ADAPTIVE GOVERNANCE IN EMERGENCY SERVICES DELIVERY

IN CIREBON CITY: PUBLIC SAFETY CENTER 119

Presented by:
Drs. Agus Mulyadi, M.Si
Regional Secretary of Cirebon City

In the international seminar

“Adaptive Government in the Digital Era
to Improve Public Services”
at Universiti Utara Malaysia (UUM)

Kedah, June 26th, 2023

 ADAPTIVE LEADERSHIP & ADAPTIVE PEMERINTAH DAERAH
KOTA C I R E B O N
GOVERNANCE

• A leader will be tested for his/her expertise in a situation full of uncertainty. There is only one
choice, which is to ‘move out’ of the comfort zone and be ‘forced’ to deal with rapid and
unexpected changes.
• The term ‘adaptive leadership’ was first coined by Ronald Heifetz (1994), as a simultaneous
activity to drive people to adapt to challenges and problems. There are two types of problem
faced by a leader, namely technical problems (real problems in which strategy can be
formulated) and adaptive problems (uncertain and unpredictable problems) (Heifetz et al, 2009).
• The term ‘adaptive governance’ was defined by Van der Voort (2016) as the governance that
prioritized public interest through quick response to changes in the external environment. The
main key to adaptive governance is decentralized decision-making by involving various grassroot
stakeholders.
• It can be understood that adaptive leadership is a leadership model amid uncertainty, while
adaptive governance is an institutionalized form of adaptive leadership.
 PEMERINTAH DAERAH
KO TA CI R E BO N

What an Adaptive Goverment

Criteria for Adaptive Governance
should do (Chaffin, et al, 2014):
(Dietz et al., 2003)

Inclusive dialogue between

1
1 Provide information stakeholders

2 Deal with problems 2 Complex institutions

3 Induce rule compliance Institutional designs that

3 facilitate experimentation,
4 Provide infrastructure learning, and change.

5 Be prepared for change

 PEMERINTAH DAERAH
IMPLEMENTATION OF ADAPTIVE GOVERNANCE K O TA C I R E B O N

IN EMERGENCY SERVICES DELIVERY PSC 119 IN CIREBON CITY

• Adaptive governance is the way to fulfill the global commitment to disaster risk
reduction, which is included in development planning and has become the main
agenda for countries in the world (Hizbaron et al., 2021)
• The government’s ability to implement adaptive governance is the answer to
mitigate the pandemic (Ticlau, 2020).
• Cirebon City Government needs to implement adaptive governance through local
policies across all levels of government, by coping with uncertainty, as well as the
rapid and unpredictable changes of the era.
• One of them is the emergency service delivery for the public. Since its inception in
2017, Public Safety Center (PSC) 119 Cirebon City has provided many benefits for
the public, and its service was tested under duress during the Covid-19 pandemic.
 PEMERINTAH DAERAH
PROFILE OF CIREBON CITY WEST JAVA PROVINCE, INDONESIA
K O TA C I R E B O N

1. GEOGRAPHIC 2.
D E MO G R A P H I C
39,44 KM 2 Kejaksan
District
Pekalipan District
348000.000 total population
(4 Sub-disctricts) Jumlah Penduduk (Jiwa)
(people)
346,438 348

KEPMENDAGRI NO (4 Sub-districs)
Laju Pertumbuhan
346000.000 Population growth 346
050-145 TAHUN 2022 Penduduk
rate (Persen)
(percent) 343,667
343,003 0,81
344000.000 344
Kesambi District
(5 Sub-districs)
340,470 0,19
342000.000 342
337,586 0,74
340000.000 340
0,85
338000.000 338
Harjamukti District
(5 Sub-districs) 336000.000 336

Lemah 334000.000 334

Wungkuk
District
(4 Sub- 332000.000 332
districts)
2018 2019 2020 2021 2022
Source: Agency of Population and Civil Registration, 2017-2022
West Java Province  Cirebon City total area is 39,44 km2, therefore the population density in 2022
was 8.783 jiwa/km2.
 The highest population density was in Pekalipan District and the lowest population
density was in Harjamukti District.
 PEMERINTAH DAERAH
Public Safety Center 119 Cirebon City Profile K O TA C I R E B O N

Tagline: SREGEP
“Collaborative Emergency Response System Involving Community
to Create Safe Community, Comfortable for Visitors”
SREGEP
“Sistem Respon Emergency yang Guyub melibatkan
semua Elemen melalui Pendekatan keluarga”
SREGEP is a word from the Cirebonese language which
means DEFINITELY (CEKATAN)
Public Safety Center (PSC) 119 Cirebon City emergency
service was inaugurated by
Drs. Nashrudin Azis, SH – Mayor of Cirebon on
April 4th, 2017.
The Decree of the Head of Cirebon City Health Agency
regarding the Formation of Medical Emergency Service
Team Public Safety Center (PSC) 119 Cirebon City was
issued on February 27th, 2018.
 PSC 119 Services PEMERINTAH DAERAH
K O TA C I R E B O N

1. Call Center PSC 119 24 hour Non-Stop Services

2. Home Care Services (Layad Rawat)
3. Disaster Emergency Services
4. Traffic Accident Emergency Services
5. House and Building Fire Emergency Services
6. Medical Emergency Services for local and national events, local city
government events, Religious Holidays, Community Cultural and
Traditional Activities
7. Patient Referral Ambulance Services
8. Health Certificate Services
9. Driver’s Health Examination Services at the bus terminal (in collaboration
with the Ministry of Transportation)
10. Mass Circumcision Services
11. Basic Life Support Training Services (based on community request, free of
charge)

