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Showing posts with label Poverty - Health. Show all posts
Showing posts with label Poverty - Health. Show all posts

Turkish foundation distributes meat among Yogyakarta`s poor

Antara News, Saturday, January 8, 2011

Yogyakarta (ANTARA News) - Thousands of poor people here Saturday received sacrificial meat packages donated by Turkish charity organization Mahmud Es`ad Cosan (MEC) Foundation working in cooperation with the local government.

"This is the third time we are cooperating with the Yogyakarta administration to distribute sacrificial meat among the poor," Ali Cetin, a MEC Foundation representative, said.

The Turkish organization had procured 102 tons of meat for distribution among the poor in 30,000 packages each weighing 3 kilograms , Ali said.

The donation actually came from Turkish people living in Australia, he said, adding that MEC Foundation would carry out the same action in Medan, North Sumatra.

"About 26,000 meat package will be distributed in Yogyakarta and the rest, 4.000 packages, in Medan," Ali said.

MEC Foundation is a social organization founded by Turkish ulema Mahmud Es`ad Cosan after whom the organization was eventually named.

Yogyakarta Vice Mayor Haryadi Suyuti led a team of local officers in handing out the meat packages to about 8,000 poor people assembled in the Mandala Krida Sports Stadium here.

"This is part of the local government`s program for alleviating poverty in Yogyakarta, although the goods we hand out today are consumptive," said Haryadi, who is also chairman of Yogyakarta`s Poverty Eradication Coordinating Team (TKPKD).

Haryadi said the free meat distribution was a complement to the Segoro Amarto program launched by Yogyakarta Governor Sri Sultan Hamengkubuwono X in 2010.

About 8.000 people from five sub-districts in Yogyakarta had flocked to Mandala Krida Sport Stadium Stadium to receive the sacrificial meat packages.

"Each of the 8,000 people have been given a coupon that entitles them to receive one package of 3 kg of meat," he said.

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Ministry to prioritize health services for poor in 2011

Antara News, Monday, January 3, 2011

Jakarta (ANTARA News) - The Health Ministry will prioritize health services for the poor and people living in remote areas in its main work program in 2011, its chief said.

"The most important thing is that we will bring health access closer to the people, especially the poorer and those living in remote areas," Health Minister Endang Rahayu said here Monday after installing new officials at her ministry.

She said the health services would of course have to meet good quality standards and be given more health staff and linked to better reference channels.

Health services in 2011 would be different from those provided in 2010 whereas this year the services will be more preventive in nature, unlike last year when services had been provided in hospitals.

"In 2010 we gave priority to cases that couldn`t wait, namely treatment of sick people and we increased basic hospital services, and the principle that hospitals may not refuse to admit patients for any reason. Now, we begin with something more down-stream by (implementing) preventive programs," she said.

Apart from giving health services at health posts, Rahayu added that Ministry of Health will boost the role of public-based health services by involving public participations such as implemented at the Village Ready (Desa Siaga) and Integrated Service Centers (Posyandu).

Also, Minister Rahayu ensured that free-of-charge maternal services was started in January 2011, a program linked to the public health service (Jamkesmas) program. The broad outline of the program is being prepared as well as the required fund allocations.

"What`s rather complicated is that how to distribute the fund. This is a part of the Jamkesmas, whether the fund could be disbursed through puskesmas, the most possibly it will be transferred to the regency governments," she revealed.

The free maternal service will be given in the form of package, starting from inspections during pregnancy, birth process, post-natal check-ups and also birth control provision because the free service will be provided only for limited number of children.

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RI reaches MDG targets

Antara News, Monday, December 13, 2010

Jakarta  (ANTARA News) - State Minister for National Development Planning/National Development Planning (Bappenas) Chairperson reported that Indonesia has reached a number of Millennium Development Goals (MDGs) in 2010.

According to the road map on accelerated achievement of millennium development in Indonesia of Bappenas obtained in Jakarta Sunday, the government grouped the achievement of MDG6 targets in three categories.

The three categories include significant progress, and targets which still needed hard work to achieve them.

The MDG targets which had been achieved covered MDG1 relating to extreme poverty, namely the parts of the population still living with a per capital income of less than one US dollar per day, had been reduced from 20.6 pct in 1990 to 5.9 pct in 2008.

MDG2, targets for gender equality in all kinds of education had been estimated to be achieved. The pure participation rate (APM) of women against men at elementary school/MI/Package A and junior high school/MTs/package B are respectively 99.73 pct and 101.99 pct in 2009, and literacy rate of women against men in people 15-24 years of age had reached 99.85 pct.

Indonesia also reached MDG targets, namely increased discovery of TBC cases from 20 pct in 2000 to 73.1 pct in 2009 of the 70 pct target, and lowered TBC prevalence from 443 cases in 1990 to 244 cases per 100,000 population in 2009.

In the meantime, the achievement shows a significant progress covering MDG1, namely the prevalence of malnutrition children under-five from 31 pct in 1989 to 18.4 pct in 2007. The 2015 target of 15.5 pct may also be reached.

