Reflections on the Human Condition - Api-fellowships.org
Reflections on the Human Condition - Api-fellowships.org
Reflections on the Human Condition - Api-fellowships.org
You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
<strong>the</strong> government tried to shield <strong>the</strong> inter-race c<strong>on</strong>flict<br />
as what happened in o<strong>the</strong>r countries. The government<br />
does not want any c<strong>on</strong>flict between races to happen in<br />
Malaysia, which can burden <strong>the</strong>ir development and<br />
may result to <strong>the</strong> nati<strong>on</strong> to falling apart. In this case,<br />
<strong>the</strong> educati<strong>on</strong>al development become <strong>on</strong>e important<br />
key of general stability and also ec<strong>on</strong>omic and health<br />
development in.<br />
The Happy and Healthy Families<br />
One of <strong>the</strong> major visi<strong>on</strong>s <strong>on</strong> Health Development<br />
which relate to child welfare is <strong>the</strong> visi<strong>on</strong> towards <strong>the</strong><br />
creati<strong>on</strong> of happy and healthy families leading to a<br />
productive and enhanced quality life. To build a happy<br />
and healthy family, <strong>the</strong> focus <strong>on</strong> reducing infant and<br />
child morbidity and mortality was put into place.<br />
One of <strong>the</strong> main objective of health development is<br />
to provide comprehensive health care services for <strong>the</strong><br />
preventi<strong>on</strong> of morbidity and mortality, especially for<br />
<strong>the</strong> following groups: pregnant mo<strong>the</strong>rs and newborns,<br />
infants and toddlers, school children, and children with<br />
special needs.<br />
Since Malaysia c<strong>on</strong>sists of Malays, Chinese, Indians,<br />
Iban, Kadazan, Orang Asli, and o<strong>the</strong>r ethnic minorities,<br />
<strong>the</strong> government tried to work hard in creating better<br />
human quality, not <strong>on</strong>ly by educating <strong>the</strong> younger<br />
generati<strong>on</strong>, but more important is by producing better<br />
“raw” material (children). In ensuring that <strong>the</strong> health<br />
c<strong>on</strong>diti<strong>on</strong> is better than before, <strong>the</strong>re are several strategies<br />
developed in <strong>the</strong> eight Malaysian Development Plan<br />
(2001-2005) as follows:<br />
• streng<strong>the</strong>ning ante-natal, post-natal and peri-natal<br />
care through <strong>the</strong> adopti<strong>on</strong> of risk approach, districtteam<br />
problem solving approach, safe mo<strong>the</strong>rhood<br />
projects, maternal mortality reviews and setting up<br />
of alternative birthing centers;<br />
• streng<strong>the</strong>ning infant and child care through <strong>the</strong><br />
high immunizati<strong>on</strong> coverage and <strong>the</strong> introducti<strong>on</strong><br />
of early detecti<strong>on</strong> and interventi<strong>on</strong> of child health<br />
(growth and development);<br />
• advocating schools to take up initiatives in promoting<br />
health related activities;<br />
• Intensifying breastfeeding promoti<strong>on</strong> through<br />
implementati<strong>on</strong> of “Baby Friendly Initiative” in all<br />
hospitals;<br />
• Streng<strong>the</strong>ning nutriti<strong>on</strong> promoti<strong>on</strong> through healthy<br />
eating practices and development of healthy recipes;<br />
• Streng<strong>the</strong>ning primary health care with c<strong>on</strong>tinuous<br />
effort to upgrade <strong>the</strong> primary health care infrastructure,<br />
equipment and support services, and <strong>the</strong> functi<strong>on</strong><br />
of family medicine specialists as team leader at <strong>the</strong><br />
THE EMPOWERING THE POOR AND VULNERABLE<br />
341<br />
primary health care level;<br />
• Intensifying evaluati<strong>on</strong> process of primary health<br />
care services with <strong>the</strong> development of new quality<br />
assurance indicators with new approaches measuring<br />
process and outcome; and<br />
• Streng<strong>the</strong>ning informati<strong>on</strong> and communicati<strong>on</strong><br />
technology in primary health care settings with <strong>the</strong><br />
active involvement of health clinics in <strong>the</strong> related<br />
ICT (informati<strong>on</strong> and communicati<strong>on</strong> technology)<br />
initiatives.<br />
It can be seen that health development program<br />
c<strong>on</strong>ducted by <strong>the</strong> government are mostly related to<br />
ec<strong>on</strong>omic, educati<strong>on</strong> and technological development.<br />
The same thing can also be seen in <strong>the</strong> “Visi<strong>on</strong> 2020”<br />
where <strong>the</strong>re is no specific descripti<strong>on</strong> <strong>on</strong> challenges<br />
related to health issues. Most of <strong>the</strong> challenges faced<br />
by Malaysian are related to ec<strong>on</strong>omic, technology,<br />
educati<strong>on</strong> and <strong>the</strong> importance of Malaysian norms<br />
and values. Therefore, health development also will be<br />
related to <strong>the</strong> challenges above.<br />
DISCUSSIONS<br />
When we talk about <strong>the</strong> influence of global changes<br />
and <strong>the</strong> less<strong>on</strong>s which could be learned by Ind<strong>on</strong>esia<br />
from <strong>the</strong> experiences of <strong>the</strong> two countries, people<br />
should remember <strong>the</strong> c<strong>on</strong>diti<strong>on</strong> in Ind<strong>on</strong>esia during<br />
<strong>the</strong> m<strong>on</strong>etary crisis. The m<strong>on</strong>etary crisis that struck<br />
Ind<strong>on</strong>esia influenced nearly all aspects of <strong>the</strong> ec<strong>on</strong>omy.<br />
As an example, <strong>the</strong> exchange rate of 1 US Dollar <strong>on</strong> 2<br />
June 1997 was around Rp2,465. (Kompas: 17 March<br />
1998, 9) On 22 January 1998, 1 US Dollar was worth<br />
around Rp17,000. (Gatra: 21 March 1998, 82)<br />
The chart below shows <strong>the</strong> fluctuati<strong>on</strong> of Rupiah to<br />
<strong>the</strong> US Dollar. From Chart 1, <strong>the</strong> value of <strong>the</strong> Rupiah<br />
compared to <strong>the</strong> US Dollar rapidly decreased in <strong>the</strong><br />
last four m<strong>on</strong>ths (December-March). Related to <strong>the</strong><br />
depreciati<strong>on</strong> of <strong>the</strong> value of Rupiah to US Dollar, <strong>the</strong><br />
inflati<strong>on</strong> rate in January-February 1998 in Ind<strong>on</strong>esia<br />
increased rapidly compared to <strong>the</strong> rate in 1997. In<br />
January-February 1997 <strong>the</strong> inflati<strong>on</strong> rate was 5.29%<br />
compared to <strong>the</strong> rate in January-February 1998 =<br />
28.73%. (Kompas: 3 March 1998, 1) To provide a<br />
brief descripti<strong>on</strong> of <strong>the</strong> inflati<strong>on</strong> rate in Ind<strong>on</strong>esia, <strong>the</strong><br />
chart below compares <strong>the</strong> rate of inflati<strong>on</strong> in 27 cities in<br />
January-February 1997 and 1998.<br />
Ref lecti<strong>on</strong>s <strong>on</strong> <strong>the</strong> <strong>Human</strong> C<strong>on</strong>diti<strong>on</strong>: Change, C<strong>on</strong>flict and Modernity<br />
The Work of <strong>the</strong> 2004/2005 API Fellows