Key Benefits:
REPUBLIC OF INDONESIA STATE NEWS
No. 377, 2011 MINISTRY OF HEALTH. Thalassaemia. Medication. Warranty.
REGULATION OF THE REPUBLIC OF INDONESIA HEALTH MINISTER
NUMBER 1109 /MENKES/PER/VI/2011
ABOUT
TECHNICAL INSTRUCTIONS
ASSURANCE OF TREATMENT OF THALASSAEMIA
WITH THE GRACE OF GOD ALMIGHTY
REPUBLIC OF INDONESIA HEALTH MINISTER,
DRAWS: A. that in order to improve the access and quality of poor public health services, it has organized a public health guarantee program (Jamkesmas);
b. that the Jamkesmas program has undergone extensive expansion, including the expansion of the membership in which the granting of health care to the sufferers of Thalassaemia Major;
c. that the Major Thalassaemia is a hereditary disease that has not yet been found. The cure, and because of the disease, may impoverde the family sufferers;
c. that under consideration as a letter a, letter b and letter c, need to establish a Health Minister's Regulation on the Security Directive. Thalassaemia Treatment Service;
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2011, No. 377 2
Given: 1. Law Number 17 Year 2003 on State Finance (Indonesian Republic of Indonesia Year 2003 Number 47, Additional Gazette of the Republic of Indonesia Number 4286);
2. Law No. 1 of 2004 on the State Treasury (Indonesian Republic Gazette 2004 No. 5, Additional Gazette of the Republic of Indonesia Number 4355);
3. Law No. 15 Year 2004 on Examination of Management And Responsibilities Of State Finance (sheet Of State Of The Republic Of Indonesia In 2004 Number 66, Additional Gazette Of The Republic Of Indonesia Number 4400);
4. Act Number 29 of 2004 on the Practice of Medicine (Indonesian Republic of Indonesia Year 2004 Number 116, Additional Gazette of the Republic of Indonesia Number 4431);
5. Law No. 32 Year 2004 on Local Government (Indonesian Republic of Indonesia 2004 Number 125, Additional Gazette Republic of Indonesia Number 4437) as amended last by Act No. 12 of 2008 (State of the Republic of Indonesia 2008 No. 59, Additional Gazette of the Republic of Indonesia Number 4844);
6. Law Number 33 Year 2004 on Financial Balance Between the Central Government and the Local Government (State Gazette Indonesia Year 2004 Number 126, Additional Gazette of the Republic of Indonesia Number 3637);
7. Law No. 40 of 2004 on the National Social Security System (Indonesian Republic of Indonesia Year 2004 Number 126, Additional Gazette of the Republic of Indonesia Number 4456);
8. Law Number 36 Year 2009 on Health (State Sheet of the Republic of Indonesia Year 2009
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Number 144, Addition Of State Sheet Republic Indonesia Number 5063);
9. Law No. 44 Year 2009 on Hospitals (Sheets Of State Republic Of Indonesia In 2009 Number 153, Addition Of State Sheet Indonesia Number 5072);
10. Law Number 10 of the Year 2010 on Budget and State Shopping of the Year of Budget 2011 (Indonesian Republic of Indonesia Year Number 126, Additional Gazette of the Republic of Indonesia Number 5267);
11. Government Regulation No. 32 of 1996 on Health Power (State Sheet of the Republic of Indonesia in 1996 No. 49, Additional Gazette of the Republic of Indonesia Number 3637);
12. Government Regulation No. 72 of 1998 on Pharmacy Supplies and Health Tools (State Sheet Indonesia 1998 Number 138, Additional Gazette Republic of Indonesia Number 3781);
13. Government Regulation No. 38 Year 2007 on the Partition of Government Affairs Between Government, Provincial Government, and District/City Government (State Gazette of 2007 Indonesia Number 82, Extra State Sheet) Republic of Indonesia No. 4737);
14. Government Regulation No. 41 of 2007 on the Organization of Regional Devices (State Sheet of Indonesia Year 2007 Number 89, Additional Gazette of the Republic of Indonesia Number 4741);
15. Government Regulation No. 7 of 2011 on Blood Services (State Sheet of Indonesia Year 2011 Number 18, Additional Gazette of the Republic of Indonesia No. 5197);
16. Presidential Decree No. 5 of 2010 on the National Long-term Development Plan 2010-2014;
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17. Presidential Decree No. 24 of 2010 on Occupation, Duty, and Functions of the Ministry of State as well as Susunan Organization, Duty, and Functions of the Ministry of State;
18. Ministry of Health Regulation Number 1144 /Menkes/ Per/VIII/2010 on the Organization and the Ministry of Health Care;
19. Decision of the Minister of Health Number 021 /Menkes/ SK/I/2011 about the Strategic Plan of the Ministry of Health of the Year 2010-2014;
20. Health Minister Rule 903 /Menkes/ Per/V/2011 on the Guidelines for the Implementation of the Public Health Assurance Program;
DECIDED:
SET: A HEALTH MINISTER ' S REGULATION ON TECHNICAL INSTRUCTIONS OF THE WARRANTY OF TREATMENT SERVICES. THALASSAEMIA.
Section 1
(1) Thalassaemia Medical Guarantee Technical Guidance is a reference to the Central Government, Provincial Government, District/City Government and related parties including the Thalassaemia Foundation (YTI), the Association of Parents Sufferers of Thalassaemia Indonesia (POPTI) and Hospital in hosting the Thalassaemia Treatment Program.
(2) Thalassaemia Medical Guarantee Technical Guidance is referred to in paragraph (1), as set forth in the Regulation Attachment This.
Article 2
The Medical Services Guarantee Thalassaemia aims at:
1. Improve access and treatment services for people with Thalassaemia Major including the poor and unable to outside the participants of the Jamkesmas Program;
2. The implementation of the referral service process for the sufferer Thalassaemia Major to the referral health care facility;
3. The financing mechanism is the financing mechanism for the treatment of the Thalassaemia Major treatment service.
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Article 3
(1) Warranty Service Warranty of the Thalassaemia Major Program is part of the Jamkesmas Program.
(2) The Severing Warranty Service of Thalassaemia Major constitutes an extension of the membership of the Jamkesmas, which is integrated and managed to follow Jamkesmas governance and management.
Article 4
This Regulation is beginning to apply at the promultable date.
For everyone to know it, order the authoring of this Regulation with its placement in the State News of the Republic of Indonesia.