In addition, MDG2, namely pure participation rate for basic education is close to 100 pct, and the literacy rate of the population reached more than 99.47 pct in 2009.

MDG3, namely APM ratio of women against men at senior high school/MA/Package C, and higher education in 2009 reached 96.16 pct, and 102.95 pct. In this way, the 2015 target of 100 pct may be achieved.

MDG4, namely the death rate of under-five children, had lowered from 97 per 1,000 births in 1991 to 44 per 1,000 births in 2007, and the target of 32 per 1,000 births by 2015 may be achieved.

MDG8, namely that Indonesia had managed to develop trade and open financial system, based on regulations, can be predicted and non-discriminative -- which was proven with the positive inclination in indicators relating to trade and the national banking system. At the same time, a significant progress had also been achieved in reducing the foreign loan ratio against the GDP from 24.6 pct in 1996 to 10.9 pct in 2009.

The debt service ratio had also been lowered from 51 pct in 1996 to 22 pct in 2009.

In the meantime, the MDGs target with an inclination of achievement and those still needed hard work covered MDG1, namely Indonesia managed to raise its rate for the target of lowering poverty and will give special attention to reducing poverty measured against the national poverty rate from 13.33 pct in 2010 to 8-10 pct in 2014.

MDG5, namely the death rate of mothers had been lowered from 390 in 1991 to 228 per 100,000 live births in 2007. Hard work is needed to reach the 2015 target of 102 per 100,000 live births.

MDG6, namely the number of HIV/AIDS sufferers increased, especially among high-risk groups of people using narcotic injections and prostitutes. The rate of increase is also particularly high in several areas with a low sense and understanding on the diseases.

MDG7, namely Indonesia has a high green house emission target but remained committed to increase the coverage of forests, eradication of illegal logging and implementing the policy framework on policies of reducing CO2 emission at least by 26 pct in the next 20 years.

Besides, now only 47.73 pct of households have regular access to good drinking water and 51.19 pct with access to good sanitation. Special attention is needed to reach the MDG targets by 2015.

In September 2000, at the UN millennium summit, 189 UN member countries agreed to adopt the Millennium Declaration which was later outlined in the practical frame of MDG targets, focusing on the development of man until 2015 and well measured indicators.

The UN member countries still have a period of five years for completion and trying to reach the eight MDGs relating to poverty eradication, basic education, gender consciousness, improved health of mother and child, reducing the prevalence of infectious diseases, conservation of the living environment, and global cooperation.

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Country Doctor a Hero to Indonesia's Poor

Jakarta Globe, Candra Malik | December 10, 2010           

Lo Siaw Ging says he is just an ordinary doctor. “There’s nothing special about me,” he said. However, for many people in Solo, Central Java, Lo is a hero — even a living legend.

Seventy-six-year-old Dr. Lo Siaw Ging, who ran Kasih
 Ibu Hospital until 2004, says that he still offers patients
 free treatment out of ‘a love of life, not for  money.’ (JG
Photo/Candra Malik)  
 
Over the past 46 years, he has been treating patients without ever charging them a penny. The general practitioner, who graduated from Airlangga University’s School of Medicine in 1962, spends millions of rupiah per month, out of his own pocket, to provide medicine to his patients. “I do it out of a love for life, not for money,” he said.

Lo, born in Magelang, Central Java, on Aug. 16, 1934, signed up to be a public servant in Solo in 1964. “I assisted Dr. Oen Boen Ing at the Panti Kosala Hospital. He founded the Polyclinic of Tsi Sheng Yuan in 1933, which later became Panti Kosala Hospital and eventually, Dr. Oen Hospital,” Lo said.

Lo found Oen to be a doctor and teacher who he greatly respected. “From my late father, Lo Ban Tjiang, I learned the saying, ‘If you want to trade, do not be a doctor. If you want to be a doctor, do not do any trade.’ From Dr. Oen, I learned to put this message into practice in my daily work,” he said.

For that reason, he never charges his patients nor writes them expensive prescriptions. “I choose to give generic drugs and other medications at affordable prices,” he said.

“Thankfully, there are the anonymous donors who are willing to assist in this humanitarian work. They know me personally and believe in what I do.”

Whenever his patients have problems that need further treatment, Lo provides referral letters that let them get medication at hospitals for free or he contacts other doctors to see if he can get more affordable fees for their treatments.

In 1981, he was made the managing director of Kasih Ibu Hospital, which he developed from a maternity specialist into a general care public hospital.

Lo ran the hospital until 2004, but he still has a small office in the front of the building where he provides free services. ”I never want to retire from this duty. For me, being a doctor is a life calling,” said Lo, who is now 76 years old and still walks upright, although one of his legs was injured in a collision a few years ago.

In his house in Jagalan, Lo also accepts patients from 8 a.m. to 10 a.m. and 4 p.m. to at 8 p.m., every day except Sundays and holidays. However, he never put a sign for his free clinic outside his house. Instead he put it on a wall in front of his office that is not visible from the street.

“Everyone knows that I am a doctor. People know what I’ve done. I no longer need a sign,” he said.

