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Poor access to healthcare still a major problem in RI
Dina Indrasafitri, The Jakarta Post, Jakarta | Sat, 05/22/2010 10:07 AM
Problems with accessible and affordable healthcare are common in Indonesia and most ASEAN countries, but there are solutions, says lawmaker Nova Riyanti Yusuf.
The problem of accessibility could be solved with the provision of an insurance system that would help people access healthcare, she said.

Kevin Haydon, the CEO of global sales and service at Philips Healthcare, said that while there was growing awareness about the urgent need for healthcare among countries in the ASEAN region, this tendency also produced the challenge of growing demand.
Despite the general problem of increasing demand for quality healthcare, there are also specific problems experienced by ASEAN countries, which have different financial structures or market characteristics.
“In the case of developed economies, the biggest health challenges are chronic diseases and the fact that the population is living longer. As you get older, you end up with more chronic diseases such as diabetes and cancer, which are typically more expensive to manage,” Haydon said.
While countries with developed economies strive for ways to ensure that better quality healthcare is still affordable, those with emerging markets are still struggling with basic issues of access.
“In many emerging economies, despite increasing affluence, urbanization and improved healthcare, there is still a serious challenge of ensuring access to healthcare — especially for the millions of urban and rural poor,” Haydon said in his speech during the event.
Nova said there had not been any moves for direct cooperation between Indonesia or any other ASEAN countries, such as Thailand and the Philippines.
The Indonesian government is currently drafting a bill on a social insurance management agency. The bill is expected to provide a legal basis for an agency that will manage the national security system, in which all Indonesians will have primary healthcare insurance.
Earlier this week, lawmaker, Surya Chandra Surapaty, said the House of Representatives was hoping to submit the draft to the President on June 16.
Nova said that should the country manage to pass the bill this year, it might establish itself as a model for other countries in the region.
However, she added that some suggestions revealed the hope in establishing a universal healthcare system in which the rich helped the poor and the well helped the ill was “very ambitious”.
“We [legislators] are discussing whether this bill will be feasible,” she said.
Nova raised several issues, such as whether the state should also cover secondary or tertiary healthcare and whether the state should apply taxes to ensure feasibility.
“Thailand mentioned that at first the system of paying 30 baht granted primary health care, but then [the problem] spread further into the secondary and tertiary. Nowadays, there are many diseases related to lifestyle and climate change,” she said.
On a more optimistic note, Nova said that she would propose including mental illnesses in the draft of the new bill.
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Exploiters Indonesian immigrants go on trial
Radio Netherlands Worldwide, April 2010 - 10:05pm
A court in The Hague has started trying six people suspected of forcing dozens of illegal immigrants from Indonesia to work in appalling circumstances.
The victims worked frying Indonesian shrimp crackers in a number of buildings in The Hague, Rotterdam and Gouda. They were forced to work up to 15 hours per day, often standing without interruption.
Housing, often in the same boiling hot space where they had to work, cost them three quarters of their income. Many of them had sold all they had in Indonesia to pay for the long trip.
Following tip-offs from neighbours, the Social Intelligence and Investigation Service found 38 Indonesians who were being exploited in this way. The authorities suspect there may be hundreds more.
The six suspects on trial are from Surinam and Indonesia. Five accomplices will go on trial later this year.
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Dutch Judge Questions Human Trafficking Victims in Indonesia
Disabled, street children`s spirit to get education
Antara News, Sunday, April 4, Amie Fenia Arimbi, 2010 03:14 WIB
Jakarta (ANTARA News) - It seemed to be an important day at Zinnia School in the Tebet area, South Jakarta. Students were marching around in the school compound waving small flags as if they were expecting an important guest.
Then, they do something else. They step on a stage placed in the middle of the school yard and begin to move their bodies like in a dance. Wearing white uniforms and long batik scarves, Nida (10) and seven other children enthusiastically shake their hips to the rhythm of a children`s song played on a radio tape.
At a glance, the Zinnia School pupils looked like common school children doing an outdoor activity. Actually they were not ordinary students because they were all deaf or otherwise physically disadvantaged. They made their dance movements by mimmicking their teacher who was guiding them from some distance.
Established since 1976, Zinnia foundation was initially a conventional kindergarten. But its owner, Imas Gunawan, in 1977 decided to change it into a shool for children with physical handicaps.
"We started by teaching 10 disabled students at the time. Now, Zinnia has 80 students of elementary and junior high school age," Imas said.
She said of the total of 76 students at Zinnia, half were deaf while the others were suffering from Down`s Syndrome. The school was teaching them abilities that would help them to manage on their own in their daily life.
Deaf students were taught to hear simple sounds such as those from a drum or gong in order to stimulate their reaction while Down Syndrome students were given simpler lessons such as how to pronounce daily words and differentiate colors.
"Using total communications, namely through sign language and lip movements, the teachers help the deaf students to listen to sound with the help of earing aids. We even teach them how to dance through a simple command system from a teacher backstage as performed today," Imas said.
Yayuk (45), teacher in the deaf students` class as well as the dance instructor said the students were very cooperative when attending class.
"Some hyperactive students need extra care while others are very slow in absorbing lessons so that the teacher needs to utter the same things repeatedly. But overall, I consider the obstacles as the risk of the job and I am pleased to be able to teach them" Yayuk said.
