTHAS SERVICES/OUTPATIENT CARE SPACES JAMKESMAS TRANSFUSION of HOSPITAL PHARMACIES PRESCRIPTION/MEDICATION PATIENT THALASSAEMIA Note:  UPPJ = Unit patient Service Guarantee  PPATRS = Integrated Administrative Service Center Hospital www.djpp.kemenkumham.go.id 2011, no. 377 22 CHAPTER III FINANCING MECHANISM for financing mechanism for the treatment of Thalassaemia Services include treatment of Thalassaemia services tariff quantity the allocation of funds and resources, as well as the tatalaksana accountability for funds. A. magnitude of the tariff treatment of Thalassaemia Services For Ministry of Thalassaemia services rates defined laboratory examination, drugs, and blood transfusions. The rate to be used in liability claims Thalassaemia sufferers outside package INA-CBG's. B. sources of financing sources of Funds and the allocation for the whole service of Thalassaemia sourced from STATE BUDGET and the budget is poured in A DIPA Jamkesmas Program joined. C. Tatalaksana Tatalaksana Fund Accountability accountability for the funds of the Ministry follows the Thalassaemia treatment mechanisms of accountability for funds advanced health facilities in Jamkesmas to the pattern of payment of INA-CBG's. Setting accountability such funds listed on the Program Implementation Guidelines Jamkesmas. But in people with Thalassaemia is a diklaimkan to the Team Manager Jamkesmas Center by RS, in addition to the price of the INA-CBG's added with Service Pack sufferers of Thalassaemia. D. Tariff service of blood transfusion and Iron Service Rate Bosun Therapeutic blood transfusion and iron therapy bosun diklaimkan is separate from the price of the INA-CBG's. For outpatient: package I: A, B, C, D, and e. Package II: A, B, C, D, E, and f. Package III: A, B, C, D, E, F, and examination of ferritin. For inpatient: claims for Thalassaemia major on hospitalization rates use INA-CBG's. www.djpp.kemenkumham.go.id 2011, No FEE DETAILS 37723. BLOOD TRANSFUSIONS and MEDICATION BOSUN THALASSAEMIA SUFFERERS IRON PER MONTH with 40 KG WEIGHT Package I no. Description unit price number of Desferal Many DFO DFP Ferriprox Exjade DFX a. Hospital 1. Poly tickets 2 x Rp. 40,000 to Rp. 80,000 2. The Act of Transfusion 2 x Rp. 100,000 to Rp. 200,000 3. consultation 3 x Rp. 40,000 to Rp. 120,000 Subtotal Rp. 400,000 b. Laboratory 1. Blood Banks Complete 1 x Rp. Rp 95,000 95,000 2. Ureum 1 x Rp. Rp 22,000 22,000 3. Creatinin 1 x Rp. Rp 22,000 22,000 4. SGOT 1 x Rp. Rp 24,000 24,000 5. SGPT 1 x Rp. Rp 24,000 24,000 6. Ferritin---Subtotal IDR 187,000 c. health equipment 1. Spuit 3 ml 1 IDR IDR 1,335 1,335 2. Blood Set 2 Rp. Rp 15,984 31,968 3. Abocath No. 22 2 Rp 13,882 Rp. 27,764 4. 100 ml NaCl (otsuka) 2 Rp. Rp 6,034 12,068 5. Alcohol Swab 360 4 Rp. Rp 1,440 6. Plaster 1 Rp. 7,390 Rp. 7,390 7. Blood Filters---Subtotal IDR 81,965 Alkes For Desferal 8. Spuit 10 ml---9. Wing Needle No. 27 (terumo)---10. Aquabides 25 ml---Subtotal-d. Drugs 1. Asampolat 5 mg 60 Rp. Rp 73.4,380 2. Aspilet 80 mg 30 Rp. Rp. 347 10,410 3. Vit E 200 IU Tabs 60 Rp. 962 Rp. 57,720 4. Vit C 100 mg 20 Rp. 76 USD 1,520 5. Xylocain Jelly---Subtotal Rp. 74,030 e. Blood Bags 4 Rp. 250,000 Rp. 1,000,000 IDR 1,000,000 Subtotal TOTAL (A + B + C + D + E) Rp. 1.742.995 www.djpp.kemenkumham.go.id


