Regulation Of The Minister Of Health The Number 57 By 2013

Original Language Title: Peraturan Menteri Kesehatan Nomor 57 Tahun 2013

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Read the untranslated law here: http://peraturan.go.id/inc/view/11e44c50c62c0710809d313233303533.html

BN 1103-2013. doc REPUBLIC INDONESIA No. 1103, 2013 the MINISTRY OF HEALTH. Therapy. Rumatan Metadona. The program. The guidelines. REGULATION of the MINISTER of HEALTH of the REPUBLIC of INDONESIA NUMBER 57 2013 enkes/GUIDELINES ABOUT CONDUCTING of THERAPY PROGRAMS RUMATAN METADONA with the GRACE of GOD ALMIGHTY the MINISTER of HEALTH of the REPUBLIC of INDONESIA, Considering: a. that the therapy rumatan therapy Metadona is one substitute for opiates (Opiate Replacement Therapy) needed for addicts to opiates control dependency behavior and also as one of harm reduction efforts of HIV/AIDS; b. that Manual therapy programs Rumatan Metadona assigned by decision of the Minister of health the number 350/Menkes/SK/IV/2008 on the setting of the Hospital Program and satellite Pengampu Rumatan Therapy of methadone and Methadone Therapy Program Rumatan Guidelines need to be adapted to the development needs of Program execution in Indonesia Metadona Rumatan Therapy; c. that based on considerations as referred to in letter a and letter b needs to set a regulation of the Minister of health about the guidelines of the Organization of the Programs Rumatan Therapy Metadona; www.djpp.kemenkumham.go.id 2013, no. 1103 2 Remember: 1. 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); 2. 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); 3. Act No. 35 of 2009 about Illegals (Gazette of the Republic of Indonesia Number 143 in 2009, an additional Sheet of the Republic of Indonesia Number 5062); 4. Act No. 36 of 2009 about health (State Gazette of the Republic of Indonesia Number 144 in 2009, an additional Sheet of the Republic of Indonesia Number 5063); 5. 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); 6. 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); 7. 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); 8. Government Regulation Number 51 of 2009 about Kefarmasian Jobs (Gazette of the Republic of Indonesia Number 124 in 2009, an additional Sheet of the Republic of Indonesia Number 5023); www.djpp.kemenkumham.go.id 2013, no. 1103 3 9. Government Regulation number 25 in 2011 on the implementation Report Narcotics Addicts (Gazette of the Republic of Indonesia Number 46 in 2011, an additional Sheet of the Republic of Indonesia Number 5211); 10. Presidential regulation Number 75 in 2006 about the national AIDS Mitigation Commission; 11. The decision of the Minister of health the number 28/Menkes/Per/I/1978 about the storage of narcotic drugs; 12. The decision of the Minister of health the number 567/Menkes/SK/VIII/2006 regarding the implementation of the guidelines on harm reduction Drugs; 13. The decision of the Minister of health Number 1507/Menkes/SK/X/2005 about the guidelines of the Ministry of counseling and Testing HIV/AIDS Volunteer (Voluntary Counseling and Testing); 14. People's Welfare Coordinating Minister Regulation number 02/Permenko/Kesra/I/2007 about the national policy to combat HIV/AIDS harm reduction through the use of Narcotic psychotropic drugs and addictive substances Syringe; 15. The decision of the Minister of health the number 420/Menkes/SK/III/2010 about service standard therapy and rehabilitation of Impaired the use of Drugs; 16. Regulation of the Minister of health the number 1144/Menkes/Per/VIII/2010 about the Organization and the work of the Ministry of health (news of the Republic of Indonesia year 2010 Number 585) as amended by regulation of the Minister of health the number 35 by 2013 (news of the Republic of Indonesia Year 2013 Number 741); 17. Regulation of the Minister of health Number 028/Menkes/Per/I/2011 about Clinic (news of the Republic of Indonesia number 16 in 2011); 18. Regulation of the Minister of health Number 2415/Menkes/Per/XII/2011 on the medical rehabilitation of Addicts, Abusers and victims of abuse of Narcotics (news of the Republic of Indonesia in 2011 Number 825); www.djpp.kemenkumham.go.id 2013, no. 1103 4 decide: define: the REGULATION of the MINISTER of HEALTH ABOUT the GUIDELINES of the ORGANIZATION of the PROGRAMS RUMATAN THERAPY METADONA. CHAPTER I GENERAL PROVISIONS article 1 In this ministerial regulation is: 1. the Narcotic Drugs form Metadona is so in the form of preparations included single Narcotic type of Group II as referred to in Appendix I of Act No. 35 of 2009 about narcotics. 2. Rumatan Therapy Program Metadona hereinafter abbreviated PTRM is a series of activities therapy Metadona accompanied by psychosocial intervention for patients dependent opioida fit the diagnostic criteria and Classification Guidelines Diagnostic Psychiatric III (PPDGJ-III). 