Set in Jakarta on June 8, 2011
HEALTH MINISTER
REPUBLIC OF INDONESIA,
SHAWRAHAYU SEDYANINGSIH
PROMULGATED IN JAKARTA ON 1 JULY 2011
MINISTER OF LAW AND HUMAN RIGHTS
REPUBLIC INDONESIA,
PATRIALIS AKBAR
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ATTACHMENT
REPUBLIC OF INDONESIA HEALTH MINISTER REGULATION
NUMBER 1109 /MENKES/PER/VI/2011
ABOUT
TECHNICAL GUIDANCE OF THE THALASSAEMIA MEDICAL SERVICE GUARANTEE
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TECHNICAL INSTRUCTIONS
WARRANTY OF TREATMENT SERVICE THALASSAEMIA
BAB I
PRELUDE
A. BACKGROUND
Basic Law 1945 article 28 H paragraph (1) mandates that every person is entitled to a prosperous life born and inner, residence, and get a good and healthy living environment and entitled to a service health, and in section 34 verse (3) it is stated that the state is responsible for the provision of proper health care facilities and public service facilities.
In the Law Number 36 of 2009 on Health, exactly in the section 5 paragraphs (1) states that each person has the same rights in obtaining access to the IBM Cloud Service. The resource in the field of health and the paragraph (2) is listed that everyone has a right to secure safe, quality, and affordable health care.
In the course of the conduct of the Base Act and the Act, The Ministry of Health organizes the Public Health Security Program (Jamkesmas) which provides Health Guarantee for the entire poor and inable society. The Jamkesmas program is a breakthrough program that has the goal of eliminating the barriers of health financing for the poor and the unable, so that they are able to get health care according to their medical needs.
It is known that many diseases require huge costs so that it can make the person poor (impoverishment), this problem will become more severe when it occurs in the type of decreased disease (genetic) that continues. It took a lot of money from being born, like Thalassaemia. The disease is not a disease of the wrong society ' s life patterns, but rather a disease
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2011, No. 377 8
descendants.
There are two types of Thalassaemia that are Thalassaemia Minor and a Thalassaemia Major. Type Thalassaemia minor does not interfere with the health of the suffering but if married to fellow Thalassaemia minor then 25% may decrease the Thalassaemia Mayor disease to his son. Thalassaemia Major is a serious blood disease and there is no cure yet, so to maintain his stamina and health should be done on a regular transfusion of blood since children, and to survive they require huge costs.
The financing of services and treatment for Thalassaemia major sufferers during this time being the burden of families in the Indonesian Thalassaemia Parents Association and for the next time called POPTI, as well as assisted living in the society of the Indonesian National Association. by the Indonesian Thalassaemia Foundation and for the next time it is called YTI. Based on these matters above then the Government through the Ministry of Health provides special treatment assistance for the treatment services Thalassaemia major served through the Public Health Guarantee Program.
To Provide a good service, and, under the Technical Support Handbook of the Thalassaemia Medicine Service, as the technical description of the Public Health Assurance Manual in the treatment services of Thalassaemia. This technical guidance is an integral part of the Public Health Guarantee Guidelines (Manlak).
B. PURPOSE
The Thalassaemia Treatment Service Guarantee program has the following objectives:
1. General Purpose
It ranks access and quality of the treatment services of Thalassaemia to achieve optimal and efficient health degrees through Thalassaemia Treatment Service as a single unit of Health Warranty Program Society.
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2. Special Purpose:
a. Provide ease and access of services and treatment for sufferers Thalassaemia at the hospital;
b. Provide quality control of the health service through increased service and treatment of Thalassaemia which is optimal.
c. Organizes health care costs through transparent financial management and accountable.
C. OBJECTIVES
The Thalassaemia Treatment Service Guarantee target is all Thalassaemia Major in Indonesia that has already been diagnosed with the diagnosis.
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BAB II
HOSTING TREATMENT
MINISTRY THALASSAEMIA
The treatment of the Thalassaemia Treatment Service is made up of the Warranty Service Recipient and Tatalaksana Medical Services Thalassaemia.
A.
TATALAKSANA THE WARRANTY SERVICE RECIPIENT OF THALASSAEMIA IS MADE UP OF THE WARRANTY OF THE WARRANTY RECIPIENT, THE PROCEDURE TO OBTAIN THE THALASSAEMIA TREATMENT MINISTRY, AS WELL AS THE RIGHTS AND OBLIGATIONS OF ANY WORKING PARTNER
.1. Warranty Exemption
Service and Thalassaemia Warranty Recipients include:
a. any person who has upheld a positive diagnosis suffers from a Thalassaemia major and has had a Member Card issued Central YTI or whose name has been listed in the Data Base Thalassaemia Foundation Indonesia
b. One who has upheld a positive diagnosis suffers from a Thalassaemia major, but the sufferer has not yet been registered with YTI.
The Indonesian Thalassaemia Foundation reports a database of all Thalassaemia Medical Service Recipients (by name, by address) to the Health Care and Financing Center, General Secretariat of Health through the Manager Team Central Jamkesmas.
2. Procedure To Get The Major Thalassaemia Treatment Service Major
a. All Thalassaemia Service Medical Guarantee recipients are entitled to the Major Thalassaemia Treatment Service, with
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first was already listed on the Central YTI and it has had a Member Card published by the Central YTI.
b. In the case of a new Thalassaemia sufferer who is diagnosed by a doctor in the hospital as a Thalassaemia Major, then the person may apply for the Treatment Ministry of Thalassaemia with the same person as the Thalassaemia Hospital. The show is as follows:
1) Contact the nearby YTI/POPTI branch and apply for a Member Card.
2) YTI/POPTI branch will forward the case of the Thalassaemia sufferer to the Central YTI.
3) If the plea approved, then the Central YTI will publish the Member Card
c. For those who do not have a Member Card for Thalassaemia Medical Services, can obtain the treatment of the Thalasaemia Service by using a letter of recommendation of the Director of the local Hospital and then immediately take care of the member's card. on Central/POPTI YTI.
d. For those who do not yet have a Member Card for Thalassaemia Medical Services, but have been listed in the YTI Base Data, then the Sufferer can obtain the Major Thalassaemia Treatment Service by bringing a letter of recommendation that temporarily enforced from YTI/POPTI local branch, before getting the Member Card for the Thalassaemia Treatment Service.
e. In the event of missing Member Card for Thalassaemia Treatment Service, the following steps are performed:
1) the sufferer must report to the nearest YTI/POPTI or the nearest YTI/POPTI to further be done Base Data Security as a registered person,
2) The nearest YTI/POPTI or the nearest YTI/POPTI are obligated to publish a note letter that is correct as sufferers,
3) YTI/POPTI Branch submitted the request to YTI Central to immediately be published a new Member Card.
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f. For those who have died, they will automatically be lost and cannot be transferred to another person.
g. For those who abuse the Member Card for this Thalassaemia Treatment Service, then it will be legally sanctioned in accordance with the provisions of the applicable Perundang Rules Act.
