Padang EarthQuake

The earthquake that happened at 17:18 hours local time on 30 Sept 2009, a magnitude of 7.6 temblor struck near Padang west Sumatra. Severe damage occurred along the fault zone. Affected communities are located within the special Padang  consisting of  Pariaman districts as well as the municipal district of  Padang and West Sumatra province.

The earthquake had caused around 1200 deaths and thousands wounded that the available hospitals cannot cope with the huge number of patients. As a results many wounded patients that are not heavily wounded are sent home. The problems are then the after treatment. In addition there are also many number of slightly wounded people that have not got any treatment in the first few days of after the earthquake.

KKY as an organization that has always been concerned with the health condition of the people, start to response to health service need from the couple day’s of the earthquake. Together with a number of volunteers doctors such services are badly needed that the requirement from the many different villages are so much that the group cannot even provide the service to all the requirement.

You may say that I'm a dreamer
But I'm not the only one
I hope someday you'll join us
And the world will be as one …..

( Imagine – The beatles)

Whether we realize it or not we are all dreamers. But that dream will come true or a dream that dream just depends on us.

We are not an expert in emergency response, but we are people who care about the fate of human.

Preparation

Thank you Barry and jennifer who has helped us to realize our dreams become reality. After contacting Jennifer because we need to fund emergency response separately to Padang, then OK .... Please make the budget about how much funding is needed. Not until half an hour our budget and we are ready e-mail the to Jennifer, Jennifer's next is to approve our budget handed.

The next step is to identify drugs that are still there and what additional needs, in line with the identification of drugs was also carried out a number of resources will go, is heavily influenced by our experiences when the Yogyakarta earthquake.

It was decided four personnel went to Padang, the preparations are done and thank you Google Earth, which provides a map to the accuracy 2meter, we try to open the Padang and the surrounding area, was what we predicted came true, unlike the disaster areas in Yogyakarta, it means disaster area in Padang spread, so that when we send off four personnel felt it was less, then an additional 2 personnel need more

 

Thank you to dr. FX. Bambang Kusbandono, who had left the health center with his dedication to go to Padang in the context of emergency response.

Also dr. Ika Christine who  had left the city of Semarang, in the everyday as a lecture at the University of Diponegoro. 

Moch Agus Ramli as coordinator KKY, who struggled to find funds to go to Padang.

 

Iwan Kurniawan mouse deer, which leave the main job in Jogjakarta, to participate in emergency response.

Do not forget to Edy Hamzah as administrator and prescription drugs.

Eddy Sulistyanto alias Pakdhe, Bruce Willis Indonesia as a web administrator, psychologist for trauma healing, negotiator, proposal developers, special drivers, especially for the special stage, as well as managing all schedule mobile clinic in emergency response, resulting in the process of "how to keep the sound mind" of physicians, volunteers and refugees.

Departure 

We plan to buy drugs in the Market Pramuka Jakarta, where there are drug sales.

In Jakarta we need a day to buy drugs that will be needed. When finished it at 24.00 we headed to the Merak port of ferry. Arriving at the Merak about 02.00 hours, and then ferry began to move at 04.00. Arriving at Bakauhuni port about 06.30 hours, straight into the Padang.

Dated October 8, 2009, we reached the town of Padang at 02.00, with a thousand feelings are raging in the heart so that eventually Eddy Sulistyanto writing poetry:

 Ranah Minang
I write this poem

when I touch Ranah Minang
Like fingers touch the soul

Gentle but full of strength
We came to help Kinsman, friends, and human beings In need

I write this poem

Not for haughtiness Nor for pedantically
We come with humility

Because life is intrinsically
To serve ... .... To ourselves and To others
Hello .... Hello ... ... hello ... ...
Assalamualaikum Halleluyah ... ... ... ...
We come in peace .... We come with humility
We come not want publications

We arrived without bureaucracy
Life is not to complain and groan

Life is to cultivate life and create and carve the World.
We bear the task, because the task is a task
Not for the sake of heaven or hell

but for the honor of a man
We are the personality and our price is our honor
Tried to look back to the past that no one power removed