Meanwhile, Novika Prihartono (12), a street child from Sunter, North Jakarta, expressed his hope for a better life through education.
The fourth grade student in Elementary School 9 in Sunter said he used to help his mother to do the laundry or work at the nearest traditional market to earn money for his school fees.
"I used to do many jobs to help my parents providing daily needs for our family while paying my school fees. Fortunately, a friend in school told me to go to Aulia foundation for street and poor children. The foundation gives me a scholarship and allows me to attend some extra courses held in their building in Danau Sunter housing complex," he said.
Edi Hidajat, the founder of Aulia foundation, said street children also had the right to get education. The former successful entrepreneur argued street children or those coming from very poor families were often unable to get school education as a consequence of their activity in helping their parents to make money.
"We used to conduct an approach to the parent first, then the child. We give those children a motivation to continue their education. Some of our alumni have now become hotel managers and entrepreneurs. They have high motivation to get a better life," he said.
Now, Aulia foundation also provide health examination and micro finance training for housewives in the Sunter area.
Contrast with the disabled and street children`s spirit to get education, the Zinnia school and Aulia Foundation as the shelter for the children are having obstacle in funding their activity. As a private foundations, both Zinnia and Aulia fully rely on donations from foreign or private parties.
In 2003, when the Zinnia school building almost collapsed, the foundation received a donation from the Japanese Embassy in Indonesia worth US$81,000. The funds were used to rebuild the school purchase hearing aids for deaf students and basic needs for teaching activity such as cabinets and chairs.
"The donation is still not enough for the maintenance of school building and teaching equipments. However, we always try to make use of the funds to help the students to learn more," Imas, chairperson of Zinnia foundation, said.
The same story happened to Aulia foundation. The institution had received donations from the Netherlands, Sumitomo Bank, Jakarta-Japan Network and other private parties.
In 2001, Aulia foundation received US$68,000 from Japan`s Embassy in Indonesia to rebuild a four-story house in Sunter area which functioned as the center of the foundation`s activity.
Govt`s Attention
Minister of National Education, Mohammad Nuh, said the government was planning to increase the salaries of teachers at special schools to Rp4 million in 2011. The minister added apart from the salaries, the teachers could gain more from the incentive and other life support fees given by the government.
The minister added disabled schools would also get special incentives aimed to increase the quality of education given to students there.
As to the street children, the Ministry of People`s Welfare has committed to give a conditional grant in the form of savings to 6,000 street children in 10 provinces in Indonesia in 2010. Some of the provinces are Jakarta, Yogyakarta, Lampung, West Java and South Sulawesi.
In distributing the funds, the government will be assisted by several social institutions across Indonesia.
"The amount of the grants ranges from Rp900,000 to Rp1,8 million per child depending on the social worker`s estimation over the need of each sreet children," Director for Children`s Social Service at the Ministry of People`s Welfare, Raden Harry Hikmat, said.
He explained the program was aimed to help the street children to get access to health and education. The aid was also expected to help supporting the family and social institution to fulfill the basic needs of the street children.
"We had implemented the same program in five provinces in 2009. The result was quiet good, about 70-80 percent of street children were reuniting with their family again or continuing their formal education," he said.
Myth of the virginal membrane still widespread
Radio Netherlands Worldwide, 3 April 2010 - 9:00am, by Zainab Hammoud
More than half of all girls and women do not bleed when they lose their virginity. However, this loss of blood is still important in cultures where women are supposed to preserve their virginity until marriage. So women have found ways of meeting their environment's expectations.
Karima, a Dutch/Moroccan woman in her early twenties, has a secret: she had hymenoplasty, or hymen reconstruction surgery, shortly before her marriage. The hymen is the membrane which encloses the vaginal area.
"In my culture you cannot tell your parents or your family that you were not a virgin when you married. My mother would not survive it," she says. She only allows herself to be interviewed with a distorted face and voice so that she cannot be recognised.
Gynaecologist Ineke van Seumeren has doubts about the procedure. "I have always found it a problem to do something that really isn't necessary. It is not a disease." A few years ago she thought up a different solution. She wants to inform people that the correlation between an intact hymen and virginity is a myth.
RI feature film in running for award in Rotterdam
The Jakarta Post, Jakarta | Tue, 02/02/2010 8:01 PM | Arts and Entertainment
The experimental film “At the Very Bottom of Everything” by Indonesian independent filmmaker Paul Agusta is currently in the running for the prestigious Dioraphte Award at the 39th International Film Festival Rotterdam (IFFR), which will end on Feb. 7.
At the Very Bottom of Everything, or Di Dasar Segalanya, partially funded by the Hubert Bals Fund of the Netherlands, tells the story of a young woman’s struggle with Bipolar Disorder.
The film, which was entirely developed and shot in Indonesia, provides an intimate look into the often life threatening illness and the damage it does through highly experimental live action and stop motion animation sequences designed to take the audience on a surreal trip into a troubled mind.
According to Paul Agusta, “At the Very Bottom of Everything” is a reflection of one of the most pressing socio-cultural and medical concerns currently emerging within Indonesian society.
Bipolar Disorder, also known as Manic Depression, currently affects 1.5% of the Indonesian populace, or nearly 3 million people; half of the total of 6 million people diagnosed with Bipolar Disorder in Southeast Asia.
Trailerama: Di Dasar Segalanya (At the Very Bottom of Everything)