The Feasibility Study
One StopCenter for Therapy and Rehabilitation for Drug Abuser
National Narcotics Board
Republic of Indonesia
1
Baban Narkotika Nasional
One StopCenter for Therapy and Rehabilitation for Drug Abuser
Table of Contents
1. Executive Summary
2. Preparation process of Feasibility Study
3. Project History
3.1 Purpose
3.2 Objectives
4. Project Objective
5. Project Necessity
5.1 The Organizational Overview
5.1.1 Foundation of BNN
5.1.2 Legal Position
5.2 BNN Tasks
5.3 BNN Functions
5.4 Organization Structure
5.5 Daily Operation Management of Executive Director
5.5.1 Vision
5.5.2 Mission
5.5.3 Strategy
5.5.4 Role
5.5.5 Task
5.6 National Strategy on Treatment and Rehabilitation
5.7 Drug Abuse Trend in Indonesia
5.8 BNN Core & Supporting Functions
5.9 Methodology Overview
5.10 BNN Core and Supporting Activities
5.10.1 Drugs Abuses Management
5.10.2 Illegal Drugs Distribution Supervision
5.10.3 Supporting Process Set
5.10.4 Therapy and Rehabilitation Core Process
5.10.5 Therapy and Rehabilitation Supporting Components
6. Requirement Analysis of the Rehabilitation Center
6.1 Treatment & Rehabilitation Meaning
6.2 Ethics Code and Professionalism
6.3 Services Accreditation and Standard
6.4 Therapy and Rehabilitation Requirements Analysis
6.4.1 Requirements Analysis Components
6.4.2 Population Based Requirements Estimation
6.4.2.1 Population Group
6.4.2.2 Population Group with need for special service
6.4.2.3 Service conformity with existing population group
6.5 Therapy and Rehabilitation Service Model Overview
6.5.1 Open Access Service Model
6.5.2 Structured Service Model
6.5.2.1 Detoxification: Stabilization Phase
6.5.2.2 Rehabilitation: Therapy Phase
6.5.2.3 Post Rehabilitation Treatment
6.5.2.4 Comprehensive Therapy Model
6.5.2.5 Rehabilitation on drugs users connected to crimes
6.6 Rehabilitation Center Policy and Procedure
6.6.1 Therapy and Rehabilitation Procedures Development
6.6.2 Staffs Categories Required
6.6.3 Monitoring System Management
6.6.4 Staffs Management
6.6.5 Quality Management
6.7 Therapy and Rehabilitation Output Monitoring
6.7.1 Therapy and Rehabilitation result monitoring audience.
6.7.2 Service Monitoring Level
6.7.2.1 Basic Monitoring System (Level 1)
6.7.2.2 Intermediate Monitoring System (Level 2)
6.7.2.3 Formal Monitoring System (Level 3)
6.8 Activities Outputs Measuring Instruments
6.9 Supporting Environment for Rehabilitation Center
7. Project Scope
7.1 Scope of the Materials and Service
7.2 Medical System
7.2.1 Medical Equipment
7.2.1.1 General Clinic
7.2.1.2 Dental Clinic
7.2.1.3 Internal Clinic
7.2.1.4 Surgery Clinic
7.2.1.5 Obstetrics and Gynecology Clinic
7.2.1.6 ENT Clinic
7.2.1.7 Dermatology Clinic
7.2.1.8 Lung Polyclinic
7.2.1.9 Neurology Clinic
7.2.1.10 Acupuncture Clinic
7.2.1.11 Emergency Unit
7.2.1.12 CSSD Equipments(Sterilization for med equipment)
7.2.1.13 Ambulance
7.2.1.14 Radiology Room
7.2.1.15 Laboratory Room
7.2.1.16 ICU Room
7.2.1.17 Treatment Room
7.2.2 Hospital Information System
7.2.1.1 Types of the Hospital Information System
7.2.1.2 Patient Documentation System
7.2.3 Patient Location Finding System
7.2.4 Bill of Materials for the Medical System
7.2.4.1 Hospital Information System
7.2.4.2 Patient Location Finding System
7.3 Security System
7.3.1 CCTV System
7.3.2 Perimeter Intrusion Detection System
7.3.2.1 PIDS Architecture
7.3.2.2 Video Camera System
7.3.2.3 Alarm Management System
7.3.2.4 Data Communication System
7.3.3 Bill of Materials for the Security System
7.3.3.1 CCTV System
7.3.3.2 PIDS System
7.4 Operation System
7.4.1 Central Operation Center
7.4.2 Networks and PCs
7.4.3 Bill of Materials for the Operation System
7.4.3.1 Central Operation Center System
7.4.3.2 Networks & PCs
7.5 Project Management
7.5.1 Project Implementation Schedule
7.5.2 Project Management Unit
7.5.2.1 Before the Procurement
7.5.2.2 During the Project Implementation
7.5.3 Project Management
7.5.3.1 Initiation and Planning Stage
7.5.3.2 Execution and Control Stage
6.2.1.3 Closing Stage
7.6 Training
7.6.1 Training Groups
7.6.2 Training Courses
7.7 Operation and Maintenance Support
7.8 Project Deliverables
7.9 Quality Assurance
8. Project Cost
8.1 Project Cost Estimate
8.1.1 Total Project Cost
8.1.2 Cost Breakdown
8.2 Budgets for Capital Investments and Ongoing Costs
8.3 Financing Plan/Cash-Flow
8.3.1 Method, Source of Financing and Borrowing Strategy
