AORTA 5th edition

aorta November 2011 - February 2012 //Issue: Millennium Development Goals

3 articles

about MDGs

We SPEAK for MDGs

#5

Official CIMSA NEWS

Millennium Development Goals

about us

“Empowering

Medical Students and Improving the Nation’s Health” T US C A T N CO

www.cimsa.or.id @cimsanasional Cimsa Nasional CIMSAindonesia General secretariat: 1st floor Library Faculty of Medicine University of Indonesia Jl.Salemba Raya no.6 Jakarta Pusat 10430 Indonesia

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enter for Indonesian Medical Students’ Activities, CIMSA, is an independent, inclusive, nasionalist, nonprofit and non-party organization. CIMSA is an individual based organization with members consisted of medical students from many universities in Indonesia.

Established in 2001, and has grown up from 6 to 19 locals with approximately 2500 members. CIMSA aims at providing Indonesian medical students’ activities lodge to empower and express their idealism, thus medical students will have the same opportunities to get involved in health as early as possible and contribute to the development of this country.

Our activities are applied not only in the local and national, but also in the international level. This can be achieved because since its establisment CIMSA has gained trust from the international world to become the full member of IFMSA (International Federation of Medical Students’ Association); the largest students’ organization in the world with approximately 100 countries as its members representing more than one million medical students worldwide.

CIMSA’s field of work covers 6 aspects represented in the form of Standing Commitee (SCO); 1. SCOME, on Medical Education, is a forum for medical studentswho have special interest in the improvement of medical education 2. SCOPE, on Professional Exchange, fasilitates all medical students to feel the atmosphere and culture in foreign country while experiencing the clinical study 3. SCOPH, on Public Health, focuses on the importance of public health issues in medical education or community 4. SCORA, on Reproductive Health Including AIDS, aims at raising the awareness on reproductive health including sex education, gender equality, etc.

5. SCORE, on Research Exchange, gives a chance to all medical students to partake in medical research in foreign country 6. SCORP, on Human Rights and Peace, is related to issues on human right and peace, including problems faced by the refugees.

Question:

Who are the CONTRIBUTORS for this EDITION

?

Answer: Gabriella Argy Ika Safira Messia Refri Rahmi Hani Nurul Elsavina Rizky Galih Arya Wijaya Regina Inovna

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editorial page Hello everybody! I bet you have known a lot about Millennium Development Goals especially after we won as runner up in Indonesia MDGs Awards. Now, in accordance with the theme of our National Leadership Summit: Improving Medical Students Quality to Support Millennium Development Goals, this AORTA edition also has the same issue; Millennium Development Goals.

This AORTA may not enough to give you informations about MDGs but it can motivate you to gain more knowledge about MDGs and what we can do for its achievement. We got several articles related to MDGs and one special section ‘We Speak for MDGs’, it contains some opinions from our friends and it may inspire you! Enjoy reading!

Sekar Laras

Chief Editor

Media and Communication Director CIMSA 2011-2012

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MC Team Camelia Pondra Febriana Intan Atika Primandina Monika Hasna Rikeish Annissa Kallista Hafif Kusasi Dhany Indirwan Raditya Pradipta Rizky Saraswati

C 1 About Us 2 The Contributors 3 Editorial Page 5 President’s Notes 6 Official CIMSA News

Meeting Reports 8 Healthcare Students’ Symposium, Prague 11 October Meeting 2011, Bandung 13 2nd HPEQ Conference, Bali

Health Issues 15 Brief Information about MDGs 17 Towards Better Maternal Care 20 Improving Maternal Health 22 The Importance of Indonesia Statistic Data for MDGs point 6 Achievement 25 We Speak for MDGs 27 Local Stories 32 National Projects (News) 33 The National Official Team 34 Our Locals

contents

President’s note

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Dear friends,

Center for Indonesian Medical Students’ Activities (CIMSA) was established in 2001. CIMSA represents more than 3500 medical students in Indonesia. We have 6 Standing Committees, they are Standing Committee on Professional Exchange (SCOPE), Standing Committee on Research Exchange (SCORE), Standing Committee on Medical Education (SCOME), Standing Committee on Reproductive Health Including AIDS (SCORA), Standing Committee on Public Health (SCOPH), and Standing Committee on Human Right and Peace (SCORP).

CIMSA is based on its activities and projects. In 10 years, lots of projects and activities has been made by CIMSA to develop the health state of Indonesia. We are proud of the number and also diversity of our projects. But sometimes we forget one simple question, “what does Indonesia need?”.

Millennium Development Goals (MDGs) is an international development target that was made by 193 countries and 23 international organization in the year of 2000. It was targeted to be achieved by countries in all over the world by the year of 2015. Indonesia is a developing coun-

try and we still have much to develop in our way to achieve MDGs, especially in the health sector.

So, what can we do as medical students of Indonesia?

CIMSA, with medical students as its members, plays a big part in the health state development of Indonesia. We have more than 200 projects a year, with creative and unique contents in them. It would be best if we make our diverse projects to be focus on MDGs, to help our government in achieving MDGs. Based on it, we made a Policy Statement that represent our desire to help Indonesia in achieving MDGs. So, what can we do as medical students of Indonesia? The answer is “keep the spirit, do the best, and believe that MDGs will be achieved by Indonesia” Be Active with CIMSA! Best regards,

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Niko Kristianto

Hola CIMSAers!

So, what’s new for this year? We’re going ‘greener’ with CIMSA. Have you heard before that your ID Card will be your name tag for NLS 2012 and our next national meetings. Yeah right, now is the time for your ID to breathe out for a while get them out from your pocket and hanged on your neck. If you don’t have your ID Card yet, call your local treasurer, give your personal information such as name, standing committee that you’re in, your batch, means your batch in medical school not your batch when joined CIMSA. Then do the payment to your local treasurer as well. Just as simple as that!

But wait, in our national meeting you need something to hang your ID Card around, right? You can purchase CIMSA’s multifunction line and frame via your local treasurer as well. It is available in black and white. You can also come to the registration stand at the meetings and buy as much as you want, as long as the stocks available. So, are you ready to start a green movement from this meeting?

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Hafizha Herman Fundraising and Merchandise Director CIMSA 2011-2012

CIMSA got achievement in Indonesia MDG Awards

Official

NEWS CIMSA

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ID Card for National Meeting

Indonesia MDG Awards (IMA) 2011 is a program held by the Office of President’s Special Envoy on Millennium Development Goals (KUKPRI-MDGs) and Metro TV. This year it has the theme “Act for Indonesia (Beraksi untuk Negeri)”, to reflect that all parties should reach the stage of the action plan that has been drawn up in previous years. There are four award categories: Nutrition, Maternal and Child Health, Water Access, and HIV / AIDS and other infectious diseases with the four categories of participants: county / city, youth organizations, private, and non-governmental organizations.

IMA is a good opportunity for CIMSA, therefore CIMSA participate and fight in this IMA. The official of National CIMSA especially for internal team (VPI, PDD, HRD, and RnD) worked hard for this. Started from chose the projects, project registration, contact the IMA committee, and finally after going through the judging CIMSA got 3 nominated projects, the projects are: - Malaria and Dengue Campaign CIMSA UNAND for HIV / AIDS and other infectious diseases category - Asian Community Health Project (ACHP) CIMSA UNAND for water access and sanitation category - Bina Desa CIMSA UNPAD for Nutrition category.

For further assessment, the IMA committee conducted a visit to nominated projects’ location. CIMSA UNAND and CIMSA UNPAD worked hard for preparing this visit.

Conferment night of IMA was held on February 1st, 2012 at Balai Kartini Convention Center Jakarta and an achievement for CIMSA in Indonesia MDG Awards as a youth organization that CIMSA won runner up for the two categories, they are:

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- Malaria and Dengue Campaign (MADEC) CIMSA UNAND for HIV / AIDS and other infectious diseases category - Bina Desa CIMSA UNPAD for Nutrition category By participating and achievement in Indonesia MDG Awards, we should get motivation to develop CIMSA projects and medical students can act more to help government in reaching the MDGs target. Be Active with CIMSA!

