aorta March - June 2013
//Issue: Maternal Health
What Does it Take to Save a Mother?
upcoming meeting APRM 2013 Yogyakarta
#9
IFMSA news
about us ”Empowering Medical S tudents and Improving the Nation’s Health .”
Cimsa Nasional CIMSAindonesia @cimsanasional
C
enter for Indonesian Medical Students’ Activities, CIMSA, is an independent, inclusive, nasionalist, non-profit and non-party organization. CIMSA is an individual based organization with members consisted of medical students from many universities in Indonesia. Established in 2001, and has grown up from 6 to 15 locals with approximately 5000 members. CIMSA aims at providing Indonesian medical students’ activities lodge to empower and express their idealism, thus medical students will have the same opportunities to get involved in health as early as possible and contribute to the development of this country. Our activities are applied not only in the local and national, but also in the international level. This can be achieved because since its establisment CIMSA has gained trust from the international world to become the full member of IFMSA (International Federation of Medical Students’ Association); the largest students’ organization in the world with approximately 107 contries as its members representing more than one million medical students worldwide. CIMSA’s field of work covers 6 aspects represented in the form of Standing Commitee (SCO); 1. SCOME, on Medical Education, is a forum for medical students who have special interest in the improvement of medical education. 2. SCOPE, on Professional Exchange, fasilitates all medical students to feel the atmosphere and culture in foreign country while experiencing the clinical study. 3. SCOPH, on Public Health, focuses on the importance of public health issues in medical education or community. 4. SCORA, on Reproductive Health Including AIDS, aims at raising the awareness on reproductive helath including sex education, gender equality, etc.
General secretariat: 1st floor Library Faculty of Medicine University of Indonesia Jl.Salemba Raya no.6 Jakarta Pusat 10430 Indonesia
5. SCORE, on Researh Exchange, gives a chance to all medical students to partake in medical research in foreign country 6. SCORP, on Human Rights and Peace, is related to issues on human right and peace, including poblems faced by the refugees.
www.cimsa.or.id 1
Dear readers,
president’s note
The fifth Millennium Development Goal sets two targets for maternal health,
which are to reduce maternal mortality and achieve universal access to reproductive health care. Universal access to reproductive health, including family planning, is much more than a target. It means saving women’s lives. Almost all maternal deaths occur in developing countries, including Indonesia. Thousands of women die each year from pregnancy-related causes. Achieving MDG goal 5, improve maternal health, is not only an important goal by itself, but it is also the central of achievement of the other MDGs goals: reducing poverty, reducing child mortality, stopping HIV and AIDS, providing education, promoting gender equality and a healthy environment. Investing in women’s health moreover will produce big reaching economic and social benefits. Healthier, better educated women are more productive, economically. Women in many countries make important family decisions about nutrition, health care and use of resources. Targeted investments in maternal, newborn, and reproductive health make women and newborns healthier, and will have a dramatic, lasting impact on the economic and social fabric of developing countries. Globally, the MDGs are widely accepted as the path to end the poverty. Poverty is a relentless and overwhelming cause of illness and disease in developing countries. In turn, poor health quality and lack of education towards the importance of maternal health, pushes women and the families further into poverty. Therefore, the policy and programs planned to help the achievement of MDG goal 5 will indirectly support the MDGs as a whole. Furthermore, maternal mortality is one of the best indicators of overall health system performance. The role of education involvement towards maternal health is very crucial. At this point, every element of the community, including us-as the young generationneeds to take actions. As CIMSA pursues its goals based on activities, let us put the best effort in giving the education, raising awareness and promoting health to women, people in needs and the society. Take actions, make changes! Regards,
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Asri Kartika Putri President 2012-2013
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editorial page
Another
This edition of AORTA brought you fresh opinions of maternal health and various news from all over Indonesia. And a new section has been esteblished to keep you close to our associate in the IFMSA. I’ve been very blessed with such a wonderful team and I would like to take this opportunity to send my gratitude for all of your hardwork through the thick and thin. To all of our beloved members, I’m simply moved by the support you have given me in the past year and I sincerely hope you’ll continue to do so. Please enjoy the magazine and remember to keep on writing!
four months just slipped away and it’s time for a new edition of AORTA! I hope you are as excited as I am to be here. To not only witness the regeneration of the Officials, but also to enrich yourself in the amazing experience of May Meeting 2013. Maternal morbidity and mortality at its heart is a story of inequity. Between the rich and the poor, between those with power and those who face discrimination, and, crucially, inequity based upon gender in access to essential health services and in control over reproductive choices. Realizing this, CIMSA promotes its members to address this particular problem by placing a central focus on strengthening the human resource to stay educated and have a wider perspective to bring the support necessary and suitable for us medical student to the health workforce in our country.
Regards,
Theodora Caroline Sihotang
Akmal Akbar - Fadhli Rizal Makarim Windhy Monica - Elsavina Rizky Raditya Pradipta - Carmelia Cantika Maharani Deneisha Kartika Puspitarini - Dea Saufika Eduard Jordi Luminta - Siti Tia Yusrina Khairana
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MC TEAM
content about us president’s note editorial page official news ifmsa news
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delegation A Restoration for a Better Indonesia Youth Multi Stakeholders Meeting on the Post2015
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new local: CIMSA UKDW upcoming meeting March Meeting 2013, USA National Leadership Summit 2013, UIN What Does it Take to Save a Mother? speak up real action funfacts official team 2012-2013
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official news Cinta Dari Wamena
Cinta Dari Wamena is an upcoming movie about HIV and AIDS
that was told through love and friendship. The movie was taken place at Wamena, Papua. A lot of big movie stars involved in making this project such as Nicholas Saputra, Susan Bachtiar and Amyra Jessica. Recently, CIMSA was offered to be involved in the project in the form of pre-release promotion programs and non commercial movie screening on national scale. We are hoping to also join forces with other NGOs related to health issues especially HIV/AIDS all over Indonesia and other health students organizations. Currently the Officials are assessing and preparing everything that is needed in this collaboration and looking forward to all of your participation in near future.
