Jayapura, Jubi – Jayapura District Health Office conduct a public consultation on the Regional Action Plans (RAD) on the tuberculosis control ahead to the elimination of tuberculosis for Jayapura Regency 2030.
Giri Wijayantoro who represented Jayapura Regent said TB is a public health problem that turns to a challenge worldwide and Indonesia is one of the countries with high TB prevalence.
“Based on the survey on TB prevalence 2013-2014, TB prevalence has reached 1,600,000 cases while the incident of TB is 1,000,000 cases. Meanwhile, the mortality caused by TB is 100,000 cases,” Giri said in Sentani on Thursday (29/11/2018).
Meanwhile, in Jayapura Regency, TB is still a principal health problem that causes a high mortality rate. In 2017, there were 30 people died of tuberculosis after malaria, traffic accidents and other causes.
“The objective of the consultation of the regional action plan on TB control to the public and regional government offices is to obtain feedback as well as to reduce the tuberculosis prevalence in Jayapura Regency and Papua Province,” said Giri.
In the meantime, Khairul Lie, the Head of Jayapura District Health Office hopes that all stakeholders will involve in the preparation of the Regional Action Plan.
“We want the number of new cases to decrease by 90% and to reduce the mortality rate to 95% based on the cases occurred from 2014 to the present. These steps will include in the RAD,” he explained.
Based on the survey 2014, there are 324,000 cases which TB case detection in Indonesia is around 32 %.
“There are 68% cases identified as not treated or have been treated but have not been recorded by the program. this has spurred the handling of national TB control to continue the intensification, acceleration and innovation of programs through a national strategy to tackle tuberculosis,” said Giri. (*)
Reporter: Yance Wenda
Editor: Pipit Maizier
Government should pay more attention addressing HIV-AIDS in Papua
HIV-AIDS still becomes a ‘scary ghost’ for Papua Province.
A data released by the Ministry of Health in March recorded that within 12 years (2005-2017) the number of people living with AIDS in Papua has reached 19,729. This number is the highest rate among other Indonesian provinces, while the total of AIDS cases in Indonesia is 102.667.
The second highest rate of AIDS occurred in East Java for 18,243, following by Jakarta at 9,215, Central Java at 8,170, Bali at 7,441 and West Java at 6,502. However, the data showed that Papua Province is at the third rank for the number of people living with the HIV (29,083) compared to Jakarta (51,981) and East Java (39,633). Following Papua in the fourth and fifth ranks are West Java and East Java with 28,964 and 22,292 cases respectively.
Given the fact that the number of population in Papua Province is lesser than the provinces of Jakarta, East Java and West Java, it makes Papua becoming the province with the highest case rate of AIDS in Indonesia until December 2017. The case rate is cumulative of the number of people living with, died from AIDS and the total number of HIV-AIDS cases per 1000,000 population.
The case rate for Papua Province is 620,56 which 18,149 people living with AIDS and 1,580 people died from AIDS during 1987-2017, whereas West Papua Province is in the second place; at 216,46 including 1,699 people living with AIDS and 42 died from AIDS.
The updated figure for HIV-AIDS cases per 30 September 2018 in Papua Province is 38,874. It shows that Nabire Regency has the highest HIV-AIDS cases (7,420) and it followed by Jayapura Municipality at 6,189, Jayawijaya Regency at 5,964, Mimika Regency at 5,670 and Jayapura Regency at 2,918.
Most cases occurred in Papua are due to sexual intercourse with several partners which reach 14,148 (HIV) and 23,610 (AIDS), whereas another factor is the Most cases or risk factors occurred in Papua due to sexual intercourse with several partners are 14,148 (HIV) and 23,610 (AIDS). Another factor is the transmission from mother to child that reaches 212 for HIV and 473 for AIDS.
Responding to this situation, the Chairman of AIDS Commission (KPA) of Papua Province Constant Karma told Jubi on Wednesday, 22 November 2018, that firstly people must fully understand about the transmission of HIV.
He said HIV is transmitted through blood, semen, vaginal fluids if we have direct contact with wounds on the skin or open mucous membranes of people who already infected, such as mouth, nose, vagina, rectum and penis’ external urethral.
“HIV can also be transmitted through vaginal, oral and anal sex, as well as contact with blood and other body fluids. But kissing can be safe if both partners have no sore or mouth sprue. Touching, hugging and normal interacting with people infected with HIV are also safe,” he said.
He recommends people to have safe sex by using a condom and avoiding touching blood or other people’s body fluids.
“We never know who has HIV, because there is no stereotype and perhaps people don’t realise that they are already infected. So avoid to have direct contact with blood and body fluids of other people because it might have risks for HIV transmission, especially if we have open sores on any part of our body,” he said.
