The Role of Multisectoral Collaboration in Indonesia for Successful Health Promotion

Abstract

Background: Cancer had caused 14,067,900 people suffered in 2012. In Indonesia, with 357,000 cases, added by mortality and morbidity, cancer has added the country double burden of disease. Thus, preventive measure should be done to tackle the problem. One of the best ways is health promotion through the massive campaign and multisectoral collaboration using the momentum of annual World Cancer Day (WCD). Annual WCD has been held by National Cancer Control Committee (NCCC)-Ministry of Health (MoH), however, 2017 is the kick-off event which engages multisector to promote cancer awareness and knowledge. Aim: This campaign aims to increase awareness and knowledge about cancer (including the healthy lifestyle, detection program and treatment) among Indonesian. Strategy: The national action was planned based on the strategic objective of NCCC. The campaign was coordinated by NCCC-MoH of Indonesia and implemented throughout the country. The local situation, condition and creativity were encouraged to ensure the successful campaign. Program process: Initial coordination was made by NCCC. The proposal was disseminated to the centers across Indonesia. Then, centers would carry out the event and report to the NCCC. Meanwhile, a massive campaign in Jakarta was held by NCCC. Outcomes: There were 25 out of 34 provinces, consisted of 18 nongovernmental organizations (NGOs), 20 professional societies, 37 hospitals and 25 provincial public health service involved in the WCD campaign. This WCD was held under decree of Minister of Health. Several programs in the WCD were press briefing, seminars, talk show, fun campaign in public areas (i.e., celebrity performance, yoga), promotion via local television/newspaper and social media; early detection such as Papanicolaou test, mobile mammography, breast ultrasound, clinical breast examination and visual inspection of acetic acid. The impact of WCD 2017 was tremendous compared with previous year, with multisectoral involvement, overloaded participants and broke the World of Record Museum-Indonesia (MURI) with the most dancer involved dance for the cancer survivor. In addition, the impact can be seen in 2018, when no decree of the minister and national movement provided. In 2018, NCCC only organized a training of trainer with the hope of having an extension of the hand to deliver knowledge and awareness. Nevertheless, each part of Indonesia was commemorating their own WCD without any coordination. These evidence showed that NCCC had been successful to increase awareness and knowledge about cancer. What was learned: Many people were involved in the preparation, starting from doctors, local government, NGOs, hospitals, MoH, companies, survivors and celebrities. Moreover, social media campaign and celebrities played a great role in making this event succeed. Therefore, multisector collaboration is an essential part of raising awareness and knowledge about cancer.