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YTI/POPTI BRANCH
YTI/CENTER
BAGANSTREAM OF CARD CREATION IN YTI/POPTI BRANCH
NEW SUFFERERS
1. NEW SUFFERERS
PLEA
MEMBER CARD
DATA BASE
MEMBER CARD
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YTI/POPTI
BRANCH
YTI/CENTER
BAGANSTREAM OF CARD CREATION OF YTI/POPTI BRANCH
RECOMMENDATION
2. OLD PEOPLE
OLD SUFFERERS
DATA BASE
KARTU
MEMBER
*The Old Suffers who have not yet had a KartuMember
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YTI /POPTI C ABA NG
Y TI/PUS AT
B AG AN ARUS PE MARTIFICIAL CARD DIREGION CAB ANG YTI/POPTI
PEN D ER ITA
3. MISSING KAR TU
LA PO R AN K EH ILA NG AN
D ATA
B ASE
KAR TU ANGG O TA
* Pen deri ta La ma y an g k ehi lan g an K ar tu A ng go t a
S URAT K ETERANGA N
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HOSPITAL
YTI CENTER
CHART-MAKING CARD CHART IN UNEXISTING TERRITORY
YTI/POPTI BRANCH
KARTU
MEMBER
THE NEW SUFFERERS
DATA BASE
K ARTU
MEMBER
LETTER KETE RA N GAN R EKOMEN D A SI
LETTER KETE RA N GAN
COP Y R EKOMEN D A SI
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3. Rights and Liability of any Working Partner
Given the implementation of the Thalassaemia Treatment Service is a Partnership involving YTI/POPTI, then for sufferers not Jamkesmas participants, procedures and mechanisms are certainly more complex Compared to the Jamkesmas program. In order to guarantee the solubility of the Thalassaemia pain treatment, it needs to be poured on the Rights and Obligability of each associated partner, in order for the implementation of the program to be optimal.
a. Sufferer thalassaemia Major
1) The sufferer Thalassaemia Major who has served his diagnosis has the right to obtain Thalassaemia Treatment Service in accordance with the standards of medical services.
2) For the treatment and treatment of the disease outside Thalassaemia Major ' s diagnosis, then:
a. For Sufferers Thalassaemia Major and Participant Jamkesmas, it remains FINANCED Jamkesmas with the payment pattern following (INA-DRG ./INA-CBG ' s).
b. For the sufferer thalassaemia Major and not the Jamkesmas participant, NOT FINANCED by the Government.
3) Thalassaemia treatment services are organized throughout the Government Hospital/Government Health Facility and the PRIVATE that has done PKS (cooperation agreement) with Jamkesmas.
4) The drug-mediated Thalassaemia Major suffering from Jamkesmas is not charged at crowdfunding, the entire cost of his health care is financed from the APBN fund.
b. Liabilities of the sufferer thalassaemia major:
1) The sufferer who has been upheld the diagnosis as a sufferer of Thalassaemia Major is obliged to report and register to YTI/POPTI Branch. (the YTI and POPTI secretariat addresses are attached).
2) Major Thalassaemia Suffers who have obtained Thalassaemia Medical Services are required to exercise the advice of doctors, by means of a regular transfusion of blood, taking medication and the use of an orderly and orderly manner of iron-iron.
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3) Major Thalassaemia Suffers who must be referred to the Hospital far from where he lives, then all non-medical costs become the responsibility of the Pain/Family Thalassaemia Major aided by YTI/POPTI
c. YTI/POPTI's obligation:
1) conducts data and makes the Base Data for all Thalassaemia Sufferers in Indonesia who will get the Thalassaemia Treatment Service Guarantee.
2) check the truth sufferer Thalassaemia Major, especially for those who will get a service in the Hospital but experience a variety of issues related to its rights, as follows:
a) The Suffering Thalassaemia Major has been given the YTI Member Card but when it will get the service the Card is lost.
b) Has been diagnosed as a Major Thalassaemia Suffer but has not received the Card.
3) helps Monitor and monitor the agility of the Thalassaemia treatment ministry in the hospital.
4) A non-medical expense for the Thalassaemia Major sufferers to be referred to the Hospital that is far from where he lives, this responsibility is agreement on shifting budget is that of the original YTI-POPTI donation fund for the treatment of the Major Thalassaemia Major, it is now diverted to support non-medical costs given the medical costs already in the responsibility of the Jamkesmas Program.
d. Hospital Rights and Liability:
1) reserves the right to request the YTI Member Card or Recommendation as a replacement for the YTI Member Card for fulfillment of the administration requirements.
2) reserves the right to receive the Base Data sufferer Thalassaemia Major from YTI/POPTI.
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3) is obligated to provide services and treatment of Thalassaemia Major's sufferers as per medical standard, by using drugs recommended effectively and efficiently.
4) is obligated to provide medicines and health tools in full appropriate that are prescribed by the doctor.
5) Prior to the establishment of YTI/POPTI affairs in the Director/Head of the Ministry of services in the Hospital are charged as a decision-taker to be able to Provide a recommendation in a diagnosed person/patient. Thalassaemia on behalf of YTI/POPTI, and further the Hospital must immediately send a copy of the recommendation to the Central Indonesian Thalassaemia Foundation to be created Member Card.
6) is obliged to perform verification and publish SJP. (Treatment of Maintenance) for Thalassaemia Major, who is not a Jamkesmas participant.
e. The rights and obligations of the Verificator of the Order (PT Askes) include:
PT Askes is obliged to verify and publish the SKP for the sufferer Thalassaemia Major who is the participant of Jamkesmas.
B. THERE IS A TREATMENT SERVICE
1. The sufferer Thalassaemia Major visited the Hospital that worked together in the Jamkesmas program at the time of the need for health care.
2. All sufferers of thalassaemia major should be able to show proof of identity of a Jamkesmas card and/or YTI Member Card.
Central YTI Address
Jl. Ciheat No. 7 Block Q-1, New Kebayoran
South Jakarta. 12170
Telp. (021) 7246828, Fax (021) 7237952
Email: thalassaemia_ind@indo.net.id
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3. For new people and not yet to have a YTI card, it can use the recommendation letter from the YTI branch office or the Director of the Hospital.
4. Subsequently, officer PT Askes published SKP for sufferers Jamkesmas participants and hospital officials published SJP for people who were not participants of Jamkesmas.
5. After that, Thalassaemia's sufferers were given medical care according to medical needs.
6. Reserved Service Type
a. The type of service that is guaranteed a Thassaemia service treatment guarantee program is a treatment ministry that requires Rawat Road and Rawat Inap
b. Ministry of the Road and Rawat Inap in accordance with the standard Jamkesmas program. For hospitalization is a service in class III of the Government and Private Hospital which has a Cooperation Agreement (PKS) with Jamkesmas. If the sufferer is not in the specified class, all of the rights in the Thalassaemia treatment service are not given.