2011, no. 377 24 BREAKDOWN of COST BLOOD TRANSFUSION and IRON BOSUN THALASSAEMIA SUFFERERS MEDICATION MONTHLY with 40 KG WEIGHT Package II No. Description unit price number of Desferal Many DFO DFP Ferriprox Exjade DFX a. Hospital 1. Poly tickets 2 x Rp. 40,000 to Rp. 80,000 2. The Act of Transfusion 2 x Rp. Rp. 200,000 3 00000. consultation 3 x Rp. 40,000 to Rp. 120,000 Subtotal Rp. 400,000 b. Laboratory 1. Blood Banks Complete 1 x Rp. Rp 95,000 95,000 2. Ureum 1 x Rp. Rp 22,000 22,000 3. Creatinin 1 x Rp. Rp 22,000 22,000 4. SGOT 1 x Rp. Rp 24,000 24,000 5. SGPT 1 x Rp. Rp 24,000 24,000 6. Ferritin---Subtotal IDR 187,000 c. health equipment 1. Spuit 3 ml 1 IDR IDR 1,335 1,335 2. Blood Set 2 Rp. Rp 15,984 31,968 3. Abocath No. 22 2 Rp 13,882 Rp. 27,764 4. 100 ml NaCl (otsuka) 2 Rp. Rp 6,034 12,068 5. Alcohol Swab 360 4 Rp. Rp 1,440 6. Plaster 1 Rp. 7,390 Rp. 7,390 7. Blood Filters---Subtotal IDR 81,965 Alkes For Desferal 8. Spuit 10 ml 20 Rp. Rp 41,860 2,188--9. Wing Needle No. 27 (terumo) 20 Rp 103,120 Rp-5,156-10. Aquabides 25 ml 20 Rp. Rp 35,980 1,799-180,960-IDR-Subtotal-Rp. 262,925 until Rp. 81,965 until Rp. 81,965 d. Drugs 1. Asampolat 5 mg 60 Rp Rp Rp 73 4,380 4,380 4,380 2 Rp.. Aspilet 80 mg 30 Rp Rp Rp 10,410 347.10,410 IDR 10,410 3. Vit E 200 IU Tabs 60 Rp. 57,720 until Rp. 962 Rp. 57,720 until Rp. 57,720 4. Vit C 100 mg 20 Rp. 76 USD 1,520 IDR IDR 1,520 1,520 5. Jelly Xylocain 1 Rp. 55,519 until Rp. 55,519--Subtotal Rp. 129,549 until Rp. 74,030 until Rp. 74,030 e. Blood Bags 4 Rp. 250.000 Rp. 1.000.000 Subtotal Rp. 1,000,000 www.djpp.kemenkumham.go.id 2011, no. 37725 No. Description unit price number of Desferal Many DFO DFP Ferriprox Exjade DFX Total (A + B + C + D + E) Rp. 1,979,474 until Rp. 1,742,995 until Rp. 1,742,995 f. Drug Bosun Iron 1. DFO-80/80 500 mg vial IDR 6,600,000 IDR 82,500--2. DFP-180/500 mg 180 caplets IDR 25,300-Rp. 4,554,000-3. DFX-120/250 mg 120 tablet IDR 35,500--Rp. 4,260,000 Total (A + B + C + D + E + F) Rp. 8,579,474 until Rp. 6,296,995 until Rp. 6,002,995 Description: For therapeutic Acting Iron there are 3 options; Desferal DFO, Ferriprox DFP, Exjade DFX. www.djpp.kemenkumham.go.id 2011, no. 377 26 BREAKDOWN of COST BLOOD TRANSFUSION and IRON BOSUN THALASSAEMIA SUFFERERS MEDICATION MONTHLY with 40 KG WEIGHT Package III No. Description unit price number of Desferal Many DFO DFP ox Ferripr Exjade DFX a. Hospital 1. Poly tickets 2 x Rp. 40,000 to Rp. 80,000 2. The Act of Transfusion 2 x Rp. 100,000 Rp. 200,000 3. consultation 3 x Rp. 40,000 to Rp. 120,000 Subtotal Rp. 400,000 b. Laboratory 1. Blood Banks Complete 1 x Rp. Rp 95,000 95,000 2. Ureum 1 x Rp. Rp 22,000 22,000 3. Creatinin 1 x Rp. Rp 22,000 22,000 4. SGOT 1 x Rp. Rp 24,000 24,000 5. SGPT 1 x Rp. Rp 24,000 24,000 6. Ferritin 1 x Rp. Rp 92,500 92,500 Subtotal Rp. 279,500 c. health equipment 1. Spuit 3 ml 1 IDR IDR 1,335 1,335 2. Blood Set 2 Rp. Rp 15,984 31,968 3. Abocath No. 22 2 Rp 13,882 Rp. 27,764 4. 