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Nature's Guardians

This week, Indonesia commemorates Flora and Fauna Day, a time to raise public awareness on the need to protect and preserve nature's wealth. In eastern Indonesia, people go out of their way to breed rare and near-extinct plants, like the orchid growers in Banjarmasin, Central Kalimantan, who banded together to build a special reserve for this exotic plant. In Sumba, the surviving species of native birds are protected by forest patrols and by regular appeals on radio stations, while in Bantimurung, South Sulawesidubbed the 'Kingdom of Butterflies' by naturalist Wallaceformer catchers of wild butterflies have become ardent conservationists. Tempo English Edition reports from Sumba, Kalimantan and Sulawesi.

Outreach Wednesday, November 2, 2011 Edition

The Bajo’s Vanishing Language of Nature

The reputation of the Bajo tribesmen as masters of the sea may soon vanish. Global change has made the weather increasingly unpredictable. Their special gift in reading nature’s signs may no longer be relevant, given the sorry state of our environment, which has ruined the language of seasons, the direction of stars and the course of the winds. Yet, when they go off to sea in search of their livelihood, these are the only compass they can rely on. And the once-rich harvest of the oceans slowly have declined, pushing the Bajo more inland, to live in settlements along coastal areas. How many more generations of the Bajo can sustain their mastery of such marine knowledge? A special report from South Sulawesi in this week’s Tempo English Edition.

Outreach Wednesday, October 27, 2010 Edition

The Father of Integrated Health Services

The effects of colonization and political upheaval in the wake of Indonesia’s independence created a crisis in the health sector. Johannes Leimena, a doctor who graduated from STOVIA and a former youth movement activist, attempted to rectify this problem when he returned to national politics. His efforts led to the creation of an integrated public health care system available in both cities and villages.

Cover Story Monday, August 17, 2020 Edition

Hasbullah Thabrany, Center for Health Economics and Policy Studies Chairman, University of Indonesia :
What People Need Most are Doctors and Nurses

HASBULLAH Thabrany thinks that the government does not show sufficient commitment to provide good health care services for the people, particularly populations living in remote areas. "But we have sufficient data to know what people in any given area need the most, so in fact the government should be able to provide it," he said.

On the very top of the list, obviously, is the need for the presence of doctors and nurses. This is why Hasbullah has full appreciation for the Pencerah Nusantara (Nation's Torchbearers) program that periodically sends out health care providers to remote villages around Indonesia.

Outreach Tuesday, April 12, 2016 Edition

Muladno Livestock and Animal Health Director-General
For the Breeders' Benefit

THE agriculture ministry has been blamed for knowing about an alleged chicken cartel among 12 breeding companies. Livestock and animal health director-general at the ministry, Muladno witnessed the agreement signed by breeding firms to conduct early culling. In a circular signed by Muladno at the end of November 2015, the circular also set the percentage of breeding chickens that had to be culled by each firm. Instead of returning to a stable price level, however, the price of day-old chickens and that of live ones soared after the two million chickens were slaughtered. "To achieve balance and normal prices, the only method is early culling," Muladno told Tempo reporter Ayu Prima Sandi over the telephone last week. Muladno was in Yogyakarta when the interview was held.

Economy Tuesday, February 16, 2016 Edition

Kornelius Kodi Mete, Chief of East Nusa Tenggara Health Department :
We need both skilled manpower and good infrastructure

Kornelius Kodi Mete has only been chief of the East Nusa Tenggara (NTT) health department for the last four months, but like his predecessor, he is determined to continue improving the health care system in the province through various programs. He believes that many people in NTT today are more aware of their health, so that it is now up to the government to provide them with the good service they seek.

But improvement in the system needs a great deal of effort, not only from public institutions, but in cooperation with civil society organizations. Thus, Kornelius welcomes the initiatives from the Australia Indonesia Partnership for Health Systems Strengthening (AIPHSS) and the Health Ministry's offer of assistance to local governments. This includes perfecting the referral system, facilitating accreditation for community health centers (Puskesmas) and long distance learning for nurses and midwives.

