Andy Satyakusuma

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About Andy

ASIA AFRICA FOUNDATION
Finance and Foreign Affair Director
Indonesia

INTERNATIONAL HUMAN RIGHT ORGANIZATION
Goodwill Ambassador

IMPACTIVITY UK LTD
Director
London, United Kingdom

MY GLOBAL FUND - THE GLOBAL FUND
Fight against the world's three deadliest pandemics: HIV/AIDS, tuberculosis and malaria.
Country Coordinating Mechanism
The Country Coordinating Mechanism is a
country-level partnership of stakeholders from
nongovernmental organizations, multilateral and
bilateral agencies, the public and private sectors,
and people living with or affected by the diseases.
It is responsible for submitting proposals to the
Global Fund, nominating the grantee(s) or Principal
Recipient(s) and providing oversight to grant
implementation.

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  • To realize its humanitarian program in Indonesia, we created several programs that will work we carried out and implemented in Indonesia.

    Providing Medical Facilities

    We ain to provide a range of different medical facilities ranging from the larger mainstream buildings to a variety of smaller facilities in order to take care of the needs of the community from their regular non emergency needs and services through to the emergencies that occur within any large metropolitan city area.

    1.Provision of large hospital buildings
    2.Smaller local community general clinics
    3.Specialist treatment centres and clinics
    4.Local GP (General Practitioner) offices
    5.Mobile clinics designed for local needs
    6.Links to other facilities within Indonesia

    Hospital Buildings
    Hospitals come in a wide variety of different types. Many are large general hospitals that are designed to cater for large numbers of patients across a very wide range of needs, including the needs of the long term sick and disabled as well as providing

    Providing Medical Facilities
    We will design building to meet the various needs. We will include a number of specialist hospitals that will be custom designed to meet specialist needs. This will be part of the feasibility study to determine the specialist needs most likely to benefit the region.

    Providing Medical Equipment
    We will also make sure that the equipment provided to each hospital is state of the art and designed to meet the needs it was designed for. We will also ensure that there is an ongoing program to maintain and upgrade equipment so that all patients can always receive premium quality treatment.

    General Practitioner System
    We will provide a system of free registration so that every single person has a registered local doctor to whom they can go in the event of any regular medical needs that do not constitute an emergency. The GP will be trained as a General Medical Practitioner so that they can deal with most issues. In the event of specialist needs, then the GP can refer the patient to the appropriate medical specialist at one of the major hospitals.To achieve this, local GP’s will keep good records to ensure they have the patients history to ensure the highest quality of care is given and where needed, the patient information can be provided to the hospital and medical professionals when the patient is referred for specialist treatment.

    Disaster Management System
    The region is beset by a frequent number of so called ‘natural’ disasters. We will thus put into operation a number of key plans to ensure the smooth functioning and management of the new metropolis during and after any such events. We have a system still being developed to handle and be prepared for these events with equipment already in place to meet the needs of the people who are affected by such a catastrophe.
    The way that we will meet this need is by setting up a special warehouse that will be filled with all the equipment we envisage we will need to handle a given disaster. We will ensure that there are provisions along with transport especially designed for working with a disaster zone and also have trained personnel so that we can utilise the equipment. There will be systems in place so that we can immediately go to work and everything will be administered from our emergency HQ at a safe location within the region.
  • World Health Organization (WHO) estimates that in Indonesia each year will be 583 000 new TB cases. Half or 50 percent of that amount will be transmitted as it is known as Basil the case of Acid Resistance (AFB) positive. Transmission of TB disease is very fast and every one smear positive TB patients could transmit the disease to 10 to 15 people per year. Thus you can imagine how many pesakit TB in the next few years, saw the number of Indonesian population which has a population of 210 million inhabitants. Today Indonesia is the diseased state (TB), the largest number three in the world after India and China. TB disease is not a new disease in Indonesia, the TB problem, nor merely a health problem. Tuberculosis is also very closely related to economic and social problems in the country. TB patients are mostly derived from the poor and the productive age group.

    Someone who develop TB disease will lose work time three to four months. This is equivalent to 20 to 30 percent decline in annual family income.

    expected to governments, community organizations and community leaders to be able to convey information about TB to the broader community. This needs to be handled from the beginning both of socialization in the family, until the general community to jointly combat tuberculosis.