100 ml NaCl (otsuka) 2 Rp. Rp 6,034 12,068 5. Alcohol Swab 360 4 Rp. Rp 1,440 6. Plaster 1 Rp. 7,390 Rp. 7,390 7. Blood Filters---Subtotal IDR 81,965 Alkes For Desferal 8. Spuit 10 ml 20 Rp. Rp 41,860 2,188--9. Wing Needle No. 27 (terumo) 20 Rp 103,120 Rp-5,156-10. Aquabides 25 ml 20 Rp. Rp 35,980 1,799-180,960-IDR-Subtotal-Rp. 262,925 until Rp. 81,965 until Rp. 81,965 d. Drugs 1. Asampolat 5 mg 60 Rp Rp Rp 73 4,380 4,380 4,380 2 Rp.. Aspilet 80 mg 30 Rp Rp Rp 10,410 347.10,410 IDR 10,410 3. Vit E 200 IU Tabs 60 Rp. 57,720 until Rp. 962 Rp. 57,720 until Rp. 57,720 4. Vit C 100 mg 20 Rp. 76 USD 1,520 IDR IDR 1,520 1,520 5. Jelly Xylocain 1 Rp. 55,519 until Rp. 55,519--Subtotal Rp. 129,549 until Rp. Rp. www.djpp.kemenkumham.go.id 2011, no. 37727 No. Description unit price number of Desferal Many DFO DFP ox Ferripr Exjade DFX 74,030 74,030 e. Blood Bags 4 Rp. 250.000 Rp. 1.000.000 Subtotal Rp. 1.000.000 Total (A + B + C + D + E) Rp. 2,071,974 until Rp. 1,835. Rp 495.1,835,495 f. Drug Bosun Iron 1. DFO-80/80 500 mg vial IDR 6,600,000 IDR 82,500--2. DFP-180/500 mg caplets 180 rupiah-IDR 25,300 4,554. 000-3. DFX-120/250 mg 120 tablet IDR 35,500--Rp. 4,260,000 Total (A + B + C + D + E + F) Rp. 8,671,974 until Rp. 6,389.495 Rp. 6,095,495 Description: Package II is almost the same with the package III, the difference is on the package III conducted an examination of laboratory Feriti www.djpp.kemenkumham.go.id 2011, no. 377 28 CHAPTER IV SUCCESS INDICATORS, monitoring and evaluation, handling complaints, COACHING and supervision, AS WELL AS RECORD-KEEPING, reporting and FEEDBACK A. INDICATORS of SUCCESS as the Foundation in assessing the success and achievements in the implementation of the guarantee "Thalassaemia", then use with indicators Terlayaninya: all sufferers of Thalassaemia treatment that performs in the facilitation of health works closely with program Jamkesmas. B. MONITORING and EVALUATION 1. The purpose of Monitoring needs to be done to get an idea of the suitability between the plan and the implementation of programmes in the field, while the evaluation aims to see the attainment of indicators of success. 2. Scope of Data a. participants, record keeping, and handling complaints b. implementation of Thalassaemia services which include number of visits to the secondary and tertiary PPK c. Quality implementation services to sufferers of Thalassaemia d. implementation of channelling funds and funds accountability verification e. verification of the implementation of the use of funds program f. program management at provincial/district/city 3. Mechanisms of monitoring and evaluation are done periodically either monthly, quarterly, annual or semester by Central and provincial health Office/district/city through: a. coordination meetings and b. processing and data analysis c. supervision of www.djpp.kemenkumham.go.id 2011, no. 37729 c. HANDLING COMPLAINTS Filing a complaint as a control for improvement of the program. Submission of complaints may be submitted by participants, observers, and the attendant PPK to the provider of the health services program at both the provincial level as well as Kabupaten/Kota with attention to principles: 1. The complaint must