Bethari K. A. - MCAD 2012-2013
WHO Indonesia Survey on Online Learning Behavior
The Maternal, Child and Adolescent Health Unit of WHO Country Office for Indonesia, together with
CIMSA, IKAMABI and ISMKI, conducted a survey on Online Learning Behavior of Indonesian Medical and Midwifery students. The survey was done to collect information on how the students use the internet for studying, and to collect inputs for the e-Learning website that the WHO Indonesia is developing. The aforementioned website, when launched, will help medical and midwifery students in learning the management of maternal health services. The website will provide cases, pictures, videos, and questions to help students in their studies. Therefore, the results of this survey are hoped to be able to help create an interesting and efficient e-Learning website. The survey was done on April 17th – May 1st 2013, through the link: http://bit.ly/elearningsurveywho. Students who provide their e-mail addresses as they complete the survey, will be given exclusive updates on the development of the e-Learning website, and access to various references and training modules that will be helpful to their studies.
Andi Putra Kevinsyah - LO WHO 2012-2013
MoU between CIMSA and IKAMABI
Maternal health is still a problem in many countries, one of them in Indonesia. Therefore, in 2000
the World Health Organization set the Millennium Development Goals, in which the fifth point is to reduce maternal mortality. Therefore, the Center for Indonesian Medical Stundents’ Activities (CIMSA) and the Association of Indonesian Midwifery Student Organization (IKAMABI) form a cooperation agreement to improve maternal health. On April 10th 2013, the MOU signing held at Sahid Jaya Hotel lobby by Christopher Christian Halimkesuma, Vice President for External Affairs CIMSA and Eka Astuti, General Secretary IKAMABI.
Christopher Christian H. - VPE 2012-2013
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ifmsa news IFMSA – AMSA International Serving Together Award 2013 The International Federation of Medical Students’ Associations (IFMSA)[Asia-Pacific] and the Asian
Medical Students’ Association (AMSA) International, both represent the medical students in the Asia-Pacific region, though with distinct purposes, share the same future and concern towards the society. On the joint meeting held between the IFMSA’s Regional Coordinator for Asia-Pacific (Dr. Vincent Khor) and AMSA International’s Liaison Officer to IFMSA (Mr. Jim Paulo Sarsagat) on 11 January 2013, both associations agreed to introduce this award to encourage more collaborations and joint projects in the local level. This award will be presented in Asia-Pacific Regional Meeting (APRM) 2013 at Yogyakarta and Asian Medical Students’ Conference (AMSC) 2013 at Kuala Lumpur, for IFMSA and AMSA members respectively. Therefore, CIMSA and AMSA Indonesia show the spirit of togetherness by going forward the JointAction on Non-Communicable Diseases that we are running, to give more involvement in this International collaborative project. CIMSA-AMSA Indonesia serve together!
Asri Kartika Putri - President 2012-2013
IFMSA Asia-Pacific Region 100% Smoke Free Campus Initiative Tobacco control as the core in combatting tobacco use has been shifting its focus from encouraging
addicted people to stop smoking into preventing non-smoker to start smoking and eleminating the harm of tobacco to seconhand smoker. Based on Tobacco Atlas report, Asia Pacific is ranked as second highest number of death caused by exposure to seconhand smoke after Europe. Knowing the fact, International Federation of Medical Students’ Association Asia Pacific Region has launched the first ever 100% smoke free campus initiative in the last March Meeting 2013. One of its aim is to to create a smoke-free environment, by students for students in Asia Pacific. The Advocacy, Education and Policy (AEP) Development Assistants have also released the 100% smokefree campus guideline. It was developed in the spirit of creating our dream environment where clear air is not rare. The AEP Development Assistants will also release suggestion and recommendation of strengthening the 100% smoke free campus policy. You can actively involved in this initiative by sending email to us: da.aep. ifmsa.ap@gmail.com. Excited to welcome you aboard!
Shela Putri Sundawa, B.MedSc - Asia Pacific - Regional DA for Advocacy, Education and Policy 2012-2013
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Elected Executive Board of IFMSA March Meeting is a General Assembly which includes the agenda of IFMSA Executive Board elec-
tion for next period. This year, the candidates for IFMSA Executive Board for 2013-2014 for IFMSA President we have Josko Mise (CroMSIC-Croatia). For IFMSA Vice President for Internal Affairs we have Clara Sailer (SwiMSA-Switzerland), Dimitrios Stathis (HelMSIC-Greece), and Kyle Thomas Swinsky (APEMH-Peru). For IFMSA Vice President for External Affairs we have Jan Fredrik Johansson (IFMSA-Sweden). For IFMSA Vice President for Secretary General we have Claudel P Desrosiers (IFMSA-Québec) and Salma Mohamed Hassen Abdalla (MedSIN-Sudan). Lastly, for IFMSA Treasurer we have Mateusz Kolator (IFMSA-Poland) After the vote done by the NMOs in 5th Plenary Session of March Meeting, the IFMSA Executive Board elect for period 2013-2014 are announced. President: Mr Joško Miše (CroMSIC-Croatia) VPE: Mr. Fredrik Johansson (IFMSA-Sweden) VPI: Mr Dimitrios Stathis (HelMSIC-Greece) Secretary General: Ms. Salma H. M. Abdalla (MedSIN-Sudan) Treasurer: not elected (vacant position until next GA) The new IFMSA Executive Board-elect will officially start the period by October 1st, 2013. The candidate of other Team of Official positions will be elected in August Meeting 2013. Hopefully, the IFMSA EB with other Team of Official members may bring our Federation towards a better quality and compassion, for a healthier world!