7. The treatment services provided for all sufferers/patients thalassaemia major both patients/patients Jamkesmas and non Jamkesmas must receive treatment services including;
a. Consulting
b. Laboratory examination consisting of complete Blood, Edge Blood, Ureum, Kreatin, SGOT, and SGPT.
c. Health and Mental Items Wear provided are Spuit 3 ml, 10ml, Blood Filter, Blood Set, Abocath no. 22, NaCL 100 ml, Alcohol Swab, Plester, wingneedle no. 27, aquabides 25 ml;
d. The drugs include 5 mg folic acid, 80 mg, Vit E Tab 200 IU, Vit C 100 mg, Xylocain Jelly
e. Blood transfusion, complete with transfusion device and blood
f. Iron dilation drugs, which can be Suntic Iron Kelation (DFO), Oral Iron Kelation (DFP) and Oral Iron Kelation (DFX) in accordance with a good fit of acceptance in the body of the sufferer, must be provided at once for the need/use in one month.
g. The feritin check must be carried out every three months.
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HOSPITAL
UPPJ/PPATRS RWT.JLN/ RWT.STAY
LOCKET REGISTRATION/
STATUS
DOCTOR
RAWAT
LABORATORY
BLOOD BANK
LAYOUT OF THE MINISTRY JAMPELTHAS/JAMKESMAS
CARE
RAWAT
TRANSFUSION SPACE
HOSPITAL PHARMACY
PRESCRIPTION
PATIENT THALASSAEMIA
Note:
THE UPPJ IS = BAIL PATIENT SERVICE UNIT
THE IBM CLOUD SERVICE. PPATRS = Hospital Integrated Administrative Services Center
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BAB III
FINANCING MECHANISM
The Thalassaemia Service treatment financing mechanism includes the magnitude of the Thalassaemia treatment service rate, allocation and source of funds, as well as nomenclactic Funding liability.
A. Thalassaemia Service Treatment Rate
For the ministry of Thalassaemia is assigned laboratory examination services, drugs, and blood transfusation.
The Tarif used in the responsibility of the sufferer claims Thalassaemia outside the INA-CBG ' s package.
B. Source and Alocation Dana
The financing source for the entire Thalassaemia service sourced from APBN and its budget poured in One DIPA joined the Jamkesmas Program.
C. The responsibility of the Fund's responsibility
Tatalaksana is responsible for the treatment of the treatment ministry Thalassaemia following the responsibility mechanism for the Jamkesmas fund in advanced health facilities with the INA-CBG ' s payment pattern. The regulation of the funds is listed as listed in the Jamkesmas Program Implementation Guidelines. However, in this Thalassaemia sufferer who is classified to the Central Jamkesmas Team by RS, in addition to the INA-CBG's tariff, it is added with a Thalassaemia service package.
D. Blood Transfusion Service Rate and Iron Kelation Therapy
Tarif of blood transfusion services and iron dilation therapy that are classed apart from the INA-CBG ' s tariffs. 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 feritin examination. For hospitalization:
Claims for Thalassaemia Major in outpatient use of INA-CBG's fare.
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DETAILS OF BLOOD TRANSFUSION AND IRON DILATION CHARGES
SUFFERERS THALASSAEMIA PER MONTH WITH WEIGHT OF 40 KG
Package I
No. Description Of The Number Of Despherals Units
DFO
Ferriprox
DFP
Exjade
DFX
A. Hospital
1. Karcis Poli 2x Rp. 40,000 Rp. 80,000
2. Actions of Transfusion 2x Rp. 100,000 Rp. 200,000. 200,000
3. consultation 3x Rp. 40,000 Rp. 120,000. 120,000
Subtotal Rp. 400,000
B. Laboratory
1. Full Edge Blood 1x Rp. 95,000 Rp. 95,000
2. Ureum 1x Rp. 22,000 Rp. 22,000
3. Kreatinin 1x Rp. 22,000 Rp. 22,000
4. SGOT 1x Rp. 24,000 Rp. 24,000
5. SGPT 1x Rp. 24,000 Rp. 24,000
6. Feritin---
Subtotals Rp. 187,000
C. Health Tool
1. Spuit 3 ml 1 Rp. 1,335 Rp. 1.335
2. Blood Set 2 Rp. 15,984 Rp. 31,968
3. Abocath No. 22 2 Rp. 13,882 Rp. 27.764
4. NaCL 100 ml (otsuka) 2 Rp. 6.034 Rp. 12.068
5. Alcohol Swab 4 Rp. 360 Rp. 1,440
6. Patch 1 Rp. 7,390 Rp. 7,390
7. Blood Filter----
Subtotal Rp. 81,965
Alkes For Despherals
8. Spuit 10 ml---
9. Wing Needle No. 27 (terumo)----
10. Aquabides 25 ml---
Subtotal-
D. Drugs
1. Asampolat 5 mg 60 Rp. 73 Rp. 4.380
2. Aspilet 80 mg 30 Rp. 347 Rp. 10.410
3. Vit E Tab 200 IU 60 Rp. 962 Rp. 57.720
4. Vit C 100 mg 20 Rp. 76 Rp. 1,520
5. Xylocain Jelly----
Subtotals Rp. 74.030
E. Kantong Darah 4 Rp. 250,000 Rp.1,000,000
Subtotal Rp.1,000,000
TOTAL (A + B + C + D + E) Rp.1.742.995
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DETAILS OF BLOOD TRANSFUSION CHARGES AND IRON DILATION DRUG SUFFERERS THALASSAEMIA PERMONTH
WITH 40 KG WEIGHT
PACKAGE II NO.
DESCRIPTION OF THE NUMBER OF UNITS OF THE NUMBER OF DESPHERALS
DFO
Ferriprox
DFP
Exjade
DFX
A. Hospital
1. Karcis Poli 2x Rp. 40,000 Rp. 80,000
2. Actions of Transfusion 2x Rp. 00,000 Rp. 200,000. 200,000
3. consultation 3x Rp. 40,000 Rp. 120,000. 120,000
Subtotal Rp. 400,000
B. Laboratory
1. Full Edge Blood 1x Rp. 95,000 Rp. 95,000
2. Ureum 1x Rp. 22,000 Rp. 22,000
3. Kreatinin 1x Rp. 22,000 Rp. 22,000
4. SGOT 1x Rp. 24,000 Rp. 24,000
5. SGPT 1x Rp. 24,000 Rp. 24,000
6. Feritin---
Subtotals Rp. 187,000
C. Health Tool
1. Spuit 3 ml 1 Rp. 1,335 Rp. 1.335
2. Blood Set 2 Rp. 15,984 Rp. 31,968
3. Abocath No. 22 2 Rp. 13,882 Rp. 27.764
4. NaCL 100 ml (otsuka) 2 Rp. 6.034 Rp. 12.068
5. Alcohol Swab 4 Rp. 360 Rp. 1,440
6. Patch 1 Rp. 7,390 Rp. 7,390
7. Blood Filter----
Subtotal Rp. 81,965
Alkes For Despherals
8. Spuit 10 ml 20 Rp. 2,093 Rp. 41,860--
9. Wing Needle No. 27 (terumo)
20 Rp. 5,156 Rp. 103.120--
10. Aquabides 25 ml 20 Rp. 1,799 Rp. 35.980--
Rp. 180.960--
Subtotal Rp. 262,925 Rp. 81,965 Rp. 81,965
D. Drugs
1. Asampolat 5 mg 60 Rp. 73 Rp. 4,380 Rp. 4,380 Rp. 4,380
2. Aspilet 80 mg 30 Rp. 347 Rp. 10.410 Rp. 10.410 Rp. 10.410
3. Vit E Tab 200 IU 60 Rp. 962 Rp. 57,720 Rp. 57.720 Rp. 57.720
4. Vit C 100 mg 20 Rp. 76 Rp. 1,520 Rp. 1,520 Rp. 1,520
5. Xylocain Jelly 1 Rp. 55.519 Rp. 55.519--
Subtotal Rp. 129.549 Rp. 74.030 Rp. 74.030
E. Kantong Darah 4 Rp.250,000 Rp. 1,000,000
Subtotal Rp.1,000,000
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2011, No. 37725
No. Number of Unit Price Number
Desferal
DFO
Ferriprox
DFP
Exjade
DFX
Total (A + B + C + D + E) Rp. 1,979,474 Rp. 1,742,995 Rp. 1.742.995
F. Iron Heating Drug
1. DFO-80/500 mg 80 vial Rp. 82,500 Rp .6.600,000--
2. DFP-180/500 mg 180
caplet Rp. 25.300-Rp. 4.554,000-
3. DFX-120/250 mg 120
Tablet Rp. 35.500--
Rp. 4.260,000
Total (A + B + C + D + E + F) Rp. 8.579.474 Rp. 6.296.995 Rp.
