Senin, 07 Februari 2011
DUKA YANG AKU ALAMI
CURAHAN HATI
1. Istriku gagal punya anak yang sempurna, diagnosa karena pembentukan kromosm tak sempurna. Tidak tahu kromosom siapa. Telah mengdahului kami sebelum sempat menghirup udara dunia.
2. Walau telah dikatakan oleh dokter spesialis bahwa penyebabnya itu, tapi menuduh aku dan bapakku yang menularkannya karena memelihara kucing, padahal faktanya ga seperti itu.
3. Ketika anakku lahir dan wafat, keluarga besarnya yang menangani penyelenggaraan jenazah tanpa meminta pendapatku bagaimana selanjutnya. Aku tidak diberi kesempatan untuk menyolatkan, menggendongnya. Karena aku disuruh mengurus surat ijin ke RT/RW wilayahku karena jenazah anakku dimakamkan di daerah neneknya
4. Ya Allah, kenapa semua tangan, mata dan jari seakan-akan menunjuk kepadaku dan keluargaku? Padalah di saat yang sama aku juga kehilangan pamanku di SUmatera?
5. Aku bukan manusia baja, jadi tangislah sebagai ungkapan sedihku. Dengan doa dan kepasrahan kepada Allah, ku serahkan semua yang terjadi padaNya. Dan Berharap agar Anak kami disana ditempatkan di tempat yang terbaik dan berada dalam Syurganya yang indah, bisa membantu kami di alam akhirat nanti, mengajaknya masuk syurga, meringankan timbangan dosa. Terkadang aku menangis tanpa sebab saat mengingat anakku,karena tidak tega dan kasihan, karena lahir tidak sempurna. MEMANG AKU TIDAK MEMBIAYAI PENANGANAN MEDIS ISTRIKU, KARENA YANG MENANGGUNGNYA ADALAH ORTUNYA, TAPI KOK JADI BEGINI???
6. Ketika penjelasan Ilmiah berdasarkan syariah tidak dihiraukan dan adat dan mitos masih dilaksnakan/ dituruti, maka bersiap-siaplah neraka menunggu
7. Aku sudah berniat untuk menegakkan Islam yang murni berdasarkan Alquran dan hadist, tanpa intervesi hal-hal yang melawan hukum Allah, tapi intervensi keluarga Istriku terlalu besar dan istriku pun belum mengikuti arahan suaminya, padahal aku bertanggung jawab terhadap istriku. Ku ingin mengajak untuk hanya percaya pada alquran dan hadist, tapi istriku masih terlalu berat untuk meninggalkan mitos dengan alasan menghormati adat. Aku sih bukan benci adat, tapi asal tidak melanggar syariat Islam/ dalam pelaksanaannya tidak ada unsur syirik, bid'ah, churofat dan taqlid, maka aku sih OK OK saja. Seperti kemaren rencana akan ada 7 bulanan, aku sudah MELARANGNYA karena tidak ada panduannya dalam Islam, tapi oleh keluara istriku tetap ngotot karena sudah adat agar selamat(?). Tapi Allah menunjukkan yang terbaik, janin bayi sudah lahir sebelum 7 bulan dan kembali ke pangkuan Allah.
8. Atas saran dari beberapa sahabat, maka aku disuruh bersabar dan tawakkal, karena memang sulit untuk merubah sesuatu yang sudah mengakar menjadi landasan islam kaffah dan murni. Semua mendukungku, kalau tidak bisa merubah keluarganya, maka mulai dari istriku. Sulit memang tapi usaha tidak akan pernah putus.
Wallohubisshowab..
1. Istriku gagal punya anak yang sempurna, diagnosa karena pembentukan kromosm tak sempurna. Tidak tahu kromosom siapa. Telah mengdahului kami sebelum sempat menghirup udara dunia.
2. Walau telah dikatakan oleh dokter spesialis bahwa penyebabnya itu, tapi menuduh aku dan bapakku yang menularkannya karena memelihara kucing, padahal faktanya ga seperti itu.
3. Ketika anakku lahir dan wafat, keluarga besarnya yang menangani penyelenggaraan jenazah tanpa meminta pendapatku bagaimana selanjutnya. Aku tidak diberi kesempatan untuk menyolatkan, menggendongnya. Karena aku disuruh mengurus surat ijin ke RT/RW wilayahku karena jenazah anakku dimakamkan di daerah neneknya
4. Ya Allah, kenapa semua tangan, mata dan jari seakan-akan menunjuk kepadaku dan keluargaku? Padalah di saat yang sama aku juga kehilangan pamanku di SUmatera?