Asri Kartika Putri - President 2012-2013
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delegation
A Restoration, for a Better Indonesia FFI is an abbreviation of Forum For Indonesia.
Halimkesuma started to talk about MDGs. He said that achieving MDGs 2015 was not as easy as ticking their hands. Our society faces the new war against diseases nowadays. Some strategies need to be done by any elements to achieve MDGs. Facilities, willingness, awareness, health financing, promotion, and preventive medicine are some challenges that ought to be overcome by us. Mr. Halimkesuma also talked about some programs that were feasible to be implemented, such as hand washing education, community development, vaccination, immunization, and peer-educator program.
It was established for about 2 years ago. FFI is also a non-profit and non-political organization which was conducted by university students nationwide. They concern about social, economical, environmental, and medical issues in Indonesia. On March 2013, FFI endorsed CIMSA to have collaboration in capacity building of its members. They wanted to collaborate with us in some points of Millennium Development Goals (MDGs) 2015 such as eradicate infectious diseases, reduce extreme poverty and hunger, reduce infants mortality rate, increase maternal health, and etc. FFI chapter Bogor is willing to cooperate with CIMSA. The mass basis of FFI Bogor is not medical students. They are attracted to CIMSA because they see faith, spirit, and soul of CIMSA as a national medical students organization which constantly do great projects.
After Halimkesuma’s presentation, Mr. Ervandy Rangganata started to present about health education. He started the presentation with the Hetzhel Wheel, the wheel of projects. He attracted the attendees with some questions regarding their projects in the suburban area. Some questions related to their projects such as assessment, problems happening, socio-economical condition, and the way they do the project addressed to them. From then on, Mr. Rangganata started a discussion with the audience. The discussion was about communication. While doing the health education, verbal and non-verbal communication becomes one of the most essential things to be considered in delivering the information. FFI members are now well-capacitated in doing projects with good matter, good manner, and good method.
CIMSA as a so-called non-profit and non-political organization agreed to this collaboration. CIMSA acknowledged that all elements of the society including youth organization should be united to succeed MDGs 2015. Youth organization could do something and make a change in the society. Therefore, they are called as agents of change. As long as they get the same vision, the same mission, and the same paradigm, they ought to strengthen their power, to unite, and to act prodigiously in order to alleviate community empowerment. CIMSA was willing to cooperate with FFI in providing well-capacitated speakers on MDGs and health education. Three persons were in charge for this collaboration. They were Ervandy Rangganata, Christopher Christian Halimkesuma, and Oktavia Utami. Two of them had role as speakers. Mr. Christopher C. Halimkesuma talked about MDGs and Mr. Ervandy Rangganata talked about health education.
At the end of the event, FFI gave merchandise to CIMSA and vice versa. By this collaboration, both organizations hoped that they could contribute more for Indonesia. The contribution can be translated into projects, capacity building, social act, community development, and many more. Both organizations acknowledge that any contribution counts. Finally, CIMSA-FFI committed that they would collaborate more, explore more, and act more to enhance a restoration for Indonesia’s betterment.
Located at Bogor Agriculture Institute, the collaboration worked. The event was attended by forty members of FFI chapter Bogor. It was started at 14.00. FFI delivered its greatest gratitude to CIMSA which helped them to prepare their project. After then, Mr.
Ervandy Rangganata - National Public Health Officer 2012-2013
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delegation
Youth Multi Stakeholders Meeting on the Post2015 Bali, March 24th – 25th 2013
Ida Ayu Narayani - National Officer on Human Rights and Peace 2012-2013
Hey everyone! This is Raya and I’m going to give
Governance, Decent Employment and Gender Equality.
you my report on the Youth Multi-stakeholders on the Post2015 Agenda. This event was held mainly on March 24th-25th 2013 in Nusa Dua, Bali. First of all I would like to discuss about what is Post2015 Agenda. As it has been recognized, the time constraint for the MDGs itself will end in 2015. And the question now will be “What’s Next?”
We want to see universal access to quality, relevant education that extends beyond primary schooling, and which integrates life skills, vocational training, and values informal education methods. There is a clear call for universal access to affordable, quality healthcare and youth-friendly services that are acThe forth meeting, the one which I attended, in Bali. cessible. We’d like to reaffirm MDG 5b to further This meeting put its focus on Partnership and Coop- include young women and girls who face unique eration for Development, with a focus on strategies barriers to information and services due to harmful for implementation and opportunities to shape a gender norms and patriarchy. On governance, young global consensus on the new development agenda. people are calling for firm commitments to justice, On the first day of this meeting (March 24th 2013) transparency, integrity and inclusive representation. there were 5 different sector consultations where Young people demand employment and access to they discussed the role of their sectors in achieving economic opportunities that encompass fair wages, global partnership, consisted of: (1) The Academic possibilities for funding and mentorship, equal opand Research Global Forum. (2) The Public Sector portunities, job and social security that offer chances Forum. (3) The Business Community Forum. (4) The for career development and training. Young people Civil Societies Forum. (5) The Youth Multi stakehold- want to see an explicit commitment to gender equality and equity, and for sexual and reproductive health ers Consultation Forum. rights to be mainstreamed throughout all priority The first day was filled mostly by small working group areas. Inequality and discrimination must be elimidiscussion. On the first group session, we were di- nated through a human rights based to approach to vided into 2 groups who discussed about Means of development. Implementation and Global Partnership. I was involved in the first group where we discussed about Young people believe that environmental sustainabilthe monitoring and evaluation of the next goals. It ity must be linked to social, economic and political was a fruitful discussion where each of us shared our agendas. Within this, we want to be engaged in efideas on how youth could play a role during the mon- forts to mitigate climate change, environmental degitoring and evaluation process. It had been agreed radation and scarcity of resources and we want to that youth led organization could build a partnership see a larger focus on the creation of green jobs. where each of them do their part to evaluate the achievement of the goals by providing both quantita- On the second day, we attended the High Level Panel tive and qualitative data. The discussion was up until on Eminent Persons meeting, where every sector lunch and then we move to the next agenda where sat together and presented their brief statement on we discussed about the Thematic Issues. There were how the first day went for them. From youth sector, discussion on Education, Health, Sustainable Envi- we had Iman Usman from IFL and Rachel Arini from ronment, Inequality & Freedom from Discrimination, ARROW who talked briefly about the importance of