6.002.995
Attraction: For Iron Kelation therapy there are 3 options; Desferal DFO, Ferriprox DFP, Exjade DFX.
www.djpp.kemenkumham.go.id
2011, No. 377 26
DETAILS OF BLOOD TRANSFUSION CHARGES AND IRON DILATION DRUG SUFFERERS THALASSAEMIA PERMONTH
WITH 40 KG WEIGHT
PACKAGE III
NO DESCRIPTION OF THE NUMBER OF DIFFERENT NUMBERS OF UNITS
DFO
Ferripr ox
DFP
Exjade
DFX
A. Hospital
1. Karcis Poli 2x Rp. 40,000 Rp. 80,000
2. Actions of Transfusion 2x Rp.100,000 Rp. 200,000
3. consultation 3x Rp. 40,000 Rp. 120,000. 120,000
Subtotal Rp. 400,000
B. Laboratory
1. Full Edge Blood 1x Rp. 95,000 Rp. 95,000
2. Ureum 1x Rp. 22,000 Rp. 22,000
3. Kreatinin 1x Rp. 22,000 Rp. 22,000
4. SGOT 1x Rp. 24,000 Rp. 24,000
5. SGPT 1x Rp. 24,000 Rp. 24,000
6. Feritin 1 x Rp. 92,500 Rp. 92,500
Subtotal Rp. 279,500
C. Health Tool
1. Spuit 3 ml 1 Rp. 1,335 Rp. 1.335
2. Blood Set 2 Rp. 15,984 Rp. 31,968
3. Abocath No. 22 2 Rp. 13,882 Rp. 27.764
4. NaCL 100 ml (otsuka) 2 Rp. 6.034 Rp. 12.068
5. Alcohol Swab 4 Rp. 360 Rp. 1,440
6. Patch 1 Rp. 7,390 Rp. 7,390
7. Blood Filter----
Subtotal Rp. 81,965
Alkes For Despherals
8. Spuit 10 ml 20 Rp. 2,093 Rp. 41,860--
9. Wing Needle No. 27 (terumo) 20 Rp. 5,156 Rp. 103.120--
10. Aquabides 25 ml 20 Rp. 1,799 Rp. 35.980--
Rp. 180.960--
Subtotal Rp. 262.925 Rp. 81,965
Rp. 81,965
D. Drugs
1. Asampolat 5 mg 60 Rp. 73 Rp. 4,380 Rp. 4.380
Rp. 4.380
2. Aspilet 80 mg 30 Rp. 347 Rp. 10.410 Rp. 10.410
Rp. 10.410
3. Vit E Tab 200 IU 60 Rp. 962 Rp. 57.720 Rp. 57.720
Rp. 57.720
4. Vit C 100 mg 20 Rp. 76 Rp. 1,520 Rp. 1,520
Rp. 1,520
5. Xylocain Jelly 1 Rp. 55.519 Rp. 55.519--
Subtotal Rp. 129,549 Rp. Rp.
www.djpp.kemenkumham.go.id
2011, No. 37727
No. Description Many Unit Prices of Despherals
DFO
Ferripr ox
DFP
Exjade
DFX
74.030 74.030
E. Kantong Darah 4 Rp.250,000 Rp. 1,000,000
Subtotal Rp. 1,000,000
Total (A + B + C + D + E) Rp. 2.071,974 Rp. 1,835. 495
Rp. 1,835.495
F. Iron Heating Drug
1. DFO-80/500 mg 80 vial Rp. 82,500 Rp. 6,600,000--
2. DFP-180/500 mg 180 kaplet Rp. 25.300-Rp. 4,554. 000
-
3. DFX-120/250 mg 120 tablet Rp. 35.500--Rp. 4.260,000
Total (A + B + C + D + E + F) Rp. 8.671,974 Rp.
6,389. 495
Rp. 6.095.495
Attraction: Package II is almost the same as package III, which distinguites is on package III conducted a Feriti lab check
www.djpp.kemenkumham.go.id
2011, No. 377 28
CHAPTER IV INDICATOR SUCCESS, MONITORING AND EVALUATION,
HANDLING OF COMPLAINT, COACHING AND SUPERVISION, AS WELL AS LOGGING, REPORTING AND FEEDBACK
A. SUCCESS INDICATOR
As a basis in assessing the success and achievement in the implementation of the "Thalassaemia" warranty, it is used with indicators:
His Terlayman is all Thalassaemia sufferers who are doing the treatment in Health facilitation that works closely with the Jamkesmas program.
B. MONITORING AND EVALUATION
1. Goal
Monitoring needs to be done to get an overview of the suitability between program plans and execution in the field, while the evaluation aims at the achievement of the success indicators.
