Pengukuhan Pengurus PERDHAKI Wilayah Pontianak
Gerakan Bersama Menuju Eliminasi TBC 2030
Rabu, 29 Januari 2020 Sr. Margaretha, FSGM mewakili PERDHAKI untuk menghadiri undangan Kegiatan Kunjungan Kerja Kesehatan Presiden RI dalam rangka “Gerakan bersama menuju Eliminasi TBC tahun 2030” di Cimahi Techno Park, Kota Cimahi.
PRESIDEN RI, Joko Widodo secara resmi mencanangkan Gerakan Bersama Menuju Eliminasi TBC 2030 yang berlangsung di Gedung Cimahi Technopark Jalan Baros, Kota Cimahi. Dihadiri bersama dengan 34 orang Gubernur, 119 orang Bupati dan Walikota se-Indonesia serta sejumlah Menteri Kabinet Indonesia Maju. Sebelum memberi sambutan, Presiden yang akrab disapa Jokowi ini sempat mengajak tamu untuk melakukan gerakan TOSS dengan mengangkat tangan kanan ke arah depan. TOSS adalah kepanjangan dari “Temukan Obati Sampai Sembuh”.
Dalam sambutannya Pak Presidan mengatakan “Saya datang ke sini karena sehat, termasuk bapak dan ibu yang hadir di sini juga sehat, dan saya harapkan seluruh masyarakat juga sehat, karena lima tahun kedepan kita ingin memiliki SDM unggul, makanya harus sehat semua”
“Saya ingin mendukung kegiatan ini. Percuma kalau masyarakatnya enggak sehat, karena bisa merembet ke mana-mana. Oleh karena itu saya sangat menghargai, baik puskesmas, yayasan, dan kader yang bergerak dalam penanggulangan TBC” jelasnya.
Eliminasi TBC th 2030 perlu diupayakan lintas sektoral. Perlu kerja keras dari semua pihak, bukan hanya sektor kesehatan. Memerangi persoalan TBC ini bukan persoalan yang gampang. TBC merupakan permasalahan global.
Keberhasilan memberantas TBC adalah kolaborasi semua elemen, yaitu Pemerintah, masyarakat dan swasta. Pembangunan rumah sehat bagi masyarakat dengan rumah tak layak huni menjadi tantangan dalam eliminasi TBC di Indonesia.
Fokus kita bukan hanya pada segi kurative saja, akan tetapi segi preventive atau pencegahan penyakit sangat penting“ kata Pak Jokowi.
Sedangkan Menteri Kesehatan, Bapak Terawan Agus Putranto juga memberikan sambutannya. Beliau antara lain mengatakan : “ Pembrantasan TBC menjadi prioritas pembangunan kesehatan selain menurunkan AKI / AKB, STUNTING dan JKN.
Bapak Arifin Panigoro, Anggota Dewan Pertimbangan Presiden sekaligus Ketua Forum STBPI,
dalam sambutannya antara lain mengatakan “Memang mengatasi TBC perlu dukungan banyak sektor. Terutama dari segi infrastruktur, sebab kuman TBC semakin melayang – melayang ditempat yang lembab, apabila kurang cahaya matahari yang masuk dan kurang ventilasinya. Kepadatan lingkungan juga mempermudah penularan antar individu “ pungkasnya.
Pak Presidan juga berkenan berbincang dengan 2 (dua) orang kader masyarakat. Dan seperti biasa : mereka mendapat hadiah masing-masig 1 buah sepeda dan album kenangan foto mereka ketika bincang-bincang dengan Pak Jokowi.
Sebagai penutup acara sambil ”TOSS ” menempelkan telapak tangan pada gambar yang telah disiapkan; Bapak Presiden secara resmi mencanangkan Gerakan bersama menuju Eliminasi TBC tahun 2030.
Rekomendasi RAPIM RS PERDHAKI
Makassar, 25 – 28 Juli 2019
- Perdhaki sebagai wadah persatuan karya kesehatan katolik perlu meningkatkan peran lebih aktif dalam memfasilitasi UKK, baik dalam bentuk koordinasi internal (contoh: pengadaan logistik secara kolektif untuk mendapatkan harga yang lebih murah), konsultasi, pendampingan manajemen dll, maupun relasi dengan pihak luar, mis: pemerintah (Kebijakan JKN, akreditasi, dll).