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youth’s role in the global development agenda. The session was then continued with interactive Q&A with the multi various sectors. There were some number of interesting questions and also feedback from the stakeholders on the whole processes of the Post2015 Agenda. It was really interesting and a whole new thing for me, as this meeting was my first involvement. Moved on to the next agenda, each sector were divided into different rooms where they presented everything they have been discuss and working on the day before. We had the chance to speak in front of Mr John Podesta and Mr Sung-Hwan Kim. In the youth sector, there were presentations on 1. Roadmap to Bali, where they present summary on every High Level meeting from New York, London, and Monrovia. 2. Thematic Issues. The group I was working on. What we did was basically gathered every discussion result from every small working group that worked specifically on the issue they were concerned about. The previous day, I worked within the Health group. 3. Monitoring and Evaluation. One group presented their discussion on how the next development goal should be assessed and monitored. It was stated that we clearly need a SMART (Specific, Measurable, Achievable, Relevant, and also has Time constraint) goals. 4. The Bali Communiqué. One group was working on the communiqué. I can’t really tell the whole discussion process since I wasn’t in this group but they tried to gather as many input as they could from every participants. Next, we were divided into 5 tables where we sit with the panelist and had the chance to discuss a couple of questions that the facilitator had prepared. FYI, the facilitator was the participant from the youth sector as well. There was interesting question in my
table concerning how the youth would take part on the decision making for the next global development agenda, or basically regulation in their country. Mr Kim replied to that question by giving us example on how it worked in South Korea. He stated that it was highly possible for youth to take part in the discussion and the consultation process, but not during the decision. Quite honest on his part, I must say, as it was actually what we have been working on. This is my very first experience being involved directly in the Post2015 Agenda and to sum every bit of it, I enjoyed it a lot and felt grateful that I was given the chance to participate. I’m really looking forward for the next youth multi-stakeholders related agenda and I do hope that there will be more CIMSA-ers who participate during the whole Post2015 Agenda.
“Young people in all our diversity must occupy a meaningful space in our new development agenda. We refuse to be an afterthought. It is only with our voice and involvement that the post2015 agenda will be a success.”
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-The Bali Communique
new local CIMSA UKDW
Universitas Kristen Duta Wacana (Duta Wa-
cana Christian University), or widely known as UKDW, is one of several private universities in Yogyakarta. UKDW, which is located right at the center of Yogyakarta, has 7 faculties, including the faculty of medicine. Faculty of medicine is the newest faculty of all, not only in UKDW, but also in Yogyakarta because it had just started accepting students by the year of 2009. Now, faculty of medicine UKDW already has 4 batches of students. The forming of CIMSA in UKDW began at 2011 when CIMSA UGM’s officials came to UKDW to introduce CIMSA. It was Asri and Kiel (now President of CIMSA and LO to NHI) who came to meet BEM FK’s officials. The next year, at the 2012, some students from batch 2010 and 2011 started to think about establishing CIMSA at the faculty. We began to gather people who have interest in CIMSA, until we made a team of 7, the pioneer team. Those 7 people were the ones who established CIMSA at UKDW. After we made the pioneer team, we began having intensive meeting with friends from UGM and UMY. We also attended NLS 2012 where UISU was inaugurated as observer. Seeing UISU inaugurated as observer was building our morale high to proceed our mission. We decided to make only 3 SCOs for the starter, they were SCOPH, SCORP, and SCOME. Promotions were done through brocures, posters, and social media to gain member. We managed to get 60 people as CIMSA’s member. Not long after, the officials were chosen, 6 people as EB, 3 LOs, and 4 supporting division directors. Having official team and members, we began the preparations to apply as observer. May 2012 was the first time we attend national meeting, the May Meeting, and UI was the host.
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This meeting was where we were acknowledged as observer and we had to undergo this phase for one year before legitimized as CIMSA’s local at May Meeting 2013. The extraordinary journey of being an observer starts now. Being an observer, there are challenges and problems we had to face. As newly formed organization, we had to start everything from zero. There are many things we didn’t understand, such as board structure, workflow, terms at CIMSA, which were strange to us, and things we have to do as observer. Though it was hard, we tried to learn things we have to understand. We often asked our friends from UGM and UMY, who were always there to help. Beside figuring out ideas of what we able to do, we also tried to communicate these with national officials.
Until today, there are many things we have done and tried. Starting from making project, cooperating with communities at Yogyakarta, training for members, to collecting funds for our CIMSA. We did all of those things so that we can progress to the better and be legalized as CIMSA’s local at MM 2013. Actually, there is still a lot that we might not be able to tell here. We hope our fight doesn’t end here, right after we are recognized as one of CIMSA’s locals, we want our successor to continue this fight so that CIMSA UKDW can be better each day. And we do hope, as one of CIMSA’s locals, we can give maximum contribution for CIMSA, to improve nation’s health in Indonesia.