2. Scope
a. Participant data, logging, and complaint handling
b. The implementation of the Thalassaemia service which includes the number of visits to the Secondary and Tertiary PPK
c. Quality of service execution to the sufferer Thalassaemia
d. The implementation of the funding and verification of the fund's liability
e. Implementation of verification of the use of program funds
f. Program management at the provincial/kabupaten/city level
3. The mechanism
Monitoring and evaluation is performed regularly in both monthly, quarterly, semesters and annual by the Centre and provincial health services/kabupaten/city via:
a. Meeting and coordination
b. Data processing and analysis
c. Supervision
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2011, No. 37729
C. HANDLING COMPLAINT
Delivery of complaint is useful as a control for program improvement. The delivery of the complaint can be delivered by participants, unifying, and PPK officers to the program managers in the Health Service both provincial and district level/City with regard to principles:
1. The complaint must be responded quickly and accurately
2. Complaints of complaint can guide the available units on PPK as well as the local Health Service
3. The handling of the complaint is done in a single level
D. COACHING AND SUPERVISION
1. Coaching for the purpose of performing the program is more useful and successful. Coaching is done in accordance with the tasks and functions of the following:
a. Coaching in the preparation of the POA program
b. The execution of a program is performed on the field
c. Coaching in the verification process
d. Coaching in the management information system process
2. Supervision is performed:
a. Surveillance is attached
b. Functional oversight
c. Public oversight
E. LOGGING, REPORTING, AND FEEDBACK
In support of monitoring and evaluation required logging and reporting execution of the program on a regular monthly.
1. Note
The results of program service activities are performed by PPK on the existing record registers.
2. Reporting
a. PPK is required to report the recapitulation of the program to the County/City Health Service on the 5th of each month.
www.djpp.kemenkumham.go.id
2011, No. 377 30
b. The county/city health service is required to resurrender reports from all reports of the results of the program's execution in the local district/city area and report it to the provincial health service every day of 10 each month.
c. The Provincial Health Service is required to rekapitulate the report of the activities of each District/City health service and report it to the Centre every 15 of each month.
d. The Central Manager is required to resurrender reports from each province to become a national report every month/trimester/semester/year.
3. Feedback
The feedback report on the results of the program's implementation report is executed, i.e., the Center Manager will conduct the analysis and provide feedback to the Provincial Health Service Manager, the Provincial Health Service. provide feedback to the County/City health services and beyond.
To ease administration monitoring and order, the report for the Central Manager is delivered to the address:
SECRETARIAT I TIM MANAGER JAMKESMAS and BOK CENTRE
d/a:
Ministry of Health Lt. 14, Building Prof. Sujudi Jl HR Rasuna Said Block X5 Kav 4-9
South Jakarta 12950. Telephone 021-5221229, 5277543
Fax 021-52922020 Company PO BOX JAMKESMAS 7755 JKTM 12700
Web Address: http://www.ppjk.depkes.go.id/
www.djpp.kemenkumham.go.id
2011, No. 37731
BAB V
CLOSURE
This technical clue is compiled to be the required reference for the implementation of the Thalsaemia Service Treatment Guarantee. With this licensing program at the cost of the Government through the APBN, it is expected to increase the thalassaemia major's sufferer access to health care and assist them on the financing side of his health.
Hospital and the Indonesian Thalassaemia Foundation party as well as the Thalassaemia Parents ' Union are expected to work synergies in the implementation of the Thalassaemia Care Guarantee so that the purpose is set in the program This can be achieved.
If at a later time it is necessary. changes to this technical hint, it will be done in the preparation of the next technical clue.
HEALTH MINISTER
REPUBLIC OF INDONESIA,
SCARF RAHAYU SEDYANINGSIH
www.djpp.kemenkumham.go.id
2011, No. 377 32
ADDRESSES OF YTI AND POPTI BRANCHES AS WELL AS NAMES
THAT COULD BE CONTACTED
No City Address City, POPTI and YTI
Name Can Be Contased
Phone
1. Jakarta RSCM
Jl. P. Diponegoro No. 71, Central Jakarta
Telp. 021.390.7744
Fax. 021.390.4145
The Thalassaemia Center RSCM
Jl. P. Diponegoro No. 17, Central Jakarta
Telp. 021.3907744
Fax. 021,391,4145
POPTI
Jl. P. Diponegoro No. 71, Central Jakarta
Telp. 021.390.7744
FAX. 021.390.4145
YTI (CENTER)
Jl. Ciheat No. 7 Block Q-1, New Kebayoran Baru
South Jakarta 12170
Telp. 021.724.6828
Fax. 021,723,7952
Email: thalassaemia_ind@indo.net. id
-Bp. Ruswandi
-Mother Watty Ruswandi
-Mother Iis
-Mother Euis H. Bambang
-Bp. Adri Hasan
-Bp. Mardjani
-Mother Rinie Amaluddin.
-Mother Anni Effendi.
-Mother Reiny Margana
-Bp. Edy Poerwono.
-Mother Gelia Ngestiati
Telp. 021,724,6828
Hp. 0813,8060.6369
Hp. 0816,796.821
Hp. 0817,178.366
Hp. 0815.165.6515
Hp. 0856.100.1341
Telp. 021.857.8032
Hp. 0815,912.6505
Hp. 0811.184.164
Hp.
www.djpp.kemenkumham.go.id
2011, No. 37733
No City Hospital Address, POPTI and YTI
Reusable Names
Phone
0812.108.5816
Hp. 0812,909.5777
Hp. 021,724,6828
2. Bandung RSU Dr. Hasan Sadikin
Jl. Pasteur No. 38, Bandung, West Java
Telp. 022.203.0808/ 203.4076
POPTI
Jl. Jati Indah II No. 6, Bandung, West Java
Telp. 022.7300.306
Fax. 022.7300.306
Email: nunukjs@gmail.com
YTI
PMI City Branch Bandung
Jl. Aceh No. 79, Bandung, West Java
Telp. 022.420.7051/52
Fax. 022.420.8677
-Mother Joyo Supeno
-Bp. Irawan
-Mother Milah Karmilah
-Drs. H. Rohimat
-Bp. Iman Tedjarachmana
-Drs. H. Oni Yusroni Tjasmita
Hp. 0817.920.2037
Hp. 0818,0200,2914
Hp. 0812.222.8173
Hp. 0812.200.2783
Hp. 0817.213,687
Hp. 0812.249.0057
3. Yogyakarta RSUPN Dr. Sardjito Yogyakarta
Jl. Health I, Yogyakarta
Telp. 0274.587.333
POPTI
Faculties of UGM Biology, North Sekip-Yogyakarta 55281
Telp. 0274.741.7560, 649.2260
Fax. 0274.521.12
Email:
-DR. Suwarno Hadisusanto
-Mother Sugiyatno
Hp. 0856.293.7358
Telp. 0274.773.444
www.djpp.kemenkumham.go.id
2011, No. 377 34
No City Hospital Address, POPTI and YTI
Addable Names
Phone
swarno_hsusanto@yahoo.co. id
YTI
Part Hematology Child RSUPN Dr. Sardjito
Jl. Health I, Yogyakarta
Telp. 0274.587.333
Email: smulat@gmail.com-Prof. Dr. dr.
