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HEALTH - Hospitals that provide services for cancer is still concentrated in Jakarta. In fact, if the service could be spread evenly across the region in Indonesia, cancer patients will be treated quickly so that the therapy can be better.
Head Installation Early Detection of Cancer Hospital Dharmais Denni Joko Purwanto said it was on the sidelines Anniversary All 23 Dharmais Cancer Hospital, Sunday (27/11) in Jakarta.
Since the National Health Insurance program (JKN) implemented in 2014, cancer patients who will undergo surgery, chemotherapy or radiotherapy accumulate Dharmais Cancer Hospital. To get three measures, the patient can stand in line for several months. "Within a day, there are around 800 patients seek treatment and new cases of cancer in the hospital Dharmais about 2,000 cases a year," said Denni.
The line gets longer inhibit therapy services. Therefore, the illness worsens when standing in line. Patients and their families should stay longer in Jakarta. "Although the therapy costs borne Social Security Agency of Health, treatment and stay in Jakarta need to be expensive," he said.
Ranges from 70-80 per cent of the total number of patients coming to the hospital Dharmais have an advanced stage. The referral system and refer back can not make patients treated as early as possible in the area. Thus, the RS can serve cancer patients in the region need to be propagated.
"It should be regionalized services with competence and facilities dealing with cancer. In the United States, for example, there is a cancer center and 43 services spread of cancer," he said.
In addition, the necessary regulatory support, particularly reconciliation behind. During this turning refer cancer patients is difficult because there is no facility and cancer drugs not covered BPJS. Hormonal and chemotherapeutic drugs, for example, are not covered BPJS Health. In fact, surgeon and specialist in internal medicine at the hospital referral regions have been trained to treat.
According to the Director of the Cancer Hospital Dharmais Prof Abdul Kadir, cancer services need adequate facilities and special. All facilities for cancer patients already owned RS Dharmais.
Nevertheless, public education, health workers in health centers, and hospitals needed to be cases of cancer detected early. When administered early, greater therapeutic efficacy and cost of therapy is not great.
HPV immunization
Cancer including health problem in the country. Health Research Association in 2013 notes, there are 330,000 cancer patients in Indonesia, is the biggest case of cervical cancer or cervical cancer.
Information Center Cervical Cancer and HPV (Human Papillomavirus) World Health Organization (WHO) calls, two of 10,000 women in Indonesia in contact with cervical cancer and an estimated 26 people die every day because of the cancer.
Health Minister Nila F Moeloek say, a national program to prevent cervical cancer is now the method is visual inspection with acetic acid (VIA). It was increasingly effective if accompanied HPV immunization. HPV immunization is the primary prevention of cervical cancer with a success rate of 100 percent if given two times in women aged 9-13 years who had not been infected.
Therefore, according to the Head of Communications and Community Services of the Ministry of Health Oscar Primadi, in a press release, said the government would add the HPV vaccine to the national immunization program through the School Children Immunization Month. The goal is, a student of class V (first dose) and VI (second dose) primary school or madrasah and equal.
It begins immunization in pilot areas with a high prevalence of cervical cancer and is ready to implement HPV immunization, namely in Jakarta, in October 2016. It will be continued in Kulon Progo and Gunung Kidul, Yogyakarta.
According to WHO by September 2016, as many as 67 of the 194 countries implement HPV immunization program. As a result, it significantly reduce the burden of cervical cancer and other HPV infection. (ADH)