respond quickly and exactly 2. Handling complaints can also take advantage of the unit which has been available in PPK or local Health Department 3. Handling complaints on hierarchical d. do COACHING and SUPERVISION 1. Coaching aims so that program execution more empowered to and successful action. The construction is carried out in accordance with the hierarchical duties and its functions include: a. Coaching in preparation of the POA program b. Pembinaaan in doing checking of program implementation in the field c. Construction in progress Construction in d. verification process management information systems 2. Supervision is carried out: a. the scrutiny attached to b. functional Oversight of community Supervision of c. e. RECORD KEEPING, reporting, and FEEDBACK to support the monitoring and evaluation of the required record-keeping and reporting of the implementation of the program on a regular basis each month. 1. The recording of the results of the program activities undertaken by PPK on the register recording that exists. 2. Reporting a. PPK mandatory reporting program execution to the recap of the health service district/city on the 5th of each month. www.djpp.kemenkumham.go.id 2011, no. 377 30 b. health service district/city of obligatory recapitulation report from all reports the results of the implementation of programmes in the area of kabupaten/kota and report them to the provincial health service each 10th of each month. c. the provincial health service is obligatory recapitulation report outcomes from each district/city health Office and report it to the Centre every 15th of each month. d. obligatory recapitulation Center Manager reports from each province to become a national report every month/trimester/semester/year. 3. Feedback Reports feedback about the results of the report on the implementation of the program implemented hierarchical, i.e. the Central Manager will perform analysis and provide feedback to the provider of the health service of the province, the provincial health Office gives feedback to the district/city health Office and so on. To facilitate monitoring and order administration, reports to the Centre Manager sent to the address: SECRETARIAT TEAM MANAGER I JAMKESMAS and BOK CENTRE d/a: Center for FINANCING and GUARANTEE the HEALTH of the Ministry of health Building, 14th floor Prof. Sujudi Jl H.R. Rasuna Said Kav X 5 blocks of 4-9 Jakarta Selatan 12950. Telephone 021-5221229, 5277543 Fax: 021-52922020  PO BOX 7755 JAMKESMAS 12700 JKTM Web address: http://www.ppjk.depkes.go.id/www.djpp.kemenkumham.go.id 2011, no. 37731 chapter V COVER technical guide is organized to be a reference that is necessary for the implementation of the Guarantee Service of Thalassaemia Treatment. The existence of this guarantee program with a cost that is sourced from the Government through the STATE BUDGET, expected to increase access for sufferers of thalassaemia major against the health service and help them on the side of health financing. The hospital and the Foundation as well as Indonesia Unity Thalassaemia sufferers of Thalassaemia Parents are expected to work in synergy in implementing guarantees of treatment of Thalassaemia Services so that the goals set in this programme can be achieved. When later required the existence of a change in the technical instructions, then refinement will be performed on the preparation of the technical instructions. MINISTER of HEALTH of the REPUBLIC of INDONESIA, ENDANG RAHAYU SEDYANINGSIH www.djpp.kemenkumham.go.id