Sutaryo, SpA (K)
-Dr. dr. Sri Mulatsih, SpA (K)
Hp. 0812.295.6403
Hp. 0811.254.116
4. Semarang RSU Karyadi Semarang
Jl. Sutomo No. 16 Semarang, Central Java
Telp. 024. 841,3993/841.3476
Fax. 024.841.5478
Email: idahasoras@yahoo.com
PMI Semarang
Jl. Sugiopranoto (dpn store swalayan ADA)-Semarang
POPTI
Jl. Student Army 31, Semarang-Central Java
Telp. 024.831.1250
YTI
CITO Clinic Laboratory
Jl. Indraprasta No. 81-83 Lt 3,
-dr. Hadi Sarosa, M. Kes
-Bp. Faqih Udin
-Bp. Kiswanto, Amd
-Bp. Antok
Hp. 0815660.1259
Hp. 0815,656.9550
Hp. 0856.266.5248
www.djpp.kemenkumham.go.id
2011, No. 37735
No City Hospital Address, POPTI and YTI
Reusable Names
Phone
Semarang-Java Centre
Telp. 024.354.2835
Fax. 024,358.7392
Email: kusmiceria@gmail.com
-dr. Kusmiyati DK, M. Kes
-dr. Lucia Surjani
Hp. 0856.266.5248
Hp. 0816.668.042
Hp. 0813,2607.6703
5. -Purwokerto/Banyumas
RS. Kartini Banyumas Unit II
Jl. Ragavigsang No. 8
Banyumas, Central Java
Telp. 0281.636.746
POPTI
Jl. Coral Lewas Kidul I No. 1, Purwokerto, Banyumas-Central Java
Telp. 0281.655.177
Fax. 0281.636.303
Email: smpn3_ajb@yahoo.com
YTI
Jl. Ragavigsang No. 8
Banyumas, Central Java
Telp. 0281.636.746
-Drs. H. Abdul Azis S, M. Pd
-Bp. Suteng Suwarno
-Bp. Wuryanto
-dr. Gondo Wulandari
-Mother Siti Aminah
-Bp. Revelation Adhi Febrianto, Sip
Hp. 0812,271.6114
Hp. 0819.0330,9112
Hp. 0281.768,0005
Hp. 0811.260.975
Hp. 0819.0330,9112
Hp. 0813,2711.3112
6. Dr. RSUD solo. Moewardi Surakarta
Jl. Colonel Sutarto 132
Surakarta 57126-Central Java
www.djpp.kemenkumham.go.id
2011, No. 377 36
No City Hospital Address, POPTI and YTI
Reable Names
Phone
Telp. 0271.634634 psw 408
Fax. 0271.664598
POPTI
Part SMF of the Child Health Sciences
Fak. Medicine UNS/RSUD
dr. Moewardi Surakarta
Jl. Kol. Sutarto 132, Surakarta 57126
Telp. 0271.634634 psw 408
Fax. 0271.664598
Email: rojali261176@yahoo.com
-dr. Muhammad Riza, SpA, M. Kes
-dr. Yulidar Hafidh, SpA
-Bp. Anggoro
Hp. 0816.679.101
Hp. 0811.264.662
Hp. 0813,9326.8174
7. "This is a great deal." Hospital No. 33 Tasikmalaya-West Java
Telp. 0265.331.683
Fax. 0265.331.747
POPTI
Jl. Hospital No. 33, Tasikmalaya-West Java
Telp. 0265.331.683
Fax. 0265.331.747
Email: popti_cabtasikmalaya@yahoo.co.id
-Bp. Apandi S. sos
-Dr. H. Imas Matsaroh
-Bp. Asep
Hp. 0852.2005.2378
Hp. 0815.4681.2372
Hp. 0813,2319.0436
8. Surabaya RSU dr. Soetomo Surabaya
Jl. Mayjen Prof. Dr. Moestopo 6-8, Surabaya-East Java 60286
Telp. 031. 550.1688
POPTI
Polyclinic Hematology Of Oncology FK. UNAIR RSUD Dr. Soetomo
Jl. Mayjen Prof. Dr. Moestopo 6-8, Surabaya-East Java 60286
-Bp. Purnomo
-Mother Maryamah
Hp. 0812.301.2360
Hp.
www.djpp.kemenkumham.go.id
2011, No. 37737
No City Hospital Address, POPTI and YTI
Reusable Names
Phone
Telp. 031. 550.1688
Email: purnomo_erie@yahoo.com
-Mother Sri Winarti 0812.3062.2236
Telp. 031.855.2251
9. Field RSU H. Adam Malik Medan
Jl. Bungalow 17, Medan North Sumatra
Telp. 061. 836.0381
Fax. 061. 836.0255
POPTI
Jl. Air IV Komp. Politeknik No. 27, Medan 20142
Telp. 061. 836.1722
Email: karnia_ridhani@yahoo.co.id
-Mother Sarmawati
-Mother Suzana
-Bp. Zulkifli
-Mother Mursida Siregar, AMD
Hp. 0813,7567.6864
Hp. 0852.6228.5905
Hp. 0813,7505.3268
Hp. 0813,7050.1793
10 Weeks
new
RSUD Arifin Ahmad Pekanbaru
Jl. P. Diponegoro Riau, Pekanbaru
POPTI
Jln. Belibus No. 13, Kp. Malay Sukajadi-Pekanbaru
Telp. 0761. 21683
Email: elmiridar@yahoo.co.id-dr. Elmi Ridar, SpA
-Bp. Amran Sufyan
-Mother Sri Evidila
Hp. 0812.753.4940
Hp. 0813,7841.1554
Hp. 0812.763.3540
11 Jambi RSU Raden Mattaher
Jl. Suprapto No. 2, Jambi
Telp. (0741) 61692
POPTI
RSUD Abdul Manaf-Mother Sukaisih, AM. Hp.
www.djpp.kemenkumham.go.id
2011, No. 377 38
No City Hospital Address, POPTI and YTI
Reusable Names
Phone
Jl. -SK. Syahbudin Mayang 136146
Telp. 0741. 67049
Fax. 0741.636.303
Email: sukaisihbid@yahoo.com
Keb
-Mother Nurhayati
-Bp. Alfin
0813,6693.2407
Hp. 0812.741.4214
Hp. 0852.6699.8519
12 Palembang RSU Moh. Husin
Jl. Sudirman Km 3.5, Palembang Sumsel.
