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Innovative Programs

I. Flying Doctors

Flying Doctors is a new program from doctorSHARE intended to fulfill the need of people living in areas that accessible only by air or on foot. The first attempt of Flying Doctors service was held in March 12th, 2015 – the same time with tetralogy program of doctorSHARE medical service.  

The need to healthcare access for people who live in the mountainous regions of Papua has inspired doctorSHARE team to establish this new program. Flying Doctors is the only way to access those areas which cannot be reached by Floating Hospital. The support provided by aircraft pilots pioneer with lots of experience in providing service in the mountainous regions of Papua strengthen doctorSHARE team’s willingness to set up Flying Doctors program. 

Survey result from fieldwork to certain locations in Papua and polling result from discussion with the community and related stakeholders revealed that this program is urgently needed by people lives in the mountainous regions of Papua to open up access for health services. This program can be treated as a proactive intention supporting government programs to reach inaccessible community. 

This health assistance is targeted specifically to reach people who live in remote areas with limited access to health services as well as to sufficient information. 

The health assistance provided through Flying Doctors program included (but not limited to) providing free medical treatment, conducting minor surgery, health counseling, and community development (various training provided to local people). Location mapping and continuous evaluation of service provided are our attempt to enable the success of this program to fulfill the need of community we served. 

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II. Floating Hospital

Floating Hospital is an innovative program designed to address the needs of the underprivileged in remote Indonesian island that is difficult to get medical care due to geographic and financial constraints. In 2013, through an overhaul, the first Floating Hospital was born: Rumah Sakit Apung (RSA) dr. Lie Dharmawan. It consists of two levels. The basic level are used for ECG (electrocardiogram), USG (ultrasonography), as well as laboratories. At the top level there is surgical room, resuscitation room, conference room, and so forth.

RSA dr. Lie Dharmawan is the first private floating hospital in Indonesia. The relatively small size makes RSA dr. Lie Dharmawan is able to enter the small islands across Indonesia. RSA dr. Lie Dharmawan has sailed to the islands in western Indonesia and East, to carry out hundreds of major and minor surgery, as well as health care for thousands of people.

a. DR. LIE DHARMAWAN FLOATING HOSPITAL
26 March 2009, doctorSHARE performed medical services for free in Langgur, Kei Kecil - Southeast Maluku. While establishing a surgery, all of a sudden a mother was bringing her daughter who was 9 years old with pinched intestine. They had been sailing for three days and two nights across the sea. According to medical theory, someone with a pinched intestine must be operated in 6-8 hours. Then the girl was getting a surgery and finally she was fully recovered.

That incident is very evocative for dr. Lie A. Darmawan, PhD, FICS, Sp.B, Sp.BTKV the founder of doctorSHARE (Doctor Care Foundation). The shadow of the girl always came to his mind. Then he took an initiative to do something for those who do not get proper medical services due to geographical constraints and financial condition. The main idea is "pick up the ball" through the Mobile Hospital or the Floating Hospital on a ship.

As an archipelago, Indonesia still must do many things to provide medical services as mandated by the Constitution of 1945. Many underprivileged residents have not received adequate medical care. The research was started. It is known that large ship for Floating Hospital doesn’t suit with the Indonesia‘s condition because it is difficult to be docked to small islands. Besides, the type of vessel made of fiber is also too light and will be leaked as soon as it hit the reef.

In Seattle, United States - dr. Lie A. Dharmawan visited the ship museum and observed that a hundred-year-old wooden ships is still in excellent condition. From the library there, there is an article wrote that the best type of wood for the ship is ironwood and it grows in Indonesia and Philippines.

When returned to Indonesia, dr. Lie started to look for timber ships and finally found a cargo ship in Palembang. The phinisi ship was eventually purchased in 2012. The ship can load up to 250 tons of goods and able to sail from Palembang towards Riau, Batam, and so forth. With these qualifications, The Floating Hospital can stand on this ship.

The draft of the ship is about 4.4 meters. The rooms were also began to be established in the hull. This condition is very advantageous because the jolt that will be occurred during a surgery (surgery) on the hull is far less than if you had to do it over the deck. After remodeling the ship, dr. Lie Dharmawan Floating Hospital was born. It consists of two floors. The lower floor is used as Rontgen Room, ECG, USG, and Laboratory. In the upper floor consists of Surgical Room, Resuscitation Room, Doctor Room, and so forth.

dr. Lie Dharmawan Floating Hospital which is owned by doctorSHARE sailed for medical services maiden test on March 16, 2013 to the Thousand Islands and legitimated on June 6, 2013. It is the first private floating hospital in Indonesia. The small size of this floating hospital makes it is able to enter the small islands across Indonesia. The floating hospital has sailed to the islands in West and East part of Indonesia, to carry out hundreds of major and minor surgery, as well as health care for thousands of people.

