Cempaka Culture and Tourism: Free Healthcare Overwhelms Papua

"The Recalibration of Awareness – Apr 20/21, 2012 (Kryon channeled by Lee Carroll) (Subjects: Old Energy, Recalibration Lectures, God / Creator, Religions/Spiritual systems (Catholic Church, Priests/Nun’s, Worship, John Paul Pope, Women in the Church otherwise church will go, Current Pope won’t do it), Middle East, Jews, Governments will change (Internet, Media, Democracies, Dictators, North Korea, Nations voted at once), Integrity (Businesses, Tobacco Companies, Bankers/ Financial Institutes, Pharmaceutical company to collapse), Illuminati (Started in Greece, with Shipping, Financial markets, Stock markets, Pharmaceutical money (fund to build Africa, to develop)), Shift of Human Consciousness, (Old) Souls, Women, Masters to/already come back, Global Unity.... etc.) - (Text version)

“… The Shift in Human Nature

You're starting to see integrity change. Awareness recalibrates integrity, and the Human Being who would sit there and take advantage of another Human Being in an old energy would never do it in a new energy. The reason? It will become intuitive, so this is a shift in Human Nature as well, for in the past you have assumed that people take advantage of people first and integrity comes later. That's just ordinary Human nature.

In the past, Human nature expressed within governments worked like this: If you were stronger than the other one, you simply conquered them. If you were strong, it was an invitation to conquer. If you were weak, it was an invitation to be conquered. No one even thought about it. It was the way of things. The bigger you could have your armies, the better they would do when you sent them out to conquer. That's not how you think today. Did you notice?

Any country that thinks this way today will not survive, for humanity has discovered that the world goes far better by putting things together instead of tearing them apart. The new energy puts the weak and strong together in ways that make sense and that have integrity. Take a look at what happened to some of the businesses in this great land (USA). Up to 30 years ago, when you started realizing some of them didn't have integrity, you eliminated them. What happened to the tobacco companies when you realized they were knowingly addicting your children? Today, they still sell their products to less-aware countries, but that will also change.

What did you do a few years ago when you realized that your bankers were actually selling you homes that they knew you couldn't pay for later? They were walking away, smiling greedily, not thinking about the heartbreak that was to follow when a life's dream would be lost. Dear American, you are in a recession. However, this is like when you prune a tree and cut back the branches. When the tree grows back, you've got control and the branches will grow bigger and stronger than they were before, without the greed factor. Then, if you don't like the way it grows back, you'll prune it again! I tell you this because awareness is now in control of big money. It's right before your eyes, what you're doing. But fear often rules. …”

Saturday, December 7, 2013

Free Healthcare Overwhelms Papua

Jakarta Globe – IRIN, December 7, 2013

Malaria victims under treatment at a small clinic in Timika, Papua.
(JG Photo/Jurnasyanto Sukarno)

As more people sign up for health insurance offered to indigenous people in Papua, a public health system already struggling with too few health workers and substandard services is coming under greater strain.

“People in the mountains and in coastal areas have flocked to the hospitals seeking treatment, even for diseases that can be handled by local clinics… People go straight to hospitals because they want to be treated by specialists,” said Aloysius Giay, director of the state-run Abepura Hospital near Jayapura, the provincial capital.

Yusmina Wakum pays around US$50 and travels 350km for eight hours by bus to reach the main hospital in Jayapura, to receive treatment for gout. “Where we live there’s a hospital, but medicines are not good,” said Yusmina’s 19-year-old sister, Miriam Wakum, as her elder sibling sat slumped in a wheelchair.

“She got worse and couldn’t sleep, so we decided to take her here.”

The health scheme was intended for use only in the province’s 34 tertiary referral hospitals, but residents have largely refused to seek care for non-emergency complaints in more than 300 public health clinics known as Puskesmas — citing poor service and lack of specialists — even though those services are also free, Aloysius said.

About 52 percent of Papua’s 2.8-million population are indigenous. In the past two years overcrowding has increased and patient queues have grown longer as more people joined the scheme, launched in 2009. The problem may worsen, health officials say, with the government’s plans to launch a universal healthcare scheme for all Papuans, indigenous and non-indigenous.

Health posts vacant

In Keerom district, near the border with Papua New Guinea, where violence from a low-level but long-running separatist conflict in Papua has fueled security concerns, a local Catholic priest, Roni Guntur, said health posts are mostly vacant. “In some places the government has built community clinics, but there are hardly any health workers. Some of them left because they said there were no supporting facilities or because they did not feel safe.”

In 2012 Papua had a ratio of two doctors and 17 nurses per 10,000 people, above the national average of 1.4 doctors and five nurses, but Health Ministry data show that health personnel are not evenly distributed.

Some Papuan districts have less than one doctor and five nurses per 10,000 people, according to the Health Ministry, whereas the World Health Organization recommends a minimum of 23 health workers per 10,000 residents to provide basic care.

While reference hospitals in main towns like Jayapura and Abepura struggle to cope with the patient surge, many indigenous Papuans are still unaware of the health plan that is almost free of charge. “People in villages are still dying because they don’t get treatment and aren’t aware of their rights,” said Aloysius.

“Those who suffer more serious illness still have to pay for drugs because they are not covered by the insurance,” said the priest, Roni, who noted that there was also confusion over what is covered by the insurance scheme.

Health consultations for indigenous communities are provided at no cost, as well as hospitalization in the cheapest, third-class ward and most medicines. Residents still bear transportation and some treatment costs.

Solutions

To cope with growing pressure on the health system, the provincial government has announced it will build four new referral hospitals in 2014. Officials said there are also plans to establish more schools for health workers, and to offer free training via the Internet.

Most indigenous communities live in underserved remote areas, so in 2012 the Health Ministry started flying provincial health workers to these areas, where they stay for several months at time to treat villagers and train local health workers.

“Because of the limited budget, the provincial government can only provide [training] modules for the health staff, not for the local cadres, but by their own initiative the [provincial] staff developed very modest modules in the local language,” said Ratih Woelandaroe, a UN Children’s Fund (Unicef) health officer in Papua.

The rugged jungle-clad landscape is the biggest challenge to accessing health services, said Sudhir Khanal, Unicef’s child survival and development specialist in Papua.

Papuan Governor Lukas Enembe, installed in April 2013, has made improving healthcare a priority, and set up a Unit for the Acceleration of Health Care Development, which is headed by Aloysius.

“We are aware that all this time, monitoring and supervision has been poor, and that’s why there’s a need to make a move and improve things,” Aloysius acknowledged.

IRIN