5. Aku bukan manusia baja, jadi tangislah sebagai ungkapan sedihku. Dengan doa dan kepasrahan kepada Allah, ku serahkan semua yang terjadi padaNya. Dan Berharap agar Anak kami disana ditempatkan di tempat yang terbaik dan berada dalam Syurganya yang indah, bisa membantu kami di alam akhirat nanti, mengajaknya masuk syurga, meringankan timbangan dosa. Terkadang aku menangis tanpa sebab saat mengingat anakku,karena tidak tega dan kasihan, karena lahir tidak sempurna. MEMANG AKU TIDAK MEMBIAYAI PENANGANAN MEDIS ISTRIKU, KARENA YANG MENANGGUNGNYA ADALAH ORTUNYA, TAPI KOK JADI BEGINI???
6. Ketika penjelasan Ilmiah berdasarkan syariah tidak dihiraukan dan adat dan mitos masih dilaksnakan/ dituruti, maka bersiap-siaplah neraka menunggu
7. Aku sudah berniat untuk menegakkan Islam yang murni berdasarkan Alquran dan hadist, tanpa intervesi hal-hal yang melawan hukum Allah, tapi intervensi keluarga Istriku terlalu besar dan istriku pun belum mengikuti arahan suaminya, padahal aku bertanggung jawab terhadap istriku. Ku ingin mengajak untuk hanya percaya pada alquran dan hadist, tapi istriku masih terlalu berat untuk meninggalkan mitos dengan alasan menghormati adat. Aku sih bukan benci adat, tapi asal tidak melanggar syariat Islam/ dalam pelaksanaannya tidak ada unsur syirik, bid'ah, churofat dan taqlid, maka aku sih OK OK saja. Seperti kemaren rencana akan ada 7 bulanan, aku sudah MELARANGNYA karena tidak ada panduannya dalam Islam, tapi oleh keluara istriku tetap ngotot karena sudah adat agar selamat(?). Tapi Allah menunjukkan yang terbaik, janin bayi sudah lahir sebelum 7 bulan dan kembali ke pangkuan Allah.
8. Atas saran dari beberapa sahabat, maka aku disuruh bersabar dan tawakkal, karena memang sulit untuk merubah sesuatu yang sudah mengakar menjadi landasan islam kaffah dan murni. Semua mendukungku, kalau tidak bisa merubah keluarganya, maka mulai dari istriku. Sulit memang tapi usaha tidak akan pernah putus.
Wallohubisshowab..
Kami Mengalami Kasus Anenchepaly
Ini adalah anakku yang pertama.amanh Allah berjenis kelamin perempuan.Namun Allah mengambil kembali ke pangkuannya, karena ketidak sempurnaan bentuk. Dia telah meninggalkan kita di usia 6 bulan.Cerita Singkat
1. Pada usia kandungan 4 bulan,istriku USG di salah satuu dokter spesialis dan belum diketahui ada gangguan pda kehamilan karena masih terlalu kecil
2. Pemeriksaan oleh bidan secara rutin 4 minggu sekali juga sehat dan vitamin tetap dikonsumsi
3. Saat USG pada usia 6 bulan (rencana untuk mengajukan cuti),oleh dokter praktek spesialis kandungan didiagnosa mengalami Anenchepaly. Tapi dokter ini belum yakin,maka dibuat surat rujukan ke dokter spesialis khusus di Rumah Sakit besar di Kota Semarang. Di sana diketahui memang ada gangguan Ananchepaly (tulang kepala tak terbentuk) karena ketidaksempurnaan kromosom, belum diketahui dari istri atau suami. Yang jelas jika lahir pasti cacat dan tidak bertahan lama. Oleh dokter rumah sakit disarankan diambil tindakan partus spontan (dipacu dengan obat), karena ini satu-satunya jalan, karena dilahirkan pada usia 9 bulanpun pasti kondisi sama. Karena kasihan pada bayi kami, maka diambil tindakan ini
1. Hari pertama masuk IGD dan diberi obat pemacu pervaginam2. Hari kedua masih belum ada tanda-tanda, hanya kontraksi ringan
3. Hari ketiga,terjadi kontraksi hebat mulai dari malam dan paginyaa pecah ketuban. Maka lahirlah anak kami walau Allah mengambilnya kembali. Saat itu juga kami bersedih,aku, istri, keluarga besar kami ikut bersedih karena kehilangan anak dan cucu pertama
Pada kasus ini penyebabnya adalah ketidaksempurnaan kromosom bersatu dalam rahim. Bagaimana kejadiannya? Allah yang Maha Tahu....
