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BackgroundElectronic syndromic surveillance for early outbreak detection may be a simple, effective tool to rapidly bring reliable and actionable outbreak data to the attention of public health authorities in the developing world.MethodsTwenty-nine signs and symptoms from patients with conditions compatible with infectious diseases are collected from selected Provincial hospitals and analyzed daily. Data is e-mailed on a daily basis to a central data management and analysis center. Automated data analysis may be viewed at the hospital or the Early Warning Outbreak Response System (EWORS) hub at the central level (National Institute of Health Research and Development/NIHRD).ConclusionThe Indonesian Ministry of Health (MoH) has adopted EWORS since 2006 and will use it as a complementary surveillance tool in wider catchment areas throughout the country. Socialization to more users is still being conducted under collaboration of three Directorate Generals (DGs) of the MoH; DG of NIHRD, DG of Medical Services and DG of Communicable Disease Control and Prevention. Currently, EWORS is being adapted to facilitate detecting a potential outbreak of pandemic influenza in the region, and automated procedures for outbreak detection have been added.

Since the establishment of the Healthcare Social Security Agency (BPJS), there has been a low demand of patient demand for traditional medicine (TM) services in health care facilities. This study examined various aspects, situations/conditions and the potential use of TM in health facilities. Secondary sources, such as policies and regulations, and in-depth interviews, became the primary data. Those who in charge of the BPJS program was the key informant. The study focused on informants, particularly either Semarang or Surakarta. This study analysed the data, both descriptively and inductively. The aspects examined were services, the implementation of OT guarantees with BPJS, clinicians' readiness and government supports. The existence of JKN implies the use of OT to decrease dramatically. The health facilities did not fully utilise the presence of special allocation funds (DAK) and capitation arrangements. The list of TM was to contain the choices for preventive, promotive, curative, and palliative efforts either a compliment or an adjuvant. TM services involved in the path of preventive, promotive or curative actions either as an adjuvant, or complement with conventional medicine. TM financing may be from DAK, capitation funds or APBN II; however, these sources did not optimise yet. This condition happened due to the lack of political will from stakeholders, as well as the absence of standard reference for the Traditional Medicine Formulary, especially BPJS enrollment by the future. Therefore, the Ministry of Health RI has to issue a decree for health facilities obliged to provide services with traditional medicines.  Abstrak   Sejak dibentuknya Badan Pengelola Jaminan Sosial (BPJS),terjadi penurunan permintaan pasien atas layanan  obat tradisional di fasilitas pelayanan kesehatan (fasyankes). Tujuan  menganalisis berbagai aspek, situasi /kondisipemanfaatan obat tradisional dalam pelayanan di fasyankes. Mengkaji peraturan perundang-undangan dan kebijakan terkait pemanfaatan obat tradisional di fasyankes,dan melakukan wawancara mendalam dengan nara sumber relevan di fasilitas pelayanan kesehatan dan dinas kesehatan terpilih (Kota Surakarta dan Semarang). Analisis dilakukan secara deskriptif dan induktif. Terdapat lebih  dari 20 peraturan perundang-undangan dan kebijakan terkait pemanfaatanobat tradisional di fasyankes.Aspek yang dikaji adalah pelayanan, implementasi jaminan OT dengan BPJS, kesiapan klinisi dan dukungan pemerintah. Adanya JKN menyebabkan penggunaan  OT mengalami penurunan drastis, adanya pengaturan dana alokasi khusus (DAK) dan kapitasi, tidak dimanfaatkan fasyankes.  Komite medik rumah sakit, puskesmas serta dinas kesehatan membutuhkan adanya daftar obat tradisional yang dapat digunakan di fasyankes yang ditetapkan pemerintah. Daftar obat tradisional  diharapkan berisi pilihan obat tradisional untuk upaya preventif, promotif, kuratif ringan dan paliatif sebagai komplemen maupun sebagai adjuvan. Pelayanan dengan obat tradisional masuk jalur upaya preventif, promotif atau kuratif ringan baik sebagai adjuvant maupun komplemen dengan obat konvensional. Pembiayaan obat tradisional dapat dilakukan dengan DAK, dana Kapita si atau APBN II, namun belum dimanfaatkan. Kondisi ini karena kurangnya political will dari stake holder dan belum adanya acuan standar Formularium Obat Tradisional, terutama jika kemudian hari dapat dijamin oleh BPJS.  Masih dibutuhkan adanya regulasi ketetapan menteri bahwa fasyankes wajib melakukan pelayanan dengan obat tradisional.

