Looking For Ideal Primary care In Indonesia, Where is it ?


The proportion of primary care physicians varies in Indonesia. Primary care physicians in Indonesia was conducted by general practice physicians and also delivered by nurse practitioners and physician assistants. Considering all sources of primary care, there is still a lack of primary care providers in many areas of the country, particularly in remote and rural areas.

The concept of primary health care was defined by the World Health Organization in 1978 as both a level of health service delivery and an approach to health care practice. Primary care, as the provision of essential health care, is the basis of a health care system. Seventy-five to eighty-five percent of the population seek primary health care yearly. It provides both the initial and the majority of health care services of a person or population. This is in contrast to secondary health care, which is consultative, short term, and disease oriented for the purpose of assisting the primary care practitioner. Tertiary care is for patients with unusual illness requiring highly specialized services. Primary care clinicians may be physicians, nurses, or various other health workers trained for the purpose.


While there are many definitions of primary care, the principles of accessible, comprehensive, continuous, and coordinated personal care in the context of family and community are consistent. Primary health care should be available to all people without the barriers of geography, cost, language, or culture. In primary care, all types of problems, at all ages and for both genders, are considered, including care for acute self-limited problems or injuries, the care of chronic diseases such as diabetes or AIDS (acquired immunodeficiency syndrome), the provision of preventive care services such as immunizations and family planning, and health education.

Primary health care provides the first point of contact in the health care system. In Indonesia, the main source of primary health care is general practice.

The aim is to provide an easily accessible route to care, whatever the patient’s problem. Primary health care is based on caring for people rather than specific diseases. This means that professionals working in primary care are generalists, dealing with a broad range of physical, psychological and social problems, rather than specialists in any particular disease area.

An important role is acting as the patient’s advocate and co-ordinating the care of the many people who have multiple health problems.  Since primary care practitioners often care for people over extended periods of time, the relationship between patient and doctor is particularly important. Primary health care involves providing treatment for common illnesses, the management of long term illnesses such as diabetes and heart disease and the prevention of future ill-health through advice, immunisation and screening programmes.

Because primary health care is broad, it is information rich. Primary care clinicians coordinate care for patients among different service providers and for different patient concerns, responding to the fact that most patients have multiple problems. Continuity of care refers to the ongoing relationship between individual patients and primary care clinicians who are committed to the person, not a specific disease, body of knowledge, or specialized technique, and who recognize that physical, mental, emotional, and social concerns are related. Primary care clinicians, interested in the meaning of illness to the particular person, must negotiate care with that individual. A person’s health is greatly influenced by the individual’s family, culture, and community. Thus, the delivery of primary health care may be different for each individual and in different areas of the world.

The proportion of primary care physicians varies by country—for example, in Great Britain, it is 80 percent; in the United States, it is 32 percent. Primary care physicians in the United States consist of family or general practice physicians, general internists, and general pediatricians. Some primary care may be delivered by specialists, especially obstetrician-gynecologists, but it is not the focus of their practice.

Primary care physician serves as the entry point for substantially all of medical and health care needs. It is an advocate in coordinating the use of the entire health care system to benefit people and takes continuing responsibility for providing care. Primary care includes health promotion, disease prevention, health maintenance, counseling, patient education, diagnosis and treatment of acute and chronic illnesses. By regularly seeing a primary care practitioner, patients can identify and control health risk factors before they become problems. Primary care practitioner encourages us to take charge of our health and is a trusted partner in an environment where we can feel comfortable and known.

All doctors are not alike. Many different health care professionals with different types of education can provide health care. In other countries such as in USA, Adults in our family could see an internist. Children could go to a pediatrician. Or the whole family could see a family medicine doctor. We could have a family medicine doctor and an obstetrician/gynecologist, or an internist and a geriatrician. If it’s right for us, it’s the right choice. Here’s a guide to the five kinds of primary care doctors available at Lehigh Valley Health Network, USA.


  1. University of Bristol, UK
  2. Valerie J. Gilchrist. Encyclopedia of Public Health, 2002.
  3. Lehigh valley health network, USA


From the President of Wonca: Perspectives on Iran

President’s Messages October 2015

Photo: WONCA president with group of health volunteers at Torab primary health care centre in Tehran


Dr Samira Pouryosefi is a family doctor working in the Zar nan rural health centre in the Islamic Republic of Iran. As the head of her local primary health care team, Samira is responsible for the health and well being of over 4,700 people living in her rural town and the surrounding region. Samira also works with the community health workers, called behvarz, who run the small health clinics, called health houses, in the surrounding rural villages.