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Gia Noor Pratami Project Development Director CIMSA

Weekend Training of SCOPE

Dear my superb family of CIMSA,

In this occasion, we, SCOPE CIMSA announce you a good news about our coming soon event “Weekend Training of SCOPE” . We invite all SCOPE member and the representative from all SCO’s member to spend your weekend at this training. This training will be held on 13 – 15 April 2012 presented by SCOPE MSCIA (Brawijaya University) , Malang. You will know more deeply about SCOPE, CIMSA, IFMSA and how to conduct SCOPE in your local. Also you will see how important exchange in this world.

If you need some information about this Weekend Training (WET), please ask your LEO, NEC also NEO. That would be our pleasure to explain it. So, prepare yourself to get this excited weekend ! Let’s get WET !!

See you around, Hugs, Mega – Arya (NEO Incoming – Outgoing 2011-2012)

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Indonesian Disease Today Hello CIMSA,

Warmest regards to all of you wherever you are, I would love to tell you some news from SCOPH as known as Standing Committee on Public Health one of Standing Committee in CIMSA, Have you ever heard about IDT ? IDT is Indonesian Disease Today the biggest project of SCOPH, our theme for this IDT is Dengue Fever, IDT will be held in Jogjakarta (UGM as Host of IDT) between March - April 2012 and we will spend about 2 days in Jogjakarta, what we will do in IDT ? as medical students we will give some education and campaigning to the people around the village which is endemic of Dengue Fever, and it will be very interesting and also we will have some fun over there, are you interested? just follow our twitter, website of SCOPH for the latest news @scophcimsa / www.scoph-cimsa.org

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Bobby Juni Saputra, National Public Health Officer CIMSA 2011-2012

Hi all, this is our story about the wonderful experience we had in Prague. Here are Ika Safira and Gabriella Argy from CIMSA Universitas Gadjah Mada.

4th WORLD HEALTHCARE STUDENTS’ SYMPOSIUM

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ast November, we flew 10.691,68 km all the way to Prague, Czech Republic to attend World Healthcare Students’ Symposium. It is an international congress that organized to educate and encourage students from all medical field in multidisciplinary cooperation, understanding an effective mutual communication, preparing them for a career at professional healthcare specialists.

The aim of the congress is to bring students together to debate about the possibilities of improving interprofessional communication and solving problematic issues connected to public health and patient safety. It highlights the idea of collaboration between all medical students for the patients´ benefits.

were so excited meeting friends from pharmacy, medicine, dental, midwivery, and nursing students from all over the world.

We started the first day with morning lectures about Introduction of Patient Safety by Prof.

Marja Airaksinen and Prof. Jiri Vlcek from Czech.

Patient safety is a new healthcare dicipline that involves minimizing the risk of error to patients.

Health care providers from all over the world are now aware of that medical actions could not only benefit the patients but also harm them. They have gathered to discuss about it and stated that the best way to reduce incidents is to target the underlying systems failures rather than relying on blame culture, that stigmatizes and punishes staffs. In reality, the reason for erors are usually based on mix of system, process, and human factors.

Due to the importance of patient safety, WHO has launched a Patient Safety Curriculum Guide.

The multiprofessional edition of the patient safety curriculum guide is a comprehensive guide to assist efective capacity building in patient safety education by healthcare academics institution.

This is absolutely a must-read curriculum guide for us as a future health care providers. So please download it from http://www.who.int/patientsafety/education/curriculum/en/index.html

WHSS 2011 is the fourth WHSS which was held on 18th – 23rd November 2011 by Czech Pharmacy Students’ Association. It contained programs that had been designed to help us understand the key point of patient safety. Through lectures, On the second day we focus on Ethics on Healthworkshops, disscusion, presentations, and even care that was delivered by Prof. Vivienne Nagames we’ve gained new perspectives in the thanson from World Health Professions Alliance. problematic issues related to patient safety. We

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There isn’t any absolute definition about ethic so the experts of ethic developed ideas to identify ethic. Ethic is an essential agreement between profession(s) and the societal values it/they serve. Ethic establishes limits to professional freedom to create balance. These ideas of ethic was contributed by many people from many aspects such as public opinion formers, philosophers, priests,parliament and law makers, press, profession(s), and public.

We finally reached the last day of the congress, day 4. On this day, WHSS committee invited Dr. Agnes Leotsakos and Dr. Hao Zheng (World Health Organization – Patient Safety Program) to talk about WHPA. WHPA, stands for World Health Professions Alliance, is a global organizations representing the world’s dentists, nurses, pharmacists, physical therapists and physicians.

They speaks for more than 26 million health care professionals in more than 130 countries. The

To make it even more easy to implement ethic in healthcare, the experts have developed 5 underpinning principles of ethic; Autonomy, Beneficence, Confidentiality, Do no harm, and Equity.

Nowadays, there are major ethical issues on healthcare world that have been developed.

Based on time occurance, these major ethical issues are divided into three parts, beginning of life, middle, and end of life. In the beginning of life there are assisted reproduction and abortion issues. In the middle of life there are confidentiality and consent issues. Finally, in the end of life there is euthanasia issue. aim of WHPA programs are to improve global The congress continued to day 3 in which we had health and the quality of patient care and faciliour social program. The aim of this social pro- tates collaboration among the health professions gram is to introduce beautiful parts of the city and major stakeholders.

“Therefore, we hope this ar-

This multi-disciplinary, inter-professional collaboration is called collaborative practice. In reality, some major challenges that has been observed such as tendency to compete between health providers, no collaboration between departments, high level of bureaucracy, lack of knowledge and training, and lack of sources (humans, medical appliances, etc) made ‘inter-professional collaboration’ hard to be achieved.

to participants. And so, they created a ‘treasure hunt’ game. We had to go from one station to another in Prague, to gain clues about the place where the ‘treasure’ was hidden. There are 10 stations located exactly on major tourist-places, such as Old Town Square, Wenceslas Square, Charles Bridge, Prague Castle, and others. This ‘treasure hunt’ took a half day long and all of us really had some fun despite our failure to win the ‘treasure’.

Responding to this, WHPA developed principles of collaborative practice as bases for our steps to achieve an effective collaborative practice. Those principles are communication, trust and positive relationship, defined roles and procedures, roles depended on competencies, clear responsibilities, and share information. The final goal of this collaborative practice is to create a situation

ticle could brighten our national healthcare system years to come, started from you ”

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called ‘best practice’.

Best practice in this term means improvement on aspects such as population health, outcomes of care, working condition, and development of cost-effective solutions.

Marking collaborative practice as their main point, WHPA came up with two campaigns: NonCommunicable Disease (NCD) Campaign, and ‘Be Aware, Take Action’ Campaign.

First, NCD Campaign. WHPA has developed WHPA Health Improvement Card. This card contains most important things to look for in patient, and can be used by both doctor and their patient. You can see and download it from http:// www.whpa.org/ncd_campaign.htm . Through this card, both doctor and patient are expected to evaluate patient’s condition together so that there will be an effective relation between doctor and their patient.

Second, ‘Be Aware Take Action’ Campaign. Not many people know that counterfeit drugs factories are ‘growing’ recently in places scattered around the world. Because these counterfeit drugs are look-alike the real one and most are cheaper, many patients purchase it. And of course, they did not know that the drug they purchased is fake drugs.

Unsurprisingly, purchasing number on counterfeit drugs increase from time to time. Since it is counterfeit drugs, their consumer’s (patient)

health started to decrease from time to time. Patients started to blame and charged doctors, pharmacists, and other health care providers for not giving them the right medicine. This in turn makes health care system not effective.

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WHPA realize this condition and made a campaign against counterfeit drugs. The purpose of this campaign is to make patients around the world aware of counterfeit drugs. WHPA created some postcards, posters, and some reportingform samples to promote this campaign. You can look for more at http://www.whpa.org/counterfeit_campaign.htm .

The last day of congress was closed with a gala dinner attended by all participants and WHSS’ committees. This gala dinner was held in a classic-theme ballroom. That night, we reviewed what we’ve been through for 4 days in 4th WHSS. The committees made and played a video of all participants’ photos started from arrival, themed-parties (from ‘wear Czech color’ dress, participant nation’s costumes, to ‘hospital’ costumes) that were held everynight, and also each day lectures and workshops. By this, we ended our ‘journey’ on 4th World Healthcare Students’ Symposium.

