The Head of HKN Committee in Klungkung Laswan Hadi, SKM., mentioned health is a basic human right as it is being one of important factor in developing human resources. It comes with education and economy factor to measure the index of human resource development. Further it emerges right statement to tell, “health is not everything but unhealthy makes everything meaningless.”

The celebration of HKN themed “Indonesia Love Health” in which generally it wished encouraging spirit, caring, commitment and real action to build medical sector to realize healthy Indonesia. “It is also aimed to increase active role and real action of private sector in empowering people. It is also increasing active role of public organization in performing healthy Indonesia,” said him.

A series of HKN 2011 covers some activities such as socialization of iodized salt, cleanliness movement (people dedication), sports such as badminton, female and male volleyball, female and male tug war (tarik tambang); little doctor competition and emergency seminar. In the peak of HKN celebration, it also will hold prize handover to the winner of the competition and also the best medical officials. The interesting one is it performing Vocal Group of Klungkung Hospital.

In this celebration, it will also hold the simulation of emergency disaster handling in Lepang Beach and the junction of west Kusamba related with accidents worked with RAPI. Vice Deputy Regent Tjok Agung represents Medical Minister Indonesia dr. Endang Rahayu Sedyaningsih, MPH., Dr.PH. said the celebration of HKN being a moment to increase national movement of cleanliness Indonesia in performing healthy Indonesia people. It needs the support of all of people. Tjok Agung accompanied the Head of Medical Office dr. IGN Swastika to hold tumpeng cutting for the oldest medical officials in Klungkung.

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According to Ali Gufron, Denpasar government had reached good development in medical service. It should be a good example for other area so people can get good medical service. “Further central government also committed to give medical service which is being basic right of people by launching Jamkesmas, Jampersal and Jamkesda. However they need to synchronize so there is no overlapping. In the other side we should take care about its administration system,” said Ali Gufron.

Now government had handling medical treatment of poor people through Jamkesmas and Jampersal program for maternity. “We had served people in medical sector,” said him. Meanwhile Denpasar Mayor I.B. Rai Mantra said Denpasar government is very committed to increase medical service of people. “Any kinds of innovation had done especially increasing medical function of puskesmas in Denpasar. One of them had applied ISO. ISO achiever is Puskesmas II South Denpasar which had achieved ISO 9001-2008. Puskesmas II Denpasar had achieved the Trophy of Excellent Service Image from central government,” said Rai Mantra.

According to Functional Doctor of Puskesmas II South Denpasar dr. A.A. Ngurah Gde Darmayuda, his side also giving major service such as IMS clinic or VCT, Emergency Service and Counseling of Teenager Health problems related with drugs. Besides Rai Mantra who has just educated in Harvard University, US, puskesmas in Denpasar now had increasing their human resource quality and its service hours. After visiting Puskesmas II South Denpasar, Vice Deputy of Medical Minister Ali Gufron had reviewed Wangaya Hospital and Sanglah Hospital.

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“Actually the explanation of Denpasar Mayor about their medical program is extraordinary even what had done is innovative,” said Dr. Wilfried. It is also attended by the head of Women Dharma Mrs. I.A. Kerthi Rai Iswara, SKPD, the village headman/ subdistrict headman, and Jumantik member (Staff of Wiggler Controller). Wilfied said any efforts of Denpasar Mayor in Medical sector in these few days will verify by assessment team that consists of any components. According to him, assessment team will hold direct interview to the field to see the implementation of medical program whether in puskesmas or traditional market. They also will chick some public sites. In the other side Wilfried with the team are also admired the innovation of Mayor Rai Mantra in coordinating medical and environment program by forming Jumantik and Jumali. Both groups are very helpful in the effort of handling medical problems. “For those reasons, we asked Mayor approval to bring Jumantik and Jumali to the central government so other area will follow the effort of Denpasar Mayor,” said Mr Wilfried.

Further Mayor Rai Mantra confessed one of the medical program is traditional market revitalization. Traditional market is a meeting site of buyer and trader. Before revitalization, the traditional market looks dirty. This negative impression should fix besides its management system. “In the future we wished traditional market in Denpasar slowly getting the image of friendly and fresh market,” said Rai Mantra. Other medical programs are increasing health level of local people such as encouraging puskesmas (central of people health) in Denpasar, building installation of liquid waste management (IPAL), increasing program of People Sanitation (Sanimas), Basic Sanitation of Integrated People (Santimadu) and Medicinal herb scientific.

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His side watching poultry traffic in Denpasar. After spraying poultry in Satria Market, Veterinary officials also spraying poultry that entering Denpasar. This activity did in By Pass Prof Mantra Street. It is targeting poultry in East Bali. This activity led by the Head of Training and Animal Slaughterhouse Supervisor (RPH) Denpasar, I.B. Suanda at 12.00 PM Wita until 15.00 PM.

Ambara Putra wished people awareness for early supervision due to people awareness to report their death poultry is still few. Though there is no sudden death of poultry, Husbandry, Fishery, and Marine office Karangasem suggest independent breeder to spray their poultry. Now poultry population in Karangasem reached 800,000 poultry while biggest amount is in Manggis District.