    Long-term goal is to lower TBC morbidity and mortality of TB disease by breaking the chain of transmission, so that tuberculosis is no longer a public health problem of Indonesia. While short-term objectives are: 1) the achievement of cure rate of at least 85% of all new smear positive patients were found, and 2) achieving coverage of case detection gradually so that in the year 2005 can reach 70% of all estimated new smear positive patients.

    Since 1995, Pulmonary Tuberculosis Eradication Program has been implemented with the DOTS strategy (directly Observed Treatment Shortcourse chemotherapy) is recommended by WHO. Along with the formation of GERDUNAS TB, then the Eradication of Tuberculosis Lung Disease became Reduction Program Tuberculosis (TB).

  • TB disease is a disease that is categorized in infections caused by bacteria Mikobakterium tuberculosis. TB disease can strike at anyone , men, women, old, young, rich and poor as well as anywhere. In Indonesia in particular, this disease continues to grow each year and currently reaches 250 million new cases of which 140 000 resulted in death. Even Indonesia, the world's third largest country in the world in this TB problem.
    Population growth in Indonesia TB disease is caused by the worsening socio-economic conditions in Indonesia, ineffective public health service facilities, the increasing number of people who do not have a place to stay and the epidemic of HIV infection. It also must have a major impact from a weak body resistance / decreased, the virulence and the number of germs that plays an important role in the occurrence of TB infection.
    Causes of TB Disease
    TB disease is caused by bacteria Mikobakterium tuberculosis, rod-shaped bacteria and is resistant to acids also known as Acid Resistant Trunk (BTA). Type of bacteria was first discovered by a man named Robert Koch on March 24, 1882, To the memory of his services was given the name of the bacterium bacillus Koch. Even TBCpada lung disease was also known as Koch Pulmonum (KP).
    Symptoms of TB Disease
    Symptoms of TB disease were classified into two parts, the general symptoms and specific symptoms. Difficult to detect and diagnose TB is caused by a clinical picture of the patient are not typical, especially on new cases.
    1. Common symptoms (Systemic)
    - Not very high fever which lasts longer, is usually felt at night accompanied by night sweats. Sometimes attacks such as influenza and fever are gone arises.
    - Decrease in appetite and weight loss.
    - Cough-cough for more than three weeks (can be accompanied by blood).
    - Feelings of not feeling (malaise), weakness.
    2. Specific symptoms (Typical)
    - Depending on which body organs are affected, in case of partial bronchial obstruction (the channel leading to the lungs) due to suppression of enlarged lymph nodes, make noise "wheezing" sound accompanied by shortness of breath weakened.
    - If there dirongga pleural fluid (lung packing), can be accompanied with complaints of chest pain.
    - When on the bone, there will be symptoms such as bone infection at some point be able to form channels and relies on the overlying skin, in this estuary will be out of fluid or pus.
    - In children can be related to the brain (brain coating) and is referred to as meningitis (inflammation of the lining of the brain), the symptoms are high fever, an impairment of consciousness and seizures.
    In patients aged children if it does not cause symptoms, so TB can be detected if you know any contact with adult TB patients. Approximately 30-50% of children who come into contact with adult pulmonary TB patients giving a positive tuberculin test results. In children aged 3 months - 5 years old who live with adult pulmonary TB patients with smear positive, 30% reported infection based on serology / blood.
  • Jakarta, 15 July 2010 – Australia, Indonesia and the Global Fund today concluded a landmark agreement that will increase support to tuberculosis programs across Indonesia.
    The Debt2Health agreement was announced by Stephen Smith, Australian Minister for Foreign Affairs and Trade and Dr. R.M Marty M. Natalegawa, Indonesian Minister of Foreign Affairs at the Indonesian Ministry of Foreign Affairs.
    Indonesia has the third highest rate of tuberculosis in the world, with more than 90,000 Indonesians dying from the disease every year. Despite tuberculosis being preventable and curable, the disease is on the rise in Indonesia and many other developing countries.
    Under a Debt2Health arrangement, Australia will cancel AUD$75 million of Indonesia's debt. In return, Indonesia will invest half of this amount in national programs to combat tuberculosis through the Global Fund to Fight AIDS, Tuberculosis and Malaria.
    The Australian Minister for Foreign Affairs and Trade said: “This fulfils a commitment Australia made in 2007, and is a further demonstration of Australia’s commitment to working with Indonesia to address development challenges.
    "Australia strongly supports this Debt2Health swap with Indonesia and the Global Fund to tackle the challenge of treating and preventing tuberculosis.”
    The Indonesian Foreign Minister welcomed the swap as a sign of the good and friendly relations between the two countries.
    “The Debt2Health initiative, which we supported from the beginning makes it possible for us to redirect our debt service towards public health,” said Rahmat Waluyanto, Director-General for Debt Management at the Indonesian Ministry of Finance.
    Professor Michel Kazatchkine, Executive Director of the Global Fund, also welcomed the agreement. “In order to reach and sustain the level of funding we need in the fight against the most deadly epidemics of our time, we must make use of innovative finan­cing opportunities like Debt2Health. We are delighted that Australia has joined the initiative and are very grateful for the trust that it shows in our work” said Kazatchkine.
    ###
    Indonesia is Australia’s largest development assistance program. Through the Australian Government’s development partnership with Indonesia, both countries are working together to reduce poverty and promote regional peace, stability and prosperity. Australia works with Indonesia to improve education, strengthen health care systems, improve infrastructure and governance, and protect the environment.
    In the area of health, Australia is helping Indonesia to strengthen its health systems, improve the health of its women and children, halt the spread of HIV and address infectious diseases and pandemics, including tuberculosis.
    http://www.ausaid.gov.au
    ###
    The Global Fund is a unique global public/private partnership dedicated to attracting and disbursing additional resources to prevent and treat HIV/AIDS, tuberculosis and malaria. This partnership between governments, civil society, the private sector and affected communities represents a new approach to international health financing. The Global Fund works in close collaboration with other bilateral and multilateral organizations to supplement existing efforts dealing with the three diseases.
    Since its creation in 2002, the Global Fund has become the dominant financier of programs to fight AIDS, tuberculosis and malaria, with approved funding of US$ 19.4 billion for more than 600 programs in 145 countries. To date, programs supported by the Global Fund have saved 5.7 million lives through providing AIDS treatment for 2.8 million people, anti-tuberculosis treatment for 7 million people and the distribution of 122 million insecticide-treated bed nets for the prevention of malaria.
  • Fifty percent of detainees / prisoners' narcotics potentially HIV and AIDS. "The numbers are high, whereas 90% prisoners' narcotics productive age" said Indonesia Minister of Justice and Human Rights.In the framework of prevention and prevention of HIV and AIDS in correctional facilities.Memorandum of Understanding (MoU) on cooperation handling HIV and AIDS cases in prisons / detention center more comprehensively.

