AUTHOR=Hardhantyo Muhammad , Djasri Hanevi , Nursetyo Aldilas Achmad , Donna Bella , Ariani Madelina , Pangaribuan Happy , Yogadhita Gde Yulian , Yulianti Andriani , Adipradipta Bernadeta Rachela 

TITLE=Evidence-Based Policy Recommendations for Public Health Emergency Operation Centers in Regional Settings: A Case Study in Indonesia

JOURNAL=Public Health Reviews

VOLUME=44

YEAR=2023

URL=https://www.ssph-journal.org/journals/public-health-reviews/articles/10.3389/phrs.2023.1604899

DOI=10.3389/phrs.2023.1604899

ISSN=2107-6952

ABSTRACT=<p><bold>Background:</bold> Public health emergencies require integration between multiple stakeholders in different sectors to monitor the situation and carry out an appropriate response. As a country with a large land area consisting of thousands of islands, Indonesia’s centralized Public Health Emergency Operation Center (PHEOC) system is currently unable to effectively contain diseases. A PHEOC system reform is required to accommodate Indonesia’s circumstances, particularly at the regional level. We have outlined potential models at the sub-national level for PHEOC based on existing evidence.</p><p><bold>Policy Options and Recommendations:</bold> Based on existing evidence of PHEOC models internationally, we have formulated three policy models for regional-level PHEOC. These models (the <italic>ad hoc</italic> agency model, the independent agency model, and the Province Health Office (PHO)-based model) entail different chains of command, and each has its own benefits.</p><p><bold>Conclusion:</bold> We recommend that the Ministry of Health in Indonesia adopt the third PHEOC policy model, in which the chain of command lies under the PHO. This is the most practical approach, as the PHO has the authority to mobilize units and access resources in response to imminent public health emergencies. Further training and capacity-building are required to support the PHO as the commander of the regional PHEOC.</p>