News Details

29.08.2017

GKI Tanah Papua

Medical consultation in GKI Tanah Papua (photos: Dr Bachongo/UEM).

VISIT TO HEALTH CENTER “RUMAH SATIT EFATTA ANGGRUK’’            AND ANGGRUK COMMUNITY FROM 07 – 12 AUGUST 2017

I. BACKGROUND
Health services by GKI Tanah Papua had experienced the golden era before 1990s. Where health service units in Anggruk, was more capable service centers than other health services units at the time. But unfortunately the health units managed by the Diakonia Foundation could not run well again into the late 90s. This due to the collapse of the branch of diakonia dealing with health program and the sudden departure of missionaries running hospital Efatta Anggruk in 1997.
Based on the above reality, the outpatient service in Anggruk is the only section which resisted from the hard time faced by the health facility Rumah sakit Efatta. The poor health staff in the name of Ruben is the one trying to sustain the facility under the name of Puskesmas RS Efatta Anggruk with the grant from the local government.  We must remind that Anggruk is a mission station that stand in remoteness because of inaccessibility by road but possible only by small aircraft mostly (Mission aviation fellowship). This makes us to understand how expensive it is to get there from different town arround. The travel from Jayapura is done through Wamena and then you have to connect by the small aircraft.
Recently, through the Synod initiative, Anggruk has become the new Klasis with management team aged less than 6months.

The birth of this new klasis may surely bring hope to develop again the hospital Efatta to respond to the immense problem that innocent population of Anggruk area have been facing for decade. This report will try to make some proposition to the synod in order reorganize and reopen different community health related activities for the welfare of Anggruk people. After a visit 5 years ago in the area, Diaconal GKI organized a working visit to identify palpable elements that may help start health activities in Anggruk and this with the contribution of coworker from UEM. 

II. GOAL OF ACTIVITIES

  • Inventory of problems faced by Health Service in Anggruk
  • Encourage the reactivation of service that have been inactive
  • Give information about HIV and communicable diseases

 III. ACTIVITY PARTICIPANTS

  • Dept. Diakonia (Rev Wospakrik Simon, Dr Raymond Gbombo, Mrs Susan Mrs Novelia)
  • SYNOD: the head of the ecclesiastic region (Rev Ucor)
  • RUMAH SAKIT EFFATA Staff (Mr. Ruben, Mss. Nani, Madame Lyn)

IV. OUTPUT ACTIVITIES

  1. Information in the form of a report on conditions and activities in GKI Health clinic of Anggruk
  2. A Follow-up Plan between the Diaconian Department – Klasis Anggruk

V. DESCRIPTION OF VISIT TO ANGGRUK
The visit to Anggruk began on Monday 7th, August from Jayapura with a night in Wamena. On the second day we left Wamena for Anggruk by MAF. The trip was good and of a short duration of 25 minutes but full of stress because of the geographical conditions of the mountainous region to which we are not accustomed.
The activities began with a meeting in Wamena where we were briefed on the general situation of Anggruk. When we arrived in Anggruk we had a warm welcome from the local community.

V.1. CONDUCT OF THE VISIT TO ANGGRUK

1.1. ACTIVITY IN THE CHURCH
The staff was briefly presented to the evangelist training team. Dr. Raymond coworker of UEM made a focused on communicable diseases, way of transmission. He talked about HIV, the target group and means of prevention.

After our presentation about presentation followed by some questions of participants, this mother in picture below challenged the head of the diakonia department representing here the synod office by giving him 30000 Rp equivalent of 2€ to be added by synod to pay qualified health personal for their health center. According to them Anggruk people do not have access to good quality health from qualified medical staff.

1.2. ACTIVITY OF THE HEALTH CENTER

We made a short visit to a small local market. This market surprised us. Most people sold either 1 to 2 onions, 2 to 3 tubers of cassava or yams but 80% of people sold tobacco leaves. After that we visited the health center Rumah sakit Efatta Anggruk. This health institution operates in 4 buildings, including 1 rehabilitated, 1 under construction and 2 requiring rehabilitation.

Connected to this we visited also different service running under these building. We have observed that the patient wards do almost not exist and the material used are in very bad condition. The health facility is able to accommodate 4 patients per night. Different materials used in surgery, anesthesia and for X-ray are still there but all consumable items are out of date and kept as asset of rumah sakit EFATTA.