Photo: Family doctor, Dr Samira Pouryosefi (right) in her clinic at the Zar nan rural health centre in the Islamic Republic of Iran (with WHO Iran lead and family doctor, Dr Jihane Tawilah)

I was visiting Iran as a member of a mission for the World Health Organization (WHO) examining the integration of health services with medical education across the country. As part of the mission I had the opportunity to visit the capital city of Tehran, in the north of the country and dominated by the Alborz Mountains, the city of Mashhad, built on an oasis on the former Silk Road and most famous for the tomb of Imam Reza, visited each year by millions of pilgrims, the former royal city of Isfahan, former capital of Persia, designated by UNESCO as a World Heritage Site for its outstanding examples of Iranian and Islamic architecture, including palaces and mosques and bridges, and a number of rural towns and villages.

Photo: Inside the Imam Reza mosque complex in Mashhad

Iran has a population of 78 million people, with 12.5 million people living in the capital city, Tehran. It is the 18th largest country in the world and one of the world’s most mountainous countries. 30% of the population lives in rural areas.

The success of primary health care in Iran is world-renowned. Iran is one of the country’s that has successfully tackled universal health coverage through the training and support of a nationwide network of community health workers, know in Persian (Farsi) as behvarz. The behvarz are people from rural communities who work to link their population to the doctors and nurses working in local health units. Each behvarz operates from a small clinic, called a Health House, based in their local village. There are 14,000 Health Houses across the country. Some behvarz work alone, others in pairs, often a husband and wife team. Their work is especially focused on maternal and child health, vaccination programs, prevention of infectious diseases, sanitation, first aid and family planning. The behvarz know everybody in their local community, conduct home visits for the newborn, the elderly and those with disability, and keep records on a chart in each Health House, known as a Health Horoscope, which provides a quick and easily updated summary of the health status of all the people in each community. Between 1984 and 2000 Iran was able to halve its infant mortality rate, raise immunization rates from 20% to over 95%, and implement a highly successful program of family planning. Public primary care services are provided free of charge.

Photo: Behrvarz Samantha Amir-Torbati and behrvarz Mohammad Eahgh, in their rural health house outside the city of Mashhad (note Health Horoscope on the wall behind)

To extend the work of the behvarz in rural areas, the government of Iran has also created a program of urban-based health volunteers, mainly women, called Davtalab Salamat (the Farsi term for Health Bridge). The health volunteers work with the members of their local communities, based out of urban primary care centres.

Iran is also famous for the integration of medical education and public health services. In 1985 the nation created a single Ministry of Health and Medical Education. The Chancellor of each University of Medical Sciences in the country is responsible not only for the education of health professionals and medical research, but also for the clinical services delivered through public hospitals and primary health care services within their assigned geographic region. This allows far greater integration between the functions of universities and health services, than exists in many other countries. Some of the Chancellors are responsible for the health care services provided to over 5,000,0000 people.

As health care measures have improved, Iran has recognized the need to strengthen primary care through the creation of the specialty of family medicine, and WONCA is providing support to the country to develop formal training for the family medicine workforce. The lack of a recognised specialty of family medicine has meant that most medical graduates have been training to become hospital-based specialists and sub-specialists. High public demand for health services in teaching hospitals, and self-referral, has led to excessive demand for hospital-based clinical services, lengthy waiting lists and rising health care costs. At the same time the prevention and management of chronic health conditions has been less than optimal. As in many countries, family medicine is recognised as the solution to these common health system challenges. President-elect, Professor Amanda Howe, has recently visited Iran, again with the WHO, to assist with the development of postgraduate family medicine training. Iran is not yet a member of WONCA but we look forward to welcoming our colleagues from Iran into the WONCA family.