3. The pharmaceutical industry is a business entity that has a permit from the Minister of health to conduct the activities of making drugs or drug ingredients. 4. Medical Rehabilitation is a process of integrated treatment activities to free addicts from dependence of narcotics. 5. Detox is a process of medical intervention which aims to help addicts, abusers and victims of abuse of narcotic substances break up due to overcome the symptoms of discontinuation of Drug abusers and addicts, bodies of victims of abuse who experience physical dependence. 6. Pengampu Hospital is a hospital designated by the Minister to perform duties of a satellite unit for the pardon program therapy Metadona. 7. Satellite Unit Rumatan Metadona therapy programs are hereinafter referred to as a satellite Unit of the PTRM are hospitals, health centers and clinics that deliver programs rumatan therapy Metadona under pardon Pengampu Hospital. 8. The clinic is a health care facility which hosts individual health services that provide basic medical services and/or the including specialised, held by more than one type of health worker and is led by a medical personnel. www.djpp.kemenkumham.go.id


2013, no. 1103 5 9. A family is people who have blood relations in a straight line to the top or to the bottom and the line sideways until the degree of unity. 10. the Trustee is the person or entity that in fact exercise power as foster parents towards the child. 11. The Central Government that the Government is hereinafter referred to as the President of the Republic of Indonesia that holds the powers of the Government of the Republic of Indonesia as stipulated in the Constitution of the Republic of Indonesia in 1945. 12. Local Government is the Governor, Governor, or Mayor and the region as organizer of local governance. 13. the Minister is the Minister of the organizing Affairs of the Government in the field of health. 14. The head of the Agency is the head of a Government Institution Non-Ministerial Department in charge in the field of supervision of food and drug. 15. the Director-General is the Director General of the Environment Ministry of health responsible for efforts in the field of health. CHAPTER II the RESPONSIBILITIES of GOVERNMENTS and LOCAL GOVERNMENTS article 2 (1) the Government is responsible for the availability of Metadona. (2) the Government and the local government is responsible for the provision of the means, the infrastructure, technical support for implementing energy PTRM and the cost of assessment as part of the mandatory report narcotics addicts. (3) the local government responsible for the operational costs of the service. (4) the operating costs of services as referred to paragraph (3) include the following: a. the provision of cups, syrups, mineral water; b. provision of assessment form; c. provision of urine stick; d. tickets/levy; e. inspection/other therapy needed patients; and f. overtime wage clerk at the holidays. www.djpp.kemenkumham.go.id 2013, no. 1103 6 (5) in the event that local governments can not bear the operational financing of service referred to in subsection (4) the letter a to letter e, then a portion of the costs can be charged to patients in the form of tariff services. (6) the rate of service referred to in subsection (5) are defined by the local Government taking into account the minimum rates in order to guarantee accessibility for patients. CHAPTER III is considered part of the PROCUREMENT Planning METADONA article 3 (1) the planning of the annual needs Metadona organized nationally by the Directorate General of Community Health Efforts based on planning the needs posed by Pengampu Hospital. (2) the planning of the needs presented by the Hospital Pengampu as mentioned on paragraph (1) was compiled based on a projection of the number of patients the PTRM Satellite Unit is under pengampuannya. The second part of the provision of article 4 (1) the planning of the annual needs Metadona as stipulated in article 3 paragraph (1) is communicated by the Directorate General of Community Development Efforts to the Directorate General of Health & Wellness Tools and Kefarmasian as the basis for annual procurement Metadona. (2) Community Development Directorate of the health Kefarmasian and commissioned the pharmaceutical industry which has had special permission to provide narcotics producing Metadona based on annual needs planning as mentioned in subsection (1). CHAPTER IV SPECIAL CIRCULATION METADONA is considered part of the Common article 5 special Metadona Circulation consists of: a. channelling; b. submission; www.djpp.kemenkumham.go.id 2013, no. 1103 7 c. storage; and d. the destruction. The second part of article 6 Channeling Channelling Metadona must meet the conditions of the Way a good Drug Distribution established by the Minister. Article 7 (1) Channelling Metadona is done by means of storage of pharmaceutical preparations by the Government. (2) Hospital Pengampu based on ministerial regulation is assigned and granted