According to Lo, he can do his humanitarian work as a doctor because he was able to get an affordable medical education. “Things were different from how they are now. I never felt I had to pay back my tuition fee by charging patients and writing them expensive prescriptions. Today’s doctors face the demands of the time. They risk their livelihoods by helping patients. I am grateful I did not experience that,” he said.

Oemijati, a former nurse who worked with Lo for many years, said she could still vividly remember how he treated patients while at what was then called Panti Kosala Hospital. “The doctor had a book that listed the names of soldiers that had been given free treatment. The book was very thick. In addition to getting subsidized care from the hospital, Doctor Lo voluntarily cut his salary to help patients afford treatments, including soldiers and the poor,” she said.

Oemijati followed Lo when he moved to Kasih Ibu Hospital and witnessed him continue to perform similar acts of kindness. “As the managing director of the hospital, he was loved by his employees because he fought for our right to get pension money.”

At his free home clinic, Lo has never been supported by an assistant or nurse. In the waiting room in front of the doctor’s office, he does not employ a receptionist.

Sri Winami, a 39-year old resident of Kepatihan village, remembers Lo telling patients, “Whoever comes first, please knock on the door and go straight in to see the doctor. Whoever comes later, please line up in the chairs.”

“That’s the first rule I learned when I was a child and my mother took me to seek treatment there,” she said. “The second rule is, do not try to pay unless you want to get yelled at by the doctor,” she added.

One afternoon in early September, a woman named Sumarni brought her 4-year-old daughter, Rosita Amalia, who was suffering from a fever and cough, to see the doctor. ”If you are not familiar with Doctor Lo’s style, you might find yourself surprised that he is yelling at you. He likes to yell at patients, but it’s just a character he plays. From the bottom of his heart, he is a kind doctor,” she said.

According to Sumarni, Lo is always angry when sick patients avoid getting checked out for too long, and he gets even angrier if they try to pay him. “Lo always says, ‘Do you really have the money? Don’t lie to me!’ when he refuses payment.”

Lo has been called a hero of the poor. He even kept his door open when riots targeting Chinese-Indonesians broke out across the country, including in Solo, back in May 1998. “I am indeed of Chinese descent. However, I have lived in Solo for decades and devoted myself to humanity. Why should I be afraid?” he said, recalling those turbulent days. At the time, his neighbors begged Lo and his wife, Maria Gan May Kwee, to flee or at least stop accepting patients.

“Doctor Lo refused,” said one of his neighbors, Wiwik Haryanti.

Lo has gone on to treat countless patients who might not otherwise have received care. It is no exaggeration to say that he is a hero to thousands of people.

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Old woman dies of malnutrition

Andi Hajramurni, The Jakarta Post, Makassar | Fri, 10/08/2010 9:49 AM

An 80-year-old woman was found dead, with malnutrition believed to be the cause, in her home in Pannampu subdistrict in Makassar, South Sulawesi, one of the country’s top rice producers.

The woman was believed to have died three to seven days earlier when her decomposing body was found by a village security officer Tuesday.

The woman’s husband, Daeng Ali, said he was aware that his wife had died but did not have the money for a decent funeral.

“I locked her remains in a room and went to find money for the funeral,” the 81-year-old said.

Daeng Ali supported himself and his wife by working as a scalper and worker at nearby Pannampu traditional market. At times, neighbors provided the family food.

The couple, who did not have children or other family members, lived in a shack where its floor is submerged in water from the neighborhood’s domestic waste.

There is one old bed with a dirty mattress in the house and a cabinet made of triplex wood, along with humble kitchen appliances.

Officials said they found it difficult to gather information related to the death of Daeng Ona from her husband as he did not speak clearly and was believed to suffer mental illness.

“His wife’s health probably worsened due to lack of proper treatment,” Mauluddin, a forensic doctor at the Makassar Police’s Bhayangkara hospital, said.

Mauluddin said the postmortem examination result showed no traces of inflicted violence on Ona’s body.

“We found that she suffered from serious malnutrition. She had no fat at all, only bones and skin.

“She might have died because of complications from some acute diseases and old age,” he said.

Yet, he said the diseases could not be detected since no autopsy was carried out, only an outer postmortem examination.

Makassar Police chief Adj. Comr. Ahmad Maryadi confirmed that Ona’s body was decomposing saying the flesh was rotting.

“We directly evacuated the body to the hospital for a postmortem examination to determine the cause of death,” he said.

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Poverty Watch: Chicken farming industry empowers villagers in Bantul

Slamet Susanto, The Jakarta Post, Yogyakarta | Wed, 10/06/2010 9:46 AM

The bird flu epidemic in 2005 not only caused a decline in the population of local Javanese chicken species, but is also giving potential breeders second thoughts about raising chickens.

“It seems that local species are on the verge of extinction and the demand for poultry increasingly depends on imports,” Sujito said.

Sujito is seen as a pioneer of the Mandiri Free-range Chicken Farming Group in his village in Bantul, Yogyakarta.