Some smiled, some cried. There were lots of blitz of cameras and ‘good-bye, see you next time’ in the room. But above all, we all got the same thing from this congress and brought it back to our nation. One of the efforts is through this article. Therefore, we hope this article could brighten our national healthcare system years to come, started from you.

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OCTOBER MEETING written by: Hani Nurul

In 2010, October Meeting took place in Bandung and was held

by CIMSA Local Unpad, from October 13th until October 16th.

The meeting themed “the right to sight and challenging the stigma about blindness� was attended by all locals of CIMSA. After registration, the participants were given time to break, eat and pray, before they followed the next activity, New Comer Session.

The participants were welcomed by the beautiful scenery in ElShaddai, Lembang.

In New Comer Session, presented by Niko and Messia, there were introduction of official and discussion about rundown of October Meeting. After New Comer Session, the participants had a break and leaved the El-Shaddai for Welcoming Party in Hasan Sadikin Hospital, Bandung. The participants were welcomed by the leaderboard of FK Unpad and Cicendo Hospital, then they were presented by Paduan Suara Mahasiswa FK Unpad, Paduan Angklung SMAN 3 Bandung, and Seni Tari FK Unpad. The first day agenda then was closed by Plennary Session.

On the second day, after breakfast, there was Soft Skill Training.

In Soft Skill Training, the participants were divided in groups to discuss about leadership, conflict management, time management, etc. After Soft Skill Training, the agenda was continued by Lecture WHO that talked about the eye.

The speakers were doctors from Millenium Development Goals and from Cicendo Hospital. The participants were really enthusiastic and interested to the lecture, showed by many questions that they asked. After that, the participants were given time to have a break, then played games in SCO Session. After time to pray came, the moslem participant allowed to pray. After praying, the agenda was followed by Project Fair.

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1. Activity in Cicendo 2. Soft skill training 3. Grand Lecture 4. New Comer Session 5. Sco Session out of meeting venue 6. Project Fair

CIMSA Local UGM got the best project fair with “Meet Doctor Bear UGM” as its project. They decorated their booth by teddy bear. They had a mascot wearing a giant teddy bear costume. In addition, CIMSA Local Unpad got the best project presentation with Bina Desa as its project. Then, Soft Skill Training was continued after Project Fair. At the evening, the participants enjoyed the culinary around Lembang in the SCO Session. Then Plennary Session closed the day again.

The next day is the day of fieldtrip. The participants were divided randomly into two groups to go to Wiyata Guna and Cicendo. In Wiyata Guna, they toured each spot there watching the extraordinary ability of the tuna netra. Then, they performed vital sign examination for the tuna netra and shared about blindness with alumni. Whereas, in Cicendo, the participants invited to tour the Cicendo Hospital and they were showed eye examination technique and cataract surgery. After Fieldtrip, the participant enjoyed SCO Session before attended the Farewell Party. The Farewell Party was decorated in a dark room as reminding World Sight Day. In the party, every local presented their creativity in “Persembahan SCO”. Then, the day was closed by Plennary Session. In the last day, the October Meeting was closed by farewell each SCO in SCO Session.

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2nd International HPEQ Conference

by: Messia Refri Rahmi

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On the 3rd – 5th December 2011, the Directorate General of Higher Education, Ministry of Education and Cultural Affairs conducted the 2nd International Conference on Health Professional Education Quality in Nusa Dua, Bali. About 1500 participants consist of deans, students, and other representatives from Medicine, Dentistry, Nursing, Midwifery, Pharmacy, Nutrition, and Public Health from all over Indonesia came to discuss about the Interprofessional education.

The Interprofessional education (IPE) has been defined as “occasions when two or more professions learn from and about each other to improve collaboration and the quality of care” (CAIPE 1997). Collaborative services can be achieved if each health profession can respect the autonomy and authority of the profession. Therefore, this condition puts all health professions in equity, and none of the professions that dominate or become sub-ordinate of the other professions.

Center for Indonesian Medical Students’ Activities (CIMSA) as medical student organization has been actively play an important role in this HPEQ project. Twenty five delegations from CIMSA, consist of invited delegations and essay-winner delegations, came to attend the plenary and student session held in this conference where students from Medicine, Dentistry, Nursing, Midwifery, Pharmacy, Nutrition, and Public Health would discuss about the idea of IPE. On this first day all participants used red shirt as a tangible form to commemorate World AIDS Day. The session was started by an opening remarks by Samuel Josafat and followed by the next session which was about “Making Changes”, given by Robbert Duvivier. In this session, he inspired all the participants to be the agent of change especially in Health education.

The second day of the events was a plenary session with the faculty, deans, officials Higher Education, Deputy Minister of Health, and many others. National and International experts such as Khanchit Limpakarnjanarat (WHO representative), Joan Sargeant (Division of Medical Education Dalhousie University, Canada), Irwan Yusuf (Health specialist), Ratna Sitompul (dean of medical faculty), Pandu Harimurti (World Bank), and many others, came to share and discuss about how to regulate the IPE system in Indonesia. Most of them emphasized the importance of IPE, the challenges, and assessment needed to support the system.

A session about “Career in Health Professional Education” by Rachmad Sarwo bekti was given on the last day of the conference, a bright explanation about other options that health students have after graduating from school. As the last student session, a small

working group was held for the students to share about the roles of students and school regulations for several issues such as opinion channeling, quality assurance, curriculum, teaching methods, assessment, facilities, and fees. Students were divided into smaller groups based on their majors. During the session, every students share their idea of what problems are encountered in each faculty, what needs to be repaired, and what concrete steps should be taken by the students.

The participation of students in the conference, even publishing a guidebook made by the health students titled “Mahasiswa Kesehatan Harus Tahu” are a good beginning of involving students in understanding the concept of interprofessional education. Overall, the outcome expected from the students is to bring the collaborative teamwork idea and share it to other health students back home.

About HPEQ

Health Professional Education Quality Project (HPEQ) is a project of the Directorate General of Higher Education (Higher Education) is funded in part financed through loans (loan) from the World Bank in accordance with the Loan Agreement (IBRD) No. 77 370-ID. Director General of Higher Education, Ministry of National Education is fully responsible for all project implementation within the Director General of Higher Education, Ministry of National Education.

HPEQ project is expected to contribute to the achievement of improved health services through improving the quality of health care providers: doctors, dentists, nurses, and midwives.

These objectives will be achieved through the strengthening of the institutional accreditation and certification programs and graduate studies that will ultimately improve the quality of health professional education.

Management This activity is divided into two levels of management at the central level (Directorate General of Higher Education) and at University level. Implementation Unit at the Directorate General of Higher Education is a CPCU and Implementation Unit at the University level is a PIU (Project Implementing Unit). In addition, during project implementation will be developed two new institutions, namely Independent Accreditation Board for Higher Education Institutions of Health and the National Test of the health sector.

This info available at : http://hpeq.dikti.go.id/2nd/en/page/567

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The United Nations Millennium Development Goals are eight goals

that all 191 UN member states have agreed to try to achieve by the year 2015. The United Nations Millennium Declaration, signed in September 2000 commits world leaders to combat poverty, hunger, disease, illiteracy, environmental degradation, and discrimination against women.

The MDGs are derived from this Declaration, and all have specific targets and indicators.

The Eight Millennium Development Goals are: to eradicate extreme poverty and hunger; to achieve universal primary education; to promote gender equality and empower women; to reduce child mortality; to improve maternal health; to combat HIV/AIDS, malaria, and other diseases; to ensure environmental sustainability; and to develop a global partnership for development.

Brief Information about Millennium Development Goals

The MDGs are inter-dependent; all the MDG influence health, and health influences all the MDGs. For example, better health enables children to learn and adults to earn. Gender equality is essential to the achievement of better health. Reducing poverty, hunger and environmental degradation positively influences, but also depends on, better health.

Indonesia and MDGs: Summary by Goal tion target for primary education by expanding the target to junior secondary education (SMP and MT) to universal basic education targets. The main challenge in accelerating 1. Eradicate Extreme Poverty and Hunger the achievement of MDG education target is Indonesia has achieved the target of halving improving equal acces of children, girls and the incidence of extreme poverty measured boy, to quality basic education. by the indicator of USD 1 per capita per day.

Progress is also being to further reduce poverty as measured againts the national poverty line from the current rate of 13.33 percent (2010) to the targeted rate of 8 to 10 percent by 2014.