special permission as a means of storage of pharmaceutical preparations special Government Metadona referred in paragraph (1). (3) Community Development Directorate of the health Kefarmasian and tools as a means of storage of pharmaceutical preparations of the Government can only transmit Metadona to Hospitals and Satellite Pengampu PTRM in provinces that do not yet have Pengampu Hospital. (4) the hospital pengampu can only transmit to the Satellite Unit Metadona PTRM under pengampuannya and are located in one province. Article 8 (1) Hospital Pengampu Metadona distribution request every 3 (three) months to the Directorate General of community development Kefarmasian and Health through Community Development Directorate Public Health Supplies and Medications with copy to the Directorate General of Community Health Efforts through Community Development Directorate of mental health. (2) a request for distribution as referred to in paragraph (1) accompanied by a letter of order narcotics are original (original paper approval) which was signed by the head of the hospital's Pharmacy Pengampu Installation as well as the rest of the report lists the stocks and monthly usage reports. (3) Community Development Directorate Public Health Drug supply and coordinate with Community Development Directorate of mental health to a request distribution Metadona referred to in paragraph (1). (4) the Directorate General of Community Development Efforts through Community Development Directorate Health mental health verifying and issuing a subpoena to the Directorate General of Metadona channeling Bina www.djpp.kemenkumham.go.id 2013, no. 1103 8 Kefarmasian and Health through Community Development Directorate of Drug supply and Public health. (5) based on letters of approval referred to in subsection (5), Directorate General of Bina Kefarmasian and health equipment to transmit Metadona Pengampu to hospital. Article 9 the distribution by Directorate General of Bina Kefarmasian and health equipment must be declared with proof of delivery and receipt of goods signed and stamped Kefarmasian and Community Development Directorate of health equipment and hospitals Pengampu. Article 10 (1) Channelling Metadona by Pengampu Hospital to the Satellite Unit PTRM must based on the letter of the order signed by the Pharmacist in charge of the Satellite Unit of the PTRM. (2) the distribution referred to in subsection (1) must be equipped with evidence handover Metadona. The third part delivery of article 11 (1) Submission Metadona to patients in hospitals and Satellite Units Pengampu PTRM can only be done by Pharmacists based on prescription. (2) in the exercise of a submission, a pharmacist must: a. implementing service standard kefarmasian; and b. set the standard operating procedures. The fourth section of the Storage Chapter 12 (1) Hospitals and Satellite Units Pengampu PTRM must have special storage place for narcotics and other Metadona is in control. (2) Special Storage as referred to in paragraph (1) was carried out in accordance with the legislation. (3) storage supplies should be equipped with Metadona card supplies Metadona using examples as listed in the attached form 1. www.djpp.kemenkumham.go.id


2013, no. 1106 9 (4) for the purposes of everyday Metadona Storage should be complemented by daily reports of use Metadona using examples as listed in the attached Form 2. The fifth part of the destruction of Article 13 (1) the destruction is conducted on State Metadona: a. Metadona expiry; b. Metadona damaged; and/or c. Metadona does not qualify for use in the health service. (2) the destruction of Metadona referred to in subsection (1) may only be performed after removal of letters issued State-owned goods in accordance with legislation. (3) destruction of Metadona as referred to in paragraph (1) was carried out by the pharmacist in charge with witnessed by the pharmaceutical health services officer and balai besar/balai local food and drug watchdog. (4) a news event made at least double Metadona destruction 5 (five) by the executors of genocide and submitted to the relevant agencies as follows: a. paragraph 1 be sent to the Directorate General of Community Health Efforts; b. paragraph 2 submitted to the district/city health Office; c. paragraph 3 was sent to the Directorate General of Bina Kefarmasian and health equipment; d. paragraph 4 sent to balai besar/balai drug watchdogs and local food; and e. 5th double as archive. Chapter V ORGANIZATION of the PROGRAMS RUMATAN THERAPY is considered part of the Common METADONA articles 14 (1) health care Facilities that provide services laid down by the Minister of the PTRM. www.djpp.kemenkumham.go.id 2013, no. 1103 10 (2) Healthcare Facilities as referred to in subsection (1) include hospitals, clinics, clinics correctional facility or home detention. The second part of the requirements of article 15 health care Facilities that provide services PTRM must meet the