He said the villagers’ decision to raise free-range chickens was motivated by haunting questions whether there was a safe way to raise chickens.

They decided to set the chickens free and found many of them died, until they came up with an idea about raising chickens in a coop, isolated from wild poultry.

The chickens were protected from diseases and their growth cycle was quicker than the chickens set free. More residents became interested in the method and in 2007 they formed the Mandiri Free-range Chicken Group, which served as a discussion forum especially on issues related to chicken farming.

“We didn’t imagine that raising free-range chickens would be the main livelihood for people in our area,” group leader Agung Yulianto said.

There are now more than 40 chicken farmers in Pucanganom selling more than 6,000 chickens each month.

For each chicken sold, residents contribute Rp 100 (about 1 US cent) to the group’s coffers. The total has now reached tens of millions of rupiah and covers the cost of day-old-chickens (DOC) and chicken feed.

“The cost of DOC and feed are covered by the group for now. The members pay their dues and contribute during the slaughter to the group’s treasury,” Agung said.

Agung, who studied animal husbandry, said free-range chicken farming helped minimize unemployment and raise people’s well being.

“Rather than working as a laborer in the city, it’s much better to be self-employed because it is more profitable,” Basuki, one of the chicken farmers, said.

The cost to raise a free-range chicken is between Rp 13,000 and Rp 14,000, with a 65 to 70-day-old chicken weighing up to 800 grams and selling for Rp 24,000 per kilogram or Rp 20,000 for a whole chicken.

“Each chicken could brings in between Rp 5,000 and Rp 8,000 in profit,” he said.

The Buras Mandiri chicken-farming community says it also provided free counseling to new farming groups.

“We don’t have special volunteers because we are all volunteers. We will provide counseling to new farming groups, from building coops to teaching raising techniques,”
Sujito said.

Sanden district has seen an increase in chicken-farming communities thanks to Buras Mandiri counseling, such as in Krangan, Murtigading, where a farming group produces 1,600 chickens and in Srigading, where the Segoro group produces more than 4,000 chickens each month.

The success of developing rural economies through free-range chicken farming has made Buras Mandiri a reference point for several poultry institutions and agencies.

Recently, a delegation from the Australian Agricultural Ministry conducted a survey before carrying out a bird flu handling program, and Buras Mandiri was one to the groups included in the criteria.

“Buras Mandiri has raised the people’s awareness. Now if there is a bird flu outbreak or other chicken farming issues, residents are quick to contact us so we can act immediately,” Sanden Animal Health Agency veterinarian Imawati said.

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Indonesia`s poor people reaches 31 million

Antara News, Sunday, October 3, 2010 18:41 WIB

Semarang, C Java (ANTARA News) - Coordinating Minister for People`s Welfare Agung Laksono said that the number of poor people in Indonesia still reached 31 million.

"The number of Indonesian poor is five times the size of the Singapore population," the minister said at a function here on Sunday.

He said that efforts to lift them of the poor condition had to be made not only by the government but also by the people as a whole.

"We are challenged to empower the poor so that they would be freed from the poverty condition," Agung Laksono said.

He said that maximizing human resources that Indonesia possessed should be supported by all societal elements and people who had care for assisting the government in overcoming poverty.

In the meantime, Vice President Boediono had earlier said that poverty-related problems cannot be borne only by the government but all parties in the country should be involved in solving them, Vice President Boediono said.

"My idea of solving and tackling all kinds of poverty-related problems is by motivating all parties to synchronize their actions and activities in reducing poverty," he said in his keynote speech at the third International Conference of Corporate Social Responsibility (CSR) on Wednesday in Jakarta.

He said one of the basic functions of the state was to eradicate poverty in tandem with other problems without neglecting other interests.

He said that a team representing the government and private sector has been tasked to accelerate the efforts to reduce the poverty rate, the coordination of which was adjusted with other programs and activities.

"This is a national team in which all programs have to be discussed and synchronized with a clear strategy and time to enable us to tackle poverty-related problems," Boediono said.

Boediono said that one of the government`s programs was to solve poverty problems, as it was also a National Programs of the Independent Communities Empowerment (PNPM) established at the time when this country was facing an economic crisis in 1997/1998.

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Ministers’ wives launch village program

Erwida Maulia, The Jakarta Post, Yogyakarta | Thu, 09/30/2010 10:09 AM

First Lady Ani Yudhoyono and Cabinet ministers’ wives launched on Wednesday a program called Prosperous Village, which is aimed at empowering villagers with the help of university students.

The pilot project launched in Hargotirto village, Kulonprogo regency, is a joint undertaking between the Solidarity of Unity Cabinet Ministers’ Wives (SIKIB) and Yogyakarta’s Gadjah Mada University (UGM).

“We hope the scheme can serve as an example for other villages in Indonesia,” UGM rector Sujarwadi said in a speech.

The project is a collboration between five major programs of SIKIB and the student-run UGM rural field work program.

Ani said the SIKIB had been developing five major programs aimed at improving health, creativity, education and social and environmental awareness among the less-privileged.

