The inclusion of fisheries and tourism in marine protected areas to support conservation in Indonesia

With the rapid growth of Indonesia’s marine protected area (MPAs) estate in Indonesia, reaching 23.9 million hectares by January 2020, attention needs to be focused on strengthening the effectiveness of MPA management. Consolidating and expanding protection of Indonesia’s marine resources is critical with increasing pressure from a fast-expanding population, illegal, unreported, and unregulated fishing, pollution, coastal development, unsustainable tourism and climate change. Biodiversity conservation must therefore concurrently consider multiple economic sectors such as fisheries and tourism, and their synergies with MPA management. This paper aims to outline the current landscape of fisheries and marine tourism pertaining to area-based conservation in Indonesia, to inform and support improved integration into effective MPA management. Four areas to focus efforts were identified: diversification of governance types of community-based management, improved coordination between fisheries and MPAs during planning and management implementation, the development and support of pathways for sustainable tourism, and planning for future conditions. Sustainable development for fisheries and tourism must be incorporated into all aspects of MPA management, whilst recognising that current management systems are insufficient to ensure long-term sustainability for natural resources and local communities, and strategies need to increase resilience of social-ecological systems in anticipation of future conditions

Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle- and high-income countries.

BACKGROUND: As global initiatives increase patient access to surgical treatments, there remains a need to understand the adverse effects of surgery and define appropriate levels of perioperative care. METHODS: We designed a prospective international 7-day cohort study of outcomes following elective adult inpatient surgery in 27 countries. The primary outcome was in-hospital complications. Secondary outcomes were death following a complication (failure to rescue) and death in hospital. Process measures were admission to critical care immediately after surgery or to treat a complication and duration of hospital stay. A single definition of critical care was used for all countries. RESULTS: A total of 474 hospitals in 19 high-, 7 middle- and 1 low-income country were included in the primary analysis. Data included 44 814 patients with a median hospital stay of 4 (range 2-7) days. A total of 7508 patients (16.8%) developed one or more postoperative complication and 207 died (0.5%). The overall mortality among patients who developed complications was 2.8%. Mortality following complications ranged from 2.4% for pulmonary embolism to 43.9% for cardiac arrest. A total of 4360 (9.7%) patients were admitted to a critical care unit as routine immediately after surgery, of whom 2198 (50.4%) developed a complication, with 105 (2.4%) deaths. A total of 1233 patients (16.4%) were admitted to a critical care unit to treat complications, with 119 (9.7%) deaths. Despite lower baseline risk, outcomes were similar in low- and middle-income compared with high-income countries. CONCLUSIONS: Poor patient outcomes are common after inpatient surgery. Global initiatives to increase access to surgical treatments should also address the need for safe perioperative care. STUDY REGISTRATION: ISRCTN5181700

SPATIAL ANALYSIS IDENTIFICATION OF IDEAL AREAS CONSERVATION LOCATION IN TUAL CITY, MALUKU PROVINCE

Tual City is the one of eleven districts / cities in Maluku Province. The city includes an archipelago town, has 66 islands divided into 3 island clusters, covering the cluster of Kur islands, Tayando Tam and Dullah. The sea area reaches 19,088 Km2, while the land area is 254.39 km2. The size of the sea in this area indicates the high utilization potential of both fisheries and tourism sector. Based on these, needed resources management the coastal and marine resources effectively, one of them by developing conservation area in coastal area and small islands. Tual City took the initiative to allocate part of its area to be reserved as a marine conservation area. The target of the formation of urban water conservation area Tual is the protection of important marine habitats consisting of coral reefs, seagrass and mangrove, sea turtle nesting beaches and connectivity larvae. This study was conducted to obtain potential locations of marine conservation areas that have high conservation value. Analysis of spatial data using Marxan analysis. This analysis was chosen because it provides the best solution for determining locations that have high conservation value. The results of the study indicate that the area of selected high frequency locations is 125,000 hectares, while 40,000 hectares and 64,000 hectares low. Selected high-frequency locations are in the cluster of Kur islands, Tayando Tam and in the waters north of Mas Island and Bair. Based on this study, the cluster of Kur and Tayando Tam islands become the recommended sites requiring the management of marine conservation areas as they are representative of all conservation targets. Keywords Marine Protected Area, Marxan, and Tual Cit