8.3.2 Similar Project Supported by ODA
8.4 Selection of the Supplier
8.5 Payment Terms and Conditions
9. Financial and Economic Feasibility
9.1 Commercial Viability or Non-Viability
9.2 Financial/Economic Impact
9.2.1 Financial Internal Rate of Return
9.2.2 Economic Internal Rate of Return
9.3 Sustainability
9.3.1 Economic Sustainability
9.3.2 Financial Sustainability
10. Institutional and Technical Feasibility
10.1 Institutional Sustainability
10.2 Technical Sustainability
11. Environmental and Social Impact
11.1 Environmental Impact
11.2 Social Impact
11.3 Corporate Social Responsibility
12. Other Project Details
12.1 Other Project Stakeholders
12.2 Capacity of Co-Implementers
12.3 Other Project Components
12.4 Procurement Process and Role of Authorities
12.5 Taxes and Subsidies
1
1. Executive Summary
Nowadays, Indonesia is facing a serious treat from the drugs production, distribution and abuse among its citizens. It can be said that this matter has becoming a national issue and can be a major problem in the nation’s future life, especially among its youth.
As a government agency, the National Narcotics Board (Badan Narkotika Nasional/BNN) has a mission to coordinate all efforts to free Indonesia from the treat of drugs and its abuse thus one day Indonesia will be free from this treat.
Coordinating various parts of the nation is not an easy task. The BNN activities become more complicated with the fact that Indonesia has a vast geographical area. The daily activities of BNN cover multi dimensional aspects of Indonesian life
One of the key successes in fulfilling its mission is by the existence of supporting infrastructure, including the supports of politics & law enforcement, stability of organization and proper facilities. The vast scope of responsibilities BNN posses demand serious attentions from all parties of the nation in order to be successfully fulfilled. This flexibility study document entitled “Strengthening on drug abuse preventive system” is an analysis study on the needs of BNN towards its drugs users rehabilitation function.
We hope that this document can be a starting point on the development of a DrugsAbuseRehabilitationCenter which will be a national reference for similar institutions.
2. Preparation process of Feasibility Study
The Feasibility Study Document of The Procurement of Medical Instruments and Central Laboratory for Drugs Abuse Victims Rehabilitation in Lido is dealing with the requirements for the establishment of the institution.
Conceptually, relation between the document components can be shown by the figure below:
[Fig. 2-1 Preparation Process of Feasibility Methodology]
Below are the brief explanations of the information handled by each part of the figure above:
Part I deals with the BNN’s vision and mission which serves as a groundwork of the organization’s components, e.g. goal, strategy, objective and etc. The main point of this chapter is to build a basis or connection bridge between vision and mission of the organization and the strategic function of the information system that’s about to be developed. This chapter also contains required comparisons for further analysis of the Procurement of Medical Instruments and Central Laboratory for Drugs Abuse Victims Rehabilitation in Lido
Part II specially deals with the main task and function of BNN related to Drugs Abuse Rehabilitation. It is crucial to figure out all factors or supporting components which might strengthen the analysis result of the Procurement of Medical Instruments and Central Laboratory for Drugs Abuse Victims Rehabilitation in Lido.
Part III deals with the core and supporting functions of the BNN’s main tasks directly connected to the drugs abuse rehabilitation. In order to conduct the analysis, we use the Value Chain Activities analysis developed by Michael Porter.
Part IV deals especially with the main requirements of the Procurement of Medical Instruments and Central Laboratory for Drugs Abuse Victims Rehabilitation. In this chapter, we are mapping the demand and supply, by using Value Chain analysis, and the availability and standard of existing or on-developing medical instruments.
Part V is a conclusion of the flexibility study document on the Procurement of Medical Instruments and Central Laboratory for Drugs Abuse Victims Rehabilitation in Lido. The chapter talks in details about the required instruments and budget.