“The five programs are expected to help Indonesia meet its MDGs [Millienium Development Goals] targets. We try to do simple but concrete jobs,” she said, citing as example the SIKIB’s dispatching of a number of “smart cars” (mobile libraries) to several regions and the establishment of “smart houses” (small libraries) in others.

She said university students taking part in the implementation of the Prosperous Village scheme would also benefit from it because it would give them the opportunity to put what they learned at school into practice.

“And with their villages being developed, we hope the youths will stay there and support the development instead of leaving the villages to seek jobs in big cities,” Ani said.

Hargotirto, which is home to more 1,900 families, is located in rural Yogyakarta, about an hour drive from the provincial capital. Most of its population work as farmers arning on average US$2 a day.

The scheme has built the community center a “smart house”, which combines the functions of a library and an Internet cafe, and a small traffic education center where children can learn about road signs and rules.

Related Article:

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Poverty Linked to Jump in Bali Suicides

Jakarta Globe, Made Arya Kencana | September 26, 2010

Denpasar. Beyond Bali’s calm and serenity lies an upsetting fact. The suicide rate among residents of the island of Gods has been increasing sharply this year.

Luh Ketut Suryani, director of the nongovernmental Committee Against Sexual Abuse, said on Sunday that, as of August, there have been 146 suicides in Bali this year, a staggering figure compared to the 39 cases registered last year.

Speaking at an event to mark Prevent Suicide Day, Suryani said the districts of Karangasem and Buleleng had Bali’s highest suicide rates.

“The two districts also have the highest number of mentally disturbed people and people who are chained down because of their mental condition,” she said.

She added that in Karangasem, 156,116 out of 360,827 people are considered poor, while that number stands at 47,908 out of 575,038 for Buleleng.

She also said that the main reason for Balinese to commit suicide was poverty and that it is a common problem on the island, the latest example being the case of 39-year-old Ni Kadek Ariyani.

She hung herself in her Jimbaran home in August, after taking the life of her two-year-old child.

Police concluded after their investigation that Ariyani had committed suicide because she had an outstanding debt of Rp 150 million ($16,800).

Suryani said that if the government and society remain ignorant about mental welfare, the island would end up housing more than 9,000 mentally disturbed people, out of which more than 350 would likely be chained down for lack of proper treatment.

The rising suicide rate in Bali was also noted by I Ketut Widnya, a researcher from the Hindu Dharma State Institute in Denpasar.

His research shows that one in every 41,000 Balinese is likely to commit suicide.

“It’s a very high probability compared to other regions,” he said.

Separately, Bali Police spokesman Sr. Comr. Gede Sugianyar confirmed the high suicide rate and said that police have intensified cooperation with schools and religious institutions in their effort to bring the number down.

“We send counselors to schools in order to increase awareness and to prevent suicide,” he said. The program consists of four parts.

There is information about caring for and sharing with one another, religious counseling, lessons in social communication skills and an attempt to create a wider movement discrediting the notion of suicide.

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Maternal deaths main block to goals

Dina Indrasafitri, The Jakarta Post, Jakarta | Mon, 09/20/2010 9:12 AM

Despite skepticism over Indonesia’s ability  to achieve several targets, delegates to this week’s millennium development goals (MDGs) summit in New York are upbeat the country is on the right track.

Nila Moeloek, President Susilo Bambang Yudhoyono’s special envoy for  MDGs, said over the weekend  that Indonesia still lagged behind in three areas: reducing the maternal mortality rate,  HIV/AIDS control and improving access to clean water. 

The summit will be hosted by the United Nations from Sept. 20 to 22.

Although Nila acknowledged it would be impossible to achieve 100 percent success, she expressed optimism that the government’s development plans would work well.

“The government’s long term plan is already pro-poor, pro-jobs and pro-environment.”

Indroyono Soesilo, the secretary- general for the Coordinating Public Welfare Minister’s Office, said that he was overall optimistic about the prospect of Indonesia’s MDG effort.

“[We’re] confident, except in the [area of] maternal mortality, we are still far behind on that,” he said.

Indonesia is aiming to reduce its 1990 maternal mortality rate by three-quarters by the 2015 deadline.

According to data from the ministry, the 1990 rate stood at around 390, which means the country should reach the rate of around 100 by the deadline. However, in  2007 the rate still stood at 228 deaths out of 100,000 live births.

One of the key factors in reducing the rate is births assisted by health workers. According to data from
the Health Ministry, the rate of assistance had increased from 38.5 percent in 1992 to 73.4 percent in 2007.

The National Development Planning Agency’s (Bappenas) Nina Sardjunani, who will also attend the summit, said the percentage had increased to 80 percent adding that “there are more positives than negatives.”

Nila added that the three weak aspects of Indonesia’s MDG efforts were interrelated. “Environment is related to disease. However, environment is also be affected by poverty,”  she said.

Using the US$1 a day benchmark, Indonesia is not in the “poor category”. However, Nila said the country should not be overly happy with the progress.

Strong support has also come from the House of Representatives, where legislators on Friday renewed their commitment to fighting poverty toward achieving the MDGs by 2015.