MARINE PROTECTED AREA NETWORK DESIGN: CASE STUDY OF MALUKU PROVINCE

Since 2014, the Ministry of Marine Affairs and Fisheries has started to initate the development of MPA Network in several provinces in Indonesia. The objective of this study is to provide scientific recommendations to the government and stakeholders on MPA Network design that maximizes the ecological functions, protects critical marine habitats and maintains fisheries stocks. Multi-stages spatial analysis and larva connectivity modelling using the best available data in a provincial level were applied. Until December 2015, Maluku Province had seven MPAs with a total of 288,414 ha. Based on spatial analysis, those MPAs had good Replication of critical habitats, but low Representation of critical habitats (3,8% from 20% of ideal representation percentage) that were protected within MPAs. Besides that, only five out of seven MPAs that were connected, i.e. the distance between MPAs is less than 100 km, meanwhile the other two MPAs were isolated from other MPAs. Maluku Province also had several nodes of strong larva connectivity values. This study demonstates the potential to develop an MPA Network in Maluku Province under these several considerations: (1) build new MPAs in several locations such as Buru Island, Maluku Barat Daya, Aru Islands, etc. (2) enlarge the existing MPAs, especially the small size MPAs, and (3) strengthen the roles and functions of management bodies in each MPA and promote an integrated management plan development with all MPA management bodies. Keywords MPA Network, Maluku Province, 3K (Representation, Replication and Connectivity), Larva Connectivit

IDENTIFICATION OF CONSERVATION PRIORITY LOCATION IN INDONESIA BASED ON LAND-SEA CONNECTIVITY

The environment quality around those rivers and canals will affect the health of the coastal ecosystem and biota living in it. Empirically, there is an ecological connection between ecosystem in coastal areas and between coastal areas to the mainland and the high seas. Therefore, marine spatial planning should consider any change on landscape upstream. The aim of this study was to define new locations which have high conservation value based on connectivity between terrestrial and marine. The method used in this study was spatial analysis using systematic conservation planning approach with Marxan as the decision support tool. Marxan works based on scenarios developed by spatial planner. This study was using two primary scenarios: first, consider the existing protected areas; second did not consider the existing protected areas (PAs) to identify the gaps between new priority locations and the existing PAs. The data used in this study were basic spatial data, ecological data, and biodiversity data from various sources. The study area were all islands of Indonesia, devided into seven clusters. Based on those two scenarios, the result of the study shows that there are 108 locations in Indonesia which identified as areas which have high conservation value and also hold potential land-sea connection at once, inside and outside existing protected areas. Based on this study, if in the future the stakeholder have plans to do intervention in those areas primary in conservation field, those identified locations could be considered as new areas. Keywords Spatial analysis, Marxan, Conservation, Connectivity, Land-se

DETERMINING ZONES OF NINE MARINE PROTECTED AREA IN SULAWESI TENGGARA PROVINCE

Southeast Sulawesi Province is part of Sunda Banda Seascape and occupies the area of Coral Triangle that has high biodiversity. One of the way to protect areas of high ecological value is by establishing a Marine Protected Area (MPA). According to Goverment Regulation No. 60/2007 section 17. The purpose of this study is to find potential areas to be recommended as core zones, utilization zones and sustainable fisheries zones or other zones. Marxan analysis is a tool used to identify potential sites for the placement of core zones and utilization zones. The target of conserving this location is to protect the habitat of coral reefs, seagrass and mangrove. The proportions of targets used in the Marxan scenario for all three habitats are 30%, 40% and 50%.  Result of nine MPAs zonation analysis in Southeast Sulawesi recommendations such as: core zone of MPA Muna Barat is 8% and 13% and utilization zone is 12%; Core zone in MPA Bombana is 8.6% and 5.7% meanwhile the utilization zone of 4.6% and 7.5%; Core zone in MPA Kolaka is Kolaka 10% and 6% moreover utilization zone 7%; Core zone of MPA Central Buton is 3% and 2% while utilization zone 9%; Core zone of MPA South Buton while utilization zone of 6.4% and 6.2%; Core zone of MPA Muna is 10% and 7% besides, utilization zone 8,5% and 23%; Core zone MPA North Kolaka is 4% and 7% while utilization zone is 4% and 49%; core zone MPA Buton is 2.5% and 3% while the utilization zones are 2.5% and 2.6%. Keywords Sunda Banda Seascape, Marxan, coral triangl

