Addressing the Growing Health Burden of Stroke in Indonesia

*Instructions for the Individual Memo:
Background and overview
The MoH(Indonesia) of your Country has been approached by a Coalition of Development Partners(Civil Society of Indonesia) who wish to provide funding and technical assistance to the Country to address major Health Issues contributing the Country’s Burden of Disease(Stroke in Indonesia). They have asked the MoH to develop a preliminary proposal, a “Country Concept Note” (CCN) covering major health issues from three area: NCDs, CDs, and Accidents/injuries.
Detailed instructions for the Individual Memo
The first Individual Memo will examine the Outcome of Interested from your assigned Disease-specific Team,
and add in any relevant factors about the impact of C-19 for the Individual Map.
In this 4-page memo, you will concisely, but with specificity, describe:
i) How the Outcome of Interest specifically contributes to the burden of disease in your country (e.g., incidence, prevalence, morbidity, mortally, impacts on Social Determinates of Health, impacts on co- morbidities, etc.);
ii) Include major impacts from C-19 prevalence that have a substantial impact on the Outcome of Interest, or on any of its major causal elements.
iii) Describemajorhealthsystembottlenecks/barrierstoaddressingtheOutcomeofInterestbasedon your research on your country’s health system (e.g., review the Health System building blocks for relevant health system bottlenecks such as lack of Health Workforce, Weak Data systems, Insufficient commodities, inadequate financing, etc. See diagram below)
iv) Differentiate2to3(maximum)communitiesthatbeardisproportionaterisk,andprovidestatisticsto show how they have a disproportion burden of disease (e.g., how does the group’s prevalence, morbidity, mortally, etc. compare with the national averages?);
v) For the country, and for each vulnerable group, identify the relevant risk factors, Social Determinants, Macro-environmental issues (e.g., climate crisis; War/conflict; global air/water pollution, etc.)
vi) Clearlydescribe2to4policyleveragepointsthatarebothsufficientlyspecificandfeasiblefortheMoH to address (e.g., MoH has adequate authority, capacity)
vii) Select 2-4 priority interventions (promotive, preventive or curative) for each leverage point. For each intervention you are proposing to reduce the risk/prevalence of the outcome of Interest, provide an evidence-based rationale to support its use in the specific context of your assigned country;
viii) Identify which interventions the Development Partners (DPs), that you have been assigned to, would likely want to support.
ix) Makesureyoucitereferencestosupportallquantitativeandqualitativedataandevidencethatyou use.
Format:
4 pages, double spaced, 1200 Words maximum (not including references or annex).
This memo will be an advanced level of the 4-step memo most of you wrote in the Data Driven Decision- Making (DDDM) course. The DDDM memo was structured around 4 content elements: 1) burden, 2) interventions, 3) bottleneck, and 4) strategies. Your Individual memo (assignment #3) follows and expands upon that structure, but within the SDGs framework and using the systems thinking approach.
We suggest that you use the following template, to give you the best opportunity to earn a good grade: 1. Heading/Address line: To Minister of Health, and always include date & a specific subject line
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Client Note
----->Describe how the Outcome of Interest specifically contributes to the burden of disease in your country (e.g., incidence, prevalence, morbidity, mortality, impacts on Social Determinants of Health, impacts on co-morbidities, etc.).
Include major impacts from COVID-19 that have a substantial influence on the Outcome of Interest, or on any of its major causal elements. C