Loading

Wednesday, February 11, 2015


       It was a dark and a little bit cold night. One of my friends suggested to go outside to wacth the stars. We started from the cabana we lived in, each with a torch in hand. At first we just wanted to go around and appreciated the beautiful sky decorated by many stars. But later we decide to do go further . all new thought about was walking and talking. Is was unfortunate that we went into the forest and got lost.
       When we found we were lost, it was too late to find the original way back to the cabana. I grasped my friends hand firmli. The cold and strong wind blew against my face all the time. It whispered through the trees. Whats more, the fog quickly became thick. Terrible fear came to my mind and made me tremble out of my control. I was scared to death. The only idea in my brain was that it was the end of my life. It was impossible for me to get out the forest. Even though my friend tried to convince me that nothing bad would happen to us and we were safe and sound, i still feared that we would come to a messy end.
       It was hard to find the way clear because of the dense fog. It made us lose the sense of direction totally. We didnt know which way to go next. Suddenly , a man with a torch stood in front of us. At first, it frightened us stiff. We dared not open our eyes until he came to pat us on our shoulders and told us that if we were lost, he would help us to find the way back. At that moment, i wasrelieved because i knew i wouldnt stay in the forest forever. This kind man led us out, it was he who ended this terrible experience of getting lost.
       It was really an unforgettable experience in my life. I will not forget such a special experience

       In a very little quiet village, lived an old man whose age was over 80 years old. He planting a durian treewhen a neighbour observed him. The neighbour asked the old man, “do you expect to eat durian from the tree? The durian  tree will take about eight years to bear fruit.”
      The old man rested on his spade and smiled. He said, “no, at my age i know i won’t.all  my life i have been enjoying durians, but never from the tree i have planted before, i wouldn’t have had durians if other men haven’t done what i am doing now. I am just trying to pay the other men who have planted durians for me. “ no wonder he looked so happy.  We would give first and can get something in return. We will not only get what we want, but we willl actually be really happy in the end, because we need to sow first before we can reap.

          Labuhan sesaji is one of traditional events in java. Labuhan Sasaji or offering sacrifice ceremony is held  once a year . People throw Labuhan Sasaji to te sea to please goddness of the South Sea and Kanjeng Ratu Kidul. The people do it to celebrate the king of yogyakarta promotion Day.
         There are two kinds of Labuhan Sesaji. They are Labuhan Ageng and Labuhan Atit. Labuhan Alit is an annualy ceremony to celebrate the day of the king promotion. The other one is held when there is a new king promotion.
         This ceremony is carried out the three places. The places are Parang Kusuma, Mount Lawu, and Mount Merapi. The central place of the ceremony is at Parang Kusuma. This place is considered  the gate into the palace or the kingdom of kanjeng. Ratu kidul. The day before the ceremony lasts there, people climb Mount Merapi and Mount Lawu to do ceremony there.
         The existence of labuhan has lasted since a long time. At the firts over, it happened after Raden Suto Wijoyo, the King of mataram Kingdom. In celebrating Labuhan, the people wear traditional costumes. Man wears hat dester , coat with closed collar, and keris while woman wears a long blouse over skirt wrapping. The costumes are batik- both man and woman wear the same colourful batik.

Tuesday, February 10, 2015

Quality Improvement
EMAS tackles high maternal and newborn mortality rates in Indonesia through facility and health provider strengthening. In the EMAS model, master hospitals and health centers—known as Vanguards—regularly mentor other hospitals and health centers. When these recipient facilities reach a minimum standard of excellence, they too become mentors helping to propagate a quality assurance cycle.
In EMAS' first two years, local partner Budi Kemuliaan was the primary trainer for EMAS Vanguards. In EMAS’s third year beginning October 2013, Budi Kemuliaan takes on an advisory role and it is the Vanguards which are now tasked to expand to another 47 hospitals and 89 health centers (Puskesmas).
EMAS interventions are targeted towards preventing and treating the main causes of maternal and neonatal death. For pregnant mothers this is post-partum hemorrhage, eclampsia, sepsis and obstruction. For newborn babies this is asphyxia, complications of prematurity, infection and respiratory distress.
At the facility level, this means that EMAS facilities are staffed and stocked according to national standards and that EMAS hospital and Puskesmas regularly monitor their performance using clinical dashboards. The dashboards provide quick, clear data on medical staff to patient ratios, rate of adherence to evidence based protocols, percentage of deliveries resulting in referral or C-section, number of emergency drills conducted and deaths by month with the proportion audited, among other medical quality indicators.
At the provider level, this means doctors, nurses and midwives in EMAS facilities both possess the skill to care for sick patients and adhere to the highest standards of care.  EMAS has begun rolling out decision support tools (DST) to provide more focused context for mentoring. DST are essentially formal checklists. The checklists ensure, for example, that a 2 kilogram baby born at 1 a.m. in a small EMAS Puskesmas goes through the same process of care as a 3 kg baby born at 12pm at a large RSUD Hospital in Tegal. Health care providers will not need to remember the indications for and dose of antibiotics due to treat premature rupture of membranes because they will already be identified for them. They only need to check the box.
Whatever the level of intervention, EMAS will achieve its goals through mentorship and side-by-side work with staff, providers and leaders in Indonesia's health community.  We will measure and report on our results.