Karma said that the high rate of HIV-AIDS in Papua was due to people are still reluctant to conduct examinations.
“This figure indicates that the rate of people who already entered the stage of AIDS. It becomes a problem because if they get at this stage, it will be difficult to recover their condition,” he said.
Karma also said that KPA still difficulties related to funds to reduce the number of people living with HIV-AIDS in Papua. “In the past, we have collaborated with some international NGOs but not anymore because Indonesia currently regarded as a developed country. Therefore these NGOs are paying more attention to other developing countries,” he said.
Moreover, he said KPA Papua’s funds are insufficient to cover all areas of Papua, especially the mountain areas.
AIDS prevalence has reduced since 2014
Head of the Technical Implementation Unit for AIDS, TB and Malaria, Papua Health Office, dr. Beery Wopari, said that since 2014 HIV and AIDS cases in Papua had decreased, although not too significant.
“In 2014 there were 4,452 new cases found in 29 regencies and municipality, but until 2018 there were 1,993 new cases detected or found,” he said. It means that most people are willing to conduct health examinations or do early detection of the disease, explained Wopari.
“Although it is undeniable that many people are still reluctant to conduct medical checks,” he said.
Wopari hopes that the elimination process carried out by Nabire Regency which has the highest HIV-AIDS rate can be emulated by other districts in Papua Province. Nabire District Health Office has carried out medical checks for people who come for treatment at the community centres.
“The number of people living with HIV and AIDS in Nabire is currently growing. There is a regulation that requires all community centres in Nabire to carry out the preliminary tests to all patients who come for treatment to reduce it. “It is good so that we can treat people who have been infected with HIV before the patient enters the stage of AIDS,” he said. (*)
Reporter: Roy Ratumakin
Editor: Pipit Maizier
Bridging drops out children with Papua Learning Movement
Jayapura, Jubi – “Mom leaves home for gardening at 5 in the morning when we are the children are still sleeping. When I woke up, I found out there was no breakfast, felt hungry but was already late. So what else should I do except going to school even though I am hungry? But I have to walk. After school, I must cook our lunch, just rice and it’s enough as long as we have salt and oil. They say it’s not good for our health…hahahaha (laughing), but I don’t care. My stomach is what I care more.”
Education and health services in Ngguti – Merauke Regency not running
Merauke, Jubi – Health and education services have become a serious concern in some villages located in Ngguti sub-district of Merauke Regency have become a serious issue due to lack of commitment among medical and educational workers.
In regards health, none of the recruited midwives or nurses performs their job. As a result, the public health service is only carried out once a month, revealed a pastor of the Indonesian Gospel Church the Rev. Oktovianus Kaize who’s in charge in Ngguti to Jubi in Okaba on Friday (2/11/2018).
He found out about this when he and his congregations visited people in villages for their service. They often met people who were ill and almost couldn’t move their bodies. Therefore they surrender in their pain. “Then I pray on them and give them motivation to not despair,” he said.
According to the pastor, though there is no medical staff in the village, the public health centre (puskesmas) should provide the health service at least once a week.
“If it only provides once a month, of course, people who already get sick can’t do anything because the distance between the villages and sub-district is very far,” he said.
Meanwhile, the Former Head of Merauke District Health Office, dr. Stefanus Osok said when he was still in the office; most villages had a midwife who’s responsible for providing a regular health service.
“Indeed I often get information that health workers are rarely not in their post. So it’s become a serious concern for the regional health office,” he said.
Poor educational services
Teaching and learning activities in Ngguti sub-district of Merauke Regency are also not running well. It impacts the pupils who are mostly indigenous Papuans.
“I often provide church services to the villages and found out that teachers often skip their responsibility in educating children,” said the Rev. Oktovianus Kaize. “They like to spend more time in the city for months rather than teaching children. As a result, these children cannot get their rights on knowledge properly.”
He further said, “It’s true that there are non-civil servant teachers recruited for teaching in the villages, but once they find out there is a recruitment test for civil servants, they go to the town. While the teachers that already obtained the status of civil servant almost never come to school,” he said.
However, the pastor said he did not know for sure whether the Merauke Local Government acknowledge the facts that teachers are absent and chose to live in the town.
Meanwhile, Moses Kaibu, Chairman of Commission A for Education of Merauke House of Representative (DPRD), emphasizes that his office repeatedly highlighted the poor education services, especially in villages, all the time.
“I have repeatedly asked the government that teachers should not leave their place of duty. But it seems that they didn’t listen,” he said. (*)
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