“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 :)


Useful? Great! :) You might also like these:

Vaccinations for Indonesia
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Vaccinations for Indonesia

You can find many information what kind of vaccinations for Indonesia you may need, if you are planning to come to here for longer time (or shorter). But the risks to health whilst traveling will vary between individuals and many issues need to be taken into account, e.g. activities in Indonesia, length of stay, in which part of Indonesia you will stay and general health of the traveler. As well maybe some of the vaccines you already got in the childhood?

It’s recommended that you consult with your general practitioner or practice nurse 6-8 weeks in advance of travel. They will assess your particular health risks before recommending vaccines and /or antimalarial tablets. This is also a good opportunity to discuss important travel health issues including safe food and water, accidents, sun exposure and insect bites. Many of the problems experienced by travelers can’t be prevented by vaccinations and other preventive measures need to be taken.

My suggestion:

    • First of all check in your medical report which vaccines you got in the childhood and for how long it valid (or ask your parents)
    • Second, talk with the doctor, give as much as possible information – where exactly you will stay in Indonesia, for how long, what are your plans for traveling around.

The doctor will recommend vaccines and you can choose which one you really need. Don’t make too many vaccines just because of safety. Many things will depend on you, for example where you will eat, how you will take care of your hygiene, how you prevent yourself from mosquitoes and etc.

Before coming to Indonesia I made such vaccines:

      • Hepatitis A (I manage to make only 2 before coming and after all I found out that I didn’t need this one at all, like I got it in childhood)
      • Hepatitis B (I made 2 before coming to Indonesia and 3rd in Indonesia)
      • Tetanus-diphtheria
      • Typhoid

 

Which vaccines to make suggest some internet sources (you can find and other recommendations)
Malaria
Dengue Fever



Some information used from internet sources.

Useful? Great! :) You might also like these:

“Clever” medical system
What to do during rainy season
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What to do during rainy season

Rainy season in Indonesia (that usually takes ~6 months) can influence your health condition and damage your belongings. If you are not used to such weather condition you should be prepared to it. What to do during rainy season? Here are my recommendations how to “survive” during rainy season.

What to do before rainy season or when the first rain comes

Place of stay

  • Liking parts: check if there is any liking parts through the roof, wall. Repair/cover it immediately (can ask your owner for help)
  • Gutter: check if the place gutter is clean because if the water during the rain won’t be able to go properly, it will start goes inside your place through walls, windows, and roof.
  • Windows, doors: when you are leaving the place, check your windows and doors. Be sure they close properly. During a tropical rain storm the wind blows the rain sideways and water can come in these cracks.
  • Bamboo roof: if you have such – cover properly the roof from inside.

Humidity and mushrooms

Because of big humid the mushrooms can damage your clothes, electrical devices, can affect your health condition.

  • Sun: if will be any sun, take out all your stuff to get dry in sun as often as possible (mattress, blankets, pillows, other textile and etc.)
  • Clothes: keep the shoes that you don’t wear in the plastic bags, but often ventilate them in the sun. As well ventilate your clothes often.
  • Electric device: turn on them daily. During the trip, if you will leave anything at home, keep it in plastic boxes.
  • Spaces: ventilate it daily; clean once per week the floor and others places where mushrooms can start to grove because of humid.
  • Furniture: buy special liquid and cover with it your furniture. That prevents wooden furniture from mushrooms and insects that eat wood. Also as often as possible take the furniture outside for a sun.
  • Cleaning equipment: keep it all the time clean, don’t leave in the bathroom.
  • Humidity collector: use special humid collector that possible to buy in bigger supermarkets and often take out collected water from there. As well them are very good for dry season – like humidity level in Indonesia is very high.
  • Fan: if you have it – use daily, to dry your sleeping place or other spaces.

Mosquitoes

  • Body treatment: during rainy season usually there are more mosquitoes and those who can give you Dengue fever (every 5 years in Indonesia exist outbreak of Dengue fever, this year (2015) was the 5th year, so many people got it). So use more often the spry from mosquitoes or other products on your skin.
  • Home implements: use implements at home to prevent the mosquitoes. For example mosquitoes net, electrical devices with lavender smell.
  • Clothes: don’t leave too many clothes hanging in the room, like mosquitoes will hide there. As well somehow black color clothes attract them more.
  • Food: drink more guava fruits. It helps your immunity system be stronger against Dengue fever.

Health

  • Vitamins: drink more vitamin C (you can buy it in the shops, pharmacy). If you have – vitamins that makes your immunity system stronger.
  • Food: drink more warm drinks, if it’s possible with lemon. Eat more soups and warm dishes. Eat properly food and “normal” dose.
  • Clothes: wear clothes that makes you stay warm, cover your neck with scarf. If in the place of staying the floor is from ceramic – wear socks or slippers. If you will get wet, try as soon as possible to change the clothes.
  • During the night: make sure that you will sleep warm (wear warm clothes, cover yourself with warm blanket and etc.)
  • Places: don’t stay in places where windy, drought is.

Usual day during rainy season :)

 

Be patient waiting for the dry season and take care of yourself, your place and stuff during rainy season :).

If you will be unlucky and will get sick, you can read where to get help –  health institutions in Yogyakarta.

 

Have more tips what to do during rainy season? Please share :)