Senin, 27 Desember 2010
Dive North Sulawesi
Can you imagine diving all year round in more than 150 dive sites with 1000 reef fish species? In North Sulawesi You can.
Check out the links below, to stay and dive with the best dive resorts North Sulawesi has to offer.
Choose from our colourful group a place to suite your taste and budget!
Manado
 Dive Center Thalassa |  Tasik Divers Manado |  Minahasa Lagoon |
 Lumbalumba Diving |  Eco Divers Manado |  Celebes Divers |
Lembeh Strait
 Lembeh Resort |  Kungkungan Bay Resort |
Gangga Island
 Gangga Island Resort & Spa |
Bunaken/Siladen
 Two Fish Divers |  Siladen Resort & Spa |  Living Colours Diving |
 Bunaken Seabreeze Resort | | |
GREEN FINS' mission statement is "to protect and conserve coral reefs by establishing and implementing environmently friendly guidelines to promote a sustainable diving tourism industry".
When NSWA members met the people from GF, we immediately decided to become part of this new and fantastic initiative. GF statement was basicly the same as part of our own charter, so it was not too difficult to join. We hope that GF will become a success story in Indonesia and are fully commited to support them wehere ever we can!
» About Green Fins
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Bunaken/Siladen:
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Pregnant Teens Still Face Stigma, Isolation, Even Death
My parents told me to stay here until the baby was born,” says Diana, not her real name. “I wanted an abortion, but when I found out it was already too late. There was already a heartbeat.”
Beneath her pale yellow pajamas, Diana’s breasts, exceptionally large for her awkward 13-year-old frame, outsize her five-month-old baby bump. Her heart-shaped face has sprinklings of acne and she rarely shows her buck-toothed smile.
Raped by her neighbor last year, she was placed in a women’s shelter in West Jakarta by her family as soon as her pregnancy was discovered in April. To avoid rumors and the social stigma surrounding teenage pregnancy, Diana’s family plans to wait a year or two year before bringing the baby back home to raise it within the family.
Despite her traumatic experience, Diana can be considered one of the lucky few because she has made it to a shelter. While there has been a slight increase in sex education and campaigns to prevent teen pregnancies in recent years, there remains a dire need for reproductive health assistance for unmarried pregnant teens.
Limited Data, Limited Services
“Assistance for teen pregnancies outside of marriage is very poor because society has already declared it to be illegal and forbidden,” says Hadi Supeno, chairman of the Indonesian Commission for Child Protection (KPAI).
There are an estimated 40 million adolescents in Indonesia aged from 10 to 19, according to the Ministry of Health. Recent surveys have pointed to increased sexual activity among young people, although specific and reliable data on teenage sex and pregnancy is hard to come by.
The communication and information technology minister, Tifatul Sembiring, recently publicized a poll supposedly conducted by the KPAI in 2007 involving 4,500 teenagers in 12 cities aged 14-18. Although there are serious doubts over the veracity of the data, Tifatul said the survey showed that 62.7 percent had engaged in sexual intercourse and 21.2 percent of girls had had an abortion.
“The KPAI survey is only an indication of the behavior of our young people,” says Dr. Melania Hidayat, national program officer for reproductive health at the United Nations Population Fund (UNFPA). “Local clinics are the main source for data, and they are very unlikely to have accurate figures.”
Perhaps partly as a result of this lack of data, which could hide the extent of the problem, health services for unmarried teenagers who fall pregnant are very limited. Moreover, what few services are available are not easily accessible due to limited health coverage in rural areas, cultural barriers or lack of supporting government policy.
For instance, in 2003, the Health Ministry began the Adolescent Friendly Health Services approach in community health centers, or puskesmas. The AFHS, an affordable youth-friendly service that stresses confidentiality and sensitivity, provides sexual education information to teenagers. However, it is only available in 26 provinces at 1,611 centers — or about 20 percent of all clinics across the country — most of them in urban areas.