2011, no. 377 32 BRANCH ADDRESSES YTI and POPTI and names CAN BE CONTACTED No Address City Hospital, POPTI and YTI name can you call the phone 1. Jakarta's RSCM JL. P Diponegoro No. 71., Jakarta Pusat Tel. 021.390.7744 Fax. 021.390.4145 Thalassaemia Centre RSCM JL. P Diponegoro. No. 17, Central Jakarta Tel. 021.3907744 Fax. 021.391.4145 POPTI JL. P Diponegoro No. 71., Jakarta Pusat Tel. 021.390.7744 Fax. 021.390.4145 YTI (Center) JL. Cipanas No. 7 Block Q-1, Kebayoran Baru South Jakarta 12170 Tel. 021.724.6828 Fax. 021.723.7952 Email: thalassaemia_ind@indo.net. ID-BP. Ruswandi-Mother-mother Ruswandi Watty Iis-Mother Euis h. Bambang-BP. From Hasan-BP. Mardjani Rinie Amaluddin mothers. -Mother Anni Effendi. Margana-Reiny Mothers Bp. Edy Poerwono. -Mother Gelia Ngestiati Tel. 021.724.6828 Hp. Hp. Hp 0816,796,821 0813.8060.6369.0817,178,366 0815.165.6515 Hp. Hp. 0856.100.1341 Tel. 021.857.8032 Hp. Hp 0811,184,164 Hp. 0815.912.6505. www.djpp.kemenkumham.go.id 2011, no. 37733 No Address City Hospital, POPTI and YTI name can be reached Phone 0812.108.5816 Hp. Hp. 0812.909.5777 021.724.6828 2. Bandung RSU Dr. Hasan Sadikin JL. Pasteur No. 38, Bandung, West Java, Tel. 022.203.0808/203.4076 POPTI JL. Jati Indah II No. 6, Bandung, West Java, Tel. 022.7300.306 Fax. 022.7300.306 Email: nunukjs@gmail.com YTI PMI Branch in Aceh from Bandung city JL. No. 79 Bandung, West Java, Tel. 022.420.7051/52 Fax. 022.420.8677-Joyo Mother Store-BP. Irawan-Mother Milah Karmilah-Drs. h. Rohimat-BP. Faith Tedjarachmana-Drs. h. Oni Yusroni Tjasmita 0817.920.2037 Hp. Hp. Hp. Hp 0812.222.8173 0818.0200.2914.0812.200.2783 0817,213,687 Hp. Hp. 0812.249.0057 3. Yogyakarta's Sardjito Yogyakarta RSUPN Dr. Jl. Health I, Yogyakarta Tel. 0274,587,333 POPTI Faculty Biology, North of Yogyakarta 55281-Sekip Tel. 0274.741.7560, 649.2260 Fax. Email: 0274.521.12-DR Hadisusanto-Sugiyatno Mother Suwarno Hp. 0856.293.7358 Tel. 0274,773,444 www.djpp.kemenkumham.go.id 2011, no. 377 34 No Address City Hospital, POPTI and YTI name can be reached Phone swarno_hsusanto@yahoo.co. ID YTI Part RSUPN Child Hematology Dr. Sardjito JL. Health I, Yogyakarta Tel. Email: 0274,587,333 smulat@gmail.com-Prof. Dr. dr. Sutaryo, SpA (K)-Dr. Dr. Sri Mulatsih, SpA (K) 0812.295.6403 Hp. Hp. 0811,254,116 4. Semarang RSU Karyadi Semarang JL. Sutomo No. 16 Semarang, Central Java, Tel. 024.841.3993/841.3476 Fax. 024.841.5478 Email: idahasoras@yahoo.com PMI Semarang JL. Sugiopranoto (NCC convenience stores THERE)-Semarang JL. Tentara Pelajar POPTI 31, Semarang, Central Java Tel. 024.831.1250 Clinical Laboratory YTI CITO JL. Indraprasta No. 81-83-3, Lt. Dr. Hadi Sarosa, m. Kes-Mr. Faqih Udin-BP. Kiswanto, Amd-BP. Antok Hp. Hp. Hp 0815.656.9550 0815660.1259.0856.266.5248 www.djpp.kemenkumham.go.id 