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description Journal article public Buletin Penelitian Sistem Kesehatan

Studi Kualitatif Pelayanan Kesehatan untuk Kelompok Adat Terpencil (Kat) di Kabupaten Kepulauan Mentawai

Ratih Ariningrum, Noor Edi Widya Sukoco
Published July 2012

Abstract

Background: The Government has some intentions to increase the social welfare of Remote Indigenous Communities. Firstly, prevented the disintegration of social vulnerability Secondly, protected from economic and social exploitation. Finally, ensuring the rights and obligations as othercitizens outside the Remote Indigenous Communities. The research objectives are to know the operational policies which is applied to improve health services to Remote Indigenous Communities in Mentawai IsIan ds District; to determine targets and priorities of health programs for Remote Indigenous Communities; to determine the pattern of empowerment in health to Remote Indigenous Communities; to determine the constraints in carrying out the pattern of empowerment in health to Remote Indigenous Communities; to determine the mechanism of cooperation with relevant inter-sector; to determine patterns of health services to Remote Indigenous Communities. Methods: The research, which was designed as across-sectional, conducted in April-November 2009. The research was implemented in the Sub-District of North Siberut and South Siberut, Mentawai IsIan ds District. In each sub-disrict which was selected purposively, has 4 villages research area with criteria coastal habitat. Data were collected through in-depth interviews of several informants, namely Director of Remote Indigenous Communities (Ministry of Social Affairs); Head of Sub Directorate of the backward area, borderland, and the island; Head of District Health Office of the Mentawai Islands; Head of Social Services of the Mentawai Islands District; Head of North Siberut and South Siberut Sub Districts; Head of Community Health Center of North Siberut and South Siberut; midwifes of North Siberut and South Siberut; Head of selected villages; and one who responsible of auxiliary community health center. Results: The results shown as follow: firstly, operation al policies in remote areas are the same as non remote areas, but non remote areas receive more attention; secondly, health program priority is malaria eradication, patients treatment, immunization, monthly weighing (in posyandu), health and sanitazion, diarrhea, check up and services for pregnant women, expanding of auxiliary community health center programs, maternal and child health, mother delivery, treatment baby and children under five years, clean and safe drinking water; thirdly, most comm on diseases that encountered in Remote Indigenous Communities are fever, malaria, gastritis, diarrhea, headache, chikungunya, acute respiratory infection. Conclusion: Indeed, health services of the Remote Indigenous Communities have specificity in the Mentawai IsIan ds District. First of all, mapping problem is conducted by community health center. Then, the constraints are frequent earthquakes, bad weather, transportation, difficulty to carry out activities based on community empowerment. Finally, there are several NGOs working with government agencies. Suggestions, ln addition to fulfil! human resources needs for short term objective, health care should pay attention at posyandu program and other related activities.

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