Since the entry of ADRA Indonesia for the reconstruction of the North Pakuli PUSTU through village musyawarah activities on April 24, 2019. From the results of the deliberations, the government was responsible for carrying out the process of demolishing the old PUSTU building independently by the local community. The demolition process lasts for approximately 2 weeks, May 10 to May 23.
Midwife Process Look for and find a place to stay and temporary health care place
After the September 28 earthquake, midwives stayed and used the PUSTU building as a place of service as usual. With the condition of the building being severely damaged, the health services carried out are still ongoing, but because it still holds a sense of trauma and anticipates that aftershocks will occur, this activity will be carried out in front of PUSTU using an emergency tent. Midwives also expressed a sense of concern when approaching bedtime at night. Because, the walls and floors of the building are many large cracks which they think may collapse at any time if the earthquake comes to shake again.
When they learned that ADRA would carry out the PUSTU reconstruction program through a village meeting which was also attended by midwives, they heard that the PUSTU building would soon be demolished. Knowing this, long before the demolition process began, the midwife and her husband immediately sought a place to stay for a while until the PUSTU reconstruction period was completed. From the search effort, they were finally offered by one of the residents who owned the shop building which was also adjacent to the PUSTU building. Since moving in the shophouse on April 25, he has also functioned as a temporary PUSTU so that the health service process continues and runs. Different places are also different atmosphere, that’s what experienced by midwives during their stay and doing health services at the place of residence.
Midwives’ Experience During Health Services
The midwife also shared her experiences and events during her temporary stay at the PUSTU. Starting from less optimal health services such as narrow room capacity, unavailability of privacy space for patients, MCK is not available and erratic operating time is caused by patients who come to visit and even take breaks. In addition, the number of patients visiting was relatively reduced compared to when they were still in the old PUSTU service. According to him, the cause of this was the ignorance of the community about the existence of the place as a temporary PUSTU. So patients who usually visit for treatment are now turning to Pakuli Induk Polindes, Polindes Simoro and Pandere Public Health Center. some health equipment is also damaged and no longer functioning like child scales, adult scales and tension devices that should be replaced with new ones.
So far there has never been a posyandu activity for Pakuli Utara village nor has a mother given birth at the temporary PUSTU. He also said that none of the patients who came to visit complained about the service and the room. Finally, the midwives also expressed their delight and thanks to ADRA Indonesia for helping their village in rebuilding the new PUSTU.
And during the event to erect the king’s pillar as the main symbol of the building according to the local community, the midwife herself facilitated the celebration by presenting perfunctory food to eat together. The event was conducted with the intention of obtaining a blessing on the building to avoid bad things accompanied by a reading of the safety prayer by the local priest. (Results of direct interviews with midwives on Monday June 17 in his residence).
Experience of Patients Who Come Visiting for Treatment
Another story also came from one of the patients who used to visit, Mrs. Irpa Tri Astuti (28 years) who was pregnant with 7 months of pregnancy. During this time, he had come to the PUSTU twice for treatment twice. His visit was to do a blood pressure check, ask for blood booster medicine and be given additional food for the nutritional needs of the mother and fetus. He also said that the health services carried out by the midwives at PUSTU meanwhile were the same as other PUSTU, with no shortcomings or inconveniences during treatment. On his occasion, he also conveyed an impression on the construction of PUSTU in his village, a thanksgiving and thank you to ADRA for helping in terms of PUSTU reconstruction.
Workers keep fasting even though they are working
As we enter the fasting month, 7 artisans and laborers consisting of 2 artisans (Seppe and Damran) and 5 workers (Sahid, Fadlil, Hajam, Farid, Toni) who work on the construction of the foundation stage negotiate to discuss their work time when fasting later. Because according to them, foundation work is the hardest part of building work. The head of the RT, who is also one of the workers (laborers) named Sahid (50 years), suggested that working hours when the fasting month starts at 7 am, then break at 11 noon. Then start work again at 2pm and finish work at 5pm. He conveyed this suggestion so that it was not too forceful to force people in critical times while fasting to use time as efficiently as possible. Hearing the suggestion, other workers responded well and agreed to the work schedule as a reference for their working time. So that during the fasting month, they keep fasting while working. On the sidelines of work, they use music and play it at high volume as entertainers. In addition, artisans and laborers also took the time to joke with each other to create a relaxed working atmosphere while remaining focused.