3. Promote Gender Equality and Empower Women Progress has been achieved in increasing the proportion of females in primary, junior,secondary schools, senior high schools 2. Achieve Universal Primary Education and insitutions of higher education. The ratio Indonesia is on track to achieve the MDGs NER for women to men at primary education target for primary education and literacy. The and junior secondary education levels was country aims to go beyond the MDG educa- 99.73 and 101.99 respectively, and litaracy

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among females aged 15-24 years has already reached 99.85. Priority of the future are to: (i) improve the role of women in development; (ii) improve protection for women against all forms of abuse; (iii) mainstream gender equality in all policies and programs while building greater public awareness on issues of gender.

ing drug users and sex workers. The number of HIV/AIDS cases reported in Indonesia more than doubled between 2004 and 2005. The incidence of malaria per 1,000 population decreased from 4.68 in 1990 to 1.85 in 2009.

Meanwhile, in TB control, the case detection rate and successfully treated TB cases have already reached the 2015 targets. Communicable disease control efforts must involve all stakeholders and strengthen health promotion activities to increase public awareness

4. Reduce Child Mortality The infant mortality rate in Indonesia has shown a significant decline from 68 in 1991 to 34 per 1,000 live births in 2007, which with this rate the target 23 per 1,000 live births in 2015 is expected to be achieved. However, regional disparities remain as constraints to achive the targets, reflecting the discrepancy in accessing health services, particularly, in underserved and remote areas. The future priorities are to strengthen health systems and improve access to health service especially for the poor and remote areas.

7. Ensure Environmental Sustainability Indonesia has a high rate of greenhouse gas emision, but has worked to increase forest cove, eliminate ilegal logging and is committed to implemanting a comprehansive policy framework to reduce CO2 emission over next 20 years. The proportion of households with access to improved sources of drinking water increased from 37.73 percent in 1993 to 47.71 perent in 2009. At the same time, the proportion of households with eccess to improved sanitation facilities increased from 24.81 per5. Improve maternal health cent in 1993 to 51.19 percent in 2009. AttenOf all the MDGs, the lowest rate of global tion will be given to investments on water achievement has been recorded in the im- and sanitation systems to serve growing urprovement of maternal health. In Indonesia, ban populations. the maternal mortality rate (MMR) has gradually been reduced from 390 in 1991 to 228 per 100,000 live births in 2007. Extra hard work will be needed to achieve the MDGs target 8. Building Global Partnership for Developby 2015 of 201 per 100,000 live births. Even ment though the rates for antenatal care and births Indonesia is an active participant in widevaattended by skilled health personnel are rela- riety of international forums and is committively high, several factors such as high risk ter to continuing to build successful partnerpregnancy and abortion still remain to be ship with multilateral organizations, bilateral constraints that require special attention. partners and representattives of private sector to achive a pro-poor pattern of economic growth. The Jakarta Commitment was signed by 26 development partners in 2009 to provide a roadmap for all concerned to improve 6. Combat HIV/AIDS, Malaria, and Other Dis- cooperation and management of developeases ment assistance in Indonesia. the HIV/AIDS prevalence rate has increased, The data are based on WHO and MDGs 2010 Report - Ministry of National Development Planning / National Developespecially among high risk groups, i.e inject-

ment Planning Agency (BAPPENAS)

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Improve Maternal Health

Millenium Development Goal 5:

Towards Better Maternal Care

written by: Regina Inovna, CIMSA Andalas University

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n the year 2000, 189 of United Nations member states agreed to adopt Millenium Development Goals (MDGs). Eight international development goals are slated for completion by 2015. The MDGs is not the United Nations goals, even if the United Nations is actively involved in the global conversation to realise them. MDGs are the goal and responsibility of all United Nations member states, both in its people and is shared among governments.

With three years until 2015, it is essensial to keep track of the progress towards the Millennium Development Goals (MDGs).

Millenium Development Goal 5 is to improve maternal health. The goal target to 2 points, respectively: 1) Reduce by three quarters, between 1990 and 2015, the maternal mortality ratio (5A) and 2) Achieve, by 2015, universal access to reproductive health (5B).

The target later described into several milestones.

United Nations Summit, New York 2010.

An issue of “where do we stand?” brought bemused facts. 1) More than 350.000 women die annually from complications during pregnancy or childbirth, almost all of them —99 per cent — in developing countries. 2) The maternal mortality rate is declining only slowly, even

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though the vast majority of deaths are avoidable. 3) In sub-Saharan Africa, a woman’s maternal mortality risk is 1 in 30, compared to 1 in 5,600 in developed regions. 4) Every year, more than 1 million children are left motherless. Children who have lost their mothers are up to 10 times more likely to die prematurely than those who have not.1

Now let’s take a look in the attainment of MDG 5 in Indonesia. Three indicators implemented are 1) Maternal mortality rate (MMR) per 100,000 live births; 2) Proportion of births attended by skilled health workers (%); 3) The proportion of women 15-49 years old who is married and using contraception (%); 4) Teen birth rate (women aged 15-19 years) per 1000 women aged 15-19 years; 5) Antenatal care coverage (at least one visit and four visits); and 6) Unmeet needs.

By 2010, the first indicator remains far from the target. The 2015 target is 102 maternal death per 100.000 live births, where the position was 228 maternal death on 2007.

The maternal death status quo, although the number is decreasing from 1991 (390 cases), remains vulnerable. With the status of need special attentions, there should be a lot of hardworks to overcome the maternal death.

A maternal death is “the death of a woman while pregnant or within 42 days of termination of pregnancy, irrespective of the duration or site of the pregnancy, from any cause related to or aggravated by the pregnancy or its management, but not from accidental causes.”2 The lifespan of woman is different each country. In Indonesia, the maternal lifetime risk of maternal death is 1 in 97 where in China, it is 1 in 300.2 This fact shows a wide gap of lifetime risk of reproductive age woman in Indonesia, compared to another country.

In Indonesia, complications from abortion are believed to be responsible for 15% of maternal deaths.2 Data shows of the 750,000 to one million abortions each year in Indonesia, 89% were among married women and 11% were among single women.

“

In Indonesia, complications from abortion are believed to be responsible for 15% of maternal deaths”

It is estimated that 70% of women who have had an abortion were trying to abort using traditional herbs (jamu), traditional massage, or an object, or sought an abortion from a traditional healer (dukun) before coming to the clinic. This is a cause of concern because these attempts can be life threatening and dangerous for women’s health.2 Maternal mortality due to unsafe abortion and complication of the pregnancy and labor are highy related to the birth attendant, where the topic will be discussed next.

Indonesia is among the 11 countries

that contribute 65 percent of world maternal deaths.3 The tendency of women living in rural areas to deliver their baby at home, about six out of 10.3 The traditional birth attendants (dukun beranak or shaman) are the choices for pregnant women in rural areas due to the financial problem and lack of education. According to WHO, a skilled attendant refers to “an accredited health professional-such as a midwife, doctor or nurse- who has been educated and trained to proficiency in the skills needed to manage normal (uncomplicated) pregnancies, childbirth and the immediate postnatal period, and in the identification, management and referral of complications in women and newborns.”2 Traditional birth attendant is exclude the criteria of skilled health workers, and might be incompetence to manage a safe delivery.