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Andre Dharmawan - LOCO CIMSA UKDW
upcoming meeting
October Meeting 2013
Who doesn’t know these words; ‘OM’. OM
Ranah Minang, hopefully it can give a new color and or October Meeting is an event of CIMSA that is an- atmosphere for every single annual national meeting nually held on October. This year CIMSA UNAND has of CIMSA. With the new atmosphere, there is so much been elected and felt honored for being the host of uniqueness that will be found by all delegates across this event. CIMSA Unand that is run by medical students Indonesia. That is why there is no reason to not joinin Andalas University is one of active locals in CIMSA, ing this annual meeting. Feel the brand new version located in Padang. West Sumatera. This province is of October Meeting CIMSA 2013. Through this, we, so well-known by the delicate culinary, the beauty of CIMSA UNAND, is open wide to invite you, CIMSA nature and Minang Culture Due to all those things, member all over Indonesia, for being present in it will be so many temptations since visiting this city. October Meeting CIMSA 2013. There is no second With all the chances, this event can hopefully be a chance, so use your first. We are waiting for you all in place for all medical students in Indonesia, incorpo- October Meeting 2013. rated in CIMSA to know more about the culture, nature, and culinary in Ranah Minangkabau. Ilham Ari Seja - Project It’s an honor for CIMSA UNAND, can be trust- Officer October Meeting ed to hold this big event of CIMSA. By being held in 2013 CIMSA UNAND
62nd GA
August Meeting 2013
The IFMSA General Assembly-August Meeting 2013
Different applications of technology have allowed will be held in Chile, from August 1 - 7, 2013 and the revolutionize health management, continuing medipre-GA will be on August 28 - 30, 2013. IFMSA Chile cal education and the quality and efficiency in diagmade part of the International Federation of Medi- nostic and therapeutic methods. Among the technolcal Students’ Association at 2003. Since that date it ogies used in healthcare, mobile technology is one of counts with the participation of more than 500 medi- the most challenging and opportunities to generate cal students, from 24 medical school of all over the an increase in health at the global level, especially for country, and is the biggest student association in developing countries. This is an opportunity to leverage this technology to cover and promote health in Chile. various fields, from collecting and recording informaThe theme of “i-health: technology-based medicine. tion about patients to the formation of rural practiBringing future into present.” will be brought I this tioners, through the customization of how patients assembly. The information and communication tech- receive medical treatment. This is the new challenge nologies are transforming health systems and ser- facing us all. Therefore, we must be leaders and acvices, leading to solutions that would be unthinkable tive participants in the dissemination and implementation of the solutions offered by technology. decades ago. Chile, in its long and narrow extension, contains all
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economic and cultural center of Chile. The organizing committee said, “We have everything ready for your visit, we expect you like Chile and enjoy all the surprises we have prepared for you, so we invite you to be part of this adventure that will be the August Meeting 2013 and we give you a warm welcome to Chile.” See you in Chile!
kinds of climates, landscapes and cultures, this makes it a country that offers its visitors a varied, entertaining and multicultural experience. The venue is in San- tiago, the capital of the country, stands out as a clean and quiet city, as well as being one of the favorite destinations for visitors, highlighting as the political,
Asri Kartika Putri President 2012-2013
APRM 2013
Yogyakarta, Indonesia
IFMSA Asia Pacific Regional Meeting (APRM) is an
event for the Asia Pacific medical students get together, share ideas, explore a new thing, in action for the world and make a change for the better. And Indonesia, is just the right place. Yogyakarta, a javanese cultural city with unique traditions and success of the health system, is the city we have chosen as the host city for the 2013 APRM.
ports and the main attraction of Yogyakarta and Indonesia as one of the world’s health memorable.
Post-2015 and UHC is a great concept, especially in the areas of health, which to us is still a draft macro, not an actual implementation phasel. Not just a job of government alone, but our active role as amedical student is to give effect, either directly or indirectly, for a good health system and aplicable.There is no other reason, because we are the generation who will carry out the system when we’re inpublic. Basic system, objectives, benefits, advantages, disadvantages, and application of the system arethe things we need to know and to participate actively in the formulation of post-2015 and UHC. This isthe critical Amanda Boy Timor, MD & Dian Oktavia Giriningrum, discourse we as students of Asia Pacific in the event MD - Co-Chairs APRM 2013 Yogyakarta APRM 2013. Through the theme “Health A Forgotten Wealth? Universal Health Coverage for Healthy and Sustainable Development “ is our hope to return “youth” as the originator, and agent of change to make a healthier world. New atmosphere for IFMSA’s meeting will be presented at the APRM 2013 which certainly sup-
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MARCH MEETING 2013 U.S.A.
I had a dream.. I was elected as a delegate of March Meeting USA 2013. Then I realized that was not a dream even if it was too beautiful to be reality. This sweet dream began on March 9th, 2013. It was the first day of General Assembly March Meeting 2013 in Baltimore, USA. 14 Indonesia’s delegates arrived at Sheraton City Center Hotel at midday and immediately proceeded to registration where we met delegates from 117 National Member Organizations in IFMSA. The day started with welcoming session which was divided into 6 SCOs and NMO Presidents then after dinner we had the president of World Medical Association, Cecil B. Wilson, opened the GA at opening ceremony where he also talked about the GA’s theme that is “Advocacy and Physician-in-Training”. The day was closed with plenary session. Basically the content of the GA was SCO/ NMO Management/President’s session, NMO hour, Regional Meeting, Trainings and Workshops, Plenary Session, General Lectures, and OC programs. There were cultural aspect of this GA like National Food and Drink Party where delegates from all over the world exchange their national foods and beverages, International Cultural Night where everyone dressed up in their traditional attire and performed and Color Party where SCOs members came with their SCO’s theme color and were generally having fun. We also had Free Time every other day, so we could go explore the locals. Below is the detail of what Indonesia’s delegates were doing during the GA. The second day began with Standing Committee Sessions (SCO sessions) which was paralleled with NMO management, President’s session, and Alumni session. We also had NMO hour which is a session where the delegates from the same country could meet up and discuss anything related to March Meeting. After that we had Regional meeting, which was the meeting time for the delegates from the same region in IFMSA. There were five regions in IFMSA that is Asia Pasific, America, Africa, Europe, and Middle East. CIMSA is the member of Asian Pacific
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region with some other countries like Thailand, Malaysia, Korea, Japan, Taiwan, etc. At the third day, we had training and workshop session like leadership, creative thinking, time management, avoiding burn out, advance advocacy and lobbying, Negotiation skills, etc that was delivered by IFMSA trainers who were so motivating and inspiring. The schedule of the fourth day was lighter compared to the previous days. We didn’t have any SCO session or training. But we had another amazing regional meeting. Delegates from Fukushima (IFMSA Japan) shared their grief about lack of incoming participant due to the past leaked nuclear power house. That regional meeting was filled with tears. At night, we had free time while the presidents or the Head of Delegates did plenary session. Fifth day of March Meeting 2013 was started with usual SCO session. This day was similar to thethird day. We did second training workshops and each of us had a chance to choose different training. We had International Cultural night that day and Indonesia did likok pulo, saman dance, and poco-poco
dance. “Your dance is the hardest one to follow” was the unforgettable sentence from one delegate after our performance. The next day, we went to Washington DC early in the morning to have some more exciting sessions in Washington Convention Center. We had the last SCO session there. It was full of sadness because we had to be apart soon. We also did project fair before we had our last dinner together. The closing ceremony was really cool because dr. Patch Adams was the speaker. After that we had farewell party where we met some new delegates for the post-GA. The saddest day finally came. It was the time to say goodbye because March Meeting was over. We went back to our own country. Even the sweetest dream ends, the memories will always stay still in my heart..