Telp. 0711.354.088
Fax. 0711.320,220
POPTI
Jl. Rambutted In No. 1584 RT. 30 RW. 30
Ilir Kec. Rotation West II Palembang (30144)
Telp. 0711.315122
Fax. 0711.432.032
Email: smk6_karlina@yahoo.co.id
-Mother Dra. Karlina
-Mother Yanti
-Mrs. Yenni Suhartini
-Bp. Nungcik
-Efriyanti
Hp. 0815.3271.7059
Hp. 0711.700.3619
Hp. 0711.429.9866
Hp. 0812.7392.6285
Hp. 0852.6706.8727
13 Pontianak RSUD. Dr. Soedarso
Jl. Dr. Soedarso No. 1
Pontianak 78124, West Kalimantan
POPTI
Part SMF Child RSUD Dr. Soedarso
Jl. Dr. Soedarso No. 1 Pontianak 78124
West Kalimantan
Telp. 0561,737701 pswt. 256
Fax. 0561. 732.077
Email: hg_mg692@yahoo.com
-dr. Melissa Gandhi, SpA
-Mother Atik Tjandra
-Mother Rahmawati
Hp 0815,882,7769
Hp. 0811.568.899
Hp. 0852.4565.7777
14 Cianjur RSUD Cianjur
www.djpp.kemenkumham.go.id
2011, No. 37739
No City Hospital Address, POPTI and YTI
Reusable Names
Phone
Jl. Hospital No. 1, Cianjur, West Java
Telp. 0263. 284,277
Fax. 0263. 284.277
POPTI
Jl. RSUD Cianjur No. 1, Cianjur, West Java
Telp. 0263.272.336
Fax. 0263.284.277
Email:
popti_cabcianjur@yahoo.co. id
YTI
Jl. Hospital No. 1, Cianjur, West Java
Telp. 0263. 261,026 Faxes. 0263. 284,277
-Bp. H. Dede Sopyanudin, SH
-Dr. Hj ' s mother. Mien Suranto
-Bp. Dhen S. Ruhenda, Sip
-Ny. Hj. Rosdiana Tjetjep MS, SH
-Bp. Dhen S. Ruhenda, Sip
-dr. Mien Suranto
Hp. 0815,600,6860
Hp. 0856.5950.6060
Hp. 0856.5950.6060
Hp. 0815,600,6860
15 Sukabumi RSUD R. Syamsudin, SH
Jl. Hospital No. 1, Sukabumi, West Java
Telp. 0266. 225,180
Fax. 0266. 225.180
Bhayangkara Secapa Polri Hospital
Jl. Aminta Azmali No. 59A, Sukabumi
Telp. 0266.229.207 Fax. 0266.226.262
POPTI
RSUD R. Syamsudin SH
Jl. Hospital No. 1, Sukabumi,-Bp. Dadan Hp.
www.djpp.kemenkumham.go.id
2011, No. 377 40
No City Hospital Address, POPTI and YTI
Reable Names
Phone
West Java
Telp. 0266. 225,180 Fax. 0266. 225.180
Email: popti.cabsukabumi@yahoo. co. id
Apriandani
-dr Shinta Wardhani S, MARS
-Mother Liviana
-Mother Nenden
-Mother Yanti
0815.7339.3968
Hp. 0811.114.921
Hp. 0857.23023829
Hp. 0813,1448.1822
Hp. 0858.6285.3953
16 Tangerang RSUD Tangerang
Jl. Jend. Ahmad Yani No. 9, Tangerang, Banten
Telp. 021. 552.3507
POPTI
RSUD Tangerang
Jl. Jend. Ahmad Yani No. 9 (Gd. Nusa Indah) Tangerang, Banten
Telp. 021. 552,3507 Fax. 021.552,7104
Email:
dreasofia.paloh@gmail.com
-dr. Elly Agustina
-Bp. Edi Arianto
-Dahlia ' S Mother
-Mother Andi Tri Ekape
Hp. 0812.822.8092
Hp. 0857.1767.4450
Hp. 0812.8231.2334
Hp. 0856.9376.1195
17 Malang RSU Dr. Saiful Anwar Malang
Jl. Attorney General Suprapto No. 2, Malang Jawa Timur 65111
Telp. 0341.362.101
POPTI
Jl. RSU Saiful Anwar Division of Hematology Oncology SMF Child Health Sciences
Jl. Attorney General Suprapto No. 2, Malang Jawa Timur 65111
Telp. 0341. 362.101
-dr. Susanto Nugroho, SpA
-Mom Ayu
Hp. 0818.0511.9726
Hp. 0817,966.7053
www.djpp.kemenkumham.go.id
2011, No. 37741
No City Address Home, POPTI and YTI
Reusable Names
Phone
Fax. 0341. 362.102
Email: nugroho.susanto@rocketmail.com
-Mother Nurhayati Telp. 0341.295.1298
18 Bogor RSU PMI Bogor
Jl. Pajajaran No. 80, Bogor, West Java
Telp. 0251. 832.4080
Hotline: 0877.7018.0519
POPTI
Policlinic Thalassaemia RS PMI Bogor
Jl. Pajajaran No. 80, Bogor, West Java
Telp. 0251. 832.4080
Email: popti_bogor@yahoo.co.id
-dr. Djoko Setyonegoro, SpA
-Bp. Robby
-Yuanita's mother
Hp. 0857.1592.6614
Hp. 0817,151.017
Hp. 0818,0492.1761
19 Garut RSUD Slamet Garut
Jl. Jl. RSU Dr. Slamet No. 5B, Garut-West Java
Telp. 0262.464.544
POPTI
The Garut Branch UTD Building
Jl. Jl. RSU Dr. Slamet No. 5B, Garut, West Java
Telp. 0262.464.544
Email: agus.koswara@yahoo.com
YTI
IGD RSU dr. Slamet Garut
Jl. RSU No. 12 Garut 44151
West Java
Telp. 0262.237.791
-Drs. H. Burhanuddin Afif, M. Si
-Bp.Ended Sobandi
-Santi Susanti
-Bp. Agus Koswara
-Bp. Pipin
-Mother Rani Gem Diky C.
-Bp. Agus Koswara
Hp. 0813.2313.1933
Hp. 0813,1361.4547
Hp. 0878.2204.3010
Hp. 0811.211.7506
Hp. 0812.8865.8090
www.djpp.kemenkumham.go.id
2011, No. 377 42
No City Address Home, POPTI and YTI
Reusable Names
Phone
Fax. 0262.2248474-Bp. Janur Muhamad Is Good
Hp. 0811.211.9003
Hp. 0811.211.7506
Hp. 0812.243.4489
20 Magelang RSU Tidar Magelang
Jl. Tidar No. 30A Magelang
Central Java 56125
Telp. 0293.362.463
Fax. 0293.368.354
POPTI
RSU Tidar Magelang
Jl. Tidar No. 30A Magelang Central Java 56125
Telp. 0293.362.463
Fax. 0293.368.354
Email: suprionosantoso@yahoo.com
-dr. Anto Artsanto, SpA
-Mother Lilis Sumiati
-Bp. Supriyano
-Bp. Soliman
Hp. 0813,9250.0666
Hp. 0812.2949.1819
Hp. 0813,2889,7208
Hp. 0857.4355.8243
21 Ciamis RSUD Dr. Ciamis West Java
Jl. Hospital No. 76 Ciamis-West Java 46211
POPTI
Jl. Hospital No. 76 Ciamis-West Java 46211
Telp ./Fax 0265. 772118
-dr. Hj. Suherjati SpA
-Mother Nia
-Bp. Ulwan
Hp. 0813,2313,6663
Hp. 0813,2338,5180
Hp. 0853.0265.0374
Source: YTI and POPTI January 2011
www.djpp.kemenkumham.go.id