The House, which established a working committee on MDGs in March, reaffirmed that eradicating poverty by 2015 would be at the top of the legislative agendas and be “simply non-negotiable” toward accelerating the MDG progress.

Indonesia is one of seven countries with the highest rates of malnutrition along with India, Pakistan and the Democratic Republic of Congo, according to recent reports from the UN Food and Agricultural Organization and the World Food Program.

“We do have to reduce the prevalence of  malnutrition among children under five to 15.5 percent by 2015 and we are currently [at] 17.9 percent. We’re still on track, but it is a big problem indeed,” Nina said.

Nina said Indonesia might even have a few suggestions for the world regarding MDG results.

Suggestions include using innovative financing schemes, which involves public-private partnerships and debt swap programs that will assist efforts in reaching the targets.

“Indonesia is experienced in debt swaps. Such financing mechanisms are what we are trying to remind developed countries of,” Nina said.

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Every 90 seconds a pregnant mother dies

RNW, 19 September 2010 - 9:02am | By John Tyler (Photo: ANP)


More than 1,000 women die every day from complications around childbirth or pregnancy - that's one death every 90 seconds. Reducing this number is one of the United Nations Millennium Development Goals, and the Dutch government has made it a priority.

(Photo: ANP)
Fatima died giving birth to twins in a hospital in Kabul, Afghanistan. Her husband Ahmed, a security guard, was left to care for their eleven children.

Cristabalina Santos died in her straw hut in a mountainous region of Panama just hours after her 12th child was born. She developed an infection, and her husband could not find enough people to carry her the three hours it takes to reach the nearest hospital.

Snowball effect

A mother's death has a snowball effect, creating a host of new problems, particularly for poor families already facing numerous difficulties.

These problems include lost income is lost, older children having to take on the role of parenting with the result that they drop out of school, and younger children often also moving out of education as families try to fill the financial gap.

As a result, the spiral of poverty deepens.

Maternal mortality remains an enormous problem in the developing world, where the rates are hundreds of times higher than in industrialised countries. And despite the global attention given to the issue, as one of the Millennium Development Goals, things are not improving quickly.

Positive signal

New figures out this week showed some progress, a 34-percent reduction in fact. But with more than a thousand women still dying each day, it is hard to be optimistic. The target of reducing deaths by 75 percent, compared to 1990 levels, is unlikely to be reached by the deadline of 2015.

Even so, the Dutch Ambassador for the Millennium Development Goals, Christiaan Rebergen, remains upbeat:

"For the first time, we see a first positive signal. The Netherlands has done a lot to bring attention to it. It has always been neglected, but you see the last few years its getting more attention."

UN Secretary General Ban Ki-moon will announce a new plan for improving mother and child health during the upcoming three-day Millennium Goal Summit in New York, starting on 20 September.

Budget cuts

But what happens if leading nations in the fight against maternal mortality, like the Netherlands, start paying less attention to the problem?

Nicole Sprokel is a spokesperson for Amnesty International in the Netherlands. She is concerned that budget cuts necessitated by the global financial crisis will have a negative effect.

"Well there is of course the matter of money. Apart from lobbying governments to abide by human rights, there's the fact that countries like the Netherlands should continue to support governments with adequate technical and financial assistance to assure that obstetric care will continue to be available."

New Government

Many here in the Netherlands fear that a new government will slash the development budget.

Christiaan Rebergen remains hopeful, pointing to the fact that funds for addressing maternal mortality worldwide were actually increased in the UK despite drastic budget cuts. But there are fears that the issue will not receive sufficient attention at the New York Summit.

Play it down

Yvonne Bogaarts is spokesperson for the World Population Fund. She says the summit will publish an agreement, the text of which has already been written and says little about maternal mortality.

Sensitivities about the issue of abortion - unsafe abortions contribute to 15 percent of overall deaths surrounding pregnancy and childbirth - are playing a major role in this, according to Bogaarts. She calls this omission scandalous.

Other non-governmental organisations are critical of the Millenium Development Goals in general. Both Amnesty International and Transparency International say governments’ failure to respect human rights and to tackle corruption are slowing down progress toward meeting the goals.

Could have died

At the upcoming summit, leaders will focus on funding and figures. But of course in the end, the Millennium Development Goals are about helping people.

For instance, people like Safura Musah, a mother of eight children in northern Ghana. Safura could have died during the birth of her ninth child. But thanks

to a new ambulance, a mid-wife who referred her quickly to hospital, and a small loan from the local mosque to pay for the ambulance, Safura made it to hospital in time.

She was fortunate to receive the help she needed. But that day, 1,000 other pregnant women weren’t that lucky.


Maternal mortality in Holland
  • In recent years, maternal mortality here in the Netherlands has gone up. From 1993 to 2005, 12 mothers died for every 100,000 children born, up from 9.7 in the ten years before that. By comparison, the average maternal mortality rate in Africa is 830 deaths per 100,000 births.

    Dutch experts say the higher figures in the Netherlands might be caused by two factors: first, Dutch women are getting pregnant later in life, bringing more health risks. In addition, the number of immigrant women giving birth has gone up. In some cases, immigrants are not sufficiently informed about the health care available to them.