Poultry spraying and disinfectant effort had done by breeder group Ayu Mertha in Pasedahan village, Manggis, Karangasem. According to the head of group Drh. I Nengah Rusnawan, avian influenza prevention covers poultry spraying once a week, two times of chicken vaccination, cage sanitation, cage sterilization, and paying attention to food aspect, and poultry health. The death poultry caused by ND and Gumboro disease. Further the breeder should vaccinate their chicken for two times in two years. Egg production in Pesedahan Village Manggis in average daily reached 150,000 eggs from 200,000 chickens. This farm empowering about 70 people.

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“Cervix cancer can prevent earlier and it can do at school. School is a right choice to be a start to educate about cervix cancer,” said him after giving seminar about Medical Education of Teenager Reproduction in School for Freed Bali from Cervix Cancer 2020 in Sanur. Though this prevention effort costs high, now government was subsidizing people as it coming from any pharmacy companies.

“This vaccine indeed has expensive cost. We tried to look for subsidy and bargain its price to the factory. For those reason, we tried to develop school-base-vaccination,” said him. He explained this vaccine costs Rp1,2 million for one time and it should do three times so it costs Rp3,6 million. However program of cervix cancer at school only costs Rp1 million/student for three times vaccine. Further it can pay in installment.

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“This program held since 2000. We chose Gadjah Mada University (UGM) Jogjakarta as pilot project in that time,” said him. He explained in 2000 UGM forbids the usage of motor vehicles both two wheels and four wheels in campus area. “If 1,000 motors substitute with 1,000 bicycles or 100 cars substitutes into 100 bicycles, it will save 500 liters fuel daily,” said him. Dodo added this program targeting campus due to college area covers wide area and high mobility. “Senior High School has smaller area and low mobility,” said him.

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At real one time of medical service priced Rp19,750 as it consists of service expense worth Rp9,150, administration worth Rp6,500, and indirect expense worth Rp4,100. After it had adjusted, it expensed Rp15,000. “It is a real number for one time of outpatient visit so it is not arbitrarily fixing a price,” said Mas Widyastuti. However this medical cost is indirectly costing to the people due to Denpasar people guaranteed by JKBM so puskesmas and Denpasar hospitals patient are getting free treatment. “We asked people not to confuse and burdened,” said her. She said this cost related with three related component of service in puskesmas. This counting aiming to know real cost of patient for a medical service due to unit cost will reveal price per unit per medical service.

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Director of BRSU Tabanan, Dr. Gede Wiryana Patra Jaya, MKes., explained the coming of specialists as one of effort to increase service quality especially from medical aspect. “Korea doctor coming can be use as the sharing moment of medical acknowledgment with our doctor,” said him. Due to Tabanan doctor will accompany the Korean doctor.

According to Patra Jaya, Korea doctor will see medical service system from local doctor. They will give an advice when they handling patients. In accord with their expert, Korea doctor did practice in turns. In the first day plastic surgery doctor had handled four surgery of harelips and burns. “We wished our doctor get new acknowledgment by their presence due to they had better technology,” said him.

They are also bringing their equipments and medicines and it is attracting local people. Since morning, people had queued to get medical treatment. It is including the member of TNI AD from Rindam Udayana, Tabanan. Patra Jaya wished Tabanan people can advantage this free practice. They should come to BRSU Tabanan directly in Nyitdah to get their treatment. Further the doctors are including to high class people so they are diligently holding social activity. This complimentary medical treatment also emphasizing 30th anniversary of graduation from Kyungpook National University, Korea.

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After the event of Fish Consumption Safari, he said their major target is school students. “This socialization at first focusing on school students like elementary students one,” said him. He said nutrition of freshwater fish is high enough and almost same with the saltwater fish so it is suggested to consume in adequate portion. “The fish contains high protein and vitamin for kids’ growth,” said him.

The Head of Marine and Fishery Bali, Ir Raka A Kusuma said rather than other countries, fish consumption per capita in Bali now still low. “Based on fish consumption data in Bali, in 2010 it touched 28 kilogram per capita per year. Ideally it should be 30,5 kg per capita per year,” said him. This low consumption causing by fish product is not enough. He said fish is the source of protein, fat, vitamin, and mineral. “Main superiority of fish protein is amino acid composition inside and digestible,” said him.

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The Head of Mendoyo Kindergarten, Ni Putu Sukariani reported if the basic understanding of UKS held by educating clean and health behavior amongst the students. According to her, this lesson is getting much limit including limitedness of student’s parent acknowledgment. “Due to this reason, children taught to live health at school,” said Sukariani. The kindergarten itself is caring about their environment health by providing proper UKS facilities.

Sukariani confessed if her side is often to consult about health to the doctor and other paramedics. One of assessment team member, dr Galuh Budhi Laksono confessed he will access three aspects. They cover medical education, health service, and environment development. According to them, this kind of competition is effective enough to increase healthy life awareness in schools. “Young generation needs to accustom themselves to live healthy,” said Galuh. He confessed if his side will access competition in 29 provinces from kindergarten level until Senior High School students. Related with UKS activity, Galuh accessed region government should contribute a big role to build proper UKS. “If region leader have commitment to build proper UKS, it will come true,” said him.

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