Outreach Tuesday, February 16, 2016 Edition

Nila Djuwita Moeloek, Minister of Health
Don't blame the doctors

The thick haze blanketing parts of Indonesia compelled Health Minister Nila Djuwita Moeloek to fly back and forth between Jakarta, Sumatra and Kalimantan these past two weeks. She did this to ensure that health services in the provinces affected by the haze were being provided effectively. "I went to Palangkaraya three times these past two weeks," said Nila, last week.

It has been more than four months since the haze engulfed Sumatra and Kalimantan, yet the problem is far from under control. There have been victims, many had to be hospitalized, a few died. Among the fatalities was a baby. Understandably, some of the public anger was directed at her ministry, which was criticized for being slow in anticipating this human disaster.

Interview Tuesday, November 10, 2015 Edition

Spot light on Public Health

After a 10-minute drive from the Kelay district community health center (puskesmas) in East Kalimantan, the rumbling engine of the ambulance gives way to the splashes of the Kelay River. Fransisca Sinambela emerges from the ambulance, shielding her eyes from the glare of the sun. It is 8am in the morning. A ketintingthe local name for a boatis waiting for her and six others on the Kelay riverbank. "Let's have an excursion along the river!" the 24-year-old woman joked late last month.

Fransisca, affectionately known as Chika, is a nurse. On that day, along with her team of colleagues, she was to start a week-long mobile puskesmas service in the area as part of the Pencerah Nusantara, carrying a complete set of medical equipment aboard a boat only about the width of an average adult.

Outreach Tuesday, May 19, 2015 Edition

Hanibal Hamidi Public Health Expert
The National Health System needs to be evaluated

According to a 2012 World Health Organization (WHO) report, life expectancy in Indonesia is ranked a low 117 out of 193 countries surveyed. This shows how far we still lag behind even among other Association of Southeast Asian Nations (ASEAN) countries, except for Myanmar and Cambodia.

Hanibal Hamidi, Assistant Deputy Minister for Health Resources at the Development of Backward Areas Ministry, tried to overcome this problem directly at the villages. "Ideally, one village should have one doctor," said Hanibal. His ideas are contained in his ministry's Healthy Villages program, which are the results of Hanibal's four-year research.

Outreach Tuesday, May 19, 2015 Edition

Arum Ayu's Health Cookies

A 2 x 3 meter banner with the words 'Home of Arum Ayu Healthy Cookies and Bread' hangs on the wall of the house in Kampung Utan, Tangerang, Banten. Inside, a table is laden with red, green, purple and yellow roses. On the table's center sits a large rainbow cake. "The roses are actually edible. They are bakpao steamed dumplings, shaped as roses," Ambarwati Estipertiwi told Tempo three weeks ago.

Ambarwati is the owner of Arum Ayu Healthy Cookies, which she founded in 2007. The 46-year-old calls her rose-shaped bakpao 'Pao Cassava', since they are made with cassava flour. For the brilliant colors, Ambarwati uses natural ingredients: pandan leaves for a green hue, sweet potatoes for purple and summer squash for yellow. She also uses then to bake rainbow cakes, cookies and even spaghetti.

Smes Thursday, January 1, 1970 Edition

Fahmi Idris, President Director of Health BPJS:
We Will Not Go Bankrupt

IN its first year of operating the national health insurance program, the healthcare division of the Social Security Agency (BPJS Kesehatan) is paying out more money than it makes. The claims are turning to be greater than the number of premium-paying subscribers. But Fahmi Idris, the agency's president director is confident that the company will not go out of business. In an interview with Tempo last week, he explains why.