Layad Rawat is basic health services given to individuals and families at their
homes in order to improve, maintain, and make the most of family’s
independence and minimize the impact of the illness.
 SREGEP: Collaborative Emergency
PEMERINTAH DAERAH
K O TA C I R E B O N

Response System
Community health
119, 112, HT, Telephone, centers, hospitals, and
Medical Emergency volunteers
Volunteer community

Safe Community,
10-15 minutes Volunteers 4200 Comfortable for
Response time visitors

22 community 6 points in Cirebon City’s main roads

health centers and from 07.00 to 24.00 (150 civil defense
10 hospitals officers)
 PEMERINTAH DAERAH
K O TA C I R E B O N
Domestic and
international tourists

SAFE COMMUNITY,
COMFORTABLE FOR VISITORS
(MAPAN)

4.200 Medical emergency volunteers community (KREKI):

Tour guides, royal palace tourism managers, swimming pool managers, restaurants, hotels, supermarkets,
civil defense officers in 6 main road points, event organizers, wedding organizers, travel agents
24 hour non-stop services medical team PEMERINTAH DAERAH
K O TA C I R E B O N
supported by personnel and facilities:

Team from Civil Servants: Facilities:

• 1 Head of Unit • 4 car ambulances
• 1 Head of Administration • 4 motorbike ambulances
• 3 Nurses • 1 building
• 1 executive
• 1 general practitioner doctor
Team from non-civil servants
• Operator and Evacuation team
• 2 midwives
• 10 nurses

Team from Volunteers

• Call Operator (West Java Health Agency)
• Ambulance driver
• Indonesia Escort Ambulance (IEA) Cirebon team
• Medical Emergency Volunteer Community (Kreki
Indonesia)
.
 PEMERINTAH DAERAH
K O TA C I R E B O N

Standard Operating Procedure for Integrated

Emergency Service System through 119 Call Center
Network
PEMERINTAH DAERAH
K O TA C I R E B O N

National Search Regional

and Rescue Disaster
Agency Management
Agency

Police Hospital

Communication,
Fire Brigade
Information, and
Statistics Agency

Community Transportation
Health Agency
Center

Indonesian Municipal
Red Cross Police
 PUBLIC SAFETY CENTER 119 ACTIVITIES DATA PEMERINTAH DAERAH
K O TA C I R E B O N
2018-2022
PSC 119 Cirebon City Outreach Program Call Figures 2018 - 2022
2018 - 2022
4000
3000
3500
2500
3000

2000 2500

1500 2000

1500
1000
1000
500
Peserta Sosialisasi 500
0 0
2018 2019 2020 2021 2022 2018 2019 2020 2021 2022

• From 2020 to 2022, outreach programs tended to decline due to the Covid-19 pandemic which required physical
distancing and restriction on community activities (Graph 1)
• From 2019 to 2020, the number of call for PSC 119 services increased in line with Covid-19 pandemic conditions (Graph 2)
• From 2021 to 2022, the number of calls for PSC 119 services declined again as the Covid-19 pandemic ended, however,
the services are still the mainstay for people in Cirebon City.
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K O TA C I R E B O N

GOLD AWARD INDO HCF 2019 & 2020 ACHIEVEMENTS

PSC 119 SREGEP CIREBON CITY HEALTH AGENCY

TAHUN 2019
YEAR 2019 YEARTAHUN
2020 2020
INDONESIA HEALTHCARE INNOVATION AWARDS (IndoHCF)
It is an appreciation program for agencies, groups, or individuals who have successfully implemented programs to
improve health services.
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AWARDS
K O TA C I R E B O N

Integrated Emergency Services System (SPGDT) Innovation

Gold Award SPGDT Category Gold Award SPGDT Category

in IndoHCF Innovation Awards 2019 in IndoHCF Innovation Awards 2020
AWARDS PEMERINTAH DAERAH
K O TA C I R E B O N

Silver Award SPGDT Category

in IndoHCF Innovation Awards
 C O V I D - 1 9 E M E R G E N C Y M I T I G AT I O N PEMERINTAH DAERAH
K O TA C I R E B O N
“ S a fe C o m m u n i t y, C o m fo r t a b l e fo r V i s i t o rs ”

PSC 119 was the Covid-19 Information and Coordination Center in Cirebon City
 C O V I D - 1 9 E M E R G E N C Y M I T I G AT I O N PEMERINTAH DAERAH
K O TA C I R E B O N
“ S a fe C o m m u n i t y, C o m fo r t a b l e fo r V i s i t o rs ”

PSC 119 conducts health outreach and education

in:
1. Crowd of sports activities
2. Traditional markets
3. Supermarkets
4. Main roads
5. Regional borders
 PEMERINTAH DAERAH

MULTISECTOR COORDINATION WITH THE NETWORK K O TA C I R E B O N

PSC 119 OUTREACH PROGRAMS PEMERINTAH DAERAH
K O TA C I R E B O N
PROVISION OF FIRST AID BOX PEMERINTAH DAERAH
K O TA C I R E B O N

PSC 119 placed First Aid Boxes for first aid

medical emergencies at 6 points of civil
defense shelters
PSC 119 Service Activities PEMERINTAH DAERAH
K O TA C I R E B O N
PEMERINTAH DAERAH
KO TA CI R E BO N

THANK YOU