requirements of the location, facilities and infrastructure, as well as workforce. Article 16 location Requirements as stipulated in article 15 includes the following: a. be in the enclave user opiates based on logging that is available from a variety of sources; b. not adjacent to a health care facility providing services the PTRM.; and c. take precedence is not adjacent to the means of education. Article 17 (1) facilities and infrastructure Requirements as stipulated in article 15 includes the following: a. at least had room examination and counseling, administering medication, and the waiting room; b. medical equipment at least consists of measuring the dosage pump Metadona, stethoscope, tensimeter, scales, a bed check, step stools, and first aid equipment; c. non medical equipment at least consist of a glass, a bottle of mineral water, Take-Home Dose (THD), gauge glass, desks, chairs and office stationery; d. storage cabinet drugs that meet the requirements of narcotic drugs storage; and e. other requirements in accordance with laws-invitation. (2) the pump and other medical equipment Metadona must meet the requirements of quality, security and/or benefit as health equipment. Article 18 (1) Workforce as stipulated in article 15 is a team that trained in the field of PTRM. www.djpp.kemenkumham.go.id 2013, no. 1103 11 (2) the team referred to in subsection (1) at least consists of physicians, pharmacists, and nurses. (3) in the case of health facilities have adequate human resources, the team referred to in subsection (2) may be added with technical personnel kefarmasian, psychologist, counselor and adiksi. (4) a physician referred to in paragraph (2) serving as a coordinator of the PTRM Ministry responsible for medical management PTRM. The third part of the determination of article 19 (1) submission of proposals for the setting of hospitals and clinics that provide services PTRM was done by the head of the Provincial Health Office Health Office Head or Kabupaten/Kota to the Director-General with the attach: a. local governments of his affidavit of kabupaten/kota in support services in order to maintain continuity of service PTRM; b. recommendations of the provincial health Office; and c. a profile of hospitals or clinics. (2) submission of proposals for the determination of the correctional facility or clinic home inmate gives service PTRM was conducted by the Directorate General of prisons of the Ministry of law and human rights to the Director General. (3) the Directorate General of Community Development Efforts to evaluate Health together with Directorate General of disease control and environmental health against the proposed designation as referred to in paragraph (1) and paragraph (2). (4) the Director General provides recommendations to the Minister to establish or not to establish the proposed healthcare facilities as a place of service of the PTRM. Article 20 (1) hospitals providing services the PTRM had meet certain criteria can be specified as Pengampu Hospital. (2) specific Criteria referred to in subsection (1) includes: www.djpp.kemenkumham.go.id 2013, no. 1103 12 a. experienced/trained in DRUGS use disorder treatment and/or referral services is PEOPLE LIVING with HIV in the local area that have a comprehensive service; b. experience in providing service PTRM minimal 1 (one) year; and c. has a team trained in the PTRM Metadona and rumatan therapy in adiksi DRUGS. (3) duties of pardon by the hospital Pengampu as mentioned on paragraph (1) includes the following: a. the awarding of the technical guidance, including guidance PTRM medical treatment cases difficult; b. report of the management organization of the Satellite Unit of the PTRM PTRM; c. submission of petition for distribution logistics Metadona; d. be means of storage of pharmaceutical preparations the Government specifically for Metadona storage; and e. refresher training for Teams proposing PTRM. (4) implementation of pardon referred to in paragraph (3) the letter a can be done face-to-face and/or via telephone, electronic mail, and other communication media. CHAPTER VI PTRM SERVICES Article 21 (1) service of the PTRM was given only in patients opioida dependency that satisfies certain criteria. (2) specific Criteria referred to in subsection (1) include the following: a. meets the criteria Guidelines Classification and Diagnosis of disorders of the soul in Indonesia III (PPDGJ III) for opioid dependence; b. aged at least 18 (eighteen) years of age; c. can come to the unit service every day until they reach a stable dose; d. can come regularly to the unit services as a set schedule based on the clinical conditions of the PTRM team patients achieved stable dose after; and e. not experiencing severe physical and mental disorders that interfere with attendance to the unit service and/or disrupt the level of adherence to therapy. www.djpp.kemenkumham.go.id