- Komitmen pemilik (Uskup/tarekat/yayasan/perkumpulan) mendukung RS – nya untuk berubah dalam menghadapi tantangan di era disruptif.
- Cara menghadapi situasi disruptif (terkait BPJS Kesehatan, Akreditasi, revolusi industri 4.0, tranformasi digital dll) :
- Digitalisasi/IT/ Smart Hospital
- Mencari terobosan baru dalam menembus pasar di luar penjaminan biaya BPJS
- Mencari model bisnis baru, misal: kerja sama lintas platform (Halodoc, akubisa.com dll)
- Crowd Funding sebagai alternatif pendanaan oleh filantropis.
- Pelayanan unggulan yang selaras dengan cinta kasih (High Tech – High Touch)
- Leadership dan kaderisasi
- Perdhaki pusat sebagai wadah “persatuan pemilik UKK” perlu meningkatkan peran lebih aktif dalam memfasilitasi UKK, baik dalam bentuk koordinasi internal, konsultasi, pendampingan manajemen dll, maupun relasi dengan pihak luar, mis: pemerintah (Kebijakan JKN, Fornas dll).
- Peranan Perdhaki adalah sebagai fasilitator, dan koordinator
- Pembentukan sekretariat forum kerja sama di Perdhaki Pusat sebagai pusat data dan informasi (contoh: Mapping semua sumber daya dimiliki UKK)
- Koordinasi dan kerja sama antar Perdhaki dan UKK bisa berupa bantuan langsung atau koordinasi, dalam implementasi yang paling mudah dan sederhana adalah dengan WA grup (medsos) dan media formal (Telegram).
- Dukungan kepada UKK yang membutuhkan bisa dalam skala strategis maupun teknis. dan Pembentukan Forum Komunikasi antar UKK di dalam Regio.
- Realisasi dukungan/bantuan dilaksanakan secara berjenjang oleh Wilayah/Regio/Pusat (contoh: pendampingan persiapan akreditasi oleh surveiyor internal, SDM terutama dokter spesialis, pelatihan YPMK)
- Capacity Building di bidang manajemen UKK (lihat pada paparan “Strategi RS Dalam Era Disruptif”, Sistem Infrastruktur Manajemen).
- Perdhaki kembali mengaktifkan PT KDU (pengadaan obat, alkes, vendor SIM RS)
Geliat Kegiatan di PERDHAKI Wilayah Keuskupan Atambua
I. Perdhaki Wilayah Keuskupan Atambua mengalami beberapa peristiwa Kasih Tuhan, mendapatkan motivasi hidup pasca sosialisasi Pelatihan Enumerator di Kantor PERDHAKI Wilayah Keuskupan Atambua, 24 April 2019. Pertemuan sosialisasi diawali dengan doa dan lagu Hymne PERDHAKI yang sudah lama tidak dilagukan. Peserta yang hadir dari 10 UKK menyimak dan memaknai syair dan lagu tersebut dan mendengarkan sharing sejarah PERDHAKI yang telah dirintis oleh para pendahulu. Seperti lampu ‘dian’ yang redup dan segera harus ditambah minyak oleh generasi sekarang.
Hasil sharing menyatakan bahwa PERDHAKI Wilayah yang aktif hanya segelintir, terpacu untuk melakukan suatu usaha yang berarti, melompat pada batu yang lebih tinggi dan berjalan lebih jauh. Merealisasi rencana pelatihan Bantuan Hidup Dasar (BHD) dan Resusitasi Neonatus dimantapkan saat itu, nekat dilakukan kendati harus mengeluarkan biaya swadaya unit. Kebangkitan kita sekarang adalah satu kebutuhan dan menyatakan ‘lukisan’ dalam wujud nyata tujuan pendirian PERDHAKI, kedalam hati masyarakat.
Kita berbenah diri dalam latihan dan sharing, maka semua setuju untuk melaksanakan pelatihan BHD dan Resusitasi di SVD Noemeto.
Bersamaan dengan kegiatan Focus Group Discusion (FGD), disepakati untuk dilaksanakan pada tanggal 20 s.d. 21 Mei 2019, terintegrasi dengan evaluasi Program Malaria.