    It is not clear what effect the practice of giving birth at home – one in three Dutch babies are born at home - has had on maternal mortality. Official figures indicate it has no effect, and indeed the percentage of home births has not changed that much. The Netherlands has a high maternal morality rate compared to many European countries, but it is almost as high as in France, where most births occur in hospital.


Millennium Development Goals
  • At the turn of the millennium, member nations of the UN decided to set themselves a number a targets for making the world better.

    They chose eight subject areas, and calculated targets to be met by 2015. The targets use 1990 as the base year to calculate how much things should improve.


192 countries and 23 organisations signed up to:
  1. Eradicate extreme poverty and hunger
  2. Achieve Universal primary education
  3. Promote gender equality and empower women
  4. Reduce child mortality rate by 2/3
  5. Improve maternal health - reduce by 3/4 maternal mortality and achieve universal access to reproductive health
  6. Combat HIV/AIDS and other diseases - halt the spread of HIV/AIDS, and by 2010 universal access to treatment for HIV/AIDS
  7. Ensure environmental sustainability
  8. Develop a global partnership for development

Links:

  • Amnesty International will launch a "maternal death clock" in Times Square in New York on Monday, 20 September.
  • United Nations Population Fund has more personal stories on its website
  • UN Millenium Development Goal film about Goal 5: reduce rates of maternal mortality



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Poverty Leaves Three Children Paralyzed

Jakarta Globe, September 17, 2010

Menduk, Bangka Belitung. Three children from a small Indonesian village have been left paralyzed because their parents could not afford basic medical care for relatively minor sicknesses.

State news agency Antara identified the children as Nurul Anisa, 9, Zainal Jannah, 7, and Faturrahman, 4, from Menduk village, Bangka district, Bangka Belitung.

Fatimah, the mother of Nurul, said she that because the family was poor, they could not afford the cost of medication and medical treatment when her daughter came down with a fever.

“I took my daughter to Sungailiat general hospital when she suffered from a high fever but I could not afford her medication. This ... forced me to take care of her at home,” Fatimah said.

She said that her daughter’s condition only deteriorated and she finally became paralyzed.

“I have taken her to the public hospital several times but she has not recovered. This condition made me decide to take care of her at home. I also do not have money,” she said.

Juaidi, another villager, said his children, Zainal and Faturrahman, also ended up paralyzed because he could not send them to hospital when they came down with fevers.

This father of six said that as he had not money, he had to take care of his ailing children with traditional medicine.

He said doctors recommended that he take his children to Jakarta for treatment but “I do not have money.”

Juaidi said he hoped donors could help his children so they still had the will to live. 
Antara

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120 Million Surviving on $2 a Day

Jakarta Globe | September 15, 2010


Amid the backdrop of towering buildings at Petamburan, Tanah Abang, Central Jakarta, slum dwellers live in squalor along the railway tracks. (Antara Photo/Yudhi Mahatma)

Jakarta. Indonesia has gained the notorious distinction of being among seven countries that are home to two-thirds of the world’s one billion undernourished people, an upcoming report reveals.

The “State of Food Insecurity in the World,” to be published in October by the Food and Agricultural Organization and the UN World Food Program, says two-thirds of the world’s almost one billion undernourished people live in the following countries: Bangladesh, China, the Democratic Republic of Congo, Ethio pia, India, Indonesia and Pakistan.

n a press release, the FAO and WFP said the number of hungry people in the world remained unacceptably high despite expected recent gains that have pushed the figure below one billion.

The new estimate of the number of people who will suffer chronic hunger this year is 925 million — 98 million down from 1.023 billion in 2009 — with over half of the total in Asia Pacific.

“With a child dying every six seconds because of undernourishment-related problems, hunger remains the world’s largest tragedy and scandal,” FAO director general Jacques Diouf said.

The continuing high global hunger level “makes it extremely difficult to achieve not only the first Millennium Development Goal but also the rest of the MDGs,” Diouf warned.

“The achievement of the international hunger reduction target is at serious risk,” he added, noting that recent increases in food prices could hamper efforts to further reduce the numbers of the world’s hungry.

Details of the report were released ahead of its official launch at the Sept. 20-22 UN General Assembly in New York.

Meanwhile, on Wednesday, President Susilo Bambang Yudhoyono unveiled a plan to slash the hunger rate by tackling unemployment, which he said would have a direct impact on the poverty rate.

He also said reducing poverty was just one of four of his administration’s key economic policies, the other three being boosting economic growth, creating jobs and protecting the environment.

Yudhoyono said with “maximum effort,” these policies would result in GDP growth of 6 percent by the end of 2010, up from 4.5 percent last year.

The 2009 Global Hunger Index categorizes Indonesia’s situation as “serious.” The index ranks countries on a combination of three indicators: child malnutrition rate, child mortality rate, and the proportion of people who are calorie deficient.

The WFP Web site, meanwhile, says 6 percent or about 14.7 million people of Indonesia’s population is undernourished.

