Permenkes Sunat Kaum Perempuan: Pro dan Kontra antara Tradisi dan Perlindungan Kepentingan Perempuan

Findings on female circumcision in few areas in Indonesia showthat nearly 88.5% of the field by medical personnel, in PadangPariaman 67.5% also carried out by medical staff, while theremaining non-medical personnel, while in Makassar and bonealmost 100% female circumcision is performed by non-powerhealth or dukun beranak if done by non medical personnel,Kemenkes can not regulate. Female circumcision as a traditionthat must be respected, even if they basically do not agree tosuch practices as viewed from the medical side, female circumcisionis an activity that is not known and is not recommended.To protect the health of women and their infants tofurther strengthen the decision then the health minister issuedregulations Permenkes No.1636/Menkes/Per/XI/2010 femalecircumcision which issued November 2010. In the presence offemale circumcision Permenkes aims to protect women fromillegal life-threatening circumcision and reproductive system,Health Minister also gave authority to certain medical workerssuch as doctors, midwives and nurses to perform female circumcisionprocedure.Keywords: ministerial regulation, Female Genital Cutting, traditio

Upaya Meningkatan Penanggulangan Gaki pada Anak Sekolah di Daerah Gondok Endemik Berat di Kota Surabaya

Background: Iodine deficiency disorder is one of fourmalnutrition problems in Indonesia. Initial surveys at PrimarySchool children in East Java reveal the goiter prevalence ishigh, the Total Goiter Rate (TGR) 22,9%. The recent study atSurabaya City, has 16,93% of severely iodine-deficiencyvillages, higher than normative value (less than 5%). SinceSurabaya is regarded as the second largest city after Jakarta,the iodine-deficiency disorder have been considered majorproblem. This need to be examined and analysed theimplementing programmed after all.Method: The purpose of this study was a descriptive type,done cross sectionally a carried out from Mei to July 2005. Thestudy was conducted to examine the effect of iodine-deficiencydisorder in 7 district area at 10 villages in Surabaya; TambakOso Wliangun, Romokalisari (Benowo), Sidotopo Wetan,Tambak Wedi (Kenjeran), Manyar Sabrangan (Mulyorejo),Kedung Cowek (Bulak), Perak Utara, Nyamplungan (P.Cantikan),Bubutan, and Bangkingan (Lakarsantri).Result: The result show many faktor, such as social economicfactors from the society, the lack of iodine-deficiencies discrderknowledge, low health staff motivation to run the program etc.The middle term and short programme of iodine-deficiency,planning, organizing, actuating and coordination at the PrimaryHealth Center (Puskesmas) should be taken soon.Conclusion: The recommendation as follow promotive,preventive, curative and rehabilitative strategy, by socialization,advocation salty iodine and knowledge of goiter disease torelated cross sectoral department, as well as health staffs,Primary Health Center staff, the society in severely iodine-deficiency, nutrition and food awareness area. Provide overallhealth services for iodine-deficiency disorder problems; dietcounseling, medical treatment, integrated management planning,organizing and actualization. Coordinating and evaluating theprogramme, improve the quality and professionalism in managingthe iodine-deficiency disorder problem especially in PrimaryHealth Center in Surabaya City.Keywords: iodine-deficiency disorder problem, society andhealth staff factors, management and contro

Analysis of First Level Health Care Facility (FKTP) Readiness as ‘Gatekeeper' on the JKN Implementation in East Kalimantan and Central Java Year 2014

Background: FKTP as a gatekeeperhas four function such us: the fi rst contact, sustainability, comprehensive healthcare and coordination. Readiness from input aspects on health care involves health care facilities, fi nance, humanresources, medicines and medical devices. This research is to identify the FKTP readiness as a gatekeeper in the inthe implementationof JKN in East Kalimantan and Central Java. Methods: Data collection wasby conducting interviews,observation and documents' review. The data analysis techniques were descriptive statistics for quantitative and Miles,Huberman and Spradley concept qualitative. There were 6 health centers, 2 primary clinics, 6 doctors and 3 private dentistryclinics for each province. Results: The numbers of FKTP availability were 23.7 health centers and 3.2 primary clinics perdistrict/city. The average was 51.7 FKTP per district/city. Not all of primary clinics facilited by inpatient care. There were44% primary clinics facilitated by laboratory and 56% in collaboration with privatelaboratory. The highest ratio of numberof members by the population was Surakarta i. e. 1 member by 1.98 population. While, the lowest was East Kutai with 1member by 4.65 population. All health centres had been implementing gatekeeper functions. Most of primary clinics had beendone the functions while less of them had not already implemented excellent service yet. Phycisians had implemented theirfunctions as the fi rst contact and coordination very well. Moreover, dentist did the same as the fi rst contact. Conclusion:Availability of health centers as FKTP was adequate. Health centers were also ready to function as a gatekeeper for JKNimplementation. Primary clinics were ready for the fi rst contact and coordination; and dentist as the fi rst contact were allready. Recomendation: The numbers of health facilities need to be build and improved according to district/city's capability.Moreover, health workers' distribution should be focussed to primary health care