II. Pada tanggal 20 Mei 2019 sore acara pembukaan FGD di Keuskupan Atambua dihadiri oleh Para Pemimpin Unit Karya Kesehatan (UKK) dan pelapor atau petugas administrasi UKK. Acara yang indah ini dihadiri oleh dr. Herly sebagai Ketua PERDHAKI Regio NTT dan juga Sdr. Apri (enumerator dari PERDHAKI Wilayah Keuskupan Kupang). Dr. Herly membawakan sejarah PERDHAKI; dahulu dan sekarang, maksud dan tujuan FGD, sekaligus membuka acara. Sungguh mengharukan melihat sejarah berdirinya PERDHAKI.
Dengan 24 peserta maka dibagi dalam 2 kelompok untuk membahas topik 1 s/d 3. Kelompok 1 (satu) adalah para pelapor/administrasi dan kelompok 2 (dua) adalah para Pemimpin UKK. Setiap kelompok membahas kondisi PERDHAKI sekarang sampai, acara berlangsung hingga jam 21.00 WITA. ‘Memang kita harus bahas sungguh-sungguh dan bangkit sek” kata kelompok 1 (satu) dan kelompok 2 (dua). Kwalitas kita berangkat dari kelemahan kita.
Pada tanggal 21 Mei pagi, kedua kelompok bergabung, peserta, terutama pimpinan UKK berkomitmen untuk berpartisipasi aktif dalam segala bentuk pelatihan dan pertemuan serta membangun jejaring dengan para mitra strategis dan para kompetitor. FGD berlangsung bagus karena kelompok 1 (Pimpinan) mendengarkan kelompok 2 yang adalah anggota-anggotanya. Kegiatan FGD hari kedua ini berlangsung jam 08.00 – jam 10.00 WITA. Semua merasa lega karena bisa berbicara dengan fokus.
III. Tanggal 5 s/d 6 Juni 2019 berlangsung kegiatan pelatihan BHD dan resusitasi Neonatus oleh HIPGABI (tim Himpunan Perawat Gawat Darurat Dan Bencana Indonesia), sedangkan pemateri lain oleh dr. Lely, Sp.Og dan dr. Putu, Sp.A. Acara pembukaan pelatihan oleh Sr. Lidya, FSE; Sebagai pengurus PERDHAKI Wilayah Keuskupan Atambua dan Ketua Panitia Pelatihan BHD. Peserta yang hadir 34 orang dari 13 UKK termasuk 1 (satu) dari RSUD Kefamenanu dan 2 (dua) dari Puskesmas Nunpene. Hari pertama adalah pre test dan materi, hari kedua adalah hari praktek, ujian praktek dan post test serta acara penutupan. Para peserta aktif dan semangat belajar terutama praktek BHD. Acara ini ditutup pada jam 18.00 WITA oleh Pak Thomas Laka atau yang mewakili Dinas Kesehatan Kabupaten Timor Tengah Utara.
IV. Keesokan harinya tepat jam 08.30 ada kegiatan UKK dalam kegiatan Komisi Keluarga Keuskupan Atambua dalam animasi bagi para pendamping KBA Paroki-Paroki se Keuskupan Atambua, dengan Tema Kesetaraan Perempuan dan Laki-Laki dalam Keluarga sebagai Citra Allah. Kegiatan ini dihadiri oleh 80 pasutri dan para Suster dari UKK di Keuskupan Atambua yang biasa mendampingi Akseptor KBA dan pemberi kursus persiapan nikah di Paroki-paroki. Pasutri aktif karena berbicara dari pengalamannya sebagai akseptor dan sebagai pendamping. Ada yang aksepor KBA 16 tahun, ada yang 22 tahun dan para Suster juga membagi pengalaman mendampingi keluarga /akseptor KBA yang bertujuan mendapatkan anak. Kegiatan ini berakhir jam 15.00 WITA setelah makan siang. Berakhir dengan doa penutup oleh Sr. Yosepha, SSpS sebagai koordinator KBA Keuskupan Atambua. Berdasarkan pengalaman dari kegiatan-kegiatan diatas nampak bahwa UKK dan PERDHAKI Wilayah Keuskupan Atambua ada harapan untuk berkembang untuk menjadi lebih baik. Oleh karena itu dari hati yang ikhlas kami mengucapkan limpah terima kasih dan syukur kepada Tuhan Yang Maha Kuasa dengan caranya telah memberikan kesempatan seperti ini. Api cinta Kristus tetap menyala di dalam hati masyarakat/Umat Keuskupan Atambua. Salam dan semangat …..
