Tag Archive: health


Ketika saya melihat retweet dari seorang wartawan foto terkenal, Arbain Rambey, mengenai event :  Witnessing the World” : The Journey of Doctors Without Borders (MSF)” , tanpa pikir panjang, saya langsung merencakan untuk menghadiri event itu. Sudah sejak lama saya mendengar nama Médecins Sans Frontières (MSF), tepatnya sejak mereka memenangi Nobel Perdamaian pada tahun 1999 . Selama ini, saya tidak banyak mengetahui mengenai mereka kecuali mengenai fakta bahwa mereka adalah organisasi yang memberikan pelayanan medis di tempat-tempat paling membutuhkan. Adanya event ini benar benar “membuka mata saya” dan membuat saya sadar bahwa organisasi ini pantas dijuluki “pahlawan kemanusiaan”.

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Event ini terdiri dari pameran foto dan pemutaran film. Pameran foto diadakan pada tanggal 11-17 Mei di Pacific Place Mall, Jakarta. Saya sendiri menghadiri acara ini pada hari Sabtu, 16 Mei. Salah satu karyawan yang bekerja di kantor MSF Jakarta mengatakan bahwa pameran foto ini sengaja diadakan di mall agar menarik perhatian para pengunjung. Cara penyajian foto-foto ini pun cukup menarik. Pengunjung diajak untuk sedikit belajar sejarah. Foto-foto dipamerakan berdasarkan tahun, dimulai dari tahun pendirian MSF hingga misi terakhir yang mereka jalani.

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Foto yang Mengilustrasikan Pendirian MSF

MSF didirikan di Paris, Perancis pada tahun 1971. Mereka adalah sebuah organisasi non pemerintah , non profit, dan independen. Misi mereka adalah memberikan bantuan darurat serta layanan medis bagi masyarakat yang terkena dampak konflik bersenjata, wabah, bencana alam, serta orang orang yang yang tidak mendapatkan layanan kesehatan memadai. MSF memberikan bantuan kepada masyarakat tanpa memandang ras, agama, jender, dan pandangan politik.

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Salah satu tugas yang dilakukan MSF pada tahun 1984, yaitu memberikan layanan kesehatan kepada korban kelaparan di Ethiophia.

Seorang dokter memberikan layanan kesehatan kepada korban tsunami di Aceh.

Seorang dokter memberikan layanan kesehatan kepada korban tsunami di Aceh.

Hal yang perlu diingat adalah bahwa tidak hanya dokter saja yang beperan dalam terciptanya pelayanan kesehatan. Jangan lupakan profesi lainnya seperti bidan, perawat, psikolog, teknisi laboratorium, apoteker, petugas logistik, insinyur, administrasi, dan juga staf divisi Sumber Daya Manusia (SDM). Pada intinya, berkat kerjasama mereka semua-lah sebuah pelayanan kesehatan dapat dilaksanakan di sebuah tempat.

Seorang petugas logistik sedang bertugas di Aceh terkait pelayanan kesehatan yang diberikan oleh MSF kepada korban tsunami disana.

Seorang petugas logistik sedang bertugas di Aceh terkait pelayanan kesehatan yang diberikan oleh MSF kepada korban tsunami disana.

Terlepas dari semua pekerjaan hebat yang dilakukan oleh mereka semua untuk mengusahakan adanya layanan kesehatan, tentunya ada berbagai macam hambatan dan bahaya yang mengintai. Hal itu digambarkan dengan sangat jelas dalam film dokumenter  Access to Danger Zone dan Living in Emergency.

Film Access to Danger Zone ini mengungkap strategi yang digunakan oleh MSF dalam misi menyelamatkan nyawa manusia di tengah tengah perang paling berbahaya seperti di Afghanistan, Somalia, dan Kongo. Pada film ini ada berbagai wawancara dengan narasumber dari MSF, Palang Merah Internasional, dan Perserikatan Bangsa Bangsa (PBB). Sementara itu, film Living in Emergency menceritakan mengenai keseharian 4 dokter dalam perjuangan mereka untuk menyediakan layanan medis di tengah kondisi ekstrim.