Nongovernmental organizations such as the Indonesian Family Planning Association (PKBI) and the Pelita Ilmu Foundation (YPI), which campaigns against HIV/AIDS, also offer counseling for pregnant teens, although it is not a free service. An hour-long session with a counselor costs about Rp 50,000 ($5.45).
Preferred Option: Abortion
Of the three logical options open to pregnant teens — keeping the child, which involves living with the stigma that comes with it; putting the baby up for adoption; or going through an abortion, which is illegal except in certain circumstances — the last one appears to be the most preferred.
According to a 2009 survey by the National Development Planning Agency (Bappenas), more than two million abortions are performed every year, with 30 percent involving teenagers. But experts say that if illegal abortions were included, that figure would more than double.
“Abortion is illegal, but what else can you do with an unwanted child?” says Dr. Firman Lubis, chairman of the Kusuma Buana Foundation (YKB), an NGO focused on health and community building.
Abortion is legal when the mother’s life is in danger and, as of last year, under the recently passed Health Law, when the mother is a rape victim, such as Diana.
Most groups counseling pregnant teens who wish to have an abortion refer them to places such as the “Raden Saleh Clinics” in Central Jakarta, which is a handful of facilities known for providing abortion services. But because the new Health Law is yet to be fully implemented, clinics such as in Raden Saleh often fall foul of law enforcement authorities.
Even at these clinics, the process of scheduling an abortion requires the pregnant teen to bring her husband as well as proof of marriage. Those who are unmarried are required to bring a copy of their family identity card and a family member.
But having a family member at hand does not provide an environment that encourages a pregnant teen to openly seek help. Shame, fear of reprimand from parents or health staff and the presence of traditional religious and conservative norms make it difficult.
As a result, many teens try their own methods for abortion.
“Their friends will tell them to eat unripe pineapples or jamu [traditional medicine],” says Ninuk Widyantoro, a psychologist and chair of the Women’s Health Foundation (YKP). “They don’t know where to go for an abortion, or else they just can’t afford it.”
Firman estimates that unsafe abortions account for about 15 percent of Indonesia’s maternal mortality rate — one of the highest in Asia, with 228 mothers dying for every 100,000 births.
Overlooked Option: Adoption
There is, of course, the adoption option, which would require pregnant teenagers to go through the full pregnancy cycle — nine difficult months that would be hard to hide from their family, friends and curious neighbors, unless she finds a shelter to stay in.
In Diana’s case, she found her shelter, which doubles as an orphanage, through word of mouth. Though the shelter has assisted more than 80 pregnant women in the last nine years, only a handful were unmarried teens, according to Yohana, an administrator at the shelter.
The reason, Yohana says, is that many teenagers are unaware such shelters exist.
“I didn’t know that there were other options,” says Cita, not her real name. “I only know of orphanages but not shelters for pregnant women who want to give up their babies. My only options were either to abort or keep the baby.”
Cita, who comes from a devoutly Muslim family, was unmarried and in her early 20s when she became pregnant. She was finishing her university thesis at the time and was planning to continue with her master’s degree overseas. After a failed attempt to abort the fetus using oral medication, she decided to keep the baby.
Another reason for the lack of awareness about the shelters is because there are not many around.
Such shelters are expensive to run, says Inne Silviane, executive director for the PKBI. “They’re expensive because from pregnancy until birth, we have to feed the mothers and provide them with good nutrition,” she says.
To support a teen through a full term of pregnancy, including checkups, daily meals and birthing, can cost a shelter up to Rp 17 million.
Social Stigma
Perhaps the core of this problem is the social stigma attached to unwanted teen pregnancies.
The AFHS program for puskesmas, for instance, is underutilized. AFHS health centers log less than three visits per day, according to a 2009 study conducted by the Peduli Perempuan (Care for Women) network that consists of NGOs dealing with gender, sexuality and reproductive health in rural areas.
At the YPI’s youth clinic in South Jakarta, a family member must accompany teens seeking counseling. “They need someone who can support them, because their condition is very unstable,” said Usep Solehudin, a YPI program manager. But he admits very few pregnant teens approach the YPI.
Counseling before and after abortion is often required by clinics. But as long as society is reluctant to approach sex education openly, let alone teen pregnancy, counseling will not help, according to the KPAI’s Hadi.