2011, no. 37735 No Address City Hospital, POPTI and YTI name can be reached Phone Semarang Central Java-Tel. 024.354.2835 Fax. 024.358.7392 Email: kusmiceria@gmail.com-Dr. Kusmiyati DK, m. Kes-Dr. Lucia Surjani Hp. Hp 0816,668,042 Hp. 0856.266.5248.0813.2607.6703.5. Banyumas Purwokerto/RS. Kartini Banyumas Unit II JL. Ragasemangsang No. 8 Banyumas, Central Java, Tel. 0281,636,746 POPTI JL. Lewas Kidul Coral I no. 1, Purwokerto, Banyumas, Central Java Tel. 0281,655,177 Fax. 0281,636,303 Email: smpn3_ajb@yahoo.com YTI JL. Ragasemangsang No. 8 Banyumas, Central Java, Tel. 0281,636,746-Drs. h. Abdul Azis S, m. Pd-BP. Suteng Suwarno-BP. Wuryanto-Dr. Gondo Wulandari-Mother Siti Aminah-Bp. Rev. Abraham Adhi, Sip 0812.271.6114 Hp. Hp. Hp. Hp 0281.768.0005 0819.0330.9112.0811,260,975 0819.0330.9112 Hp. Hp. 0813.2711.3112 6. Solo dr Moewardi Surakarta HOSPITALS JL. Col. Sutarto 132 Surakarta Central Java-57126 www.djpp.kemenkumham.go.id 2011, no. 377 36 No Address City Hospital, POPTI and YTI name can you call a Phone Call. 0271.634634 psw 408 Fax. 0271.664598 POPTI Section children's Health Science Faculty of SMF. Medicine UNS/PROVINCIAL HOSPITAL Dr. Moewardi Surakarta JL. Col. Sutarto 132, Surakarta 57126 Tel. 0271.634634 psw 408 Fax. 0271.664598 Email: rojali261176@yahoo.com-Dr. Muhammad Riza, SpA, m. Kes-Dr. Yulidar Hafidh, SpA-Mr. Andrew Hp. Hp 0811,264,662 Hp. 0816,679,101.7 0813.9326.8174. Tasikmalaya HOSPITALS Tasikmalaya JL. Hospital No. 33 Tasikmalaya of West Java-Tel. 0265,331,683 Fax. 0265,331,747 POPTI JL. Hospital No. 33, Tasikmalaya-West Java Phone. 0265,331,683 Fax. 0265,331,747 Email: popti_cabtasikmalaya@yahoo.co.id-BP. Apandi URS.sos-Dr. h. Matsaroh Imas-BP. Asep Hp. Hp 0815.4681.2372 Hp. 0852.2005.2378.8 0813.2319.0436. RSU Dr. Sutomo Surabaya Surabaya JL. Maj. Gen. Prof. Dr. Moestopo 6-8, Surabaya-East Java 60286 Tel. 031.550.1688 Hematology Oncology Clinic POPTI FK. The PROVINCIAL HOSPITAL Dr. Sutomo UNAIR JL. Maj. Gen. Prof. Dr. Moestopo 6-8, Surabaya-East Java 60286-Mr. Purnomo-Mother Maryamah Hp. Hp 0812.301.2360. www.djpp.kemenkumham.go.id 2011, no. 37737 No Address City Hospital, POPTI and YTI name can you call a Phone Call. 031.550.1688 Email: purnomo_erie@yahoo.com-Mother Sri Winarti 0812.3062.2236 Tel. 031.855.2251 9. Medan RSU h. Adam Malik Medan JL. Bungalow 17, Medan Sumatera Utara Tel. 061.836.0381 Fax. 061.836.0255 POPTI JL. Floodgates IV Comp. School No. 27, Medan 20142 Tel. 061.836.1722 Email: karnia_ridhani@yahoo.co.id Sarmawati-mother-Mother Suzana-BP. Zulkifli-Mother Mursida Siregar, AMD Hp. Hp 0852.6228.5905 Hp. 0813.7567.6864.0813.7505.3268 Hp. 0813.7050.1793 10 new Weekend PROVINCIAL HOSPITAL Arifin Ahmad Pekanbaru JL. P Diponegoro, Pekanbaru Riau. POPTI Jln. Grouse No. 13, Kp. Melayu Sukajadi Pekanbaru-Tel. 21683.0761 e-mail: elmiridar@yahoo.co.id-Dr. Elmi Ridar, SpA-BP. Amran Sufyan-Mother Sri Evidila Hp. Hp 0813.7841.1554 Hp. 0812.753.4940.11 0812.763.3540 Jambi RSU Mattaher JL. Raden Suprapto No. 2, Jambi Tel. (0741) PROVINCIAL HOSPITAL Abdul Manaf POPTI 61692-Mother Sukaisih, AM. HP. www.djpp.kemenkumham.go.id 2011, no. 377 38 No Address City Hospital, POPTI