Photo: WONCA president receiving membership application from Dr Faramarz Rafiee from the Iranian Society of General Practitioners, with Dr Saeed Taammali, general practitioner advisor to the Iranian Minister of Health and Medical Education

This was an interesting time to be in Iran, with the United Nations having recently announced a nuclear accord that could lead to the lifting of long-standing sanctions. I admit that I was a little nervous about visiting Iran, especially when told that I would have to undertake advanced security training through the United Nations. Once in Iran, I felt welcome and safe. The people I met were welcoming, friendly and very hospitable. The cities were clean and green. The cultural heritage is remarkable and I enjoyed learning about the country’s history. It took me two days to realise that my group was accompanied by a discrete security detail of two military-trained paramedic officers driving their ambulance behind us as we moved around the country.

Michael Kidd
WONCA President


In the Name of Allah, the Beneficent, the Merciful

All praise is due to Allah, the Lord of the Worlds, and peace and greetings be upon the master of all creatures, Muhammad, upon his immaculate household, upon their chosen companions, and upon those who follow them until the Day of Judgment.

Greetings be upon the Holy Ka’bah, the base of monotheism, the center of tawaf for believers and the settlement of angels. Greetings be upon Masjid al-Haraam, Arafat, Mash’ar and Mina. Greetings be upon humble hearts, praying tongues, insightful eyes and wise minds. And greetings be upon you blissful hajj pilgrims who have found the opportunity to respond to the divine call and who have gathered around this blessed banquet.

The first responsibility is to deliberate on this global, historical and eternal response: “Verily, all praise, blessings and dominions are Yours. You have no partner, I obey You”. This is the outlook that is imparted on hajj pilgrims in the first steps of this meaningful and significant responsibility. The continuation of this ritual is done in line with this outlook. It is presented to pilgrims as an eternal and unforgettable lesson and they are asked to coordinate their lives on the basis of it. Acquiring and acting on this great lesson is a blessed fountain that can shower freshness, life and dynamism onto the lives of Muslims and liberate them from the maladies that they are suffering from at this time and at all times.

The idol of selfishness, arrogance and lust, the idol of oppressing and being oppressed, the idol of global arrogance, the idol of laziness and irresponsibility and all other idols that belittle the venerable life of human beings will be broken with this Ibrahimi cry – when it comes from the bottom of one’s heart and when it is incorporated in one’s plan for life – and freedom, dignity and health will replace dependence, difficulty and calamity.

Dear brothers and sisters who are on the hajj pilgrimage, from whichever nation and whichever country, you should think about this instructive and divine word. You should define a responsibility for yourselves and endeavor to fulfill it by taking a deep look at the calamities of the world of Islam – particularly in West Asia and North Africa – and by paying attention to capacities and resources- personally and in your surroundings.

Today on the one hand, the vicious policies of America in the region – that have led to war, bloodshed, destruction, destitution, backwardness and tribal and denominational discord – and on the other hand, the crimes of the Zionist regime that has carried its usurping behavior in Palestine to extremes by showing utmost malevolence and viciousness, repeatedly insulting the holy Al-Aqsa Mosque and trampling upon the lives and property of the oppressed Palestinians- is the primary issue of all of you Muslims.

You should deliberate on it and know your Islamic responsibilities towards it. The religious ulama and political and cultural personalities have a much heavier responsibility, however they unfortunately ignore it in most cases.

The ulama, instead of fueling the fire of denominational discord, politicians – instead of adopting a passive outlook towards the enemy – and cultural personalities, instead of becoming busy with trivial matters, should identify the great pain of the world of Islam and embrace the mission whose fulfillment they are responsible for before divine justice.

The heartrending events in the region – in Iraq, Shaam, Yemen, Bahrain, the West Bank, Gaza and other Asian and African countries – are the great maladies of the Islamic Ummah. The fingerprints of global arrogance should be seen in these events and the cure for it should be thought about. Peoples should ask their governments to do so and governments should be loyal to their heavy responsibility.

And hajj and its magnificent gatherings are the best place for manifesting and exchanging this historical responsibility.

And the opportunity to express bara’at should be appreciated with the participation of all hajj pilgrims from everywhere in the world because it is one of the most expressive political rituals in this comprehensive duty.

This year, the bitter and devastating incident in Masjid al-Haraam brought bitter sorrow to pilgrims and their nations. Although the deceased – who rushed towards God while praying, doing tawaf and worshipping God – have found great happiness and although, God willing, they are resting in the safe haven of divine mercy and this is a great comfort to their families- this cannot reduce the responsibility of those people who are committed to ensuring the safety of God’s guests.