“Families are still confused, running scared and ashamed. They feel disgraced,” he says. “Pregnant teens attending schools are taken out. Those teens are going through physical changes in puberty, while also experiencing alienation from their community and schools. So it’s a big burden.”
Ida Wulan, assistant deputy for women’s health at the State Ministry for Women’s Empowerment and Child Protection, says parents are often reluctant to talk to their children about sex, leading to further isolation for teenagers. “If asked by their children, parents will just say it’s taboo,” she says.
For young people to open up about their problems, confidentiality from health service providers is essential, says Julie Rostina, a reproductive health consultant at the Peduli Perempuan network. “Confidentiality is needed so the client can talk openly and allow health service providers to make the proper diagnosis and take the right action,” she says.
Focus on Prevention
Most organizations such as the PKBI focus more on prevention than assistance. “We still help those who are already pregnant,” says the PKBI’s Inne, although making it clear that the PKBI mainly counsels married couples who experience unintended or unwanted pregnancies.
Inne says dealing with unmarried teens involves strict conditions imposed by the government, particularly requiring parents to attend the counseling sessions.
The PKBI is allowed to provide abortions by trained medical staff, but only within 10 weeks of conception and with parental consent.
“Unmarried teenagers who become pregnant in Indonesia face a very bleak situation,” says the KPAI’s Hadi. “The mind-set here is that it’s something contemptible, that the teens don’t deserve assistance. They’re outside the system.”
While the 1992 Health Law makes no references to adolescent health, the new Health Law, issued in October 2009, includes a chapter on adolescent health, stipulating the government’s obligation to ensure young people are able to obtain education, information and services on adolescent health.
But experts such as Hadi are skeptical that the law will ever be fully implemented at the operational level. “The new law is good for education and information,” but lacks service terms, he says.
The government, Hadi goes on, will not stir controversy by offending religious and conservative groups.
According to Wahyu Hartomo, assistant to the deputy director for child protection at the women’s empowerment ministry, the government aims to strengthen family values.
“We’re holding on to our religious values, so pregnant teens have to go to an illegal doctor or dukun [shaman],” he says. “The government doesn’t provide assistance.”
With or without reinforcement from the government, the reluctance to be open about sex education persists. And parents are not the only ones guilty of it. Diana, who considers her pregnancy an accident, says: “I don’t think it’s important for kids my age to know about sex, because it’s not appropriate for them.”
Beneath her pale yellow pajamas, Diana’s breasts, exceptionally large for her awkward 13-year-old frame, outsize her five-month-old baby bump. Her heart-shaped face has sprinklings of acne and she rarely shows her buck-toothed smile.
Raped by her neighbor last year, she was placed in a women’s shelter in West Jakarta by her family as soon as her pregnancy was discovered in April. To avoid rumors and the social stigma surrounding teenage pregnancy, Diana’s family plans to wait a year or two year before bringing the baby back home to raise it within the family.
Despite her traumatic experience, Diana can be considered one of the lucky few because she has made it to a shelter. While there has been a slight increase in sex education and campaigns to prevent teen pregnancies in recent years, there remains a dire need for reproductive health assistance for unmarried pregnant teens.
Limited Data, Limited Services
“Assistance for teen pregnancies outside of marriage is very poor because society has already declared it to be illegal and forbidden,” says Hadi Supeno, chairman of the Indonesian Commission for Child Protection (KPAI).
There are an estimated 40 million adolescents in Indonesia aged from 10 to 19, according to the Ministry of Health. Recent surveys have pointed to increased sexual activity among young people, although specific and reliable data on teenage sex and pregnancy is hard to come by.
The communication and information technology minister, Tifatul Sembiring, recently publicized a poll supposedly conducted by the KPAI in 2007 involving 4,500 teenagers in 12 cities aged 14-18. Although there are serious doubts over the veracity of the data, Tifatul said the survey showed that 62.7 percent had engaged in sexual intercourse and 21.2 percent of girls had had an abortion.
“The KPAI survey is only an indication of the behavior of our young people,” says Dr. Melania Hidayat, national program officer for reproductive health at the United Nations Population Fund (UNFPA). “Local clinics are the main source for data, and they are very unlikely to have accurate figures.”
Perhaps partly as a result of this lack of data, which could hide the extent of the problem, health services for unmarried teenagers who fall pregnant are very limited. Moreover, what few services are available are not easily accessible due to limited health coverage in rural areas, cultural barriers or lack of supporting government policy.