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The spirit of society 5.0 era demands the mastery and utilization of technology along with digital literation in every area of life. This development and challenges also occur in the education sector. A similar challenge is wrestled by Christian Education (CE) to be relevant knowledge within this era. CE must improve itself amid limitations within it. What innovations can be made to make CE relevant and fit to answer the needs of this digital era? This research aims to integrate positive contributions of pragmatism education philosophy toward CE in answering the needs of this era. The pragmatism thinking emphasizes practice and relevant learning outcomes as well as applicative skills. CE needs this utility in the learning process within this pragmatic era. This research applied a qualitative descriptive method with a literature research approach. The founding of this research is a proposal of accommodation of pragmatism philosophy toward CE using project based learning, collaborative learning, and creative problem solving learning approach.Era digital merupakan perkembangan peradaban yang tidak mungkin dihindari. Perkembangan teknologi dan digitalisasi berbasis internet telah memberikan kontribusi signifikan di dalam dunia pendidikan. Sebagaimana semangat society 5.0 yang menekankan kegunaan teknologi dan keilmuan bagi kebaikan manusia, dunia pendidikan secara khusus dalam Pendidikan Agama Kristen (PAK) harus ikut berbenah diri ditengah keterbatasan dan ketertinggalan yang dihadapi. Inovasi apa yang dapat dilakukan guna membuat keilmuan ini tetap releven dan menjawab kebutuhan di era digital ini? Pemikiran pragmatisme yang menekankan pada capaian pembelajaran yang praktis, relevan, dan berorientasi pada keterampilan aplikatif (utilitas) adalah hal yang diperlukan di dalam konteks PAK di dalam proses pembelajaran di era pragmatis ini. Penelitian ini menggunakan pendekatan deskriptif kualitatif, dan jenis penelitian yang digunakan adalah penelitian kepustakaan dengan mengumpulkan data atau karya tulis ilmiah yang berkaitan dengan obyek penelitian atau pengumulan data yang bersifat kepustakaan. Kajian di dalam penelitian ini mengusulkan akomodasi filsafat pragmatism di dalam PAK dengan pendekatan pembelajaran yang berupa project based learning, collaborative learning, dan creative problem solving.

Sekolah Minggu adalah lembaga gerejani yang dibentuk dengan tujuan untuk pelayanan kepada anak-anak. Melalui pengajaran yang diberikan diharapkan anak akan bertumbuh secara iman dan membentuk karakter anak menjadi pribadi yang kuat di dalam Tuhan. Peran keluarga khususnya orang tua sangat penting dalam mendidik dan mendukung setiap pertumbuhan iman dan karakter anak. Namun demikian tidak dipungkiri bahwa sarana pendidikan secara lengkap terdiri dari empat pilar secara utuh yaitu pilar pertama adalah keluarga di mana orang tua menjadi sumber utama dalam pendidikan karakter anak. Kedua adalah gereja yang secara rohani akan membantu pembentukan karakter anak. Ketiga adalah pemerintah dalam melindungi hak anak secara hukum, dan keempat adalah lingkungan sekitar atau masyarakat pada umumnya.

