Yohanna Kusuma (Indonesia)
National Brain Centre Prof DR.dr Mahar Mardjono, Jakarta Indonesia-Airlangga University/School of Medicine,Deakin University, Waurn Ponds,Victoria,Australia
Neurology
Dr Yohanna Kusuma is currently working as Consultant Neurology and Head of Hyperacute Stroke and Neurosonology Services at National Brain Centre Hospital, Jakarta, Indonesia. She graduated from the University of Indonesia as a Neurologist in 2007, and did her fellowship training in Neurosonology, Clinical Stroke and Research Fellow with National Neuroscience Institute, Singapore General Hospital, Tan Tock Seng Hospital 2007-2008 as well as National University Hospital in 2011-2013. She is currently a PhD candidate at Deakin University, Australia. She is certified in Neurosonology from the World Federation of Neurology the Neurosonology Research Group (WFN-NSRG) in 2009 and a Registered Physician in Neurovascular Interpretation, American Society of Neuroimaging (RPNI-ASN) in 2013. Her main interests are in stroke, thrombolysis, and neurosonology. She has published numerous papers, books, invited to speak in multiple stroke meetings and as a journal reviewer. She got awards as the 1st winner presentation at 4th Scientific Meeting INA-SH, Jakarta 2010, the winner of oral presentation in APSC Tokyo 2012, received Travel Grant Awardee in ICSU 2018 & 1st AKJSC Korea 2018 and the best Free Paper Awards in APSC Korea 2020.

Presenter of 1 Presentation

 Conference Calendar

Improving Stroke Systems of Care in LMIC: Indonesia

Session Name
0015 - Establishing Stroke Services in Low and Middle Income Countries (ID 30)
Session Type
Main Theme Symposium
Date
28.10.2021, Thursday
Session Time
08:00 - 09:30
Room
MAIN THEME A
Presenter
Lecture Time
08:14 - 08:28

Abstract

Abstract Body

Indonesia is one of the biggest developing country in the lower-to middle income zone with gross national income of US$ 3,800 per capita. Stroke is the number one cause of mortality (15.4%) and disability (65%). In addition, the prevalence of stroke is steadily rising based on Baseline Health Research 2018 (7 per 1000 in 2013 and 10.9 per 1000 in 2018).

There are challenges to improve the system of care in Indonesia. This includes onset time to arrival in hospital, human resources, time delays in hospital, lack of imaging facilities and limited national health insurance coverage. The strategies have been developed to improve our stroke systems care. This includes the following: awareness stroke campaign to introduce the FAST (Face, Arms, Speech, Time)signs and symptoms of stroke, continuing medical education for medical staff, workshops and training for clinical practitioners, in house or overseas fellowship training for general neurologists, advanced neuroimaging modalities, standardized acute stroke protocols, integrated multidisciplinary stroke team and tactical engagement with the ministry of health to increase the insurance health coverage for stroke patients.

We hope that the overall effect of the above strategies will further reduce time metrics for reperfusion therapy which decreases morbidity and mortality. We have shown that our stroke centre has successfully reduced door to thrombolysis time. We have also shown that advanced neuroimaging (non-contrast CT brain, CT perfusion, CT angiography) is feasible in Indonesia.

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