For instance, in 2003, the Health Ministry began the Adolescent Friendly Health Services approach in community health centers, or puskesmas. The AFHS, an affordable youth-friendly service that stresses confidentiality and sensitivity, provides sexual education information to teenagers. However, it is only available in 26 provinces at 1,611 centers — or about 20 percent of all clinics across the country — most of them in urban areas.
Nongovernmental organizations such as the Indonesian Family Planning Association (PKBI) and the Pelita Ilmu Foundation (YPI), which campaigns against HIV/AIDS, also offer counseling for pregnant teens, although it is not a free service. An hour-long session with a counselor costs about Rp 50,000 ($5.45).
Preferred Option: Abortion
Of the three logical options open to pregnant teens — keeping the child, which involves living with the stigma that comes with it; putting the baby up for adoption; or going through an abortion, which is illegal except in certain circumstances — the last one appears to be the most preferred.
According to a 2009 survey by the National Development Planning Agency (Bappenas), more than two million abortions are performed every year, with 30 percent involving teenagers. But experts say that if illegal abortions were included, that figure would more than double.
“Abortion is illegal, but what else can you do with an unwanted child?” says Dr. Firman Lubis, chairman of the Kusuma Buana Foundation (YKB), an NGO focused on health and community building.
Abortion is legal when the mother’s life is in danger and, as of last year, under the recently passed Health Law, when the mother is a rape victim, such as Diana.
Most groups counseling pregnant teens who wish to have an abortion refer them to places such as the “Raden Saleh Clinics” in Central Jakarta, which is a handful of facilities known for providing abortion services. But because the new Health Law is yet to be fully implemented, clinics such as in Raden Saleh often fall foul of law enforcement authorities.
Even at these clinics, the process of scheduling an abortion requires the pregnant teen to bring her husband as well as proof of marriage. Those who are unmarried are required to bring a copy of their family identity card and a family member.
But having a family member at hand does not provide an environment that encourages a pregnant teen to openly seek help. Shame, fear of reprimand from parents or health staff and the presence of traditional religious and conservative norms make it difficult.
As a result, many teens try their own methods for abortion.
“Their friends will tell them to eat unripe pineapples or jamu [traditional medicine],” says Ninuk Widyantoro, a psychologist and chair of the Women’s Health Foundation (YKP). “They don’t know where to go for an abortion, or else they just can’t afford it.”
Firman estimates that unsafe abortions account for about 15 percent of Indonesia’s maternal mortality rate — one of the highest in Asia, with 228 mothers dying for every 100,000 births.
Overlooked Option: Adoption
There is, of course, the adoption option, which would require pregnant teenagers to go through the full pregnancy cycle — nine difficult months that would be hard to hide from their family, friends and curious neighbors, unless she finds a shelter to stay in.
In Diana’s case, she found her shelter, which doubles as an orphanage, through word of mouth. Though the shelter has assisted more than 80 pregnant women in the last nine years, only a handful were unmarried teens, according to Yohana, an administrator at the shelter.
The reason, Yohana says, is that many teenagers are unaware such shelters exist.
“I didn’t know that there were other options,” says Cita, not her real name. “I only know of orphanages but not shelters for pregnant women who want to give up their babies. My only options were either to abort or keep the baby.”
Cita, who comes from a devoutly Muslim family, was unmarried and in her early 20s when she became pregnant. She was finishing her university thesis at the time and was planning to continue with her master’s degree overseas. After a failed attempt to abort the fetus using oral medication, she decided to keep the baby.
Another reason for the lack of awareness about the shelters is because there are not many around.
Such shelters are expensive to run, says Inne Silviane, executive director for the PKBI. “They’re expensive because from pregnancy until birth, we have to feed the mothers and provide them with good nutrition,” she says.
To support a teen through a full term of pregnancy, including checkups, daily meals and birthing, can cost a shelter up to Rp 17 million.
Social Stigma
Perhaps the core of this problem is the social stigma attached to unwanted teen pregnancies.
The AFHS program for puskesmas, for instance, is underutilized. AFHS health centers log less than three visits per day, according to a 2009 study conducted by the Peduli Perempuan (Care for Women) network that consists of NGOs dealing with gender, sexuality and reproductive health in rural areas.
At the YPI’s youth clinic in South Jakarta, a family member must accompany teens seeking counseling. “They need someone who can support them, because their condition is very unstable,” said Usep Solehudin, a YPI program manager. But he admits very few pregnant teens approach the YPI.
