Indonesia: FINAL REPORT OF HEALTH 2008

Still Afflicted indonesian
Many of Serious Diseases

Friday, 2 January 2009
Year 2008 may be spelled years owned the Minister of Health (Menkes) Siti Fadilah Supari. How does not, every sunday sosoknya warawiri in the three private television program "Bincang Shows Bareng Bu Menkes"-discuss the success in managing the health problem in this country. Issues like health care can be overcame through discussion in the display glass and working visit to the area full-Puja praised.

Indeed, the facts on the ground shows the health problems in the country still does not go ride than previous years. Start the disease malaria, diarrhea, dengue fever, bird flu, foot and elephant ISPA (acute respiratory infection channel) is still a serious problem. While people degeneratif such as heart disease, stroke, diabetes, and hypertension are growing. This situation seems still difficult released this year 2009.

Projected government press maternal mortality (AKI) also seems to bear due to difficult to achieve. Still number in the range of 295 deaths per 100,000 live births. Not to mention the number of HIV-AIDS penetrate number 12,686 people and spread in 32 provinces.

Director of Legal Aid Institute (LBH) Health Iskandar Sitorus rate, the policy only Menkes good rank in the concept, not the practice in the field. As state officials, Menkes also should not obtrude the withdrawal celebrities. An official state much better to work rather than a lot of talk.

"In fact, many health problems that should be Menkes directly in the field, rather busy to discuss in television and reach only a certain segment," said Sitorus stressed.

Add Sitorus, statement did not mean "judge" Menkes, but that does not present the facts revealed in the mass media. Because, it is important note that the figures presented in the materials presented Menkes not all in accordance with the facts on the ground.

He cite Village standby program. If be, the village will enter standby in manipulatif policy. There is not a new village from standby, but only up a grading of health care center for mothers and babies. "Then, the fund billions of rupiah for the establishment of the Village standby to which the flight," said the Sitorus.
Another problem is related to the program Kesehataan Assurance Society (Jamkesmas). This is a health insurance program for the poor in the implementation has not been targeted. Many poor people who should be the participants Jamkesmas not count because they did not have people sign cards (KTP).

"Many of our residents are poor we rejected because the hospital does not have a card or letter Jamkesmas not afford (SKTM). In fact, mengurusnya [organize/manage/administer] hard because do not have a place to stay," he said.

Not handling diseases infection which occurs when certain seasons, such as dengue fever, bleeding, diarrhea, ISPA (acute respiratory infection channel), malaria, and elephant feet. The same problem cases bird flu, HIV-AIDS, and people with diseases degenerative that the number continues to increase every year.

"When the condition has become epidemic, the government and then panic, then take a policy that is sporadic. It also shows the government does not have a clear format for the work related to the handling of public health," said Sitorus.

Not Easy

This senada been professor of the Faculty of Public Health, University of Indonesia, Prof Dr Hasbullah Thabrani. In a separate occasion, he has not been any effort to assess the powerful Ministry of Health (MOH) to change the culture of healthy people. "I understand, this is not easy work," he said. Take at least 10 years that people have a healthy living culture.

Thabrani states, the business community has not been made of how strong MOH. "If we already know every year the rains came, long before it should already have MOH efforts to remind the community," he said.

Tropical disease that often involves the culture of Indonesia indeed healthy living community. So no need to wonder if the outbreaks of diarrhea each year, or dengue fever was a newspaper headline. The pattern of living healthy and clean (PHBS) that often didengung-dengungkan so easy to understand the community, the concept simply beautiful on paper, but difficult to implement.

Therefore, extraordinary incident (KLB) diarrhea in the area Koja, North Jakarta, is not solely related to tropical disease outbreaks pascabanjir. That pattern is also associated with healthy living community. Laboratory test conducted Penanggulangan Crisis Center (PPK) MOH noted the findings of water in the vicinity of residential communities, among others, and the Semper Cilincing, which already tercemar bacteria ecoli. Diarrhea outbreak had reached its peak with the 1066 case.
Campaign to change the culture also not how many, let alone a mass movement. "The campaign is still on a little, not optimal," said Thabrani.

He argues, MOH can not just blame the people hold that cultural factors have not changed, without trying to change that culture. Indeed, the changes that take 10 to 15 years.

One interesting thing will be Prof. Thabrani related to the implementation of Jamkesmas, which is expected to be considered for future implementation Jamkesmas 2009. That the government forget the middle-class people down, that does not enter the poor and the pitch is usually the top-cover by private insurance. Earnings daily only enough to cover the cost of daily living and save a little for children's education in the future.

"When they fall ill, a new feel that they terabaikan. How about a letter is not able denied local health agencies. For, in terms of the physical is not included because of the poor and have a motor home. However, the fact he can not afford to pay the cost of hospital reach 20 million, "he said.
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