Acting on this commitment and fulfilling this responsibility is our firm demand.
Greetings be upon Allah’s righteous servants
Sayyid Ali Khamenei


Allergy Symptoms & Chronic Obstructive Pulmonary Disease (COPD)


Allergy symptoms occur when your immune system overreacts to an allergen—something that usually is harmless, such as plant pollen, dust mites, molds, insect stings or food.

Types of Allergy Symptoms

Allergy symptoms occur when your immune system overreacts to an allergen—something that usually is harmless, such as plant pollen, dust mites, molds, insect stings or food. If you have an allergy, your immune system acts as if the allergen were dangerous, releasing a chemical called histamine that causes allergy symptoms. Learn about headaches, a common symptom of allergies.

If the allergen is something you breathe in from the air, your reaction will most likely affect your eyes, nose and lungs. If it’s something you eat, it may affect your mouth, stomach and intestines. Food allergies also can cause skin rashes or even asthma symptoms.

Allergy symptoms will vary depending on the type of allergen. To learn more, visit the allergy page that best applies to you:

Chronic obstructive pulmonary disease (COPD)

Chronic obstructive pulmonary disease (COPD) is a collection of lung diseases that cause breathing problems and airflow obstruction. Included in this group of diseases are refractory (severe) asthma, emphysema and chronic bronchitis.

A second anaphylactic reaction, known as a biphasic reaction, can occur as long as 12 hours after the initial reaction.

Just because an allergic person has never had an anaphylactic reaction doesn’t mean that one won’t occur in the future.

  • Difficulty breathing
  • Wheezing
  • Frequent coughing
  • Tightness in the chest
  • Poor exercise tolerance
  • COPD is diagnosed most frequently in certain groups:
    • People between the ages of 50 and 74
    • Current and former smokers
    • People with a history of severe asthma
    • People with long-term exposure to air irritants, including industrial chemicals and tobacco smoke
    • People with a family history of COPD

    While COPD has long been thought to be an ailment most frequently diagnosed in older white men, a 2013 report by the American Lung Association found that women are 37 percent more likely than men to have the disease and account for more than half the COPD deaths in the United States.

    Although symptoms may not always be severe, COPD is serious and can be deadly. Early diagnosis and treatment may change the course of the disease and slow its progression.

    An allergist can diagnose and treat COPD and other respiratory conditions, such as asthma, with an evaluation that includes a medical history, a physical exam and appropriate tests. If you report that you are having difficulty breathing, expect your allergist to conduct a breathing test, known as spirometry. This quick and efficient exam tells how well your lungs are working by measuring how much air they can hold and how quickly air moves in and out.

    Your allergist also may suggest a chest CT scan and a chest X-ray. After you receive a diagnosis, your allergist will go over treatment options with you and discuss lifestyle changes that might help you feel better.

Management and Treatment

People with COPD may not know they have it until their disease is in its “moderate” stage, meaning that they are experiencing frequent shortness of breath, coughing and heavier-than-normal mucus. Misdiagnosis can occur because the symptoms of COPD mimic other respiratory conditions, such as asthma. In 2011, chronic lower respiratory diseases — primarily COPD — was the third leading cause of death in the United States, according to the Centers for Disease Control and Prevention (CDC).

While an estimated 15 million Americans have been diagnosed with COPD, according to 2011 statistics from the CDC, the number of sufferers may be higher. More than 50 percent of adults with low pulmonary function were not aware that they had COPD, the CDC found.

Treating COPD isn’t a one-size-fits-all approach. Each patient will receive a treatment plan customized for his or her specific needs. Treatment may include medication to help alleviate symptoms, supplemental oxygen and pulmonary rehabilitation. Some lifestyle changes may also be recommended, such as exercise, breathing techniques and avoidance of air pollutants at home and at work. For smokers, the most important part of treatment will be quitting the use of tobacco.

Because respiratory illnesses, such as the flu, can cause serious complications in people with COPD, those people should get a yearly flu vaccination. A pneumococcal vaccine is also recommended.

10 Rekor Manusia Terberat di Dunia

BERITAUNIK.INFO – Begitu banyak hal tak lazim di dunia yang menjadi fenomena mengesankan. Bahkan banyak dari fenomena itu yang tampak tidak masuk akal dan terkesan hanyalah rekayasa. Wajar, karena mayoritas orang menyikapi setiap kejadian aneh menggunakan logika.