Counseling before and after abortion is often required by clinics. But as long as society is reluctant to approach sex education openly, let alone teen pregnancy, counseling will not help, according to the KPAI’s Hadi.
“Families are still confused, running scared and ashamed. They feel disgraced,” he says. “Pregnant teens attending schools are taken out. Those teens are going through physical changes in puberty, while also experiencing alienation from their community and schools. So it’s a big burden.”
Ida Wulan, assistant deputy for women’s health at the State Ministry for Women’s Empowerment and Child Protection, says parents are often reluctant to talk to their children about sex, leading to further isolation for teenagers. “If asked by their children, parents will just say it’s taboo,” she says.
For young people to open up about their problems, confidentiality from health service providers is essential, says Julie Rostina, a reproductive health consultant at the Peduli Perempuan network. “Confidentiality is needed so the client can talk openly and allow health service providers to make the proper diagnosis and take the right action,” she says.
Focus on Prevention
Most organizations such as the PKBI focus more on prevention than assistance. “We still help those who are already pregnant,” says the PKBI’s Inne, although making it clear that the PKBI mainly counsels married couples who experience unintended or unwanted pregnancies.
Inne says dealing with unmarried teens involves strict conditions imposed by the government, particularly requiring parents to attend the counseling sessions.
The PKBI is allowed to provide abortions by trained medical staff, but only within 10 weeks of conception and with parental consent.
“Unmarried teenagers who become pregnant in Indonesia face a very bleak situation,” says the KPAI’s Hadi. “The mind-set here is that it’s something contemptible, that the teens don’t deserve assistance. They’re outside the system.”
While the 1992 Health Law makes no references to adolescent health, the new Health Law, issued in October 2009, includes a chapter on adolescent health, stipulating the government’s obligation to ensure young people are able to obtain education, information and services on adolescent health.
But experts such as Hadi are skeptical that the law will ever be fully implemented at the operational level. “The new law is good for education and information,” but lacks service terms, he says.
The government, Hadi goes on, will not stir controversy by offending religious and conservative groups.
According to Wahyu Hartomo, assistant to the deputy director for child protection at the women’s empowerment ministry, the government aims to strengthen family values.
“We’re holding on to our religious values, so pregnant teens have to go to an illegal doctor or dukun [shaman],” he says. “The government doesn’t provide assistance.”
With or without reinforcement from the government, the reluctance to be open about sex education persists. And parents are not the only ones guilty of it. Diana, who considers her pregnancy an accident, says: “I don’t think it’s important for kids my age to know about sex, because it’s not appropriate for them.”
Senin, 08 November 2010
Optimalkan Ke Dua Sisis Otakmu
Huffh..
ternyata Otak kita ada banyak jenis, sebagian bisa dikatakan dengan otak kana dan kiri, dalam hasil pengembaraanku, otak kanan manusia lebih dominan ketimbang yang kiri yang jarang di pake .
Otak kanan berfungsi dalam hal persamaan, khayalan, kreativitas, bentuk atau ruang, emosi, musik dan warna. Daya ingat otak kanan bersifat panjang (long term memory). Bila terjadi kerusakan otak kanan misalnya pada penyakit stroke atau tumor otak, maka fungsi otak yang terganggu adalah kemampuan visual dan emosi misalnya.
Otak kiri berfungsi dalam hal perbedaan, angka, urutan, tulisan, bahasa, hitungan dan logika. Daya ingat otak kiri bersifat jangka pendek (short term memory). Bila terjadi kerusakan pada otak kiri maka akan terjadi gangguan dalam hal fungsi berbicara, berbahasa dan matematika.
Walaupun keduanya mempunyai fungsi yang berbeda, tetapi setiap individu mempunyai kecenderungan untuk mengunakan salah satu belahan yang dominan dalam menyelesaikan masalah hidup dan pekerjaan. Setiap belahan otak saling mendominasi dalam aktivitas namun keduanya terlibat dalam hampir semua proses pemikiran., ikutilaH test berikut!
Jika Anda melihat gambar gadis ini berputar searah jarum jam maka Anda sedang menggunakan Otak Kanan Anda. Jika Anda lihat sebaliknya Anda sedang menggunakan Otak Kiri Anda. Sebagian orang dapat melihat kedua-duanya (kedua bagian Otak seimbang). Tetapi kebanyakan memang hanya bisa melihat satu arah saja.