1.3. Visit in the local community

On the fourth day of our visit we went with local community health worker to home visit. As result we discovered a defaulter from ARV and TB treatment. The patient was convinced to join the health center and to be referred again to the hospital to restart the treatment.

1.4. ACTIVITIES OF THE HEALTH CENTER
The routine activities of a health center include:
The outpatient department, laboratory, pharmacy, maternity and patients under observation. The annex includes the Voluntary Counseling and Testing Service for HIV(VCT) and the prevention of mother-to-child transmission of HIV( PMCT). The administrative department includes the patient's file and the different registers.

1.5. EXISTING ACTIVITIES IN HEALTH CENTER RUMAH SAKIT EFATTA ANGGRUK.
There is a very good waiting room for patients equipped with comfortable chairs. The outpatient department receives on average 5-10 patients per day with a fluctuation that goes up to 50 patients on the market day which corresponds to Tuesday and Friday. The records of the consultation are well kept, and the records of the women who have given birth are well organized. The VCT service does not exist and the last case of HIV tested is in 2013. The laboratory tests are not done but a microscope is in place. The maternity service is arranged in a room that is directly opposite the waiting room. We have suggested that the center finds a comfortable place that respects the modesty of the women who will come to give birth.

Urgent need:

  • Have an analyst to do some routine laboratory tests. - Open a VCT in the Rumah sakit EFFATA health center in Anggruk, which will also be in charge of preventing mother-to-child transmission of HIV.

1.6. ACTIVITIES HAVE STOPPED

The hospital responding to the name of Rumah sakit EFFATA Anggruk according to the information we possessed was a missionary station that served the population of this region since the 1960s. The hospital was working with the missionary staff and the traces visibly show that this small Paradise lost in the valleys of the great mountains offered so commendable service. Specialized services such as radiology, general surgery and other surgical emergencies that were offered by the missionaries stopped shortly after their departure in 1997. The equipment in the operating room kept as archaeological objects under the good care and vigilant eye of Mrs. Lyn is still almost complete. The time has come to make these valuable instruments active again to serve this population of Anggruk, which does not have many health alternatives because of their geographical isolation. We are going to give some recommendations at the end of our report.

VI. VISION FOCUS OF THE HEATH CENTER

After two discussion sessions on the identity of health center rumah sakit Efatta Anggruk We had the opportunity to address the question regarding the vision of this center. We asked the holder of the health center rumah sakit Efatta Anggruk. What is your vision for the health center Rumah sakit Efatta Anggruk? The answer to this question was direct and frank. We do not have a specific vision, we just steal infrastructure and others can also contribute. In our opinion it is clear that this center needs technical support in the field of health. We will propose the technical supports in our suggestions and recommendations.

VII. OPPORTUNITES

  • There is a good amount of care equipment and infrastructure
  • The presence of Diakonia department at the GKI synod level
  • The presence of a doctor in the department of diakonia
  • The existence of partnership with local and central government
  • The existence of health personnel in the field
  • The existence of the local church and its leaders
  • The existence of the local community
  • The existence of small aircraft carrier companies

VIII. RECOMMENDATIONS  AND SUGGESTIONS
In the framework of the sustainability of the activities of GKI in the rumah sakit Efatta Angruk.

  • It is imperative that the synod GKI examine the issues relating to the identity of the said center
  • That the synod signs a clear partnership of collaboration with the hierarchy having financed some constructions in the center and around center (ex: the two houses for the doctors)
  • That the Synod employs a doctor and a trained midwife for the center Rumah Sakit Efatta Anggruk
  • Proceed to infrastructure rehabilitation

ANNEX
Here are some urgent needs that require prioritization and intervention.

  1. Communication (ex: talkies-walkies)
  2. Drinking Water Supply
  3. The lighting and electricity system
  4. Equip with beds and mattresses
  5. Transport (transfer of patients and supply of medicines)

Activities in the health center:

  • open a VCT and supply ARVs
  • make the malaria test available
  • monitor child malnutrition and growth
  • strengthen data collection (available source of electricity for computer)

Done by Dr GBOMBO BACHONGO, Jayapura, 18th August 2017

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