2013, no. 1103 13 (3) service of the PTRM can be given in patients with special conditions which meet the criteria referred to in paragraph (2). (4) the special conditions referred to in subsection (3) includes pregnant patients, the HIV/AIDS patients, patient diagnosis, patients with complaints of pain, and the patient post correctional facility. Section 22 (1) every patient who follow the PTRM given patient cards are made in accordance with the format as contained in the attached Form 3. (2) the patient's Card referred to in subsection (1) applies as well as related self report card report mechanism for centralized card issuance has not been running. (3) the patient's card is valid for 1 (one) year and extendable and non-transferable. (4) patient Card stated does not apply if the patient out of the PTRM either programmatically or not planned and/or missing card. (5) in the case of incoming patients back in the PTRM before the expiration of the card runs out, then the card previously not applicable as referred to in paragraph (4) was declared valid again until it expires. (6) in case of lost card referred to in subsection (4), can be given a new patient card. Article 23 (1) service of the PTRM include assessment, awarding Metadona, complementary examinations, counseling, and other psychosocial interventions. (2) execution of counseling services and other psychosocial interventions as referred to in paragraph (1) can work together with the community. Article 24 (1) Assessment as referred to in article 11 is carried out by means of interviews, observations, as well as physical and psychological examination, using the form the assessment report/medical rehabilitation in accordance with the legislation. (2) the assessment referred to in paragraph (1) be the basis for drafting the plan of therapy. www.djpp.kemenkumham.go.id 2013, no. 1103 14 of article 25 (1) Granting Metadona as stipulated in article 23 can only be done based on a recipe created by doctor who became a member of the team as referred to in article 18. (2) Granting Metadona is performed by a pharmacist who became a member of the team as referred to in article 18. (3) in the case of a pharmacist referred to in subsection (2), Metadona was unable to be performed by technical personnel kefarmasian or other team members, under the supervision of a pharmacist. (4) it should be drunk by patients Metadona in front of officer PTRM as mentioned on paragraph (2) and paragraph (3). (5) in the event the patient is unable to take on its own for some reason Metadona, family or caregivers can take Metadona in accordance with criteria of take home doses. Article 26 supporting Examination as referred to in article 23 include urinalysis, laboratory examination, and examination of thorax photos other supporting conducted according the indications. Article 27 counselling and other psychosocial interventions as referred to in article 23 are granted in accordance with the plan of therapy that has been compiled based on the results of the assessment. Article 28 (1) service of the PTRM is part of the Ongoing Comprehensive HIV and AIDS. (2) to all patients PTRM mandatory offer for doing HIV testing and examination of sexually transmitted Infections on a regular basis and if the test results are negative then do retest (re-testing) every 6 (six) months. (3) all patients PTRM recommended using condoms every time sexual intercourse to prevent transmission of HIV and sexually transmitted Infections. (4) Patient PTRM with HIV-positive test results are referred to treatment services, support, and care in accordance with the legislation. Article 29 further Provisions regarding the procedures for service of the PTRM listed in the Annex which is an integral part of part of the regulation of the Minister. www.djpp.kemenkumham.go.id 2013, no. 1103 15 CHAPTER VII TRAINING the HUMAN RESOURCES article 30 (1) of the implementing Team training for the PTRM implemented using modules that have been accredited by the Minister. (2) management of training conducted by the Directorate General of Community Health Efforts working with the Directorate General of disease control and environmental health. (3) the training referred to in subsection (1) is financed by the Government, local authorities and/or other sources that are not binding. (4) the filing of a petition for training financed by local governments or other sources that are not binding as referred to in subsection (3) must be submitted to the Director General at least 6 (six) weeks before the training was carried out. CHAPTER VIII of the RECORDING and REPORTING of article 31 (1) the recording of the patient's medical record done at Metadona. (2) the recording referred to in subsection (1) include the following: a. a letter of approval; b. demographic data; c. clinical data; and d. other supporting data as needed. (3) the approval referred to in paragraph (2) letter a statement of approval of the patient's participation in the PTRM signed by the patient, family or carers and doctors who handle, using examples as listed in Form 4 attached. (4) the Clinical Data referred to paragraph (2) Letter c is the data the results of the assessment, treatment, and care of patients, including Metadona Metadona daily, using examples as listed in the attached Form 5. Article 32 (1) a health care Facility providing services PTRM mandatory reporting of monthly usage Metadona and monthly reports of the patient. www.djpp.kemenkumham.go.id