Abstrak Terapi bekam merupakan salah satu terapi kesehatan tertua di dunia. Hal ini dibuktikan, bekam sudah ada di dalam catatan kedokteran tertua Papyrus Ebers, yang ditulis 1550 SM pada era Mesir kuno. Terapi bekam sendiri terbagi menjadi dua jenis, yakni bekam basah dan bekam kering. Yang membedakan antara bekam basah dan bekam kering adalah keberadaan darah yang dikeluarkan. Kajian (review) ini bertujuan untuk mengetahui mekanisme, keamanan, dan juga manfaat bekam. Dari beberapa artikel penelitian yang telah didapatkan, umumnya dengan pemanfaatan bekam mendapatkan hasil yang baik. Sementara jumlah penelitian pemanfaatan bekam masih sedikit, sehingga masih diperlukan penelitian lebih lanjut untuk mendapatkan bukti yang lebih baik dan meyakinkan. Di Indonesia, pelayanan kesehatan tradisional bekam diatur dalam PMK 61 tahun 2016 tentang Pelayanan Kesehatan Tradisional Empiris. Secara regulasi pelayanan tradisional bekam tidak direkomendasikan karena termasuk ke dalam tindakan dengan perlukaan. Padahal, kenyataannya pelayanan tradisional bekam ini ada dan diminati oleh masyarakat. Melihat khasiat dan antusias masyarakat, diharapkan pelayanan tradisional bekam tetap dapat dilakukan di Griya Sehat dengan menjadikan faktor keamanan sebagai fokus utama dalam pelayanan. Hal ini tentunya dapat didukung dengan adanya pembinaan secara menyeluruh mengenai keamanan pelayanan kesehatan tradisional bekam terhadap para praktisi bekam. Kata kunci: bekam, kesehatan tradisional, penyehat tradisional, manfaat terapi bekam Abstract Cupping therapy is one of the oldest health therapies in the world. This was proven by an ancient Egypt paper in 1550 SM as cupping was mentioned in their medical journal. Cupping therapy has been classified into two categories, which were wet and dry cupping. The difference between wet and dry cupping is the presence or absence of blood being released. This literature review aims to find out the history, development, and also the use of cupping. From some research articles that have been obtained, we generally get good results from the use of the cupping method. However, because research on cupping utilization is still limited, further research is needed to obtain better and more convincing evidence. Regulation of traditional cupping service is not recommended because it is an invasive action, when in fact this traditional cupping service exists and is in demand by the community. Seeing the efficacy and enthusiasm of the community, it is hoped that traditional cupping services can still be carried out in a griya sehat with regard to efficacy. Of course, can be supported by the existence of comprehensive guidance on the efficacy of traditional cupping health services for cupping practitioners. Keywords: traditional health service, cupping, safety, benefits

Herbal medicine has been used empirically worldwide including in Indonesia but is not recorded properly yet. This analysis aimed to obtain the herbal medicine service patterns especially the combination of treatments, amount and types of herbal preparation. Jamu Registry was an observational study on electronic medical recording of herbal medicine services by medical doctor on 10 health problems in several cities of Indonesia. A total of 54 medical doctors participated in Jamu Registry 2016 and 2018 recorded 1660 visits of 565 patients aged 10 to 85 years old (mean 49,8), treated with herbal medicine. More than half patients (68.1%) were diagnosed with single diagnosis, 24.4% with one comorbidity, and 7.4% with two comorbidities. Most patients (70.4%) were treated with herbal medicine only, while others combined with conventional medicine (22.0%), other traditional modalities (4.6%), conventional medicine and other traditional medicine (3.0%). Numbers of herbal medicine prescribed were varied from one to five. The herbal preparation types were extracts in capsule (38.6%), infusion (31.5%), ground dried herbs in capsule (25.8%), and the others were decoction, syrup, fermentation liquid, ground dried herbs, or brewed herbs. The top 5 diagnoses recorded were dyspepsia, diabetes mellitus, hypertension, hemorrhoid, and arthritis. Almost three quarters patients had no comorbidity; most patients were treated with herbal only, mostly in form of capsule and infusion. Herbal medicine services need to be recorded continuously to enrich the traditional medicine health services data.