I write this poem
When I saw the look in his eyes as to shoot the sun
Clink thrust in silence In the quiet that reigned
Eyes that said ... .. Is my sins natural rulers ... ... ..
The problem is not his fault and sin

but our inability to nature friendly
We are not able to read the signs of nature

should not we be in harmony with nature
We smile is not because drama

not because a smile is a mask
But because a smile is an attitude

Our attitude to God, fellow human beings,
fate, and life

I write this poem
At the time this heart cry seeing the grief and human wounds
We help and not to be helped

we serve and not to be served
If anyone asks useful if what we've done
We will respond ask the people we help

ask the people we serve
Because the answer sincere without manipulation
because the manipulation of truth was Misleading
If the truth had lost his Is there honor and dignity

I write this poem
To remind fellow human beings
If life is an honor …… lives in service to others
Life is a self-esteem and personality …….

life is an attitude
Life is a choice with all the risks because we have chosen

I write this poem
because nature seems to be stronger than us
but not because we have been defeated

Yogya EarthQuake

What is happening now

Today's news broadcast from Indonesia via SBS television, reported on the situation in the villages around Klaten - the city east of Yogyakarta.

This is the area described by Sari in her reports about work of Klinic Kerabat Kota Yogyakarta (Klinik KKY) in villages including Kragilan, Brangkal, Bijak and Cendol 

Emergency medical aid to treat injuries is now being supplanted by treatment of illnesses such as diarrhea, dysentery and respiratory disorders, caused by overcrowding, uncertain supply of clean water, food and shelter.

At this stage it is vital that assistance offered from inside and outside Indonesia be coordinated to achieve maximum effect. The work of Klinik KKY enables it to identify the most pressing needs of many isolated and disadvantaged communities so that help can be provided most efficiently, utilizing the best resources available.

In these villages in the Klaten area Klinik KKY is working with SGN to provide the kind of material and psychological support so necessary for rebuilding devastated lives. SGN has already cleared debris in two of the villages and set up community centres where Klinik KKY is able to hold regular clinics, where food can be prepared, where people can meet, and where activities can be organised for children. Already, in these 2 centres, 200 children (their schools destroyed) are being helped as well as being taught practical health and hygiene.

Your donations will help sustain people who have suddenly had their homes destroyed, their lives uprooted. Many are poor village people. Your donations will help these communities to survive and begin the hard work of rebuilding their lives.

SUNDAY, JUNE 11, 2006

Klinik Kerabat and SGN - News (3 - 4 June 2006)

For 2 days we have been busy preparing a place for a public kitchen and where children can gather. My family has hired people from Sragen (a city about 60km to the East) to clear demolished buildings and level some land which will become a public space where children can learn and play, mothers can cook, and people can meet to plan. Last Thursday colleagues from Yayasan Prakarsa (Foundation for Initiatives) in Klaten offered to help with our program for children. Hopefully we can soon begin some long-term programs to help the people in the hamlets of Bicak and Ngunut, which are like "suburbs" in the village of Brangkal.

This morning, the Subur Gemi Nastiti (SGN) team will assist the villages of Brangkal and Kragilan. Four cars provided by the Mitsubishi Club, Jakarta, have asked to help, while friends who arrived last night from Bali will manage the public kitchen and coordinate work in the villages of Bicak and Brangkal. I myself will guide 2 carloads of friends to work in the village of Kragilan, while another 2 cars will go to Bicak in Brangkal.

We will distribute food supplies, clothing and tarpaulins. Another friend will join tonight with a tent and lamps. Lighting is urgently needed to prevent theft. People are asking for tents and keroscene lamps and also torches to enable them to patrol their villages to help safeguard their remaining belongings.

On Sunday (4 June) friends will arrive from Bandung, West Java to help for 2 days. They will help me to set up a public kitchen in the villages of Bicak and Brangkal. On Monday 2 doctors from Kupang (Timor) will arrive and have asked us to facilitate their disaster relief work. Klinik Kerabat and SGN will ask them to assist in the hilly district of South Klaten where there has been little aid.

I want to thank you all for the assistance you have given us. I paricularly want to thank those people in Armidale, Toowoomba and Melbourne who have given donations. Every donation is significant for the people suffering

Doctors preparing for the day

 Each day lists are made of patients that will need help that day. Work carries on day and night and each morning receipts of medicines that will be given out are prepared.