2013, no. 1103 16 (2) the report referred to in subsection (1) done in a tiered Satellite Units of the PTRM Pengampu hospital up to the Director General. (3) compulsory PTRM Satellite Unit sends the report referred to in subsection (1) to Pengampu Hospital no later than 26 months walking with copy to the head of the district/city health Office using examples as listed in Form 6 and form 7 enclosed. (4) a report from the clinic or correctional facility houses prisoners in addition to the head of ditembuskan district/city health service referred to in subsection (3), the ditembuskan also to the Director General in the Ministry of law and human rights who is in charge of prisons and the head of the field at the Regional Office of the Ministry of law and human rights. (5) the hospital Pengampu doing recap of the Satellite Unit of the PTRM reports as referred to in paragraph (3) and make use of the monthly report the monthly report and Metadona patients in hospital pengampu itself. (6) a compulsory Pengampu Hospitals deliver the recap of the monthly reports of the use of the slowest Metadona 10th of the following month to the Director-General of the Health and community development Kefarmasian with copy to the Director-General, the head of the Agency, and the head of the provincial health Office using examples as listed in Form 8 attached. (7) mandatory Pengampu Hospital delivered the monthly report recap of the patients at least the 10th of the following month to the Director General with a copy to the Director-General of the disease control and environmental health, and head of the Provincial Health Office using examples as listed in the attached form 7. CHAPTER IX GUIDANCE and SUPERVISION Article 33 (1) to improve the quality of the Organization of the PTRM, Minister for coordinating with the head of the Agency, the head of the health service district/city, and head of the Provincial Health Office doing coaching and supervision against the special circulation and organizing the PTRM as part of medical rehabilitation of narcotic addicts. (2) the Minister delegates the authority and responsibility of oversight associated with the distribution and delivery of Agency Heads to Metadona. www.djpp.kemenkumham.go.id 2013, no. 1103 17 (3) in the event of violations found in the exercise of supervision, then against such breach can be penalized in accordance with the provisions of the legislation. Article 34 (1) coaching and supervision mechanism of the Organization of the PTRM is done with the monitoring and evaluation activities. (2) further Provisions regarding the procedure for the monitoring and evaluation referred to in paragraph (1) are listed in the annex which is an integral part of part of the regulation of the Minister. CHAPTER X PROVISIONS of TRANSITIONAL Article 35 (1) at the time of this ministerial regulation came into force, all health care facilities which hosted the Ministry PTRM, must adjust with this ministerial regulation within a period of at least 2 (two) years since the ministerial regulation is enacted. (2) are excluded from the provisions referred to in subsection (1) for the correctional institution or clinic houses prisoners must adjust to this ministerial regulation within a period of at least 3 (three) years since the ministerial regulation is enacted. Article 36 the provisions of channeling Metadona to Hospital Pengampu PTRM and satellite based on ministerial regulation is valid at least 6 (six) months from the ministerial regulation is enacted. CHAPTER XI CLOSING PROVISIONS Article 37 at the time of this Ministerial Regulation entered into force, the decision of the Minister of health the number 350/Menkes/SK/IV/2008 about the designation of hospitals and Satellite Pengampu Rumatan Methadone Therapy Programmes and Guidelines Rumatan Methadone Therapy Program all of the guidelines that govern the conduct of the Programs Rumatan Therapy Metadona revoked and declared inapplicable. Article 38 this Ministerial Regulation comes into force on the date of promulgation. www.djpp.kemenkumham.go.id 2013, no. 1103 18 so that everyone knows it, ordered the enactment of this Ministerial Regulation with its placement in the news of the Republic of Indonesia. Established in Jakarta on 28 August 2013, MINISTER of HEALTH of the REPUBLIC of INDONESIA, NAFSIAH MBOI Enacted in Jakarta on 9 September 2013 MINISTER of LAW and HUMAN RIGHTS REPUBLIC of INDONESIA, AMIR SYAMSUDDIN www.djpp.kemenkumham.go.id