3. Project History
The Problem of Drug Abuse in Indonesia show increasing trend,be apprehensive and threaten among the citizen, nation and state of Indonesia. Now, Indonesia dissimilar as a place of drug abuse transit, but had become drug abuse producer. A prevention and effort to eliminate the drug abuse and illegal distribution in Indonesia needs a serious attention and real effort.
To rehabilitate drug abuser, the Government of Indonesia by means of National Narcotics Board (BNN) has a plan to develop Center of Rehabilitation of Drug Abuser at Lido West Java. The Development of Center of Rehabilitation adopts treatment and rehabilitation methods to solve the nature and behavior Drug Abuser from substantial perspective, treatment method and victim age classification.
3.1 Purpose
To develop the center of excellent and integrated services and human resource education and training infrastructure with the standard equipment.
To become center of treatment, center of prevention and center of research at drug abuse sector.
To become one of effort that patient can use to live normally at the society
3.2 Objectives
To help someone undo himself from drug abuse dependence
To avoid the consume drug abuse habit
To avoid the physic and Psychological bother that increasing quality of life.
To Increasing staff knowledge and skill about treatment and rehabilitation
To increasing efficiency and effectiveness of treatment and rehabilitation services as follow of treatment and rehabilitation trend.
To actualize a free Indonesia from drug abuse and illegal distribution at 2015
4. Project Objective
The Development of Lido Rehab Center for treatment and rehabilitation is one of effort to eliminate of drug abuse and drug abuse illegal distribution especially at treatment and rehabilitation of drug abuser and center of excellent integrated services. Center of rehabilitation have an objective as facility for human resource education and training with medical and laboratory equipment in order to free Indonesia from drug abuse and illegal drug distribution at 2015.
This Center for rehabilitation prospected just for a center rehabilitation like others, but have a comprehensive objectives like:
Supplying of laboratory and medical equipment
Providing research facility
Increasing the treatment and rehabilitation human resource capacity
Providing training facility for one who provides elucidationwith drug abuse rehabilitation worker.
Center of destination for others that want to develop center of rehabilitation.
BNN can use the facility of rehabilitation center to give an accreditation to others center and application the standardization drug abuser services.
Providing center of information to citizen, student, staff and others about drug abuse danger, prevention and effort to eliminate
5. Project Necessity
To deepen the flexibility study on the Procurement of Medical Instruments and Central Laboratory for Drugs Abuse Victims Rehabilitation in Lido it is necessary to perform some comparisons in order to complete the method used for analyzing the requirements of the institution.
5.1The Organizational Overview
5.1.1Foundation of BNN
The existence of BNN is based on below regulations:
The Act No. 22 year 1977 about Narcotics.
The Act No. 5 year 1977 about Psycho tropics.
The Government Regulation No. 4 year 2002, dated 22 March 2002 about the correction of the Government Regulation No. 15 year 2001 about the Indonesian Army and Police members switch status becoming civil servants in order to have a structural career position.
The Presidential Decree No. 17 year 2002 dated 22 March 2002 about the National Narcotics Bureau.
The BNN Chief Officer Decree No. Kep/20/XII/2004/BNN dated 31 March 2004 about the BNN Organization and Daily Workflow Application.
5.1.2 Legal Position
The BNN is a non structural board directly under and responsible to the President of Indonesia.
5.2BNN Tasks
To coordinate all related governmental agencies & bureaus in order to prepare and apply policies on the availability, prevention and elimination of abuses of drugs, psycho tropical materials, precursor and other addictive substances.
To conduct preventive actions and eliminate the abuse and illegal distribution of drugs, psycho tropical materials, precursor and other addictive substances. This can be done by forming task forces which are consisted on all related governmental agencies according to their specific tasks and authorities.
5.3BNN Functions
To coordinate all related governmental agencies & bureaus in order to prepare and develop policies for supporting the availability, prevention and elimination of the abuses of drugs, psycho tropics materials, precursor and other addictive substances.
To coordinate all related governmental agencies & bureaus in order to apply the policies for preventing and eliminating the abuses of drugs, psycho tropical materials, precursor and other addictive substances, also in other problem solving matters during the works.
To coordinate all related governmental agencies and bureaus in activities of procuring, controlling and supervising the availability of drugs, psycho tropical materials, precursor and other addictive substances.
To operate task forces which consists of all related governmental agencies and bureaus in preventing and eliminating the abuses of drugs, psycho tropical materials, precursor and other addictive substances in accordance to each tasks, functions and authorities.
To break the drugs trafficking network by the establishment of task forces.
To perform cooperation nationally, regionally and internationally on the war against drugs, psycho tropical materials, precursor and other addictive substances.