It also says 52 percent of Indonesians live on less than $2 (Rp 17, 980) a day. Of those, 35 million live on less than 65 cents a day and are classified as poor.

The number of “near poor,” or those at risk of becoming poor if they lose a single month’s income, is estimated to be 115 million.

The WFP noted the government’s efforts in helping the poor, such as cash transfers and subsidized rice program. However, despite its progress in achieving MDG targets, Indonesia is still “a low-income food-deficit country,” the WFP says.

Additional reporting from Antara

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A Vision of Commonsense Lawmakers

Jakarta Globe, Joe Cochrane | August 23, 2010

If newspapers had audio-video capability — and from what I hear, one day they will — you would see and hear me giving the government a standing ovation for its announcement last week that it planned to offer free birth care for all Indonesian women.

Finally we have some common sense coming from a member of President Susilo Bambang Yudhoyono’s cabinet.

And not only that, but Health Minister Endang Rahayu Sedyaningsih showed initiative and proved that she’s actually in touch with the plight of the country’s poor masses.

If only other cabinet misters had a clue, the current administration would have more success stories these days.

The initiative for the state to pay for deliveries stems from recent cases of poor women being forced to sell their newborns to pay their hospital bills, or hospitals holding newborns as collateral until payment is made.

Such stories are sad and embarrassing, and it says something that the Ministry of Health acknowledges a problem and is seeking solutions.

The initiative hopefully also will reduce the country’s shockingly high maternal and infant mortality rates.

Alas, if all our government officials would act this way, Indonesia would be a better place.

But self-interest, or the fear of losing face, or a refusal to accept responsibility or plain old incompetence tend to get in the way of sound policies.

This happens on a regular basis.

Consider the decision last January by the Jakarta city administration and city police to round up thousands of street children and compel them to submit to rectal examinations in an effort to identify victims of sexual abuse.

Ah yes, let’s find out if street children have been sexually violated by in turn violating them via a rectal exam.

Is this sound government policy?

No, it was an ill-conceived strategy by Jakarta administration and police officials to assure the public they weren’t neglecting the city’s street children after alleged serial killer Bayquni, aka Babe, confessed to having raped and killed 14 young boys.

More recently, of course, we have the laughable policy by Information Minister Tifatul Sembiring to block pornographic Web sites in Indonesia.

His reasoning? To “protect our youth,” as if the Internet is the cause of increased sexual behavior among the nation’s teenagers.

There’s just one problem: The minister failed to provide any reliable data to show that the Internet is causing increased sexual behavior among teenagers.

That’s not to say that teenagers here aren’t negatively affected by the Internet. It’s just that Tifatul initiated a highly controversial policy to block Web sites without any evidence that it would do any good.

Sound familiar? (I won’t even mention the minister’s claim that 90 percent of pornographic Web sites have now been blocked; a cursory search on Google shows that surfers still have access to thousands of hard-core sites with a single click.)

If Sembiring really wants to protect Indonesian youth from harmful content, he should have gone after television.

According to the Boston-based Campaign for a Commercial-Free Childhood, more than half of American teenagers reported getting some or most of their information about sex from television.

On average, the group says, music videos contain 93 sexual situations per hour, including 11 “hard-core” scenes depicting behaviors such as intercourse and oral sex.

While television programming in the United States is not the same as in Indonesia, American TV shows and video channels are available here.

There have also been Indonesian studies on television content that have raised concerns, so the Information Ministry would at least have a shot at helping teenagers through a realistic government regulation.

Talk about government regulations and new laws is increasingly important, given that the House of Representatives seems poised to ram through a number of bills in the coming weeks to try and meet a minimum quota for its first year.

Of course, the problem with such deadline bills is that they’re often so horribly written and contradictory that they do more harm than good, do no good at all or are quashed by the Constitutional Court.

Lawmakers who want to make a difference have several options.

For starters, amend the 2008 law known as MP3 regarding the People’s Consultative Assembly, House of Representatives, Regional Representative Council and provincial legislatures.

This law makes it illegal for anyone to lie to lawmakers when testifying before them, but oddly enough, there’s no sanction for anyone found guilty of perjury.

If the law is amended to mandate a 10-year prison sentence, it might stop National Police officials from fabricating evidence and trying to frame officials from the Corruption Eradication Commission.

Second, make it explicitly illegal for senior officials from the National Police to directly own or run private businesses while serving in the force.

That might help reduce the number of million-dollar bank accounts linked to senior officers, and eliminate the alibi that their stashes are from business profits rather than corruption.

Speaking of which, why isn’t anyone sharpening their pitchforks over claims that it’s OK for National Police officials to run private businesses while they’re supposed to be serving the public?

And finally, pass a law banning hospitals from refusing to release newborns to their parents until they pay their medical bill. The law would also ban staff members from taking custody of newborns in exchange for paying the bills.

Pardon me if this sounds naive, but where I come from, such acts are referred to as hostage-taking and child trafficking. We even have laws saying so.

Joe Cochrane is a Jakarta Globe contributing editor.

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