In Jember, east Java, a woman with anemia and malnutrition came to the traditional birth attenddant. During the labor, the woman started bleeding and the attendant did not recognize the seriousness of the problem until she collapsed.3 In Papua, a pregnant woman come to traditional birth attendant for help, and the attendant usually cut the umbilical cord using bamboo fibers and wipes the baby by guava leaves.3 The main cause of maternal death in Indonesia is bleeding (30% of maternal death), followed by pre- and post-eclampsia (25%), infection (12%), and the complications of abortion (8%) and prolonged labor (5%), which a traditional might not recognize.4

The level of delivery by traditional birth attendant should be decreased, and to answer the problem—the availability of skilled health workers to attend the delivery should be in at

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tention. Except the disparity of the distribution rate, the percentage of the attending of skilled health workers keeps increasing. From 2002, the number is 66,7% and continuing to rise to 77,34% in 2009.5

The contraceptive prevalence rate indicator is distinguished to the traditional and modern use. From 1991, the number of modern contraceptive use is increasing from 47,1% to 57,4% in 2007.5 Again, the matter of disparity arise in this third indicators of MDG number 5. While the highest rate of contraception implementation is 74,0% in Bengkulu and the lowest is in Maluku (34,1%).5

Teen birth rate are mere a social than health problem. Altough laws state that the minimun age for marriage are 19 years for male and 16 for female, the marriage rate for female below 15 is higher (12,56%), compared to the female marry in 16 years old (9,84%).4 The number of women delivering baby in rural areas are higher than in the urban areas (13,7 % and 7,3%).4 Moreover, pregnant women who got high school education or higher is 3,8%, compared to those who did not get any formal education (13,6%).4

The frequency of pregnant women going to health care at least once is presumably significant. The recommendation of visit for antenatal care is 4 times. The percentage of women getting proffesional antenatal care 4 times during her pregnancy reported 81,5% and number of those who visit on suggested

schedule is about 65,5%.5 Women who visit the health care are given iron tablets and vitamin A.4

At last, the challenge we all face due to improving maternal health is education and information’s spreading. Because most of maternal deaths could be prevented, women should understand that they have rights to—and ought to—access adequate reproductive health services, equipment, supplies and skilled healthcare workers. With their very own of precise platform of what should pregnant women do and get, it is the goverments and health proffesionals’ bulk to provide comprehensive services.

“

At last, the challenge we all face due to improving maternal health is education and information’s spreading. Because most of maternal deaths could be prevented.”

Quoting Mother Teresa: “We ourselves feel that what we are doing is just a drop in the ocean. But the ocean would be less because of that missing drop.” Let us starts campaign and conversation to improve maternal health. For better tommorow, for the healthier world.

References [1] United Nations Department of Public Information. (2010). Goal Five Improve Maternal Health. Geneva: UN [2] The Asian-Pacific Resource & Research Centre for Women (ARROW). (2010). MDG 5: Improve Maternal Health. http://www.mdg5watch.org/index.php?option=com_content&view=article&id=173&Itemid=172 Retrieved February 7, 2012.

[3] Widiadana, Rita. (2010). A matter of life and death. The Jakarta Post. http://www.thejakartapost.com/ news/2010/01/13/a-matter-life-and-death.html. Retrieved February 7, 2012.

[4] Kementrian Perencanaan dan Pembangunan Nasional. (2007). Laporan Pencapaian Millenium Development Goals Indonesia 2007. available at: http://www.undp.or.id/pubs/docs/UNDP%20-%20%20MDGR%202007%20(bahasa).pdf.

Retrieved 7, Februari 2012.

[5] Kementrian Perencanaan dan Pembangunan Nasional. (2010). Laporan Pencapaian Millenium Development Goals Indonesia 2010. http://www.google.co.id/url?sa=t&rct=j&q=pencapaian%20mdgs%205%202010&source=web&cd= 1&ved=0CDAQFjAA&url=http%3A%2F%2Fgizi.depkes.go.id%2Fwp-content%2Fuploads%2F2011%2F10%2Flap-pembmilenium-ind-2010.pdf&ei=K-MwT8HIE8LMrQfahKG9BA&usg=AFQjCNG9cdnQKD-QtbF1_ZBEosd155J1JA&sig2=elrE3 oTy6jHWGPpDPsn-4A. Retrieved February 7, 2012.

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Millenium Development Goal 5:

Improving Maternal Health

written by: Elsavina Rizky, CIMSA Riau University

T

he final goal of MDGs is prosperity of society. Targets of the Millennium Development Goals (MDGs) which have shown good progress, but still need hard work to achieve specified target in the year 2015, one of them is MDG 5 : The maternal mortality rate declined from 390 in 1991 to 228 per 100,000 live births in 2007.

Effort required to achieve the target in 2015 of 102 per 100,000 live births. Target 5A is to reduce maternal mortality till three quarters in the period 1990 to 2015. Target 5B is making access to reproductive health for all in 2015.

In this time, the Maternal Mortality Rate (MMR) continues to decline, but the effort and hard work necessary to achieve the MDG target of 102 per 100,000 live births in 2015. WHO estimates that 15-20 percent of pregnant women in both developed and developing countries will experience high risks and/or complications. One of the most effective way to reduce maternal mortality is to improve the childbirth assistance by trained health personnel. Antenatal care is important to ensure the health of the mother during pregnancy and mothers to ensure childbirth at the health facility. In addition to the health of pregnant women approach an integrated and comprehensive, one aspect to consider as well

is the quality of antenatal care to ensure early diagnosis and proper treatment.

Continuum Care is a series of concerted efforts in achieving the targets on maternal health, infant and child. During the pre-pregnancy, contraception and reproductive health services to be essential efforts for enhanced. Contraceptive Prevalence Rate (CPR) shows an increase in the last 5 years. Among the modern way of CPR, KB injection is the most widely used (32 percent), followed by birth control pills by 13 percent (SDKI, 2007). Rate of contraceptive use varies among provinces, among levels of education, economic and social inter.

Unmet need for family planning services(KB) result in unwanted pregnancies that lead to abortion. In Indonesia, abortion is an illegal act, so that the mothers who get pregnant outside the plan chose to use means that unsafe abortion. Furthermore, unmet need for family planning services(KB) are also characterized by high rates of pregnancy in adolescence in Indonesia, especially in rural areas. Still being born in adolescents is caused by limited information, access, and quality of family planning(KB) and reproductive health services.

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Challenges faced in improving maternal health are : 1.

Limited public access to quality health care facilities, especially for the poor in underdeveloped areas, isolated areas, border areas and islands.

2.

Limited availability of health personnel both in terms of quantity, quality and spreading, especially midwifes.

3.

The low knowledge and awareness of the importance of maintaining health and safe motherhood.

4.

The low nutritional status and health of pregnant women.

5.

The low rate of contraceptive use and high unmet need.

6.

Measurement of maternal mortality is still not right, because the system for recording causes of maternal death is still not adequate.

among others through posyandu and village health post.

4.

Strengthening the referral system, to address the problem of ‘three late’ and save the lives of mothers in the event of complications through proper treatment in time.

5.

Strengthening financial support through: Family Hope Program, Community Health Insurance, Health and Operational Assistance.

6.

Improve the continuum of care that includes the provision of integrated services for mothers and babies from pregnancy to childbirth, postnatal period and childhood.

7.

Increase the availability of health personnel, both the number, quality and spreading (doctors, specialists, midwifes, paramedics), primarily to meet the needs of health workers in isolated, border and island areas, through pre-service and in-services training for strategic health , and application health scheme contract.

8.

Improve public health education to increase awareness about health and safe motherhood at society and household.

9.

Improve the nutritional status of pregnant women to ensure adequate nutritional intake.

10. Creating a conducive environment that supports the management and stakeholder participation in policy development and process 11. Strengthen the information system 12. Enhance the achievement of the indicators ‘Minimum Service Standards’ in health.

Policies to be implemented to improve maternal health include: 1. improve the quality and number of health centers, comprehensive emergency neonatal obstetric care facilities, basic emergency neonatal obstetric care, hospital care and maternal and infant Posyandu revitalization.

2.

Improving access to family planning services(KB) through the development of an integrated network of reproductive health services including adolescent reproductive health services and quality of family planning services(KB) with special attention to the poor and disadvan- Source : Bappenas. (2010). Laporan Pencapaian Millenium taged.

3.

Strengthen the functions of the mid- Development Goals Indonesia 2010. Jakarta. wife, including partnerships with private health workers and traditional birth attendants and to strengthen community-based health services,

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6

combat HIV/AIDS malaria and other diseases

Millennium Development Goals 6:: The Importance of Indonesia Statistic Data for MDGs point 6 Achievement

M

written by: Galih Arya Wijaya (NEO for outgoing), Muhammadiyah Yogyakarta University

DGs 6 has an aim to fight for HIV/AIDS, Malaria, and other infectious disease. MDGs 6 has 3 main target internationaly. Control the spreading of HIV/AIDS until year 2015, creating access to HIV/AIDS medication for all until year 2010, and control the spreading and decrease the new case of Malaria and other infectious disease until year 2015. New infection of HIV/AIDS, Malaria, and other infectious disease is decreasing internationaly. As said in MDGs Report 2011 by United Nation, people with HIV/AIDS is increasing number together with the increasing of survival rate among the sufferer due to the improvement of medication in HIV/AIDS. In the other side, eventhough the treatment for HIV is develop rapidly, it is still can not

fulfill the target to provide the medicaion for all in 2010. Globally, Malaria death toll is decreasing for about 20 percent. From 985.000 in the year 2000 become 781.000 in the year 2009. People in Afrika that we know as the region that has a lot of Malaria case begin to realize about the necesity their action to prevent Malaria.