Economy Thursday, January 1, 1970 Edition

Nafsiah Mboi, Health Minister
I'm committed to an HIV/AIDS-free generation by 2030

The viewers watching the high-rated Q & A talk show at the Melbourne Town Hall in Australia, listened in amazement as Indonesian Health Minister NafsiahMboi shared her experience in advocating the use of sterile needles for human immunodeficiency virus (HIV)-infected drug addicts. Recalling one meeting when policymakers challenged her plan, Nafsiah responded: "Do we want to kill them or do we want to save them? The easiest way would be to kill them," she said, stressing her point. That shocking quote,went viral on social media.

Indeed, 74-year-old Nafsiah, who has been a public health activist for the past 40 years, tends to be emotional when discussing the issue of acquired immunodeficiency syndrome (AIDS), an issue that is close to her heart. In 2004, she was one of the conceptors of the Sentani Commitment, which became a milestone for the central and provincial governments in battling AIDS. In 2006, she was named executive secretary of the National AIDS Commission (KPA) and was so effective, her subsequent post as chairperson of the The Global Fund, an international funding institution for AIDS, TBC and malaria in 2013, seemed a natural progression.

Outreach Thursday, January 1, 1970 Edition

The New National Health Plan: Too Much, Too Soon?

ALMOST every day, a long line forms at the Social Security Administration Agency (BPJS) for Healthcare's special pharmacy window on the first floor of Jakarta's Cipto Mangunkusumo Hospital. Rooms for Class 3 in-patient care, which constitutes the bulk of BPJS Healthcare patients, are always full. Some people decide to try other hospitals, even though it means they might have to pay at least half of the medical bills. "Rather than wait a week without knowing if you will get a room, it's better I go to another hospital," said Iskandar, a Lampung resident who finally took his wife to the Jakarta Islamic Hospital for an urgent kidney stone operation two weeks ago.

Ever since the Jakarta Health Card (KJS) and National Health Insurance (JKN) programs came into effect, the number of patients at hospitals has continued to swell, according to Prasetyo Widhi Buwono, vice secretary-general of the the Indonesian Doctors Association's (IDI) executive committee. To illustrate, each day Jakarta's Pasar Rebo General Hospital receives up to 600 patients but has only four or five general practitioners to treat them. "It's normal for a single doctor to treat 100 patients (a day)," Prasetyo said. Ideally, one doctor should handle no more than 50 patients a day, spending about 10 minutes with each.

Special Report Tuesday, June 17, 2014 Edition

The Path to securing Public Health

The Social Security Administration Agency (BPJS) national healthcare program has been running for six months. Much has been done in that short time, but many problems still exist. the following are the mechanisms, regulations and figures related to BPJS Healthcare.

Participation in BPJS Healthcare is obligatory for all Indonesian citizens, as well as foreigners working for at least six months in Indonesia, who have paid the fees. All participants of Health Insurance and Public Health Protection programs automatically become BPJS participants.

Special Report Tuesday, June 17, 2014 Edition

Viable Cheap Healthcare

ONE praiseworthy legacy of the Susilo Bambang Yudhoyono administration is the Social Security Management Agency (BPJS). After six months, this ambitious program is starting to show results.

We no longer hear of low-income patients being turned away by hospitals. Thousands have received cheap, or even free, medicine. But there is no easy way to realize the dream of a healthcare system for 253 million citizens. There are still many shortcomings with the BPJS that have to be rectified. When that is done, the BPJS can be described as a revolution in healthcare.

Opinion Tuesday, June 17, 2014 Edition

Health Warriors

Public health centersbetter known as puskesmasspearhead the delivery of health services in Indonesia'particularly in difficult-to-access areas and to the country's poor. Often'however'they provided sub-standard services'neglecting to address even the most basic of health problems. But people in two areas'Kekeri village in Lombok'West Nusa Tenggara and in Biaro'Agam in West Sumatra'decided to be innovative and take matters into their own hands and. Today'the two puskesmas provide much better health services than ever before. On the occasion of the National Health Day'Tempo English profiles these two village health centers.

Outreach Thursday, January 1, 1970 Edition

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