and YTI name can be contacted on Phone SK. Syahbudin Mayang 136146 Tel. 0741.67049 Fax. 0741,636,303 Email: sukaisihbid@yahoo.com area Keb Jak-Mother Nurhayati-BP. Alfin 0813.6693.2407 Hp. Hp. 0812.741.4214 0852.6699.8519 12 Palembang RSU Moh. Husin JL. Sudirman Km 3.5, Palembang, South Sumatra. Tel. 0711,354,088 Fax. 0711,320,220 POPTI JL. Rambutan No. 1584 In RT. 30 RW. 30 Ilir Kec. Ilir Barat II, Palembang (30144) Tel. 0711.315122 Fax. 0711,432,032 Email: smk6_karlina@yahoo.co.id-Dra. Karlina-Mother-mother Yanti Yenni Suhartini-BP. Nungcik-Efriyanti Hp. Hp. Hp 0711.700.3619 0815.3271.7059.0711.429.9866 0812.7392.6285 Hp. Hp. 0852.6706.8727 13 Pontianak PROVINCIAL HOSPITAL. Dr. Soedarso JL. Dr. Soedarso No.1 78124 Pontianak, West Kalimantan, POPTI Part SMF Children HOSPITALS Dr. Soedarso JL. Dr. Soedarso No.1 Pontianak, West Kalimantan 78124 Tel. 0561.737701 pswt. 256 Fax. 0561.732,077 Email: hg_mg692@yahoo.com-Dr. Melissa Gandhi, SpA-Mother-mother Doctored Tjandra Rahmawati Hp 0815.882.7769 Hp 0811,568,899 Hp. 0852.4565.7777.2 Cianjur, Cianjur www.djpp.kemenkumham.go.id PROVINCIAL HOSPITAL No. 37739 No Address City Hospital, POPTI and YTI name can be reached Phone JL. Hospital No.1, Cianjur, West Java, Tel. 0263.284,277 Fax. 0263.284,277 POPTI JL. HOSPITALS No.1 Cianjur, Cianjur, West Java, Tel. 0263,272,336 Fax. 0263,284,277 Email: popti_cabcianjur@yahoo.co. ID YTI JL. Hospital No.1, Cianjur, West Java, Tel. 0263.261,026 Fax. 0263.284,277-Bp h. Dede Sopyanudin, SH-Mother Dr. Hj. Mien Suranto-BP. Dhen s. Ruhenda, Sip-Ny. Hj. Rosdiana Damon MS, SH-BP. Dhen s. Ruhenda, Sip-Dr. Mien Suranto Hp. Hp 0856.5950.6060 Hp. 0815.600.6860.0856.5950.6060.0815.600.6860 15 Hp Sukabumi HOSPITALS r. Syamsudin, SH JL. Hospital No.1, Sukabumi, West Java, Tel. 0266.225,180 Fax. 0266.225,180 Secapa Bhayangkara Police Hospital JL. Aminta Azmali No. 59A, Sukabumi Tel. 0266,229,207 Fax. 0266,226,262 POPTI HOSPITALS r. Syamsudin SH JL. Hospital No.1, Sukabumi,-Mr. Dadan Hp. www.djpp.kemenkumham.go.id 2011, no. 377 40 No Address City Hospital, POPTI and YTI name can you call West Java Phone Tel. 0266.225,180 Fax. 0266.225,180 Email: cabsukabumi @ yahoo. popti. co.id Apriandani-Dr. Shinta Wardhani S, MARS-Mother-mother Nenden Liviana-Yanti 0815.7339.3968 Mother 0811,114,921 Hp. Hp. Hp 0813.1448.1822 Hp. 0857.23023829.0858.6285.3953 16 PROVINCIAL HOSPITAL Tangerang Tangerang JL. Jend. Ahmad Yani No. 9, Tangerang, Banten Tel. 021.552.3507 POPTI PROVINCIAL HOSPITAL Tangerang JL. Jend. Ahmad Yani No. 9 (Gd. Nusa Indah) Tangerang, Banten Tel. 021.552.3507 Fax. 021.552.7104 Email: dreasofia.paloh@gmail.com-Dr. Elly Agustina-BP. Edi Arianto-Mother Dahlia-mom Andi Tri Ekape 0812.822.8092 Hp. Hp. Hp 0812.8231.2334 Hp. 0857.1767.4450.17 0856.9376.1195 Malang RSU Dr. Saiful Anwar Malang Jl. Attorney General Suprapto No. 2 Malang, East Java 65111 Tel. 0341,362,101 POPTI JL. RSU Saiful Anwar Division of Hematology Oncology Pediatric Health Sciences SMF JL. Attorney General Suprapto No. 2 Malang, East Java 65111 Tel. 0341.362,101-Dr. Susanto Nugroho, SpA-Mother Ayu Hp. Hp 0818.0511.9726 0817.966.7053 www.djpp.kemenkumham.go.id.