The Facilities
dr. Lie Dharmawan Floating Hospital provides health care to underprivileged people with standard hospital facilities. Surgery rooms are equipped with various types of equipments such as a vaporizer, suction, patient monitors, electrocauter, electrocardiogram, and so forth.

The rooms in the dr. Lie Dharmawan Floating Hospital
1. Surgery Room
2. Resuscitation Room
3. USG (ultrasonography)
4. ECG (Electrocardiography)
5. Hospitalization Room
6. Laboratory

The Profile
Name of Ship : KM RSA DR. LIE Dharmawan
Type of Ship: ELECTRIC BOAT
National flag: INDONESIA
Gross Tonnage (GT): 173 GT
Net Tonnage (NT): 52 NT

Main engine: MITSUBISHI 8 DC11 - PK 340
Auxiliary engine: DOMPENG 1994, JIANG DONG 2012

Selar Sign : GT.173 No. 6786 / Bc
Year of Construction: 2008
Prime Mover: Motor
Main Ingredients Ships: Wood
Number of decks: One
Number Propeller: One

Ship length: 23.13 meters
Ship Width: 6.82 meters
Ship Draft: 4.40 meters

Speed ​​of Boat
a. Maximum: 10 KNOTS
b. Normal: 8 KNOTS
c. Economical: 6 KNOTS

Main Tank Capacity: 5,000 liters
Backup Tank capacity: 2,200 liters
Fuel: SOLAR / HSD
Ship Type: Pinisi
 

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b. NUSA WALUYA I FLOATING HOSPITAL
1st of June 2015, doctorSHARE (Yayasan Dokter Peduli) and Yayasan EKADHARMA launching a floating hospital named Nusa Waluya I floating hospital. “Nusa” is the abbreviation of archipelago (nusantara) and “Waluya” comes from Javanese language that means healthy, heal, or recovery. 

The launch of Nusa Waluya I floating hospital conducted concurrently with the Expedition Nusantara Jaya in 2015, which was held at the Military Sea Traffic Command (Kolinlamil), Jalan Raya Pelabuhan Pos 9, Tanjung Priok, North Jakarta. The launch of Nusa Waluya I floating hospital was attended by the Vice President of the Republic of Indonesia, Mr. Drs. H. M. Jusuf Kalla and his wife and the founder of doctorSHARE, dr. Lie Dharmawan, PhD, FICS, Spb, SpBTKV. The event was also witnessed by the Coordinating Minister for maritime, Dr. Ir. Dwisuryo Indroyono Susilo, M.Sc.

The Nusa Waluya I floating hospital is a joint program between doctorSHARE and EKADHARMA Foundation. The Nusa Waluya I follow the footsteps of the first floating hospital (dr. Lie Dharmawan floating hospital) to take preventive action to those in need, particularly those living in disadvantaged areas, border and islands without any / minimal health facilities. 

Mobile Hospital Systems that have been implemented by the Indonesian government became one of the ways to reach people in isolated areas without access to health care. However, Indonesia does not have an official blueprint of the medical service/clinical/hospital floating systems. The presence of the Floating Medical Care System could be the answer to the problems of health in Indonesia territory, which consists of more than 17,000 islands. This what motivates doctorSHARE pioneered and practiced the floating medical service.

The launch of Nusa Waluya I Floating Hospital, which is the second floating hospital, is a concrete manifestation by doctorSHARE in perfecting the system of the Floating Mobile Medical Service by running a pilot program through the implementation of this system in the archipelago and adopting some villages without / lack of facilities / health workers. The doctorSHARE team establishes the premiere medical services by using Nusa Waluya I floating hospital on 21st to 27th November 2015 in Jambi Province.

The Facilities
10 patient beds
Emergency departments
Radiology facilities
ECG (electrocardiogram)
USG (ultrasonography)
Laboratory
Resuscitation room
Consultation room
Major and minor surgical facilities 
Post-surgery treatment room
Dentist clinic
Pre-Op doctors lounge
Doctors resting room
Drug warehouse
Logistics warehouse
Archive room

The Profile
Vessel Name : Nusa Waluya I
Owner : EKADHARMA Foundation
Boat Length : 42 meters
Vessel Width : 6.5 meters
Vessel Draft : 2.5 meters
Gross Tonnage (GT) : 210 tons
Net Tonnage (NT) : 63 tons
Year of Construction : 1977
Prime Mover : Machine/Motor
Parent machine : GM Detroit Diesel 2 x 395 PS
Signs Selar : GT.210.NO.1844 / Ka
Main Ingredients Ship : Steel
Total Propellers : 2 pieces
Top Fuel tank : 11 tons
Tank Fuel Reserves : 500 liter
Water tanks : 10 tons