    Funds used for this program comes from the Global Fund for AIDS, Tuberculosis, and Malaria. This grant funds will be allocated to the handling of HIV and AIDS in 72 prisons / detention center in Indonesia.Indonesian Justice Minister admitted that the residents of prison / detention center is very vulnerable to HIV infection and AIDS. This is due to prison / detention center across Indonesia experienced over capacity. "There was a surplus of 60% Besides that the constraints faced by the correctional institution is the ideal balanced composition between the prison officer / Rutan with inmates. "The percentage of workers and residents is 1:25, it is difficult for handling in the field"
  • A few days ago, I explained to several people about the existence of global funds and programs run by the global fund in the humanitarian sector in the world.a few days ago, I explained to several people about the existence of global funds and programs run by the global fund in the humanitarian sector in the world. I also explained to them how to propose a programs to the global fund, I explained to them in accordance with the guidelines that I read in the global fund org.this is very interesting for me, because the people that I explain about the global fund is the people who have a high intellectual level and they work at several large companies. I was wondering, why are people with high-level positions like them didn't know about the global fund. Based on their explanations, they regret very much about the socialization about the global funds, from government or aid organizations in Indonesia that have been already working together with the global funds do not running well, so they did not know about global funds and global programs fund, cause basically their companies are also very interested to invest in humanitarian programs. This is our compassion, and a challenge for the CCM to be able to socialize about the global fund and programs run by the global fund to better, to be able to invite big companies or persons to be able to jointly build a society in country.

