Physical Health Indonesia Project #12269

Health Education for Low-Income Women in Bali

by Yayasan Rama Sesana

Health Education for Low-Income Women in Bali

Project Report | Dec 9, 2021
Progress Report Activity on November 2021

By Naufal Taufiq Ammar | Operational Officer

Webinar Series 10 attended by 26 participants

Webinar Series with the Topic “Knowing and Preventing Sexually Transmitted Diseases”

To continue to raise public awareness about the importance of reproductive health, the Rama Sesana Foundation conducted the 10th webinar series free of charge and open to the public with the topic “recognizing and preventing STDs”. By presenting a resource person, dr. Dyah Prajna, this activity was attended by 26 participants consisting of various groups and different backgrounds. Starting from teenagers, mothers - housewives, and career women.

exually transmitted diseases are diseases that consist of various diseases such as: Herpes, syphilis, gonorrhea to HIV. These terrible diseases are caused by risky sexual behavior. Sexually transmitted diseases can also be recognized by the symptoms they cause. Such as: abnormal vaginal discharge, pain in the genitals during sex, changing urine color, and others. Therefore, education to prevent Sexually Transmitted Diseases is the most important thing that we share for the participants of this webinar series, with simple precautions such as: not having free sex, being faithful to partners, and using condoms, can make us all safe and protected from sexually transmitted disease. Before it's too late and regret occurs.

This webinar lasted for 1 hour and received good feedback from the participants. There are many young women who are active in the question-and-answer session. The feedback provided by the participants made us feel satisfied and motivated us to continue doing regular webinars with more interesting innovations in the future. At the end of the activity, we distributed a form containing a questionnaire to measure the change in participants' knowledge after attending the webinar. In addition, on the google form, we invite them to submit additional questions that have not been submitted during the webinar.

Story of Peer Educator Beneficiary of Catfish Cultivation Program

The catfish cultivation incentive program aims to help the socio-economic capabilities of YRS PE during this pandemic. One of the people who received this benefit was Mrs. Bunga (not her real name). She has been an PE for the Yayasan Rama Sesana since 2013. Mrs. Bunga is an active PE at the Rama Sesana Foundation, who until now has consistently shared information about reproductive health and other health in the surrounding environment.

The declining economy for all sectors since the last 1 year, touched our hearts and concerns to try to help people in need, especially those around YRS. Our form of concern is to support Mrs. Bunga in the form of catfish farming assistance. Mrs. Bunga is a housewife who still has family responsibilities and has to survive in the pandemic era. A cadre who never gives up and remains consistent in sharing education as a cadre of the Rama Sesana Foundation. The seriousness and dedication of Mrs. Bunga are appreciated by YRS in the form of this incentive program.

Mrs. Bunga's seriousness can also be seen from the results of her catfish cultivation, she managed to grow catfish seedlings to a large size, Mrs. Bunga managed to develop 143 catfish with a length of 12 cm and are ready to be harvested. Mrs. Bunga has a plan to consume this catfish for her family and sell catfish to earn extra income. “I am very lucky to get this program from YRS”. Mrs. Bunga also added "I thank YRS, I plan to develop this catfish cultivation to be more successful for myself and my family"

Beneficiary of Catfish Cultivation Program

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Nov 5, 2021
Progress Report Activity on October 2021

By Naufal Taufiq Ammar | Operational Officer

Health Services for Family Welfare Program in Kuta

Health Services for PKK (Family Welfare Program) Women in Kuta

On 27 October 2021 YRS had the opportunity to provide health services in the form of a pap smear examination in the Kuta area. By recommendation of YRS partners, Kelian Banjar Pande Mas Kuta contacted YRS to provide services to PKK women. Located at the Bali Summer Hotel, the activity started at 09.00 – 12.00 and was attended by 28 people. Queues began to appear before the event started. With good health protocols, they register and take turns entering the hotel room that we have turned into an internal examination room. While waiting for the pap smear activity, the mothers were given counseling about women's reproductive health by dr. Sari. In addition, at the end of the event, the YRS Team conducted education on early detection of breast cancer (BSE) to mothers. There was a radiance of satisfaction from mothers and wanted them to be able to access breast ultrasound to detect breast cancer in the next opportunity. I hope this program is useful for maintaining the health of mothers in the Kuta area.

RS Peer Educator Refreshment Training in the clove plantation area of Buleleng

In October we run a lot of mobile programs to the regions. One of them is the Peer Educator training activity in Buleleng, which is a continuation of the YRS and HM Sampoerna collaboration program to empower the wives of clove farmers. The wives of farmers who have become cadres / PE were retrained to strengthen their knowledge and increase their confidence to spread education in their environment. The villages we visited in October were Selat, Gobleg, and Sidetapa villages.

This training is a refreshment training with the topic of women's health. Divided into 3 sessions, namely: brainstorming session, presentation exercise by PE, and role play scheme. This training is different from the previous one, because here the PE in charge is more active in presenting the material that has been learned. The material we provide is about cervical cancer, breast cancer, STIs, HIV, and family planning. In each training session, it was seen that PE had various abilities, some were passive but most were active and enthusiastic. Therefore, this refreshment training is needed to maintain and improve the ability of mothers to become health cadres. After conducting training, PE is expected to be able to help YRS to distribute education, increase awareness of the community around them about health, especially women's health. On the same occasion, we also provided health services in the form of pap smear examinations for PE who attended the training.