Almost all the family using their own musquito net to prevent from the vector bite. And also in Afrika, the number of patient who receive the apropriate treatment for Malaria is also increase.

Tuberculosis insidence is decreasing rapidly. The goal will be achieved in 2015. From 1995 over 6 millions of life is saved from Tuberculosis because of effective diagnosis and treatment for the disease.

Percentage of HIV transmission

New HIV/AIDS cases

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So what happen with Indonesia? Unfortunately, not all of the achievement we have is same with the international achievement. Based on the Laporan Pencapaian Tujuan Pembangunan Milenium di Indonesia year 2010 by BAPPENAS, the new case of HIV/AIDS is increasing 17,5 percent at year 1996 until 2006.

Government estimated 193.000 people live with HIV/AIDS. Besides of that, the total case of HIV/AIDS is tend to increase twice compare to year 2006. Target in point 6A is to control the spreading of HIV/AIDS and decrease the new case of HIV/AIDS by year 2015. This point is not achieved yet. Various factors influence this result. People’s awareness is very low in the matter of HIV/AIDS prevention. Based on BAPPENAS data, percentage of single woman and man who use condom at last time they doing sex is 18,4 percent in man and 10,3 percent in woman at year 2007. The fact is, in that time people has very small exposure to the reproduction health education. Just about 1,4 percent man and 2.6 percent woman have the cor-

aim of point 6B is to provide access of HIV/AIDS medication for all by year 2010. The 6B program is showing satisfactory result. At about 180 unit of health-fascility-provide-ART is provided by year 2009. The ART intervention coverage is in-

“The lack of awareness in community is once again cause high TB contagion risk.” crease from 24.8 percent at year 2006 become 38.4 percent at year 2009. ART demand will be tripled in age group 15-49, from 30.100 in year 2008 become 86.800 at year 2014 if there are no effective prevention (SRAN Penanggulangan HIV dan AIDS 2010-2014). Evaluations is already did as the special notes for this problem. People’s stigma to the People with HIV/AIDS (Orang Dengan HIV/AIDS {ODHA}) become one of the factor that slowing the target achievement. Budget limitation trigerred other problem in achieving this goal. Access to the health service become limit-

“Only about 1.4 percent man and 2.6 percent woman have the correct and comprehensive information about the HIV/AIDS”

rect and comprehensive information about the HIV/AIDS. But something that we also need to know is the reproduction health knowledge are increase at the number 20.3 percent in unmarried man and 19.8 percent in unmarried woman by year 2010 (Data sementara Riskesdas, 2010).

Still, that number is not enough to meet the pole at year 2015. Data shows that heteroseksual group has the highest possibility to be infected with HIV/AIDS. It is reach 50.3 percent. Followed by homoseksual 3.3 percent, infection from the mother to child 2.6 percent, blood transfusion 0.1 percent. If we look based on the age, about 91 percent of the HIV/AIDS patients are in age 15 until 49 years old (Kemkes, 2009). HIV/AIDS infection will increase in 5 years along with increasing of unsafe free sex lifestyle and drug abuse that use the syringe. We need an extra effort to build the people awareness to this problem. The

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ed. Fascility and health worker also limited.

Different from point 6A, target in point 6C which is to control distribution and to lower Malaria new cases and other communicable diseases (Tuberculosis) until the year of 2015 shows a good result. Number of Malaria cases during 2000-2009 tends to become lower from 3.62 in 2000 to be 1.85 per 1,000 people in 2009. National Malaria Annual Parasites Insidence (API) based on blood test result was 2.89 percent (Riskesdas 2007). This number was getting lower to be 2.4 percent in 2010 (Riskesdas temporary data, 2010). However API was different in some regions for example in Bali, API was about 0.3 percent while in Papua was close to 31.4 percent.

Equitable development (pemerataan pembangunan) and socialization program is still needed for this case. Malaria vector resistance

commonly for Plasmodium vivax has became a new challenges for this matter. However, it needs to be known that the use of curtains is really helpful. The increasing of malaria drug availibility supports this target achievement.

Besides that achievement, there are some evaluation which have to be done. Transmission avoidance and malaria case management are still limited especially in remote area. Funding limit has also added more problem in Malaria.

TB control (point 6C)system is getting better. Case detection rate increased from 54.0 percent in 2004 to be 73.1 percent in 2009. Not to mention success rate (SR) in the same year has increased from 89.5 percent to be 91 percent. These two tragets has overreached MDGs target (each of them is 70 and 85 percent). Indonesia is the first country with high TB burden that has reached global target for case detection rate (70 percent) and success rate (85 percent).

In the year of 2012, the use of TB drugs for Directly Observed Short Course (DOTS) reached 83.2 percent (Riskesdas temporary data, 2010).

For the effort of TB control effectivity, Indonesia has done DOTS strengthen efforts as national commitment. The main keys of DOTS strategy are commitment, right diagnosis, the availibility and distribution of drugs, patients’ drug observers, recording and reporting with cohort system. The lack of awareness in community is once again cause high TB contagion risk. The availibility of health facility for TB is not as much as TB case detection rate in the community. And as other problems, funding limit cause obstacles in facility provided for TB.

As future doctors and CIMSA members, the data provided above is very useful. Beside that, CIMSA has issued policy statement which is focusing on work for MDGs point 4,5 and 6.

The policy statement should be used as reference for our projects from 2011 until 2014. To be reminded, in NLS Aceh 2011 policy statement has been declared which states that CIMSA will support the achievement of MDGs especially point 4, 5, and 6. This policy statement has became official from February 5th, 2011 until 2014. In the policy statement, we strenghten in development of community awareness that suits to the problem which often seen in community. As one of NGOs in Indonesia we are at a strategic place to support MDGs achievement. Consisted by high spirited medical student should be one of CIMSA’s strength. Powered by 17 active local to hold some projects, CIMSA must have supported the achievement of MDGs Indoneisa. Some of the example of projects which support MDGs 6 are Malaria and Dengue Campaign UNAND (Indonesian MDGs Awards Nominee), International Tropical Medicine Summer School 8th (UMY), SCORS goes to school, World AIDS day, and many othe projects.

There still a lot of tasks we need to be done. There still a lot of things we can do as agent of change and future doctor. We still have some time until it’s 2015 to reach healthy and wealthy community as its written in MDGs targets. With the same spirit and faith, I believe CIMSA can become a big influential organization in Indonesia. Be Active With CIMSA!!!

“The main keys of DOTS strategy are commitment, right diagnosis, the availibility and distribution of drugs, patients’ drug observers, recording and reporting with cohort system.”

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Q: What Can We Do to Achieve MDGs? Herliana Dwi Putri Halim, CIMSA University of Indonesia

CIMSA as activity-based organization must be able to facilitate and accommodate a number of achievement points in the MDG’s targets. Not only the government who is responsible for these achievements, but also medical students, in particular, who join CIMSA. Like a vehicle, the government acts as a car and CIMSA as the accelerator that accelerate the speed of achievement of objectives. Therefore, it is important to cooperate with the government. At least, the government knows and can evaluate any CIMSA programs related to the MDG’s. In this case, we can begin to establish cooperation with local government.

Three points on MDGs which are the primary focus of CIMSA are reducing child mortality, improving maternal health, and the fight against AIDS, malaria and other diseases, which contained a sequence in points 4.5, and 6. In my opinion, the main cause of high rates of maternal and child mortality, as well as people with AIDS is the lack of knowledge about health and lack of health services that are handled by medical personnel profesion.

We can work on improving knowledge through: 1. Do counseling in the areas of maternal and child mortality rates are still high.

2. Do some activities involving young people or commercial sex workers, those could be a sports competition or skills training. Its essence is still a lot of positive activity that can increase the potential for the teens themselves. For the sex workers, counseling should not be forcing them to quit their jobs so that the theme of ‘safe sex’ can be selected.