  • In order to improve health and fight against hiv, aids and malaria in Indonesia, we will soon build a Humanitarian Hospital located in Ciawi Gebang, Cirebon, West Java.
    This hospital has an international-standard facilities with modern medical equipment. This hospital is populist and humanitarian uses a system of financial subsidies for the poor, so poor people can enjoy the same health facilities with communities who are financially capable.To receive care facilities in this hospital, the poor do not have to pay a deposit in advance, even they can enjoy for free, because all had been addressed with financial subsidies. They just need to carry a certificate stating they are poor from the government where they live.
    Construction of the hospital will be built over 20 months, and will commence in early September, At this time, being carried out bidding process to select contractors who will be the executor of the construction of hospital projects, and at present has reached the final stage and is being in preparation for contract signing. These contractors will undertake the development and designing hospital
  • STOP CHILDREN VIOLENCE

    HUMAN RIGHTS WATCHING

    Over the last five years, the global campaign to stop the use of child soldiers has garnered an impressive series of successes, including new international legal standards, action by the UN Security Council and regional bodies, and pledges from various armed groups and governments to end the use of child soldiers. Despite gains in awareness and better understanding of practical policies that can help reduce the use of children in war, the practice persists in at least twenty countries, and globally, the number of child soldiers—about 300,000—is believed to have remained fairly constant.

    As the end of wars in Sierra Leone, Angola, and elsewhere freed thousands of former child soldiers from active armed conflict, new conflicts in Liberia and Côte d’Ivoire drew in thousands of new child recruits, including former child soldiers from neighboring countries. In some continuing armed conflicts, child recruitment increased alarmingly. In Northern Uganda, abduction rates reached record levels in late 2002 and 2003 as over 8,000 boys and girls were forced by the Lord’s Resistance Army to become soldiers, laborers, and sexual slaves. In the neighboring Democratic Republic of Congo (DRC), where all parties to the armed conflict recruit and use children, some as young as seven, the forced recruitment of children increased so dramatically in late 2002 and early 2003 that observers described the fighting forces as “armies of children.”

    In many conflicts, commanders see children as cheap, compliant, and effective fighters. They may be unlikely to stop recruiting child soldiers or demobilize their young fighters unless they perceive that the benefits of doing so outweigh the military advantage the children provide, or that the costs of continuing to use child soldiers are unacceptably high.

    In theory, the benefits of ending child soldier use can include an enhanced reputation and legitimacy within the international community, and practical support for rehabilitation of former child soldiers, including educational and vocational opportunities. Possible negative consequences of continued child soldier use can include “shaming” in international fora and the media, restrictions on military and other assistance, exclusion from governance structures or amnesty agreements, and prosecution by the International Criminal Court or other justice mechanisms.

    In practice, however, the use of child soldiers all too often fails to elicit action by the international community at all, apart from general statements of condemnation. Human Rights Watch is aware of no examples of military aid being cut off or other sanctions imposed on a government or armed group for its use of child soldiers. Conversely, when armed forces or groups do improve their practices, benefits also frequently fail to materialize. Although governments and armed groups receive public attention for commitments to end use of child soldiers, concrete support for demobilization and rehabilitation efforts often does not follow.

    If the international community is serious about ending the use of child soldiers, it needs to build on the successes of the past five years, but with a sober eye for the obstacles that have stymied further progress. This essay gives an overview of developments over that period, both positive and negative, and offers suggestions on the way forward.

    Renewed progress will depend on clearly and publicly identifying the responsible parties; providing financial and other assistance for demobilization and rehabilitation; and, most importantly, ensuring that violators pay a price should they continue to recruit and deploy child soldiers. Some concrete suggestions on how these remedies should be pursued, including the critical role that the U.N. Security Council is poised to play, are described in the concluding section of the essay.

  • There is a lot of discussion these days about so called ‘alternative medicine’ and these treatments are often held in derision by many in the global medical community. However, many of these treatments are gradually being accepted, at least in some quarters, as having real benefits. Whilst they are not all being seriously considered as real choices to consider, at least some of them have in the so called, ‘real clinical world’, proven their benefits and slowly making their way into the so called mainstream medicine. This is a trend we all welcome.

    increasing levels of community members who switch to alternative treatment due to the high cost of treatment at this time. Alternative medicine is helping communities in the health problems of middle.

    There is a wide variety of choices available, many of which have common names that are well known, whilst others are still only just becoming known, still others are yet to be added to the list. Below are a few possibly well known ones.
    1. Reflexology – through the feet mainly
    2. Acupuncture – needles used on the body
    3. Massage – there are many types used
    4. Herbal remedies – such as Chinese herbs
    5. Iridology – diagnosis through the eyes
    6. Bowen Therapy – muscular treatments
    7. Magnet Therapy – literally uses magnets






  • In the present time, the world is being engulfed by the global economic crisis, many companies went bankrupt, which resulted in the increasing number of unemployment.