Kefamenanu, 13 Juni 2019 Sr Yosepha Lia,SSps
Weaving Home Industry
Weaving is a tradition in NTT, including in Belu district.
It is inherited from their ancestor, but now the young people disregard it. The young people prefer to use modern wear, which is produced by modern machine and the clothes had to be bought from outside their villages/districts.
The weaving program, will concerve and revitalize this tradition and also it could become an income generating program by selling the products to the tourist, who are increasingly coming to this area.
Through this activities we encourage the young women in Belu district, to learn and practice the weaving, so they can produce a good quality products.
The products could be used for traditional ceremony , but could also be used for daily clothes, in their home and for their daily activities outside their home.
The weaving products is expecting to be the income generating program, because the price of the products is very high and it is highly interested by the tourist.
Beside weaving, the women were also trained in knitting/crochet, so they can produce and sell it too.
II. The activities
The training was given to 20 women, member of “Eco Laudata Si” women group of Kuneru parish.
The fascilitators are the weaving expert either from the district and from Jakarta.
The training was conducted in FSGM Sister Convent in Kuneru village, on March 6-10, 2018 (5 days).
After the training, they starting to make weaving products. The yarn was supplied by friend of Sister Margaretha FSGM in Denpasar/Bali.
III. The result.
The weaving products were showed and presented during Atambua diocese’s festival on October, 4 – 6, 2018. Their products were sold in that event. In that event, each member could earn IDR 50,000 to 250,000.
They also tried to put their offer through internet and the people in the city of Jakarta have interested on it and some have ordered it by online.
IV. Future action:
1. The weaving activities need dilligency and hard working people. So the group should be able maintain this spirit.
2. The weaving activities need time and do it patiently. The group should also be able to maintain this persistent attitude.
3. The weaving activities need yarn, which should be bought from outside the district. The group should collaborate with other group from outside the district to get the good quality yarn with low price.
4. The manufacture of weaving need a market. So the group should collaborate with other group outside the district to ensure the market for selling the products. The online marketing should be encouraged, since this type of marketing is an for opportunity for selling the product worldwide.
The program will be sustainable, since the program is benefit for the group member and also for their parish community. They have collaboration with other group outside the district, for supplying the yarn and for marketing their products.
The accompaniement by FSGM sister will be continued, since the FSGM sister convent is located in Kuneru village, Belu district, NTT Province.
Several villages in Belu district, usually suffer from shortage of food, several months in a year, due to lack of local food, such as rice or cassava and yam.
This shortage of food will cause the the young people to seek work outside their province, even going abroad.
The FSGM Sister community in Kuneru village, Belu district, NTT province, collaborate with PERDHAKI through “Eco Laudato Si“ women empowerment group, encourage the parish community to cultivate the sorgum in their beglected land. The Sorgum farming will increase their food stock in their villages.
II. The program :
- Socialization seminar on sorgum plantation.
The sosialization seminar was conducted on :
a. Time : November 4, 2018.
b. Place : In the FSGM convent house, Kuneru village, Belu district, NTT province.
c. Participant : 20
d. Fascilitator : Father Firminus Dai Koban Pr, a sorgum farmer from East Flores district.
e. Purpose :
- To give information on how to grow sorgum plantation.
- To encourage people to use their neglected land for plant and growing sorgum, for their food stock.
- To inform the people that a lot of healthy foods could be made from sorgum, either consuming for their main food or for increasing their health.
2. Planting of the sorgum.
The participants got sorgum seed from Father Firminus Gai Koban, to be planted in the month of December 2018 to January 2019. The group member planted it on the neglcted land near to their house.
III. The result.
The sorgum was harvested after 3 months. The harvest was quite a lot : every member who planted 0,5 kg sorgum seed, was harvesting about 40 kg of sorgum.
Although the quantity is big, however the quality is low: the grain/cereal was thin. It was because of too many water on the farm ,during that months, due to rainny season.
They could make a lot of foods, from the sorgum, such as main food (to replave rice), sorgum porridge, sorgum cake, etc. They found out that it was all delicious food.
IV. Future action.
The second planting will be done on next March-April 2019. They hope more sorgum will be harvested and with good quality.