RELATIONSHIP BETWEEN THE WAKATOBI NATIONAL PARK ZONATION SYSTEM AND DYNAMICS OF CORAL REEF ECOSYSTEM CONDITION

The zonation can be evaluated by observing changes in ecosystem and social status in Wakatobi National Park (Taman Nasional Wakatobi – TNW). Coral reef ecosystem is one of the parameters indicating the effectiveness of zonation system. This study grouped TNW zones into No Take Zone (NTZ – area larang ambil; ZI, ZPB, ZPr) and use zone (UZ – area pemanfaatan; ZPL, ZPU) to determine impact of zonation implementation between 2009 – 2016 on coral reef ecosystem. Three parameters (benthic coverage, fish abundance and fish biomass) were determined by Point Intercept Transect (PIT) and underwater visual census (UVC) methods and all of these data were tested using two-way ANOVA. Hard coral coverage fluctuated between 19 – 32% however, NTZ and UZ had no significant hard coral cover differences (F=2,182, df=1, P=0,14). Abundance of carnivour fish (F=0,53, df=1, P=0,46) and herbivour fish (F=1,98, df=1, P=0,17) were similar between those two zones. Fish bombing and poisoning were two major threats until 2007. However, sand mining and waste management has overcome two previous major threats by 2017. Zonation system and its implementation can be one of mangement effectiveness indicators. Support Wakatobi National Park Authority, it is recommended to apply harvest control rules (HCR), regular patrol and monitoring and stakeholders capacity buiding. Keywords Benthic cover; fish abundance; fish biomas

Use of failure-to-rescue to identify international variation in postoperative care in low-, middle- and high-income countries: A 7-day cohort study of elective surgery

The incidence and impact of postoperative complications are poorly described. Failure-to-rescue, the rate of death following complications, is an important quality measure for perioperative care but has not been investigated across multiple health care systems. Methods. We analysed data collected during the International Surgical Outcomes Study, an international 7-day cohort study of adults undergoing elective inpatient surgery. Hospitals were ranked by quintiles according to surgical procedural volume (Q1 lowest to Q5 highest). For each quintile we assessed in-hospital complications rates, mortality, and failure-to-rescue. We repeated this analysis ranking hospitals by risk-adjusted complication rates (Q1 lowest to Q5 highest). Results. A total of 44 814 patients from 474 hospitals in 27 low-, middle-, and high-income countries were available for analysis. Of these, 7508 (17%) developed one or more postoperative complication, with 207 deaths in hospital (0.5%), giving an overall failure-to-rescue rate of 2.8%. When hospitals were ranked in quintiles by procedural volume, we identified a threefold variation in mortality (Q1: 0.6% vs Q5: 0.2%) and a two-fold variation in failure-to-rescue (Q1: 3.6% vs Q5: 1.7%). Ranking hospitals in quintiles by risk-adjusted complication rate further confirmed the presence of important variations in failureto- rescue, indicating differences between hospitals in the risk of death among patients after they develop complications. Conclusions. Comparison of failure-to-rescue rates across health care systems suggests the presence of preventable postoperative deaths. Using such metrics, developing nations could benefit from a data-driven approach to quality improvement, which has proved effective in high-income countries

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Suomen virallinen tilasto (SVT

Use of failure-to-rescue to identify international variation in postoperative care in low-, middle- and high-income countries: a 7-day cohort study of elective surgery

This was an investigator-initiated study funded by Nestle Health Sciences through an unrestricted research grant and by a National Institute for Health Research (UK) Professorship held by R.P. The study was sponsored by Queen Mary University of London