My Contribution For Indonesia

The contribution that i had done, iam doing, and I will do

for people / organizations / institutions / profession in my community
Introducing, my name is Dewi Ayu Astari Paramitha. I used to called Dewi. I was born and
spent my childhood in Surabaya. Being raised by parent that work in health services has
made me dream to be a doctor since i was kid. Praise to God, after graduated from Taruna
Dra Zulaeha senior high school i got chance to study at Medical Faculty Sebelas Maret
University.
After finished , i underwent internship program in Pemalang. As i worked in primary health
care and in the hospital, having interaction with patients family, the doctors, and another
medical worker i realized Indonesia has a lot of homework that need to be done. For example
imbalance distribution of medical worker especially doctor, national health insurance, and
facilities in primary health care. Trying to give contribution to those problems i decided to
join PTT program organized by the Regional Government of East Java. I was placed in
Pacitan and got a chance to be a doctor in Tulakan Health Centre. Pacitan is located in south
coast of Java, the boundaries between east java and central java which is have mountainous
and hilly characteristic. The land characterities becoming a problem for people accessing
health facilities. Tulakan health centre located about 25 kilometers from the city of Pacitan.
Tulakans working area cover 11 villages with population estimated at 60.000 people and
there are only 2 doctors including me. Everyday i work in emergency room, ward, general
clinic, and maternal clinic. I also do health counseling and screening for tuberculosis and
HIV/AIDS in some villages. Sometimes i also asked to give health counseling in some group
discuccion of students, cadres, teachers or community leaders. As we know, preventive care
plays an important role in keeping people as healthy as possible. And it will be easier to do if
we can encourage people to live a healthy life.
The maternal mortality ratio is an indicator of health services in a country. Indonesias
maternal mortality ratio is one of the highest in South East Asia. So many factor involved like
educational background, sosio-economic profile, governments strategy, access to
reproductive health services, and the important part is limited availability and imbalance
distribution of health staff especially obstetrician.
The risk of pregnancy complication increase by some condition like too young, too old ,
having too many children, and having pregnancies too close. Multiple factors that can be
barrier to accessing emergency obstetric care known as Three delays : delay in making
decision to seek care, delay in arrival at health facility, delay in getting adequate care. As a
general practitioner i always want to provide optimal health care. If i get a chance to study in
specialist program of obstetric and gynaecology, i hope i can contribute to reducing maternal
mortality ratio in Indonesia. I want to build a community that can encourage woman and girls
knowledge about maternal health issues so that together we can reduce maternal mortality
ratio in Indonesia. By saving womanhood i hope Indonesia will have a better generation in
the future.