After the next harvest, the group is planning to share the sorgum seed to other poor house hold in the parish , so the poor household in their parish will have suficient food in the future.
They also plan to share the sorgum seed to all poor household in other parishes, in Belu district, NTT Province. So the poor people in this district will have enough food.
The program will be sustainable since it is benefitting the group member to prevent the shortage of food.
The accompaniement by FSGM Sister will be continued, since the FSGM Sister live and stay in Kuneru village, Belu district, NTT Province.
Community Empowerment Through Pig Live Stock Breeding
Pig is high value live stock in NTT province. It is used in their ritual ceremonies, especially during the wedding and the death of their family member. They need pig also for other event, such as “first communion” ceremony. Therefore, the price of pig is very high and the community has to buy this live stock for the ceremonies.
The prequisite are :
- The people should set up a group of house hold who will responsible for the breeding of the pig.
- Each house hold will get free one female pig, a 2 months age pig.
- After 8 to 12 months, she has to be mated with a chosen male pig.
- After they have child pig, they have to share the new female child pig to other house hold from the same parish.
- They are not allow to sell the mother pig. They may only sell the child pig, and if they have already shared one female child pig to other household.
- They have to build a stall next to their house, for raising the pigs.
- They have to find and collect the local plantation for composing good and healthy food for their pigs.
- They have to be trained and accompanied on how to vaccinate the pig, how to give medicine or vitamin, how to prepare the food for the pig, how to serach and bring the male mate pig, etc.
- The activities.
Two groups in 2 parihes was established in 2017.
There were 18 group members in Wedomu parish and 20 group members in Sadi parish. The member was the poor household in the 2 parishes.
Each group member got free one female pig.
The training and the accompaniement was done by a FSGM sister who live in a FSGM convent in Kuneru village, Belu district, NTT , in cooperation with the parish priest.
III. The result.
During the evaluation visit on March 27-28, 2019 (2 years since the beginning of the program), we found out the result as follows :
- The groups are very active and dynamic. They meet together, at least once in every month, to discuss their common problem and interest. They regularly shared valuable information and knowledge, and also developing activities together, including the income generating program.
- They have shared their baby pig to other member group. The Wedamu parish group had resulting 8 baby pigs born and share them to other household in same parish and the Sida parish group had resulting 12 baby pigs born and share to other household in Sida parish.
- By sharing the baby pigs to new households, the member group in Wedamu parish was extend from formerly 18 members to become 26 members and in Sida parish was increase from formerly 20 members was extended to become 32 members.
- The group member have their own inisiative to extend the pig stall, from formerly small stall now become larger stall to accomodate the inceasingly number of the pigs.
- The group member earn money from selling the pigs, for paying their children school fee or pay the hospital/clinic fee if their family member was sick.
- They didn’t have to buy pig, if they need it for the ritual ceremony.
- Further and follow up action.
- They should maintain the cleanliness of the pig stall, in order to prevent any disease affect their pigs.
- They have to ensure,that their female pigs should be mated with male pig at the proper time , including to search and to chose the good and healthy male pig.
- They should maintain the sufficient and good quality food for their pigs.
- In the future, all poor household in these 2 parishes are expected to have pig livestock for increasing their income.
- This program is expected to be able to be duplicated to other parishes where there are a lot of poor households.
The program will be sustainable, because the program have benefit for their group members. They could earn money from raising and selling the pigs.
The FSGM Sister who accompany the group stay and live in Kuneru village, Belu district, NTT Province. The village is located near the parishes.
HIV Prevention Through Poverty Alleviation
The HIV incidence in NTT province is sharply increasing in the past 5 years. The higest incidence is the house-wife category, for about 30% of the cases. Belu district is one of the highest HIV incidence district.
Through the root cause analysis, we found that the house-wive was infected by her husbands who work as illegal migrant workers abroad.
Since more than ten years ago, the young adult from the villages in NTT (including from Belu district) working abroad, mostly as illegal workers, who have no access to proper health care services, either for curative treatment or for disease prevention.
The flow of young adult seeking money from abroad is due the poverty, there is no job in their villages, and sometime also no food, etc.
The income generating program run by Perdhaki and FSGM Sisters, which is funded by Central Fransiscannes Germanny, is the effort for poverty alleviation in Belu district.