Setelah pemutaran film, para penonton diberikan kesempatan untuk mengajukan pertanyaan kepada narasumber. Salah satu narsumber yang hadir pada acara ini adalah dokter Heru, yang pernah bertugas dalam misi MSF di Bangladesh, Pakistan, Somalia, Sudan Selatan, dan Afghanistan. Dari sesi tanya jawab, saya dapat mengungkap mengenai beberapa hal:

1. MSF adalah organisasi independen yang tidak menerima donasi dari pemerintah. Sebagian besar dana yang mereka dapatkan berasal dari sumbangan individu. Donatur terbesar MSF adalah Brad Pitt dan Angelina Jolie.

2. Dalam semua misi mereka selama ini, MSF tidak pernah dikawal oleh tentara, kecuali pada saat misi di Somalia. Mengapa mereka memilih untuk tidak dikawal oleh tentara di daerah konflik? Karena mereka bersikap “netral”. Pengawalan oleh tentara akan menunjukkan kesan adanya sikap tidak netral. MSF harus bernegosiasi dengan semua pihak, baik pemerintah maupun kelompok pemberontak. Misi di Somalia adalah pengecualian karena Somalia dianggap sebagai negara yang sangat tidak aman karena disana seolah “tidak ada pemerintah”. Mengingat pernah adanya kasus staf MSF yang diserang dan diculik oleh kelompok milisi bersenjata di Somalia, maka MSF memutuskan untuk menggunakan pengawalan dari “anak buah” para tetua tetua adat disana.  Salah satu korban tewas dalam serangan terhadap MSF di Somalia pada tahun 2011 adalah dokter asal Indonesia, Andrias Karel “Kace” Keiluhu. Berita mengenai kasus tersebut dapat dilihat disini : http://www.theguardian.com/world/2011/dec/30/medecins-sans-frontieres-shot-somalia .

Pada tahun 2013, secara resmi MSF mengakhiri misi mereka di Somalia karena situasi keamanan yang tidak dapat ditoleransi lagi . Serangan yang terus menerus terjadi terhadap para pekerja kemanusiaan membuat mereka mempertimbangkan keberadaan mereka disana. Cerita lengkap mengenai akhir dari misi MSF di Somalia dapat dilihat di link ini : http://www.theguardian.com/world/2013/aug/14/medecins-sans-frontieres-pull-out-somalia

3. Para pekerja MSF tinggal di sebuah compound yang relatif aman. Meskipun demikian, aktivitas mereka sehari hari dibatasi hanya dari compound dan rumah sakit dan sebaliknya, tentunya karena alasan keamanan.

4. Tidak ada batasan umum untuk menjadi relawan MSF. Selama masih kuat secara fisik dan mental serta lulus tes, selama itu juga seseorang dapat menjadi relawan.

5. Tidaklah mudah untuk memberikan pelayanan kesehatan. Ada kalanya pemerintah atau kelompok bersenjata justru menghambat mereka untuk memberikan bantuan. Apabila terjadi hal seperti ini, maka MSF tidak dapat melakukan apapun. Inilah pentingnya ilmu negosiasi untuk dapat “melunakkan” sikap keras kedua belah pihak.

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Dokter Heru memberikan penjelasan mengenai pengalamannya ketika bertugas di daerah konflik.

Every children need space to grow up and express themselves. One of the way to do it is by playing game. As a 1980s generation, I played many “traditional” games when I was a child. Most of them were played outdoor. Since I was a born until age of 7, I lived with my parents in my grandmother’s house. The house was large, it was 400 square feet. I could play anything without needing to go outside my house. At that time, my parents were not allowed me to play outside my house because there were so many motor vehicles around the street. My house was located near Jalan Utan Kayu, where many vehicles passing by.

Because my house was quite large, I could play anything inside. I used to play hide and seek with my brothers and friends. Other activities that we did was playing on the swing. I remember that there was a rambutan tree in my house. One day, I decided to make a wooden swing set by using rope and triplex. I tied the rope to rambutan tree and put the triplex as if it was a chair. Besides rambutans tree, we had guava, mango, and starfruit tree. My other activity was climbing trees to eat fruits. When I was hungry and my mother hadn’t finished cooked, I climbed a tree and ate fruit.

Unfortunately, in December 1990, the house was sold and we moved to Pondok Gede. There, we rented a house for 1 year until finishing our own house construction. The house was located in an alley, well, not a small one but it was safe to play outside. What I did in my leisure time was playing “benteng” with my neighbors, Reni and Ricky, who lived in front of my house.