Tapi bagaimana anda menilai tentang artikel di bawah ini tentang 10 Rekor Manusia Terberat di dunia? Beritaunik.info mencoba untuk menjabarkannya beserta kisah singkat kehidupan pribadi mereka masing-masing sebagaimana dikutip dari laman top10hq. Kami mulai dari wanita dengan berat 471 kilogram dan diakhiri dengan pria seberat 635 kilogram, dimana rata-rata di antara mereka berasal dari negara Paman Sam (Amerika Serikat).

10. Mayra Rosales, Amerika Serikat (Berat 471 Kg)

 Mayra Rosales pernah mengalami pengalaman buruk dalam hidupnya, dimana ia tanpa sengaja jatuh terpeleset dan menimpa anak dari adiknya. Akibatnya anak malang itu tewas tertindih Mayra. Tragedi itu begitu menjatuhkan psikologinya, apalagi di media-media, dia dijukuli “Pembunuh Setengah Ton”

Setelah kejadian itu, Mayra berkomitmen untuk berusaha keras menurunkan berat badannya. Berbagai cara ia lakukan dan Mayra pun mampu menurunkan sekira 90 Kg. Sehingga di usia 33 tahun, berat badannya yang sebelumnya 471 Kg menjadi 362 Kg. Transformasi mengesankan berkat tragedi mengerikan.

9. Robert Earl Hughes, Amerika Serikat (Berat 484 Kg – 485 Kg)

Robert Earl Hughes memiliki berat badan tak lazim sejak usia dini. Kondisi itu diyakini akibat kelainan pada kelenjar pituitarinya yang membuat berat badannya terus bertambah. Saat ditimbang, ia bahkan lebih berat dari enam orang dewasa yang memiliki berat masing-masing 92 Kg. Ukuran dadanya pun lebih dari sepuluh kaki! Wow…

Saat berwisata di Amerika, ia sempat menghibur para pengunjung karnaval dengan badan jumbonya. Saat itu ia mengakui sebagai manusia terberat di dunia. Namun sayang usianya hanya bertahan hingga 32 tahun dan meninggal karena komplikasi dari penyakit campaknya (lahir tahun 1926 dan meninggal tahun 1958). Walau meragukan, di batu nisannya tercantum prasasti manusia terberat di dunia dengan angka 472 Kg.

8. Patrick Deuel, Amerika Serikat ( Berat 485 Kg)

Patrick Deuel bukanlah orang yang tinggi, hanya 5 kaki 7 inci saat berdiri. Begitu mengagetkan jika melihat berat badannya yang hampir setengah ton. Beberapa perkiraan menyebutkan di puncaknya ia ditimbang seberat 510 Kg, walau sebagian besar laporan memiliki puncak berat 485 Kg dan dilaporkan berada di titik kematian.

Ia terus berjuang menurunkan berat badannya, termasuk melalui operasi. Walau begitu, Deuel masih merokok dan banyak mengonsumsi makanan yang salah. Maka muncul lah infeksi yang membuatnya kembali berbadan besar. Apalagi berbulan-bulan ia hanya mengurung diri di dalam rumah.

7. Michael Hebranko, Amerika Serikat (Berat 499 Kg)

Michael Hebranko mungkin menjadi orang yang paling berhasil melakukan diet. Ia telah mampu menurunkan berat badan dari 411 Kg menjadi 90 Kg atau hilang sekitar 321 Kg. Hal mengesankan itu bahkan membuatnya tercatat di Guinness Book of Records pada tahun 1990 sebagai penurun berat badan terbesar di dunia.

Tapi 12 tahun kemudian, berat badannya kembali, bahkan lebih berat dari sebelumnya. Pada tahun 1999, berat badannya mencapai puncak 499 Kg. Ia kembali berusaha menurunkannya hingga mampu turun sampai 207 Kg. Namun setahun sebelum meninggal di tahun 2013, berat badannya mencapai 249 Kg.

6. Rosalie Bradford, Amerika Serikat (Berat 544 Kg)

Rosalie Bradford tak pernah langsing. Berat badannya juga diperparah infeksi darah yang membuatnya susah tidur dalam waktu lama. Selama delapan tahun ia tak mampu bergerak hingga ia mencapai berat puncaknya 544 Kg pada Januari 1987 silam. Ia semakin tertekan dan mencoba bunuh diri dengan mengonsumsi obat tidur dengan dosis berlebihan.