The program is aimed to increase the income of people through 3 main activities : pig livestock, sorgum farming and weaving home industry.
In the begining, Sister Margaretha FSGM (Perdhaki’s HIV program officer) met with the Bischop of Attambua, describing the planning to empower village women through income generating program. The Bischop fully support the program and asking the priests to support the implementation of the program.
The program was starting in Kuneru village, Belu district (where the FSGM sister community stay), by initiating women organizations and empowering them through trainings and guidances. The training and guidance was conducted by FSGM sister in local parish and assisted by Perdhaki and experts from outside Belu/NTT.
The group consisting of about 20 women, who organize themself, by electing the board member, regular meeting and organizing training.
The specific activities are as follows :
- Pig livestock program.
- Sorgum farming activities.
- Weaving home industry activities.
Please see attachments for detailed narrative activities and picture of activities.
Four women groups had been set up and organized by themself : two groups conducting pig live stock program, one group conducting sorgum farming program and one group conducting weaving home industry.
Through these programs, they have earned some money for their children’s education and got some food for their daily life.
The pig live stock group’s member have been extended, so more house holds got benefit from this program.
Through these programs, the young adults in this district are not instanly following the “brokers” who seek them for illegal migrant workers. They have good alternative for earning money, other than becoming illegal migrant workers.
By the decreasing illegal migrant workers, it is hoping that the HIV transmission in this district will be also decreasing.
However, this program is conducting only in 3 parishes of Belu district. There are more than 50 parishes in this district and there are more than 20 districs in NTT province. So, the result in decreasing HIV incidence in the whole Belu district (and in the whole NTT province) is not yet significant.
This program is a first step of a great effort, that should be extended and duplicating to other parishes, to achieve significant result.
Palu Earthquake and Tsunami ; PERDHAKI Emergency Respond Program
Kevin Octavianus Sugianto is a volunteer joining with PERDHAKI’s emergency respond program in Palu, to serve the people affected by earthquake and tsunami. He work in Perdhaki’s Health Post in Palu, Middle Sulawesi from 22 November 2018 to 5 Desember 2018.
The impressions of a volenteer
On November 15, 2018, through my friend, Edo, I was invited to become a volunteer joining with the Perdhaki Emergency Respons Programe in earthquake & tsunami disaster area in Palu, middle Sulawesi.
I accepted the invitation, because at that time I was boring while waiting the “internship” program, after finishing my study in a Medical Faculty.
When accepting the invitation, I was wondering with 2 aspects:
First : I didn’t know yet about Perdhaki’s organization. My knowledge regarding this organiation was very limited. The information about this organization in the internet was also limited.
Second : I feel that I was not fitted with the terminology “volunteer”, because a volunteer should have high social attitude, didn’t expect any honorarium, far from materialistic intention. While, I was graduated from a private Medical school and hoping to get a lot of money after finishing the study, because the fee and cost during my study was very high, and I wish to replenish it as soon as posible. So, I think I was far away from to be a volunteer.
After short preparation and little briefing, on 22 November I and my friend were going to the airport to be daparted to the disaster area in Palu. On the way to the area, I was confused with my job, because I didn’t know well the task and I didn’t know what should be the preparation to do this special task. Especially, because I was just graduated and have no experiences working in a disaster emergency respond program.
At the airport, I met with Br Conrad, who will also going to Palu. While waiting for other member team, we have had an intensive discussion with Br Conrad. I heard a lot of his experiences in participating in previous Emergency Response program and I was convinced with my task, as I will work together with such experience volunteer person.
Finally, the team were fully completed : Me, Edo, Minggu, Hendrik, Apip, Irfan, and offcourse Br Conrad, as team leader and we were all going boarding on the flight.
That evening, we arrived in Palu, through a frighten landing process, due to bad condition of airport runway which was damaged by previous earthquake. From the airport, we directly went to Perdhaki’s Boarding house. At the Boarding house, we met with Pak Gede, a volunteer who have been working in Palu since the beginning of the disaster. We also met with the volunteers from other organizations, who also stay in the same house.
