Month: November 2009

Abstract
Providing health care to underserved communities in Indonesia has long been a major concern. Lack of health workers particularly in rural remote and very remote areas has hampered community access to good quality of health services, which in turn leads to a poor health status of the people.
Implementation of the decentralization policy in health has affected human resources for health. Employment of health workers in public facilities has been transferred to the responsibility of the local government, especially at the district level. To some districts with shortage of certain type of health professional, difficulties in recruiting health workers have been answered through opening of new health workforce education institutions, provision of scholarship, and provision of financial incentives in return to serve in the underserved areas for certain period. However, disparity in financial capacity and geographical condition among districts creates favorable and non favorable areas to health workers.
Another consequence of this decentralization policy is the break-down of health personnel information system as the local level thinks there is no more obligations in sending data to the upper level.
This paper aims to assess the impacts of decentralization policy in Indonesia and what opportunities can be taken by each government level to improve the health workforce situation particularly in underserved areas. Continue reading “Viewing Decentralization as an Opportunity: In Improving Availability of Health Workers in Underserved Areas”

Always document the care you deliver
Legal Requirements Your documentation must reflect the patient’s care status (condition/treatment) and include nursing interventions and outcomes of care. Documentation must demonstrate accountability of practice. Remember: The Clinical Record provides proof of the quality of care given to a patient and is admissible in court as a legal document. If it isn’t documented it didn’t happen.
The Process Clinical notes must meet the following criteria:
• they must be legible.
• they must be dated, timed and followed by author’s signature and designation.
• they must be a clearly identified signature. If your signature looks like spaghetti, print your name in brackets afterwards.
• each page must be labelled correctly,
• you must use only approved abbreviations as per hospital protocols. Continue reading “Don’t Just Do It, Be It!”

oleh Syaifoel Hardy
Tolong koreksi! Sejak kecil, saya merasa sudah ‘didoktrin’ untuk menyintai lagu-lagu kebangsaan. Tentu saja saya belum mengerti apa maksud semua ini. Mulai duduk dari kelas satu Sekolah Dasar, setiap hari Senin, kecuali hujan deras atau liburan, saya selalu diajarin disiplin untuk mengikuti senam, upacara, mengibarkan bendera, menyanyikan lagu Indonesia Raya, mengheningkan cipta, mengenang jasa pahlawan yang telah gugur, mendengarkan petuah dan nasihat kepala sekolah dengan penuh khidmat, hingga yang namanya Pramuka.

Sejak Sekolah Dasar, Sekolah Menengah Pertama, Menengah Atas bahkan sesudah masuk Perguruan Tinggi sampai-sampai di tempat kerja pun, yang saya kira akan berakhir kegiatan rutin semacam upacara, ternyata masih berlangsung terus. Saya masih menyanyikan lagu-lagu kebangsaan tersebut…dan saya memang hapal betul…….”Mau dijadikan apa ya saya ini sebenarnya?” Begitu bisikan hati saya. Continue reading “Mengupas Realita, Membalut Duka Bangsa”