Ironisnya, berat badannya lah yang menyelamatkan hidupnya karena hanya bisa tertidur beberapa hari. Temannya sempat menemukan latihan diet, meski awalnya Bradford hanya bisa terapi dengan bertepuk tangan dengan panduan video. Tapi akhirnya ia mampu mengurangi berat 416 Kg dan tercatat di Guinness Book of Records sebagai wanita penurun berat badan terbanyak. Dia meninggal November 2006 di usia 63.

5. Walter Hudson, Amerika Serikat. (Berat 544 Kg)

Walter Hudson mempunyai ukuran terbesar di dunia, yaitu 302 cm atau 9 kaki, 11 inci. Ia sempat menjadi berita utama pada September 1987 silam saat ia tergelincir dan jatuh dimana badannya terjepit di ambang pintu. Sehingga butuh delapan orang untuk membebaskannya.

Hudson meninggal karena serangan jantung tahun 1991 di usia 46. Ketika ditimbang saat itu beratnya sekitar 510 Kg, sehingga harus membuat lubang lebih besar di dinding kamar tidurnya agar tubuhnya bisa keluar kamar.

4. Carol Yager, Amerika Serikat (Berat 545 Kg)

Kisah hidup Carol Yager cukup tragis, dimana berkat persoalan makannya, ia dianiaya secara seksual oleh keluarga dekatnya. Saat kematiannya sempat diketahui berat badannya mencapai sekitar 727 Kg, meski dokter menolak berkomentar terhadap fakta itu.

Yager dirawat di rumah sakit tahun 1993 karena sistem kekebalan tubuh dan selulitis. Tapi justru penyakit itu yang membuatnya kehilangan banyak berat badan sekira 237 Kg hanya dalam tiga bulan. Ia tak sehat dan tak mampu berjalan. Apalagi setelah menderita pemborosan otot atau atrofi, ia tidak mampu meninggalkan tempat tidurnya dalam waktu lama.

3. Manuel Uribe, Meksiko (Berat 597 Kg)

Meski lahir di Meksiko, Manuel Uribe memutuskan pindah ke Amerika Serikat. Ia pernah mendapat tawaran untuk operasi penurunan berat badan. Namun ia menolaknya karena lebih memilih mencoba dan menurunkan berat badan secara alami.

Benar saja, ia berhasil melakukannya dengan menurunkan beratnya sekira 363 Kg dan kemudian turun lagi sekitar 91 Kg, tidak terlalu buruk bagi orang ekstra gemuk yang memiliki tinggi enam kaki lima inchi ini. Ia pun mendedikadikan dirinya sebagai pengajar bagi sesama warga negara Meksiko tentang nutrisi dan obesitas.

2. Khalid Bin Muhsin Shaari, Arab Saudi (Berat 608 Kg)

Khalid bin Mohsen Shaari memang belum banyak dikenal di dunia terkait kondisi tak lazimnya. Apalagi adanya intevensi yang luar biasa dari Raja Arab, Abdullah. Kondisi itu ia derita sejak kecil yang memicu berat badannya mencapai 608 Kg. Raja memerintahkan agar Khalid menjalani perawatan medis menyangkut obesitasnya.

Hingga Februari 2014, berat badannya dilaporkan telah turun sekitar setengah dari berat badan sebelumnya. Operasi penurunan berat badan itu dijalaninya dengan dengan baik, menyusul adanya perbaikan fungsi hati dan paru-parunya. Kekuatan ototnya pun membaik dan bisa layak beraktivitas.

1. Jon Brower Minnoch, Amerika Serikat (Berat 635 Kg)

 Berat badan Jon Brower Minnoch pernah ditimbang dengan 100 batu atau sebanyak sembilan hingga sepuluh orang berukuran rata-rata. Saat umurnya masih 12 tahun, berat badannya sudah hampir mencapai 136 Kg dan terus meningkat seiring bertambahnya umur hingga ia meninggal. Dilaporkan dua pertiga dari berat badannya dikarenakan kelainan retensi air kronis.