Coba lihat apakah Anda dapat membuat gadis ini berputar ke satu arah dan arah sebaliknya dengan kemampuan menggeser bagian Otak mana yang bekerja. KEDUA ARAH DAPAT DILIHAT. Ini bukan tipuan hanya saja bagian Otak Anda sebelah mana yang sedang bekerja.
Eksperimen memperlihatkan bahwa Otak bertanggung jawab terhadap cara melihat dan cara berpikir seseorang tentang suatu hal atau masalah.
Berikut adalah fungsi Otak bagian Kiri
- Logis
- Urutan
- Rasio
- Analisa
- Objektif
- Melihat pada bagian / detil
Berikut adalah fungsi Otak bagian Kanan
- Acak
- Intuisi
- Holistik atau keseluruhan
- Berkesimpulan
- Subjektif
- Melihat pada keseluruhan
Pada umumnya belajar di sekolah cenderung mengasah kinerja Otak Kiri dan mengesampingkan kinerja Otak Kanan. Ini karena perlunya berpikir secara logis, menganalisa dan keakuratan atau detil suatu masalah. Sedangkan Otak Kanan lebih ke arah estetika, perasaan dan kreatifitas yang jarang atau sedikit terasah di sekolah.
Minggu, 03 Oktober 2010
Shelters for Pregnant Teens
Many pregnant teens find themselves homeless or living in dangerous situations, and for some of these teens a shelter for pregnant teens may be able to provide a safe environment and support as they strive to care for themselves and their babies.
Shelters for pregnant teens offer a place to live when teens are pregnant and find themselves homeless, in a dangerous environment, or in need of extra support and care. In addition to food and a place to live, pregnant teen shelters may offer a variety of services:
- Medical care
- Mental and emotional health counseling
- Substance abuse counseling
- Religious instruction
- Supervision by a trained and licensed staff
- Educational help
- Work and life skills training
- Parenting skills classes
- Adoption placement or counseling
- Education on avoiding another pregnancy during the teen years
- Help in locating housing after leaving the shelter
- Classes for the baby's father on life and parenting skills
Not all shelters offer all of these services, but most offer some. Most pregnant teen shelters are run by city or state governments or by non-profit groups, especially religious organizations. The services they are able to offer, as well as the rules for living at the shelter and the criteria for admission vary by shelter.
The living situation at teen shelters is usually somewhat communal. Pregnant teen shelters may offer girls their own room or require them to share. They usually have shared spaces for eating and for activities, which gives pregnant teens a chance to make friends with others who understand their situation. The staff members usually function as surrogate parents and counselors for the girls, and may be single moms themselves.
The rules at most shelters provide a lot of structure. Some shelters allow girls to leave the facility during their stay while others require them to remain on the grounds. Girls may be required to follow strict health rules, though they may have to get their own medical care. This also applies to schooling. Religious homes or shelters usually require girls to attend services. Shelters may keep their location a secret to protect pregnant teens who may be in danger from family members or the baby's father.
The level of help provided by shelters depends on the focus and the resources of the shelter. Some shelters can only offer help while a girl is pregnant, while others provide continuing shelter or support for up to the first two years of the baby's life, including ongoing counseling and education or child care.
Girls who seek pregnant teen shelters may come from a variety of backgrounds. Many of the teens who use shelters have a history of early sexual activity, and often of sexual abuse. They are almost always single. Many come from the foster care program or from low income families who cannot not or will not support them during their pregnancies. Most keep their babies rather than put them up for adoption.
Teens who go to a pregnant teen shelter may have better outcomes than those who don't thanks to the shelter's counseling, health, and education programs, and removing girls from dangerous situations.
Homes and shelters for pregnant teens used to be common, but there are now fewer of them, with perhaps only a couple in each state. With budget cuts, many state programs have been cut back even more. This means that teens who need a shelter may not have many options about which one they go to, and it may be hard to get in to a shelter.
Teens who need a shelter while they are pregnant can talk to a doctor, counselor, social worker, or religious leader to find out about pregnant teen shelters in their area. They can also search in the phone book for shelters or for teen help hotlines. Girls who need special help, like protection from someone who wants to hurt them, may be able to get help with transportation to a particular shelter by talking to a doctor, police officer, or social worker.
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