    The financial crisis is a crisis triggered by a liquidity shortfall in the United States banking system caused by the overvaluation of assets. It has resulted in the collapse of large financial institutions, the bailout of banks by national governments and downturns in stock markets around the world. In many areas, the housing market has also suffered, resulting in numerous evictions, foreclosures and prolonged vacancies. It is considered by many economists to be the worst financial crisis since the Great Depression of the 1930s. It contributed to the failure of key businesses, declines in consumer wealth estimated in the trillions of U.S. dollars, substantial financial commitments incurred by governments, and a significant decline in economic activity. Both market-based and regulatory solutions have been implemented or are under consideration, while significant risks remain for the world economy over the 2010–2011 periods. Many causes have been suggested, with varying weight assigned by experts.

    U.S. households and financial institutions became increasingly indebted or overleveraged during the years preceding the crisis. This increased their vulnerability to the collapse of the housing bubble and worsened the ensuing economic downturn. Key statistics include:
    • Free cash used by consumers from home equity extraction doubled from $627 billion in 2001 to $1,428 billion in 2005 as the housing bubble built, a total of nearly $5 trillion dollars over the period, contributing to economic growth worldwide. U.S. home mortgage debt relative to GDP increased from an average of 46% during the 1990s to 73% during 2008, reaching $10.5 trillion.
    • In 1981, U.S. private debt was 123% of GDP; by the third quarter of 2008, it was 290%.
    • From 2004-07, the top five U.S. investment banks each significantly increased their financial leverage (see diagram), which increased their vulnerability to a financial shock. These five institutions reported over $4.1 trillion in debt for fiscal year 2007, about 30% of USA nominal GDP for 2007. Lehman Brothers was liquidated, Bear Stearns and Merrill LynchGoldman Sachs and Morgan Stanley became commercial banks, subjecting themselves to more stringent regulation. With the exception of Lehman, these companies required or received government support.were sold at fire-sale prices, and

    These seven entities were highly leveraged and had $9 trillion in debt or guarantee obligations, an enormous concentration of risk; yet they were not subject to the same regulation as depository banks.

    A number of commentators have suggested that if the liquidity crisis continues, there could be an extended recession or worse. The continuing development of the crisis has prompted in some quarters fears of a global economic collapse although there are now many cautiously optimistic forecasters in addition to some prominent sources who remain negative. The financial crisis is likely to yield the biggest banking shakeout since the savings-and-loan meltdown. Investment bank UBS stated on October 6 that 2008 would see a clear global recession, with recovery unlikely for at least two years. Three days later UBS economists announced that the "beginning of the end" of the crisis had begun, with the world starting to make the necessary actions to fix the crisis: capital injection by governments; injection made systemically; interest rate cuts to help borrowers. The United Kingdom had started systemic injection, and the world's central banks were now cutting interest rates. UBS emphasized the United States needed to implement systemic injection. UBS further emphasized that this fixes only the financial crisis, but that in economic terms "the worst is still to come" UBS quantified their expected recession durations on October 16: the Eurozone's would last two quarters, the United States' would last three quarters, and the United Kingdom's would last four quarters. The economic crisis in Iceland involved all three of the country's major banks. Relative to the size of its economy, Iceland’s banking collapse is the largest suffered by any country in economic history. At the end of October UBS revised its outlook downwards: the forthcoming recession would be the worst since the Reagan recession of 1981 and 1982 with negative 2009 growth for the U.S., Eurozone, UK; very limited recovery in 2010; but not as bad as the Great Depression

    World cup game with a lot of positive impact to the community who are experiencing stress due to global crisis .
    Stephen Mitchell, Managing Director for Consumers of Nielsen Indonesia, an information and media company, said that the event will generate general excitement which in turn bring positive impact on politic, economy, social and culture.

    "Things that generate general excitement will surely make people feel happy, not to mention that they will spend more (to complete the excitement)," said Mitchell.

    This year's world cup will be the largest ever, with 36 countries sending teams instead of the usual 32. Events will be held over 12 cities and infrastructure building is heavy in preparation. Seven new stadiums will be built for a cost of $1 billion alone. Hotels, retail and general consumption will see huge increases. Marketing may be the economic highlight of the event, as
    the world-wide total sponsorship activity for the World Cup rose from $2 billion in 1984 to $16.6 billion in 1996. Secondary economic impacts are expected to be huge.

    Though the World Cup may not be foremost in the minds of market watchers relative to the daily speculations regarding rate hikes and other policies - it's economic impact cannot be overestimated.

    So the effects that occur because the world cup matches can be perceived from some aspects of life, from the economic sector, tourism, community and social psychology.

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