-- Sebait kata untukmu, Dee --
Aku menyesal terlambat lahir karena semua hal pernah dilakukan orang-orang, tapi satu yang tak pernah kusesali adalah pilihan hidupku untuk mencintaimu _________________________________________ -- Hgg --

[Note taking] Getting research into practice in community health

Jakarta, 4 June 2013.


The third Australia Award Scholarship Guest Speaker Program was held on Wednesday, 29 May 2103, from 1 to 3 p.m. in the IALF Auditorium. The speaker was DR. Geoffrey Marks, Associate Professor, School of Population Health, The University of Queensland (UQ).

The presentation was opened by introducing the School of Public Health, Faculty of Health Sciences UQ, and describing nutrition diversity and implementation research, such as some trends in Indonesia, and implications for more effective nutrition programs in Indonesia.

The important message from this presentation was about the collaborative research in Indonesia. The first project was Vital Registration Systems, a project to improve health metrics in Indonesia. It was funded by AUSAID and WHO. The second project was the Partnership for Maternal, Newborn and Child Health (PMNCH). It was funded by AUSAID and the Bill and Melinda Gates Foundation. The goals were to reduce child mortality and improve maternal health. There were fundamental issues which affect the delivery of all health services, such as a lack of coordination among the organisations involved in delivering MNCH interventions and a lack of timely access to provide quality services. However, some recommendations were establish to prevent these problems. For example, improve the quality of services, address poor community health behaviours through community mobilisation, and education campaigns.

DR. Marks said that the main problem was the quality of services, such as in Indonesian Village Health Posts (Posyandu), which have the main function of monitoring the growth, primary health care services and family planning. These services were delivered by volunteers, with assistance from health and nutrition professionals from the health centre. Unfortunately, the attendance, the provision and the availability of supply instruments declined. It happened because the use of private providers increase, public support and volunteering reduced, there was no research and innovation, and revitalisation of the Posyandu was not effective.

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Even though the presentation was quite well organized, the minus point was that DR. Marks did not use up-to-date data. For example he used data from 1990 that mentioned the number of Posyandu was about 250.000 in total. He should know the exact number at the current time. However, in almost all aspects, I tend to agree with Dr. Marks. In Indonesia, there is less commitment at all levels on how to make the health projects a success. The policies are usually top down and also there is only limited participation from the community itself. Indonesians only want free hospitals and the government forgets about the prevention.

I believe that the government should pay attention to this situation and reform the health services. I must say thank you to people and institutions behind these projects.