I was shocked with the condition of the boarding house: the dirty bath room, no hot water and the dim lighting, the dirty and smell bad mattress, dirty food, many mosquitos and flies. This condition was far away from my house’s condition and so it made me very unhappy. I was thinking, how can I survive to stay in such bad condition for 14 days as scheduled. Especially, I had very bad feeling during bath and during sleep, because the dirty condition of the fascilities. It turned out, that the other volunteers also had the same bad feeling like me, and so we shared the same feeling with them and giving the motivation to each other. However, we had to be strong in that condition, until we finish the mission.
Every day, in the morning, we departed to work at the Health Posts, using the old blue car, which was functioning as ambulance car. This car have no air conditioning. So, due to very hot tempertaure in Palu, we have to open all the car’s windows in order to let the wind flowing in, although the dirty dust will also flowing in too. We had no other choice ! Therefore, the journey from the boarding house to Health Posts vv was also a very hard challenges for me.
All of it : bad condition of the car, dirty bathroom, dirty bed room, dirty food, many mosquitos and flies, cause me feel like live in the hell, especially in the first days of the mission.
The adaptation process for a volunteer, is not only the bad condition of the boarding house and the transportation, but also the work as medical doctor. In providing the medical services, I feel that all the knowledge which were obtained in the medical school, seems not approriate anymore in this field. I had to work in an inproper situation : limited medicine, limited medical equipment, too many patients, dusted and hot practice room and also the difficult communication with the patients due to different language. For a new graduated medical doctor, who usually work in a good condition (good medical practice room, a lot of medicine, sophisticated medical equipment), will be confused when confronting with the real inproper situation in the field.
My first encounter with the real situation, was like entetring in a chastisement condition. However, it also caused a turn back in my life, to survive and enjoy in such bad condition.
Every night, after back from the Health Post, we always conduct an internal meeting, to discuss the problem faced in the Health post and discussing how to solve the problem. In every meeting, Br Conrad and Pak Gede, shared there experiences while joining with previous Perdhaki ER program, and the tips and tricks on how to be a success volunteer in the disaster emergency program. The one that was stressing by them , which is always remember by me, is “serve the people with whole sincere heart”. It is a slogan that are showed in every instititions, either bank, hospital, restaurant, etc, but ussualy only as an ornament in the wall and without sincere implementation. Br Conrad and pak Gede, alway tell me that the sick people will not cured only by medicines, but will be cured by our sincere heart and by our prayer. We shouldnot work as drug machine, which only ask the patient’s name, their story of illness and giving medicine imediately. Apparently, the patients are willing to talk and willing someone hear to them, they are hoping that there are some one who are caring them. If they feel happy, they sometimes will be cured even before they are taking medicines.
Therefore, in our health service provided in the Health Post, we always serve the patients by sencere wholeheartedly , eventhough we were very tired. No matter, how many the number of the patients served by us, we always providing enough time to hear the client’s story and always try to be friendly. During the study, we always thinking about the correct diagnosis, the correct medicine, the quick examination, but less empathy or false empathy. We had to change that approach, to become more empathy to the clients, hearing to the patients, talking to patients and enjoying our work.
The topic of the discussion in every night meeting, then changing from formerly complaining the limited medicine, limited equipment and bad fascilities, move to the topic of the condition of the patients served and enjoying our work. We enjoyed to hear the patients, to talk to the patients, eventhough the big number of the patients and eventhough the tireness. We were very happy if the face of the patients was changed from formerly looked sad, feel suffering, feel lost of hope due to sickness and wrecked house and then after talking with us they become brighter, smile and feel relieved. Our team always try to follow up the patients to know the improvement of their health after receiving our treatment. Sometimes we visit them in their villages, to ensure that their health were improved and they feel relieved.
From this experiences, I was aware that the true appreciation to our work is not money. The true appreciation to our work are when the patients come back to us to continue the medical treatment given by us, and when the patients coming to us just for saying thank you and when the patients bring other sick people to us and witnessing that our services was very helpfull for them.
The satisfaction through money will expired quickly. But the satisfaction through the patient’s health improvement, their smile and their happiness, will last long. It even will increasing our energy and strong motivation to help the people better and better.
After my mission in Palu finish, I was going back to my home.
I am very thankfull that I was given opportunity to become a volunteer in a disaster area. Through this experience, I am becoming a brave person and I learn much many things in the field, from everybody there.
As a young doctor, I hope I will keep the spirit of serving the suffering people, which I got in Palu. And I hope I will keep it forever in my heart.