The Importance of Women's Empowerment in Sidatapa Village

Mrs. Wareni is a clove farmer's wife who also serves as the wife of Perbekel in the village of Sidetapa. She is also one of the PE/YRS Cadres who participated in the empowerment program for women's wives of clove farmers in Buleleng. For someone who is used to taking care of many people, Ibu Ketut feels that this activity for development and empowerment is very important, especially for the health of women in their village. She feels that many of the mothers in Sidatapa village are still ignorant about this. She told me that her sister-in-law used to have cervical cancer. And he did not expect that this disease is so dangerous. And caused her sister-in-law to die. Therefore, she wants the community around the Sidetapa area to be more aware of cervical cancer and breast cancer so that it can prevent what happened to his brother-in-law from happening again. In addition to cervical cancer, there are also many women's health materials that must be known, such as breast cancer, sexually transmitted infections, HIV/AIDS, and STDs.

Ms. Wareni hopes that this program will continue. Because this training requires continuity so that mothers can absorb knowledge and education optimally. And empowerment and it is not something instant. She also hopes for the development of the program, which means that more mothers can become health cadres. So that more and more women in the Sidetapa village get new training and knowledge. She also thanked YRS for the free pap smear examination and hoped that all mothers who took the test would get good results. Bu Ketut was happy to see Ibu PKK showing progress in her quality. Because she said, “smart and healthy mothers will give birth to good generations. And can lead to prosperity.”

YRS Peer Educator Refreshment Training in Buleleng

Mrs. Wareni, PE YRS in Sidetapa village

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Oct 5, 2021
Progress Report Activity on September 2021

By Naufal Taufiq Ammar | Operational Officer

Women Empowerment Program in Tamblang Village

"Women Empowerment Program, Clove farmer's wife in Tamblang Village, Buleleng"

The decline in Covid cases in Bali has made government regulations for community activities also begun to be relaxed. YRS had the opportunity to launch a mobile program in the regions, after being delayed for almost a year. A total of 8 villages in the Buleleng area will be visited by YRS by the end of this year. This program is a continuation of the collaboration between YRS, PT. HM Sampoerna and Agro Cita Mandiri in the previous year to empower the wives and families of clove farmers. On September 25, the first village we visited was Tamblang village.

In the regions, we conduct training on women's reproductive health, the dangers of cervical cancer and breast cancer. This training is a refreshment training for our PEs in Tamblang village to test their understanding of women's reproductive health. In addition, we also sharpen PE skills so that they are able to deliver education to the surrounding environment so that they can reach a wider impact. Through the role-play scheme, we evaluate the skills of PEs to be able to distribute education properly and correctly using educational media such as flipcharts and brochures. We are very satisfied with their understanding plus the ability of the PEs who are starting to be fluent and fluent in educating.

In the last session of this mobile program, we also provided medical services in the form of general health and pap smears for PE and the environment around Tamblang village in limited numbers, to avoid crowding situations. This medical service also tests the awareness of PEs to implement their awareness about the importance of women's reproductive health. Hopefully, this program can run well and Covid cases in Indonesia will continue to decline so that in the future we are able to provide services and education that are more optimal and wider.

"The Outreach Program to the Field is back in Start"

After the easing of regulations regarding the handling of COVID-19, Bali has become a safer zone than before. We are continuing our face-to-face outreach which has been long overdue due to the second wave of COVID-19 that hit Indonesia, especially Bali. Our outreach targets traders in the Sanur Intaran market area. Because the online education program in the Sanur market environment is not optimal, it is important to take a face-to-face approach to clarify the delivery of education and anticipate the number of traders in the Sanur area who are not fluent in using social media.

By continuing to use health protocols, the team conducted educational visits to the market area to increase public awareness and vigilance about the dangers of breast cancer and cervical cancer. We distribute education + brochures so they can read it again anywhere during their free time or when they are not selling. With this consistent distribution of education, YRS hopes that the Sanur Inter market environment will have an impact on changing their behavior which leads to a better direction, thus making the Sanur environment healthier. We hope that the people of Sanur can be free from cervical cancer and breast cancer.

"Serving Clients (Deaf – Speech) Wholeheartedly"

A healthy life is a right for everyone. As an institution that accommodates this, we are obliged to provide access to health for everyone, including people with disabilities. Although our main field is providing health services in the field of female reproduction, we are still trying to help provide services for every complaint that the client has. Mrs. Gatmi is one of our clients who has a disability, she is a deaf person who works as a market trader at Badung Market.

Once upon a time, a daily market worker (tukang suun) took Mrs. Gatmi to visit the YRS clinic. She said that Mrs. Gatmi seemed to be sick and she also told that Mrs. Gatmi was a deaf – speech deaf. Handling a client with a disability like Mrs. Gatmi is something very new and special for YRS. Understanding the complaints they experience and providing appropriate treatment requires a different and careful approach. We try to understand, interpret and respond with simple sign language. After continuing to try to interact, we finally understood what complaints Mrs. Gatmi was experiencing at that time. She had a headache and ulcer symptoms.

Educational outreach in Sanur

Serving Clients (Deaf - Speech) Wholeheartedly

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