In addition, they must be equipped with skills that can work after quitting his job.

3.Make seminars and distributing leaflets, we could also give some health informations via CIMSA website

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We Speak for MDGs

Iqbal Fahmi,

CIMSA Gadjah Mada University

The MDGs are planned to be realized in 2015 is the responsibility of all elements of society to contribute to make it happen. As a medical student, we also have to contribute to realizing the MDGs points, especially points 4, 5, and 6. There are many thing we can do as a student, one who is fairly easy to provide counseling or health education to the community. For starters, we don’t have to jump into the community, simply to spread the knowledge we have to significant others, family, or neighbors.

That way we have contributed to make points

Wida,

CIMSA University of Muhammadiyah Surakarta

In achieving the MDG’s, we require contributions from various elements, including us as medical students.

There are at least three contributory roles could be played by medical students to achieve the MDGs, as an agent of health, agent of change, and agent of development. And those three roles can be implemented with the organizations or governmental activities for MDGs. If it is really implemented so it’s possible MDGs program will be continued even after 2015.

Jean ,

CIMSA Padjajaran University Students can actually take parts on pursuing MDGs, especially by increasing awareness of the MDGs itself (both among peers and public).

Like an old indonesian phrase “Tak kenal maka tak sayang”, (those who don’t know,wouldn’t care), we’re expecting all students despite of what majors they are taking,to improve their awareness and understanding about MDGs thus they can put on actions (through projects) then enable to help the government making the goals true.

The cognizance about this matter can also be increase through cooperation with big companies in Indonesia, which enable us to actualizing the projects extensively and hopefully can gives bigger impacts to the public.

Some concretes actions that we as medical students are able to do : - Increasing awareness : Make publication through magazine/website related to MDGs,Creating workshop with experts on MDGs,or simply making video about MDGs and spreading it.

-Project : Program “Bina Desa” (Rural Community Empowerment), starts from smaller groups (RW - Rukun Warga) intu bigger community such as the whole village members.

This project can covers many MDGs points especially 4,5 and 6.

-Workshops about maternal health and Family planning -Commemoration of HIV/AIDS day through visiting people with HIV and giving encouragement to those wo have high risk of having the disease so it can also be prevented.

CIMSA FK UNPAD has already started “Program Bina Desa”. Although its is still relatively new, we are willing to maximize its benefits for all community members in Jatinangor This project can represent many points of MDGs,and we are now focusing on the Family Planning issue in the targeted community.

Clarissa Rayna S,

CIMSA Sebelas Maret University

Indonesia’s targets of MDGs for 2015 in health issue are eradicating extreme poverty and hunger, reducing child mortality, improving maternal health, and combating HIV/AIDS, malaria and other diseases.

What can we do as a medical student? It’s so simple. Start to give our best! Giving our best effort in both of learning and practicing can make us to be able to be beneficial for the others. Besides that, with our knowledge, we can educate people around us to care for their health. When we work on real life, we will collaborate with the other healthcare students. Teamwork and communication is two main things that we can practice in IPE (Interprofessional Education) program and daily life. Start to give our best and trust the others that they are also doing their best, because together, we can make a healthier Indonesia!

Tiwi Qira Amalia,

CIMSA Syiah Kuala University

We are students and as the agent of change, we should really do a change.

Contributing in reaching millennium Development Goals can be done through education. Giving knowledge, understanding, and awareness to them is the important thing that have to be done.

What we do must to be sustainable.

‘Them’ here is reffered to people related to the MDGs point 4, 5, 6, They are all people especially children, mother, and teens. For poin 3 and 5 we can educate or do counselling to mother and their family how to maintain their health in order to and what should pregnant women do for their health in their pregnancies.

For a change, we have to start with the smallest thing and start from ourself.

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Local Stories SPRING - CIMSA UNAND

SCOPH CIMSA Unand is back by holding a program called SPRING (Spirit of Social Care to Improve the Number of Great Things) in SDN 01 Taeh Baruah Kecamatan Payakumbuh, at 25th of December 2011 The point of this program is free circumcision for boys from low economy families. SPRING started at 9 am with an opening from kepala dinas kesehatan, presence of camat, wali nagari, kepala puskesmas, and bidan, while patients were being registered. There were 10 teams in every cycle with 4 scophians and a surgeon form each team. They circumcised 47 boys. Two case of phimosis and one case of hypospadia were found so those boys were circumscised and treated directly with the surgeon not the teams. The program was done at 5.30. We hope that this event can be held anually.

Teddy Bear - CIMSA UIN Last 14th of January, SCOPH UIN held a program called TEDDY BEAR“ ( Training Education For Kids To Be Healthy & Be Aware) in “PAUD Hanifa” Bojongsari, Depok. The purpose of this program is to improve children’s knowledge about self health and teach them not to be afraid to face a doctor.

Starting from 8 am to 11 am SCOPH UIN did many things: 1.

Performed an interesting drama about the danger of germs 2.

Divided the participants into 5 little group, 8 children and 2 scophians in each groups. Scophian taught them about how to handle little wound with a teddy bear as the probandus.

3.

Taught and performed the proper steps of washing hands with a song 4.

Taught and performed the proper steps of brushing teeth and gave each child a toothbrush SCOPH UIN closed this program by giving present for the winners and some souvenirs for each child. although the weather did not support the event (it was raining!) but we have set up tents before, so our events remain held successfully it proven by the enthusiastic about our brothers who are very high in our show.

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WAD - CIMSA UR

World AIDS day “getting to zero� was the theme of our event in CIMSA UR to commemorate World AIDS Day 2011. Yep, just for the information, the show was held in three kind of activities they were, the first event photo red ribbon manufacturing activity, where we wear red clothes. This own activities we did on the 30th of November 2011, and the most interesting in this activity was how our VLE (the photographer), Indi Esha, difficulty deploying around 30 members of CIMSA UR to create red ribbon formation. The second activity was longmarch which was held on Thursday December 1st, 2011 at 5 pm at the intersection of the red lights on Jalan Diponegoro Pekanbaru. Here we handed out flyers containing information about HIV / AIDS and the red ribbon to the motorbikes and car drivers. Although this event was accompanied by rain, we could distributes 300 flyers. The third activity was the culmination of the WAD activities was Seminar and Talkshow with the aim to share information about HIV / AIDS and at the same time we also commemorated the Human rights day.

General Meeting Part 1 of CIMSA UMS

General meeting is one program to have the new official of CIMSA UMS, why its called General meeting part one? Because in this meeting we just vote for new face of Supervising Council and Executive board wich consist of Local Coordinator, Vice Local Coordinator for external, Vice Local Coordinator for internal, Secretary Geneeral, Treasurer so we will held General Meeting part two for Supporting division and LO. It will be held after open recruitment new member of CIMSA UMS.

It was January 29th , CIMSA UMS have General Meeting part one. Each candidate have to presented their visions, missions, and plan of actions to all member and senior who are coming. It started from candidate for SC, then for EB, and ended with the result of voting. This is the result of General meeting part one CIMSA UMS Supervising Council : Wagnini Bifaldika, Ririn Nurpebrianasari, Satiti Endah Dwi wulandari

Isti latifah.

Local coordinator : Anjar Widarini (Wida) Vice Loco for Internal : Ermay Hayu Puspitasari (Ermay) Vice Loco for Eksternal : Endang Rahayu Fuji Lestari (Endang) Secretary General : Rezky Fitria Yandra (Ria) Treasurer : Ayu Ardilla Andromeda (Ayu) EBs who have been elected will be authorized in statute CIMSA LOCAL UMS. Maybe all of you right now are wondering why all EBs are women, but we are sure that we are wonder women. For supporting division and LO, they will be authorized in statute CIMSA LOCAL UMS at General Meeting

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INERSIA SCOME - CIMSA UI INERSIA (Impian Mengejar Beasiswa) was the theme of Medical Expo, one of SCOME UI’s yearly projects. Held on Wednesday, November 9th 2011, INERSIA successfully enriched the knowledge of participants about acquiring scholarships and studying abroad. This event was packaged into a 2-hour-seminar and was divided into three sessions. The first speaker was Nabila Izzati B. SC (Hons), S.Ked, a student from FKUI. She shared her experience in attaining her Bachelor in Pharmacology from Newcastle University. She further explained the preparations needed by students in detail. Following the first session, there was a presentation from the National Department of Education (DIKNAS) about several means in obtaining a scholarship. The final presentation was from Puspita Hapsari, sharing her experience as an exchange student in Germany. Participants were allowed to ask questions at the end of every session. INERSIA came to a closure after a group photo. !