To establish and develop information system and laboratory on drugs, psycho tropical materials, precursor and other addictive substances.
5.4 Organization Structure
Chief Officer : Head of Indonesian Police Department
Secretary:Daily Head Officer and as a member
Members :
-Director General of Nation Unity of the Indonesian Ministry of Internal Affairs
-Director General of Politics, Social and Security Multilateral of the Indonesian Ministry Foreign Affairs
-Director General of Defense Force of the Indonesian Ministry of Defense
-Director General of Immigration of the Indonesian Ministry Law and Human Rights
-Director General of Correctional Institution of the Indonesian Ministry of Law and Human Rights
-Director General of Customs of the Indonesian Ministry of Finance
-Secretary General of the Indonesian Ministry of Transportation.
-Director General of Social Service and Rehabilitation of the Indonesian Ministry of Social
-Secretary General of the Indonesian Ministry of Religious Affairs
-Director General of Medical Service of the Indonesian Ministry of Health
-Secretary General of the Indonesian Ministry of National Education
-Director General of Basic Chemical, Agro and Forest Resources of the Indonesian Ministry of Industry and Trading
-Director General of Foreign Trading of the Indonesian Ministry of Industry and Trading
-Director General of Horticulture Production Development of the Indonesian Ministry of Agriculture.
-Director General of Industrial Relationship Maintenance and Labor Supervision of the Indonesian Ministry of Labor
-Director General of Forest Protection and Natural Conservation of the Indonesian Ministry of Forestry.
-Chief Secretary of the Indonesian Ministry of Communications and Information
-Junior Attorney General of Intelligence of the Indonesian Supreme Attorney Council
-Junior Attorney General of General Crime of the Indonesian Supreme Attorney Council
-Head of Detective Corps of the Indonesian Police Department
-Director of Public Counseling, Operational Deputy of the Indonesian Police Department
-Head of the Intelligence Agency of the Indonesian Police Department
-Director of Medical and Health of the Indonesian Police Department.
-Deputy of Internal Affairs Investigation of the Indonesian National Intelligence Agency (BIN)
-Deputy of Therapy and Drugs-related Products Supervision of the Indonesian Food and Drugs Agency.
5.5 Daily Operation Managementof Executive Director
5.5.1 Vision
The establishment of Indonesian society that’s free from abuses and illegal distribution of drugs, psycho tropical materials and other addictive substances by the year of 2015.
5.5.2 Mission
In order to fulfill its vision, BNN’s mission statements are below:
Defining national policy in building mutual commitment to fight against the abuses and illegal distribution of drugs.
Conducting more effective and efficient drugs abuse prevention efforts.
Boosting the law enforcement on drugs abuse.
Enhancing the therapy method and rehabilitation to cure the victims of drugs abuse
Performing research and development in the development of accurate database
Developing advanced information system
Boosting the involvement and function of the Operational Task Forces
Boosting the involvement and function of the Provincial/District/City Narcotics Bureau
Enhancing BNN involvement on the global community through effective international cooperation on the war against illegal drugs distribution.
5.5.3 Strategy
Prevention is an effort to prevent the drugs abuse and distribution by community based actions, encouraging social awareness with a motto “Preventing is Better than Curing”
5.5.4 Role
The BNN Daily Officer (Lakhar BNN) is a organizational unit directly under and responsible to the BNN Chief Officer.
5.5.5 Task
The BNN Daily Officer has a task to serve all BNN members in order to fulfill its role and function.
5.6 National Strategy on Treatment and Rehabilitation
Therapy and Rehabilitation is one the main tasks and functions of BNN. The increasing need of drugs by addicts has caused the public hospitals can no longer able to perform its therapy and rehabilitation function[1]. BNN existence with its task to conduct therapy and rehabilitation is expected to overcome the victims’ addiction to drugs. Thus, and the end, ones can once again live normal life in society.
Drug user is part of the society that needshelp and caring to encourage his healing process. We need to provide free treatment and therapy to any drug users who cannot afford the cost through governmental subsidize and public charity. This is due to the fact that the treatment process on drug user takes quite some times and relatively huge amount of money.
The drug abuse itself is a rather complicated problem, which deals with spiritual, psychological, social and biological and even criminal behavior factors. Therefore, we need a strategy that encompasses all those factors and prepare various needed methods according to the level of drug abuse which range from social user, user and hard core addict.
Related to therapy and rehabilitation matters, BNN holds several strategies that serve as foundations for all series of activities. The strategies are[2]:
Integrated National Research and Therapy Strategy
Establishing an integrated research center to find therapy and rehabilitation methods that serve as reference for other similar institutions. Besides, we can also conduct education activities and trainings for therapy and rehabilitation officers.