Viktorija Panovaite
Clever Indonesian medical system

“Clever” Indonesian medical system

During my stay in Indonesia I already had some “meetings” with the Indonesian medical system. I had some problems with a skin, bees bite and long lasting bronchitis (I tried to get well almost 2 months). But all things that happen and treatment that I got in different places it was quite ok, even if I (like European) didn’t sometimes understood the system – why it’s made so complicated.

But yesterday, when I needed to make my last vaccine from Hepatitis B (like 2 first vaccines I had time to make before coming to Indonesia) I was totally surprised of Indonesian medical system.

So here is the story :)

We came to the clinics at 8:00 am, after couple of minutes waiting in the reception I was registered with a doctor (that starts to work this day only at 10:00 am and works only 2 hours). First strange thing if really only one doctor in whole big clinic can work with the vaccinations? Let it be, we were already there and I wanted to finish this vaccination question as soon as possible, so let’s wait :).

We went to the section, where we need to register for a line to that doctor. Like it’s quite early, I thought that I will be one of the firsts in the line. A little bit before 10:00 am, we already sitting in the front of doctors doors. 10.30 – 11.00 am doctor doesn’t  show up yet!

We went to speak with a nurse about my vaccination, if it will be enough time to make necessary analysis still today. Like I read somewhere that before making vaccination in Indonesia, in some clinics make additional blood test and etc. to check if patient health condition is really good to take the vaccine. The nurse didn’t say anything, just “please wait for a doctor”.

Already 11:15 am, finally doctor show up – but with a big sadness, I‘m not the first one in the line – more 5 people before me. So I’m still waiting for my “magic” vaccine.

Finally doctor invites me almost before 12:00 am (before his working hours finished). 3 min. in his cabinet, he gives the papers for making vaccination and that’s all. No tests, no questions.

I came back to nurse, showed doctors papers, she gave the bill for visiting doctor and explains what to do next. I’m going to pay to cashier for visiting doctor for 3 min. (and waiting almost 2 hours), coming back to nurse to give the copy of payment.

Going to pharmacy, putting the paper that doctor gave (vaccine name), waiting till pharmacy person will call me. Finally I heard my name, get the bill for vaccine. Going to pay for cashier again, coming back to pharmacy, showing the copy of payment and again waiting till they will call my name and will give the vaccine.

Finally, I have the vaccine and the syringe (yeah, you need to pay even for the doctors tools).

Going to another place, showing again all papers, explain what I want, giving the vaccine. Again getting the bill (for injection), going to cashier again, paying and coming back with payment copy.

Only then they made me the vaccine. Finally!!! After almost 4,5 hours in clinic I got my 3rd Hepatitis B vaccine!

After all, I started to think, why I needed to wait for a doctor and pay for his visit (3 min.), if he wrote only the paper. Why the nurse can’t do it, if no additional test needed to be done and etc.? Why needed to make so many payments at different time in different cabinets if would be enough to pay just for all service at once and get it in one place (for example in Lithuania we have special cabinet /places where you can make all vaccines,  it’s like dedicated only to vaccinations)?

In my mind is only 2 thoughts: First they want to earn more money of doing so complicated process and involving more people to whom you will need to pay. Second – because of low unemployment situation in Indonesia they try hire more people and give them even small jobs (I already had many situation in another places when 1 person opens the doors, 2nd asks what you are searching for, 3rd find what you need, 4th gives you a bill, 5th takes your money, 6th pack your stuff and 7th helps you to take out the motorbike from parking ares). The nurse’s makes only documentation, they don’t’ have any right to decide or give any information about medical treatment. Other person makes just vaccinations, others just collect the recipes, other just collects the medicine, others gives you a bill. Everything could be much more easier :).

So what do you think it is? The way to earn more money or the way to engage more people and try to reduce unemployment in the country?

P.S. my advice even if in Indonesia the price of vaccination will be much cheaper than in your country, I suggest (if there is possibility) to make all vaccines before you are coming to Indonesia. First everything will be more clear and second you won’t waste your time and won’t kill nerve cells :D.

Do you have experience with medical systems abroad? Share your experience :)


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What's in your mind? :)