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Agatha Yunita - CIMSA UPH
National Leadership Summit 2013 UIN - Jakarta
Hi CIMSA! Are you still in Post-NLS-Syndrome? Surely not, because it’s time to pre-MMsyndrome, right? Last February, National Leadership Summit 2013 was held by CIMSA Universitas Islam Negeri Jakarta from February 7th to 10th at Sawangan Golf Hotel and Resort, Depok. The theme of this year’s NLS is “Empowering Future Doctors to Ensure Equity in National Health Care System”. On the first day, the delegates was welcomed by the famous “Jakarta’s Traffic Jam”, but the exhaustion about the traffic jam was gone by the time the delegates arrived in the venue, because of the view was very awesome and relaxing. After all the delegates have had enough of relaxation, they leaved to the main building for welcoming party and dinner. And the agenda of February 7th was closed by plenary session. On the second and third day, it was a lot of excitement! Started from a intermediate and advance trainings, Small Working Groups, facilitator time, grand lectures, plenary session and farewell party. The Grand Lectures was about Universal Health Coverage and how the application of UHC in Indonesia. The speakers are dr. Ronald Gunawan as an executive producer from Cinta Dari Wamena the movie, Ms. Nursila Dewi from WHO Country Office of Indonesia, Prof. dr. Hasbullah Thabrany, MPH, Dr. PH and Dr. Ati-
kah Adyas, MDM, MHP, AAAK from The Indonesian Ministry of Health. And the enthusiasm of all the delegates which is great can be seen from the beginning until the ending of National Leadership Summit. The long and exhausting days finally almost over. It was a rainy night and all delegates were all dressed up at the farewell party. Finally, these awesome 4 days with CIMSA was closed by photo session at the lake view, hugs and kisses with all the delegates, and certainly the post-NLS-syndrome was still stick on their mind until several days after. Keep chillin’ and keep remember the legendary NLS 2013.
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Annissa kallista - CIMSA UIN
Target 5.A. Reduce by three quarters, between 1990 and 2015, the maternal mortality ratio.
Target 5.B. Achieve, by 2015, universal access to reproductive health.
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What Does it Take to Save a Mother? A
n old van with broken air conditioner was taking me and my colleagues through a winding and bumpy road leading to the hotel where we stayed in Nusa Tenggara. It has been almost two hours driving from the remote Puskesmas we had just visited, and we were not even halfway there yet. A friend of mine just fell asleep, and I got lost in a mind-boggling contemplation. I am not sure if it was the suffocating heat of the island or the nauseating motion sickness that makes me overthinking what I had been witnessing in the last few days. With constraints like difficult geographical features, underdeveloped people, and lack of resources, I was wondering, will Indonesia ever be able to achieve the goal of reducing maternal mortality to 102 per 100,000 live births by 2015? 19
Up until now, maternal mortality has been considered to be one of the main problems for Indonesia in achieving the Millennium Development Goals by 2015, and is the biggest challenge in health sector at the present time. Resilient efforts have been done by the government through the enforcement of programs and policies, such as Jampersal, Buku KIA, P4K, Desa Siaga, and many more. Indonesia has also successfully increased the percentage of delivery assisted by health personnel to 82%. However, the result has not been satisfying. The decline in maternal mortality ratio has been too slow and we’re going out of track in achieving our target. It’s hardly possible to untangle the complicated and intertwined problems related to maternal mortality in this very brief passage. Yet if we want to get the big picture, we could easily take a careful look at the factors leading to maternal mortality. In the article “Too Far to Walk”, Thaddeus and Maine proposed a concept to explain the cause of maternal mortality, which was well known as the ‘three-delay model’. According to the model, maternal mortality can be attributed to: delay in decision making to seek help, delay in transport to health facility, and delay in accessing appropriate care within the facility. If we want to prevent maternal deaths, we should eliminate the factors contributing to those delays. And the next question would be: what are they? I would say that manpower, material, method, machine, measurement, and milieu—the six M’s—are the key. This approach is commonly used in management, but it can be quite useful for us, too. I’ll give you some examples. Encouraging pregnant women to do routine antenatal visits is a way to prevent the first delay, because routine antenatal care can help detect high risk pregnancies, which might need specific management in referral facilities. However, in many cases, high risk pregnancies remain undetected because the routine antenatal care was done inappropriately. While pregnant women should undergo blood pressure measurement, weight measurement, blood test, immunization, etc. on their visit, health personnel in many health facilities only perform fundal height measurement and abdominal palpation before sending the women off with a pack of iron tablets. Sometimes it was because they didn’t have enough equipment
(shortage in material or machine). Sometimes it was because there were too many patients waiting on the queue (shortage in manpower). The worse possibility might be the lack of knowledge which causes poor quality service (bad method or measurement). Whatever it is, a problem will occur when one of the six M’s is missing. Another situation in which we could apply the six M’s is in the case related with the second delay, which is the referral system. When a family has no cash money to support their living in the city (no material), for example, or when the road that leads to the city is very dark and dangerous at night (unsupportive milieu), even when health service is free, referring a complicated delivery to a hospital in the nearby city can be a challenging option. The last example is related to the third delay. In this case, the six M’s can also be applied to explain the problem in a health facility. Obviously, no matter how good our antenatal care service is, and no matter how smooth our referral process is, when an obstetric complications occur, the mother needs a team capable of performing emergency care ready. However, in many health facilities which claim themselves to be able to provide such service, we still see problems like absence of obstetricians (problem of manpower), lack of essential medicines (shortage in material), and substandard care (poor method). These kind of problems are so serious, because emergency obstetric care at hospitals is our last weapon to fight maternal mortality. Three hours have passed. As our car rolled through the forests and the mountains, my mind kept wandering. The sky gradually turned black as the sun set in the west, and the car’s front lamps became our only source of light. I suddenly realized that we were alone on this vast piece of earth. Then when we reached the top of a hill, rain fell. From our window, we could see nothing but total darkness and lightning bolt which stroke once in a while. In such fright and loneliness, I told myself: “Well, it will take more than the six M’s, I guess. It takes a whole life of compassion, courage, and commitment.”