2011, no. 37741 No Address City Hospital, POPTI and YTI name can be reached Phone Fax. 0341.362,102 Email: nugroho.susanto@rocketmail.com-Mother Nurhayati Tel. 18 0341.295.1298 Bogor RSU PMI Bogor JL. Pajajaran No. 80, Bogor, West Java, Tel. 0251.832.4080 Hotline: 0877.7018.0519 POPTI Polyclinic Thalassaemia RS PMI Bogor JL. Pajajaran No. 80, Bogor, West Java, Tel. 0251.832.4080 Email: popti_bogor@yahoo.co.id-Dr. Djoko Setyonegoro, SpA-Mr. Robby-Mother Yuanita Hp. Hp 0817,151,017 Hp. 0857.1592.6614.19 0818.0492.1761 Arrowroot Maranta Arundinacea JL. Slamet HOSPITALS JL. RSU Dr. Slamet No. 5B, Garut West Java Phone. 0262,464,544 UTD Branch Building POPTI Arrowroot JL. JL. RSU Dr. Slamet No. 5B, Garut, West Java Phone. 0262,464,544 Email: agus.koswara@yahoo.com YTI IGD RSU Dr. Slamet Arrowroot JL. RSU No. 44151 Garut West Java 12 Tel. 0262,237,791-Drs. h. Burhanuddin M.Si, Afif-Bp Ended Sobandi-Santi Susanti-BP. Agus Koswara-BP. Pipin-Mother Rani Diky Jewel C. -Bp Agus Koswara Hp. Hp. Hp 0813.1361.4547 0813.2313.1933.0878.2204.3010 0811.211.7506 Hp. Hp. 0812.8865.8090 www.djpp.kemenkumham.go.id 2011, no. 377 42 No Address City Hospital, POPTI and YTI name can be reached Phone Fax. 0262.2248474-BP. Janur Muhamad Nice Hp. Hp 0811.211.7506 Hp. 0811.211.9003.20 0812.243.4489 Magelang RSU Tidar Tidar Magelang Street no. 30A Magelang in Central Java 56125 Tel. 0293,362,463 Fax. RSU Tidar Magelang POPTI 0293,368,354 JL. Tidar No. 30A Magelang in Central Java 56125 Tel. 0293,362,463 Fax. 0293,368,354 Email: suprionosantoso@yahoo.com-Dr. Anto Artsanto, SpA-Mother Lilis Sumiati-BP. Bp-Supriyano. Soliman 0813.9250.0666 Hp. Hp. Hp 0813.2889.7208 Hp. 0812.2949.1819.21 0857.4355.8243 Ciamis HOSPITALS Dr. Ciamis West Java JL. Hospital No. 76-West Java Ciamis 46211 POPTI JL. Hospital No. 76-West Java Ciamis 46211/Fax Tel 0265. 772118-Dr. Hj. Suherjati SpA-mother of Nia-BP. Ulwan Hp. Hp 0813.2338.5180 Hp. 0813.2313.6663.0853.0265.0374 source: YTI and POPTI January 2011 www.djpp.kemenkumham.go.id