A year after that, we moved to our own house. I had new friends and did lot of activities outside. I could said that every day, from 4 to 6 pm, I went to a small court to play badminton, basketball or volleyball, and sometimes football. If I didn’t want to play outside because of one and other reasons, I played monopoly or chess. And sometimes I played football with my brothers in terrace. Besides playing sports, I also caught guppy fish (in Indonesian : “ikan cere”) in gutter.

How about now? Well to be honest, I almost never seen children playing traditional game. Perhaps the main reason is the effect of modern games such as PlayStation and gadgets. I wouldn’t say that they are useless but in my opinion, children should spend more time outside the house.

Other factors that trigger this situation is lack of open space such as parks. For example, how many property developer that commit to provide park for residences? And how many public parks built by city government? I remember a scene in “Garuda di Dadaku” the movie. Some boys played football in a cemetery because there are no football field near their house. It’s a sad reality, isn’t it?

Some experts said that there’s a growing evidence that park environments play a unique role in promoting stress and alleviating stress. It has been shown that communities without parks, particularly in economically disadvantaged areas, have unhealthier children. Research indicates that communities without parks and playgrounds often lead to sedentary children and stressful lives.

Well, now it’s the time for city government to rethink about the future of children by fulfilling children’s right to play, by giving them access to open space. Parents also should encourage their children to do healthier activities.

The Importance of Sidewalk

For some people, sidewalk is just a piece of cake, but for me or perhaps for majority of people, sidewalks is a big deal. It is one of the most important aspects to determine how healthy your city. Enrique Penalosa, ex major of Bogota said : “God made us walking animals, pedestrians. As a fish needs to swim, a bird to fly, a deer to run, we need to walk, not in order to suvive but to be happy”. I will explain later about what Penalosa did with Bogota during his term as mayor of Bogota.

Last year, I found an article called : “The Perfect Fascist City Take a Train in Jakarta” , written by Andre Vltchek. Things that surprised me were these words : Since 1965 the government worked hard to make sure that Indonesian cities would have no public transportation, no sizeable parks and no sidewalks. Public places in general were considered very dangerous, as that is where the people used to gather discussing ‘subversive’ issues like their plans for the country. Besides that, there are 1 sentence that made me shock : Sidewalks had to go, too, as they were not profitable and ‘too social’. I am suspicious that there is great conspiracy to eliminate sidewalk. :p

Well, of course I disagree with those statements because we can’t consider  sidewalk as a business. Sidewalk is a basic needs for everyone because everyone need to walk. Walk is the simplest form of sports. I remember someone told me that people in New York City walk 8 kms a day. It is not surprising  since New York City has good sidewalk. Furthermore, from health perspective, World Health Organization (WHO) recommends that people should do 30 minutes of moderate-intensity activity 5 times per week.

Let’s switch to the next topic :  Enrique Penalosa.  I call him as “defender of sidewalk”. What he did when he became mayor of Bogota was very revolutionary. He reclaimed sidewalk for pedestrian by banning sidewalk parking. He admitted that that he was almost impeached for getting cars off the sidewalk. In addition he said that : when you construct a good sidewalk, you are constructing democracy. A sidewalk is a symbol of equality”.

It was Penalosa and his struggle to reclaim sidewalk. In Jakarta (place where I live), the Jakarta administration are repairing sidewalk, especially in main street, because some of them are in bad condition. Nevertheless, the main problem is not about its bad condition. Motorcycle users who drive down the sidewalk and street vendor are the main problem.

Last but not least, I will show you some pictures of sidewalks. I took it in Jakarta, Bangkok, Kuala Lumpur, and Mexico City.

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Sidewalk in Old Town, Jakarta. Always be full of street vendors

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Sidewalk in Jalan MH. Thamrin. I took this picture on Sunday. No street vendor, but wait ….you have to come to this street on weekdays…and you will see the reality.

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Sidewalk in Bangkok is just the same as Jakarta, full of street vendor and…..oh wait there is “ojek” . Completely the same as Jakarta.

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Sidewalk in Kuala Lumpur. Most of sidewalks in KL are in good condition.

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Other sidewalk in Kuala Lumpur

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Sidewalk in Mexico City

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Other sidewalk in Mexico City