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dr. Samuel Josafat Olam
speak up
“What can w achie
Every hour, one Indonesian woman dies in pregnancy or childbirth. The improvement of maternal health in Indonesia is walking slowly in recent years. The maternal mortality ratio, which is estimated at about 228 per 100,000 live births, remained high at above 200 during the last decade, although it has made efforts to improve maternal health care. In my opinion, there are two factors that affect this issue: the first one is the existence of health care disparities in rural areas and the second is the lack of knowledge of the mother. As a medical student, we can improve the second. The woman who comes from a family who have low educational level generally have a higher mortality rate than those who are from a family who have a higher educational level (Unicef Indonesia, Oct 2012). This barrier lead to the mothers or women are not fully aware of the importance to begin prenatal-care, to know how good nutrition during pregnancy, to know the complications that can occur during pregnancy, or to merely know the benefits of Jampersal (Jaminan Persalinan), the health insurance program from the government for pregnant women. I think perhaps we as medical students who have the knowledge can start helping to spread the knowledge that we know. Not only to the mother, but to the family and especially the husbands, because this problem is a shared responsibility.
Ari Sri Wulandari - HRDD 2012-2013
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we do to help eve MDGs 5?�
Work together with Local Paraji. As they know people in that area well and people often inform their pregnancies to them than to us. In some districts paraji given some money if they refer pregnant women to healthcare provider. Change paradigm from a curative way of thinking to preventive one. We need to ensure people the importance of prenatal care, since some causes of high risk pregnancy could be prevented or we could refer it to hospital or Sp.OG if it can’t be prevented
Angga Maulana Ibrahim - CIMSA UIN
MDGs 5 are aspects that could be achieved through long-term and huge projects. Since we (medical students) could not do them, we could make small changes by doing small things, such as donating food to the needy (MDG1), volunteer to teach the poor (MDG2), giving treatments for kids or educate parents about diseases of youth (MDG4), promote gender equality through campaigns (MDG3), and prevention of maternal mortality though symposiums (MDG5). What matters is that we take action, and try to make our projects as effective as possible.
Gabriella Nurahmani Putri - CIMSA UPH
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real action NPEW 2013 National Peer Educator Workshop Brawijaya University, Malang
NPEW 2013 is a national project held annually by SCORA-CIMSA. In this year, we MSCIA Brawijaya University got the honor to be the host for NPEW 2013. NPEW 2013 was held at Villa Seulawah, Batu on April 5th-7th 2013. We got our general theme ‘Maternal Health’. In this occasion, we all were learning to be a good peer educator, by lecture, training, discussing, and finally we applied what we’ve got and did a counseling to be a peer educator to the community. NPEW 2013 had a tagline ‘Strengthening Your Mind, Empowering Better Future’. Our goal is to prevent the disseminating of Sexually Transmitted Diseases (STD) and HIV/AIDS, on productive women, especially in pregnant women. NPEW 2013 was begun with lecture from dr. Sinta Murlistyarini, SpKK on April 5th 2013 titled ‘Interrelationships between STD and HIV/AIDS’. Even though it was raining outside, but the participants was still giving their full attention to this interesting lecture by dr. Sinta. After that, they were preparing theirself for the long awaited agenda, Welcoming Party! Our Welcoming Party was being held at Taman Indie Resto, Malang. They went to this Welcoming Party by bus from Batu, with the dress code ‘Elegant Batik’. They enjoyed the foods and the ‘village theme’ provided by the restaurant. Then, they went back to the Villa again and took a rest to preparing their stamina for the next day. At the second day, they had to be up at seven o’clock to have breakfast then continued by first lecture from dr. Asti Widihastuti, ‘Risk and Vulnerability of Women of HIV/AIDS’. They listened actively. Sometimes, dr. Asti would ask them to imitate her movement, and the participant would go along with her. For the second lecture, we had a speaker from WHO, dr. Beatrice Iswari, who taught us about ‘Prevent Mother to Child Transmission (PMTCT)’. The participants was still listening with full of enthusiasm. Then, the next lecture, ‘How to be a Good Peer Educator’ was presented by
dr. Nuretha Hevy Purwaningtyas MD. In this lecture, we learnt about how to communicate with other people for the counseling part. The next session was Focus Group Discussion (FGD) and a talk show with a positive-HIV mother that has used PMTCT before. Then, we had the most awaited part, the counseling. But, before that, we got some preparation to prepare what would we do at the counseling and all the participants were divided into 10 groups. We went to the counseling place, at Balai Desa Punten Batu by bus. At that place, we met with approximately 70 women as our counseling target. Then the participants teach the counseling targets about what they had from the lectures and based on what they’ve prepared before. The counseling took about an hour and after that we all went back to the villa to rest for a while. The last part for the second day, was Farewell Party. The dress code for this one was Pajamas because our theme is Pajamas Party. Each of the group (based on counseling group) had to do some performances in front
of other participants. They did drama, sang a song, and many more. There was so much laughter. For this Farewell Party, we also had milk break! All of the participants and the guests were allowed to drink one cup of cow milk, one of the famous things from Batu. Then, we had accoustic performances from Echi and friends, who sang some songs and continued by the performance from the committees Last but not least, we had some announcement and some gifts to Best Participant (Winda, UB), Best Local (UMY) and Best Counseling Group. After that, the participants were back to their own room to rest. Last day, we all got up and had some exercises together. Then, we had breakfast and prepared for the next, social program. Our destination was Eco Green Park. And last, the sad part, we had to part away. The participants went to their own way back to their home. But it doesn’t matter because we had so much fun and left so many memories together.