Emergency Response

The KKY was founded in 2002 by two medical doctors and two dentists, who were involved in a local program run by a local NGO Dian Desa named CIUD (Community Involvement in Urban Development). These doctors and dentists, together with Yayasan Humana (a local NGO working with street children) and Yayasan Indriyanati (a local NGO working with female street children), ran a three day camp for the street children to find out what were their most pressing needs. This camp was made possible with funding and logistical support from the Dian Desa CIUD program. After the camp Yayasan Humana, Yayasan Indriyanati, and the four doctors decided to set up KKY. The start up funding came from the three above organizations and donations from the four doctors and friends.

WHY KKY ........

During the three day camp it became obvious that street children in Yogja were not able to access public or private hospitals or clinics because non of them had identification cards and were not recognized by the government. Through KKY, the two medical doctors and dentists, mobilized other doctors and medical students from the Gadjah Mada University to provide health services to street children. They ran a clinic, in Pajeksan street, a small street off Malioboro road (the main street in Yogjakarta) three days a week, three other days would be spent running a mobile clinic, bringing services to ‘hot-spot’ areas where there was a consentration of street kids. This service still continues to run up until now.

There has been a lot of progress in terms of government and established medical institutions in the city’s recognition of street kids and their needs due to KKY activities. They have lobbied Rumah Sakit Panti Rapih – to accept street kids when they come for treatment at reduced costs (the bill is paid by KKY). And last year the Social Department in Yogjakarta covered the treatment of two street kids who were found to have HIV/AIDS in the Sardjito General Hospital.

For the last two weeks, because of the earthquake, KKY has used its mobile units to service distant villages, not immediately reached by the government. The intentionally choose to service areas that are not receiving spotlight attention from the authorities and the media. Today for example, Dr. Agus is lobbying for a donation of ‘export containers’ fixed up as mobile units with a capacity of 8 beds to be placed in Gantiwarno, Klaten where the ‘Puskesmas’ (public medical clinic) only remains as a pile of rubble, and Dr. Cahyono who is running it is in desperate need to be able to take in some of his worst patients 

– so that they do not get rained on every night. KKY has been working in collaboration with Subur Gemi Nastiti (SGN) a small community group from East Java - to deliver aid to the Klaten area.

For the last two years KKY has been receiving a significant amount of its financial resources from Oxfam-Novib, through a consortium named “Basic Social Services For Needy Children”. KKY is responsible for the delivery of health services to disadvantaged children in Yogjakarta, Sragen and Boyolali (both of the later are districts in Central Java).

About KKY

Economic crisis in Indonesia has made millions people suffer decrease in family income, increased price of household goods and higher rate of unemployment. Pressured to meet their primary needs of food, clothes and shelter, parents are forced to send their children to work, instead of to schools. The result is quite severe. As much as 4 millions of children have dropped out of school (of elementary and junior high level) in 1998. Many of them have become street children, who in accordance to UNICEF, are those under 18 years old who work in the street, live in the street, and are homeless drifters.

Street Children of Yogyakarta – Based on 1999/2000 survey conducted by Atmajaya University in Yogyakarta, there are about 800 male and 110 female street children found around the city. They are spread all over Yogyakarta’s intersections, markets, shopping centers, bus and railway stations. Most of them live in small groups (consisted of 10 children or more), scattered around 85 points or locations throughout the city, excluding smaller and less organized groups.

To support their lives, these street children usually work and operate on and off as street vendors, street musicians, shoe polishers, or beggars. They will stop working when they have enough money for the day, that is between Rp 10,000 to Rp 20,000; enough for eat and (unfortunately, as most of them usually do) buy cheap liquor.

Inevitably, their poor condition brings about a high rate of material and social risks among themselves, especially those who come from urban community. They rest and sleep anywhere: by the street, on pedestrian side, or in several safe houses provided by non-government organizations. For personal hygienes, they bath and wash their clothes in public toilet facilities around Malioboro street, usually late in the evening or at dawn.

They exercise no restrain for their sex life. It is common among male street children to buy cheap services from prostitutes who work along the railway side, while female street children tend to keep their sexual activities only with their boyfriends.

Street children often experience physical and social harassment from street thugs who take post around their place, or from local youth who reside nearby – usually over territorial argument.