World AIDS DAY -CIMSA UNPAD

Last November, CIMSA Unpad had a project to celebrate World AIDS Day, it was held on 25th-26th (Friday and Saturday), on Friday, we celebrated it at the campus, we had made 2 banners about HIV/AIDS, and then we asked people to write down their name, signature, support for ODA, etc. And we also invited them to join our long march that would be held on the following day. They were very excited! And these banners would be brought by us while we did the long march.

On Saturday evening, about 3 p.m., we started the long march, we chose that time because there were a lot of people going out to spend their Saturday night with friends or family, particularly the teenagers, our main target on this project. The participants of this long march are not only medical students from Unpad, but also medical students from Unisba. All of us wore red T-shirt that written “The only way to fight AIDS is through prevention, The only way to prevent AIDS is through education”. We did the long march on the road from Dukomsel Dago Bandung until Bandung Indah Plaza, it’s about 5 kilometers, while we were walking, we gave buttons with the red ribbon picture in it and leaflets that read “stay away from the disease, not the people with!” to people we met and we also sang yells about preventing HIV/AIDS. At our destiny, Bandung Indah Plaza, we flew red balloons, it was so beautiful and wonderful! We yelled about being care to people with AIDS and preventing HIV/AIDS again, and they were very attentive!

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CIMSALABIM – CIMSA UGM CIMSALABIM is CIMSA UGM 2011’s project and as a CIMSA UGM MDGs Project. It held in Desa Donokerto, Kecamata Turi Sleman. CIMSALABIM have a goal to contribute to realize MDGs point 1, 2, 3, 4, 6, and 7. CIMSALABIM have some programs which are provision of health education, research, and gender equality through educational games to students of SDN Turi 2, counseling HIV / AIDS to students of SMAN 1 Turi and maternal health education and distribution of food packages for free to local residents. At evening, the project ended with some concert and screening about environmental conservation. Besides to contribute at MDGs, this project also want to realize CIMSA’s mission which is empowering medical students, improving nation’s health and to maintain the solidarity CIMSA UGM’s member especially CIMSA UGM 2011 who just joined as a family of CIMSA UGM.

World Diabetic Day - MSCIA Brawijaya

WDD was one of the events which created by MSCIA and forms of coorporation between DOPH and DOME but it was also helped by all members MSCIA Brawijaya. The theme of this WDD was Manage Your Sweet Consumption, Manage Your Sweet Life. In this World Diabetic Day 2011, MSCIA worked with PERSADIA Malang. World Diabetic Day was held in order to give benefits to community so they can change their life style and we expect it can decrease the incidence of diabetes.

Who were the participant? Of course general society, people with diabetic, students of Faculty of Medicine Brawijaya University and other Universities in the same regional (Malang). Total participants were around 400! The activities in World Diabetic Day were healthy walk, healthy exercise, blood sugar checking, food bazaar No Diabetic!, talkshow and Seminar.

This event got very positive feedbacks from the participants and they really want this commemorating of World Diabetic Day can be held next year because they told us that they got many benefits from this event.

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!

SCOLARSZIP - CIMSA UNS

On February 11-12, 2012, CIMSA UNS held an event called Scolarzip. This event was the peak feast of CIMSA UNS regeneration. After passing through the long way of regeneration part (expo CIMSA, Hi CIMSA, clerkship, and Interview), CIMSA UNS’s embryo finally reached their new starting point.

Held in Indrasari Villa at Tawangmangu, Surakarta, this Scolarzip provide soft skill training such as self-management training, conflict management, project development training etc,camp fire, firework party, and, outbound.

The uniqueness of this event was that the Scolarzip organizing committee is the CIMSA UNS’s embryo. By becoming scolarzip OC, they can learn a lot of thing and get ready to begin their new journey at CIMSA UNS. Scolarzip 2012! Be a Better CIMSA!

BOBS (Belajar OSCE Bareng SCOME) - CIMSA UNSYIAH BOBS (Belajar OSCE bareng SCOME - in english: Studying OSCE with SCOME) is one of the local project held by SCOME CIMSA Unsyiah provides training for students before facing OSCE. BOBS was not only targeted for CIMSA member but also for all of medical students. BOBS was a project planned to be held continuosly in one or two weeks before OSCE. Until now BOBS has been once held and got good feedbacks from the participant. The first BOBS was held on Sunday, December 25th, 2011, in class room B Unsyiah Faculty of Medicine. It was targeted for the 2011 students. Besides its purpose to provide training as mentioned before, BOBS also gave representation of how the real OSCE will take place. It was divided with 14 posts for skills test like; anamnesis, physical examination, etc. This first BOBS had successfully attract students. There was 85 students joining this training and they feel very excited.

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NPEW (National Peer Education Workshop)

SCORA will hold its annual national project that is NPEW (National Peer Educator Workshop). With the theme of this 2012 NPEW “Explore Beyond The Boundaries”. In this workshop we will learn to become a peer educator in which we as medical students will be equipped with knowledge about reproductive health and HIV / AIDS, especially in Indonesia, and then also learn how to communicate and give some informations to peers especially within the scope of SCORA’s field including the limitation of relationship with the opposite sex, reproduction, and things which are still considered taboo by society.

NPEW 2012 will be held in Jakarta 2 to 4 March 2012. Precisely at the Faculty of Medicine and Health Sciences Sharif Hidayatullah State Islamic University and Syahida Inn. Early registration is only 300rb and 350rb for late registration. By joining this workshop, we expect that we can be more open with reproductive health problems in Indonesia and be able to explore further into it so that it knows its limitations.

For more information: - Shabrina (+6282123141993) - Hafif (+6285717171358)

This is the innovation program from CIMSA in 2012. This program is intended to facilitate the publication of your writings. Any kind of writing - as long as it’s related to CIMSA’s field - you can send to writingprogram@cimsa.or.id ! It’s not a competition, but in the end of July, all of the articles will be printed as book. We are waiting for your contribution ! It’s your time to write, and it’s our time to publish your writings :) -Editor Team

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The National Official Team

Niko Kristianto President

Messia Refri R. Vice President for Internal Afairs

Dian Oktavia G. Vice President for External Afairs

Effika N. Putri Treasurer

Dhinta F. Chita Secretary General

Candrika Dini K. Sulaeman A. Susilo Bobbi Juni Saputra Galih Arya W. Mega Iriani Putri Rivano F.H. Pandaleke Praise Jeremiah National Public National Exchange National Exchange National Officer of National Officer of National Officer of National Officer of Medical Education Reproductive Health Health Officer Officer (outgoing) Officer (incoming) Human Rights and Research Exchange including HIV/AIDS Peace

Idzamar Haifa W. Shela Putri S. Sekar Laras Fitria Isnarsandhi Y. Cendy Martanegara Alumni Director Marketing, Campaign, Media and Liaison Officer Liaison Officer and Advocacy Communication for IDI for WHO Director Director

A. Boy Timor Gia Noor Pratami Project Development Research and Development Director Director

Alessandro Alfieri Supervising Council

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Winda Novellia Human Resources Director

Maria Lioni Supervising Council

Hafizha Herman Fundrising and Merchandise

Puspita Hapsari Supervising Council

Christopher C. Halimkesuma Liaison Officer for Diknas

our locals Syiah Kuala University Abulyatama University Andalas University University of Riau University of Indonesia YARSI University Syarif Hidayatullah State Islamic University Pelita Harapan University Padjajaran University Islamic University of Sultan Agung Gadjah Mada University Muhammadiyah University of Yogyakarta University of Sebelas Maret Muhammadiyah University of Surakarta Airlangga University Brawijaya University University of Wijaya Kusuma

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Eradicate extreme poverty and hunger. Achieve universal primary education. Promote gender equality and empower women. Improve maternal health. Combat HIV/ AIDS, malaria, and other diseases. Reduce child mortality. Ensure environmental sustainability. Develop a global partnership for development.

Please send your feedback

aorta@cimsa.or.id Center for Indonesian Medical Students’ Activities