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Abstrak :
The World Health Report (WHR) 2000, which focused on improving health system performance, has been a lot of pro and cons. This article assesses critically the WHR 2000 for Indonesia health system. It discusses the elements of WHO evaluation model, weighting the indicators used, the variables measure, and sources of data. Of 191 countries in the world, Indonesia has attained the total rank of 106, while the level of health and distribution of health was in the rank of 103 and 156, respectively. Furthermore, the rank of health financing responsiveness and fairness was in 63-64 and 73, respectively. Meanwhile, health expenditure indicator rank was in 154 with the performance of Indonesia national health system for level of health was in 90. Overall, the rank of health system performance for Indonesia was in 92. Nevertheless, there are five critics to the WHR 2000 for Indonesia, namely, issues of obtaining the right data, method to assess responsiveness, fair financing calculation, limitation of scientific value, and further discussion on political agenda and method for assessing health system performance. Despite the limitations on methods and framework used, however, the WHR 2000 has influenced countries to prioritize the health system attainment and performance. This article recommends the necessity of comprehensive health system monitoring and evaluation with sustainable policy.

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Laporan Kesehatan Dunia (LKD) tahun 2000, yang memfokuskan pada program peningkatan kinerja sistem kesehatan, mengundang banyak pro dan kontra. Artikel ini menilai secara kritis laporan tersebut terhadap sistem kesehatan nasional Indonesia. Artikel ini membahas unsur-unsur model evaluasi WHO, pembobotan indikator yang digunakan, ukuran variabel, dan sumber data. Sebanyak 191 negara di dunia, Indonesia telah mencapai total peringkat 106, dengan tingkat kesehatan dan distribusi kesehatan masing-masing pada posisi 103 dan 156. Lebih lanjut, ketanggapan dan keadilan pembiayaan kesehatan masing-masing berada pada peringkat 63-64 dan 73. Sementara itu, indikator pengeluaran kesehatan berada pada peringkat 154 dengan kinerja Sistem Kesehatan Nasional Indonesia untuk tingkat kesehatan menduduki peringkat 90. Ssecara keseluruhan, sistem kinerja kesehatan Indonesia berada pada peringkat 92. Namun, ada 5 kritik terhadap LKD tahun 2000 untuk Indonesia yang meliputi masalah cara memperoleh data yang benar, metode menilai ketanggapan, perhitungan pembiayaan yang wajar, keterbatasan nilai ilmiah dan diskusi lebih lanjut tentang agenda politik dan metode untuk menilai kinerja sistem kesehatan. Meskipun memiliki keterbatasan metode dan kerangka yang digunakan, LKD 2000 telah mempengaruhi banyak negara untuk memprioritaskan pencapaian dan kinerja sistem kesehatan mereka. Artikel ini menyarankan perlunya pemantauan dan evaluasi sistem kesehatan yang komprehensif dengan kebijakan yang berkelanjutan.

Abstrak :
The endurance of the nation means the concept and strength of maintaining national resilience that covers its existence in the midst of civilization and strategic environmental changes, towards the dynamic conditions of national resilience for maintaining order, stability and the potential for change (the stability idea of changes). The challenges and problems of national resilience are dynamic variants that require comprehensive thinking on systems, policies and the strategy on national behavior (behavior science), which supported by patriotism and the energy of national health security towards the role of the TNI to fill the zones and accumulation of health development that illustrate the performance of national self-sufficiency and national. The struggle of the nation’s health in the perspective of structural and participatory strength starts with the ability to drive leadership, metabolic health community and agent of change that meets the reliability value of High Reliability Organization (HRO). The reliability that is formed will trigger the innovation and out of the box spirit to assemble a network (networking) for change, so that it is manifested as a performance of professional reliability that heightens the potential of the nation’s health and national resilience. Synergy of the National Health System (SKN) and the Defense Health System (Siskeshan) is a web of links to support the effort on the empowerment of the strategic value of national health.This strategy strengthens the national health network (one health) against the global health threats complexity that threaten the national resilience. The existence of Public Health Emergency global challenges in a form of outbreaks which spreads rapidly with unpredictable problematic, that triggers every nation to strengthen the nation struggle for synergizing the health development under the basis of national defense system.