In terms of health risk, most street children suffer lack of nutrition and appropriate diet, resulting in their thin, pale and gaunt look. Compared to other children, the physical welfare of street children is very much relied to the solidarity and support of their peer groups. Another concerning issue in this area is their exposure to drugs abuse and sexually transmitted disease (STD), due to their casual life style and pattern of relationships. In terms of mental health, street children tend to be more self-sufficient and show higher capability for faster recovery to their problems. They are also more creative in processing and translating adults’ ideas.

Health Initiatives: Some Details – Efforts have been made to attend the issue of health risks among street children. One of the government’s attempt to address health issues within the underprivileged community is through social security network program.

Unfortunately, the initiative is hindered by administrative problems, since patients of government-run community clinics are required to present personal or family identity card, something that these children do not have. As the consequences, these street children tend to ignore their illness until it becomes serious. Quite often, to dull their affliction, they consume liquor, or purchase cheap medicine from local pharmacy.

As a response to this problem, several non-government organizations (NGO) in Yogyakarta: Yayasan Dian Desa (through its program of Community Involvement in Urban Development/ CIUD), Yayasan Humana and Yayasan Indriya-Nati), have worked together in setting up a voluntary in-house clinic, named: KKY, which stand for Kerabat Kota Yogyakarta (Friends of Yogyakarta), to provide direct and free-of-charge health services for street children.

The founding of this clinic has successfully started a network called Kaukus Kesehatan (Health Caucus) that consists of various NGOs whose main concern are street children: Mitra Wacana, Lembaga Perlindungan Anak/ LPA (Children Protection Organization), Yayasan Sayap Ibu/ YSI, Yayasan Humana, Yayasan Indriyanati, Ghifari, Rifka Annisa, Lembaga Studi Pengembangan Perempuan dan Anak/ LSPPA (Women and Children Development Study Organization), Panti Sosial Bina Karya/ PSBK (Bina Karya Social Service), Panti Sosial Karya Wanita/ PSKW (Karya Wanita Social Service), Yayasan Indriya-Nati, and Perkumpulan Keluarga Berencana Indonesia/ PKBI (Indonesia Family Planning Community).

 KKY Clinic: Facts & Figure – The already established KKY Clinic is administered by four (4) personnels: one general practitioner, one dentist, and two assistants. It is located 300 metres from Malioboro street, one of the city’s busiest main street, and open daily from 10 am to 2 pm.

The clinic’s scope of service includes medical treatment, patients referral to Panti Ratih Hospital and health promotion. Aside from the permanent residents, KKY Clinic also involves volunteers from medical faculty of Gadjah Mada University. Funding for the clinic’s operation is provided by international NGOs, such as The Swiss Embassy and NOVIB, also from small regular fee paid by general patients from the sorrounding area.

Since the beginning of its operation in 2002, KKY Clinic has treated 1086 patients, 30% of them are street children. because patients who come not only street children but also the parents of street children, the porters at the station, pedicab , and the station hawkers

Common health problems among them are acute respiratory infections, skin problems, gastristic and venereal disease, also minor injuries caused by accidents or street brawls.

Based on the clinic’s record, most of these patients come from groups of street children located nearby. On the positive side, the service (health consultation and prescription) for this group is completely free. Aside from that, the place also serves as a venue for them to socialize with local community and enhance their knowledge in health.

Its funding and daily operation still largely depend on volunteers and is not self-sustained. As one of the result, regular-based medical workers are rather difficult to find, since they are expected to work voluntarily.

Despite of its possibility to extend its function as community health center for women and baby, the clinic is not equipped to provide maternity service. As for its location, a large number of street children concentrated far from Malioboro area may have not known or accessed the clinic. 

For that reason, we are preparing to improve the operation of KKY Clinic, as well as complement it with mobile health service, using a clinic-vehicle to reach groups of street children scattered around the city of Yogyakarta.

Mobile Clinic Initiative  – To complement an already established in-house clinic, a mobile clinic is considered as an appropriate alternative, in order to provide easy accessibility of basic health services for street children. On the other hand, the initiative requires several factors to consider for its implementation:

• there should be enough health awareness among street children and others to encourage them to make use of the service;

• the initiative should adopt a service pattern and style that could accommodate its target group unique characteristics and needs;

• the initiative should employ the lowest rate of service charge as possible, if not completely free.