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SAVIOUR
Save Our Mother to Save Our Generation
Children mortality and maternal health still being a homework for Indonesia. It may comes because the lack of knowledge that pregnant women have to keep their health. Those two issues becoming the focus of MDGs emphasizing in point 4 and 5 which is reducing child mortality rates and improving maternal health. Starting from these issues, SCORA and SCOPH MMSA UMY formulated a project that is purposing to support MDGs point 4 and 5. Save Our Mother to Save Our generation (SAVIOUR) is one of MMSA’s project that succesfully held on May 31st 2013 at Desa Surobayan. We choosed Desa Surobayan as our venue because we already done some assesment and the result shown that there were some problem relating to pregnancy. And also, Desa Surobayan is MMSA’s desa binaan so this was one of our concern to make people there realize the importance of pregnancy things. We invited pregnant mothers and productive age women to attend this project. In this project, we facilitated the participants to deeply dug informations about how important maternal health is that later will affecting the children. The speaker was dr.Edi Patmini Sp,OG who delivered topics about pre-natal, ante-natal, and postnatal treatment. The participants were really excited, shown from the flooding of the questions coming for the speaker. After the counseling, we had kegel exercise lead by Titik Surani whos a kegel coach from Happy Land Hospital, Yogyakarta. The participants showed active
participation by following every move of the exercise excitedly. Beside of these main events, SAVIOUR also had spot tensi. And the spot tensi was free! There were even one of the participant who came only for the free spot tensi. Last, we gave some doorprizes and awards for the most active participant, the most on-time participant, and for the participant who got the best score on the pre-test and post-test. From this project we hope that our desa binaan can improve the maternal health and preventing the children mortality for the longer term. For the follow up, we’re planning to do some routine kegel exercise for the pregnant mother in Desa Surobayan at least once in a month. Overall, the project was a great fun for both the Organizing Committee from SCORA-SCOPH MMSA UMY and also for the participants. Be ACTIVE with CIMSA!
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fun facts Every day, approximately 800 women worldwide die from preventable causes related to pregnancy and childbirth. Almost one third of all maternal deaths occur in South Maternal mortality is higher in women living in rural
and among poorer communities.
Asia.
areas
save the lives of women and newborn babies.
Skilled care before, during and after childbirth can
Between 1990 and 2010, maternal mortality worldwide dropped by almost
50%.
Four main killers cause around 70% of maternal deaths worldwide:
severe bleeding, infections, unsafe abortion, and hypertensive disorders
136 million women give birth a year. About 20 million of them experience pregnancy-related illness after childbirth. About 16 million girls aged between 15 and 19 give birth each year, accounting for more than 10% of all births. In many countries, the risk of maternal death is twice
as high
for an adolescent mother as for other pregnant women. Only 1% of maternal deaths occur in high-income countries. About 18 million unsafe abortions are carried out in developing
countries every year, resulting in 46
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000 maternal deaths.
The National Official Team 2012-2013
Adetya Rahma Dinni FnMD
Ari Sri Wulandari HRDD
Gia Noor Pratami RnDD
Fatmala Haningtyas PDD
Zulva Fuadah A. NOME
Jauhara NORA
Ervandy Rangganata NPO
Oktavia Utami LO SO
Yulia Devina LO Diknas
Andi P. Kevinsyah LO WHO
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Asri Kartika Putri President
Niko Kristianto SC
Rivano Frits H.P. SC
Ardina N. Pramudhita SecGen
Tita Rashida VPI
Farhan Mari’ Isa NEO (out)
Mufqi Handaru P. NEO (in)
Ida Ayu Narayani NORP
Adelia Ulya R. NORE
Yehezkiel Nathanael LO NHI
Theodora C. S. MCD
Bethari K. Abianti MCAD
Diko Anugrah AD
Christopher C.P.H. VPE
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Bobbi Juni Saputra SC
Leonita Ariesti P. Treasurer
cimsa’s local Syiah Kuala University Islamic University of North Sumatra Andalas University University of Riau University of Indonesia Syarif Hidayatullah State Islamic University Pelita Harapan University Padjajaran University Islamic University of Sultan Agung University of Sebelas Maret Muhammadiyah University of Surakarta Muhammadiyah University of Yogyakarta Gadjah Mada University Brawijaya University Airlangga University University of Wijaya Kusuma
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Center for Indonesian Medical Students’ Activities Official Magazine