Ia memang berhasil menurunkan berat badan sekira 419 Kg setelah dirawat di rumah sakit dan merupakan penurunan berat badan terbesar yang pernah tercatat. Namun setelah itu, ia selalu menderita sakit yang sebagian besar akibat obesitasnya. Minnoch meninggal tahun 1983, dimana di batu nisannya tertulis manusia terberat di dunia, meski keabsahannya masih diragukan. ***

Police to name suspects behind Tolikara riot


The National Police said on Wednesday morning that they might announce the names of suspects behind a religious clash in Tolikara, Papua, on Wednesday.

“There is a possibility that we could determine the suspects today, hopefully,” National Police chief Gen. Badrodin Haiti said as quoted by kompas.com

Badrodin did not reveal further information about the possible suspects but asserted that the police would investigate the case thoroughly.

He said the police had questioned 31 witnesses in the case and that they planned to question five more today.

Some of the witnesses are members of the Evangelical Church of Indonesia (GIDI), while the rest are Muslims who performed Idul Fitri prayers at the subdistrict military command (Koramil) field in Tolikara.

“We hope to find a clue to solve this case,” Badrodin said.

He also rebuffed allegations of foreign intervention in this case.

A riot occurred in Tolikara last Thursday between Muslims and Christians that led to the destruction of several kiosks. One person died in the incident while several others were injured.

The riot started after people, thought to be members of GIDI, threw rocks at those performing Idul Fitri prayers. (ika)(++++)

– See more at: http://www.thejakartapost.com/news/2015/07/22/police-name-suspects-behind-tolikara-riot.html#sthash.uqH1L1eM.dpuf

Presiden Jokowi: Papua Punya Kearifan Untuk Selesaikan Kasus Tolikara

 Submitted by Abu Aulia on Sun, 07/19/2015 – 22:17

Jakarta (PiyunganOnline) – Presiden Joko Widodo menyatakan bahwa ia sangat berterimakasih kepada para pimpinan lintas agama, ketua adat, dan tokoh masyarakat yang telah membantu proses pemulihan keadaan di Tolikara, Papua. Ia dengan tegas mengutuk keras pembakaran dan tindak kekerasan di Tolikara tersebut.

Presiden juga berterima kasih kepada seluruh masyarakat Indonesia, yang dengan caranya masing-masing, telah ikut menjaga kedamaian di lingkungannya.

Selain itu Presiden menjelaskan, bahwa perlu diketahui, saat insiden Tolikara terjadi, ia langsung memerintahkan Menkopolhukam, Kapolri, Kepala BIN agar segera turun ke lapangan dan berkoordinasi dengan pemerintah daerah untuk mengambil tindakan yang diperlukan, termasuk menemui para ketua adat dan tokoh agama untuk mengambil inisiatif perdamaian demi terjaganya Papua sebagai Tanah Damai.

“Seperti kita ketahui bersama, situasi di Tolikara sudah kondusif. Aparat penegak hukum sudah berhasil mendapatkan beberapa fakta penting, dan saat ini terus bekerja keras untuk merangkai seluruh kejadian yang sebenarnya.” Demikian ungkap Presiden.

Ia juga menegaskan, “Saya jamin, hukum akan ditegakkan setegak-tegaknya, bukan hanya untuk pelaku kriminal di lapangan tetapi juga semua pihak yang terbukti mencederai kedamaian di Papua. Masalah ini harus diselesaikan secepatnya agar ke depan tidak terjadi lagi kekerasan di Tanah Papua.”

Presiden juga menegaskan bahwa ia mengetahui, masyarakat Papua mempunyai kearifan Papua, kebijakan adat turun temurun yang luhur, untuk menyelesaikan setiap persoalan yang terjadi, termasuk kasus Tolikara ini.

Dalam sejarah Papua, hubungan antar agama selalu terjalin harmonis. Salah satu peran agama di Papua adalah sebagai mata air perdamaian, diperkuat dengan ikatan adat dan budaya masyarakat Papua yang cinta damai.  Demikian Presiden menjelaskan.

Memungkasi penjelasannya, Presiden menyatakan bahwa pemerintah akan mengambil tindakan apapun untuk menjaga ketenteraman hidup berbangsa dan bernegara di seluruh pelosok Tanah Air

– See more at: http://www.piyunganonline.org/read/presiden-jokowi-papua-punya-kearifan-untuk-selesaikan-kasus-tolikara.html#sthash.J9Z2Eyq6.dpuf