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PETITION FOR LAWAS DISTRICT HOSPITAL

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KAM AGONG MATERNAL HEALTH CAMPAIGN

Mothers and patients living in the interiors of Sarawak are struggling with substandard maternity and healthcare.

Notably, the current hospital in the Lawas District, Sarawak does not have a gynecologist or a specialist doctor nor is it equipped to handle complicated pregnancies and emergency cases.

The new Lawas District Hospital, promised under the 7h Malaysia Plan(1996-2000) has yet to be built. 

We, the citizens of Malaysia, demand that Ministry of Health and the Federal Government of Malaysia to address these issues listed below immediately: 

1.     For a Specialist to be stationed at the Hospital.

2.     Equip the Lawas District Hospital with the necessary equipment to handle Cesarean section and other medical emergencies.

3.     To construct the Lawas District Hospital immediately.

The Story of Kam Agong Documentary sees Agnes Padan take a long journey back to her Lun Bawang village in Long Semadoh, in the interior of Sarawak to piece together what happened to her mother, Kam Agong, who died seventeen years ago shortly after giving birth to her eighth son, Jordan. Agnes’ journey reveals a story of severe lack of access to adequate healthcare facilities and competent medical care that led to Kam Agong’s painful death. Through ‘The Story of Kam Agong’, we acquire a glimpse of the state of maternal healthcare available to villagers living in rural areas of Sarawak.

In Sarawak and Sabah, pregnant women often have to make days-long, expensive journeys over rough roads to access healthcare services. In Kam Agong’s case, despite repeated attempts to seek urgent medical help after a complicated caesarean-section, a lack of adequate resources and effective, timely urgent medical care resulted in her tragic death from post-partum haemorrhage and overwhelming infection. In memory of Kam Agong, her family have launched the Kam Agong Maternal Health Campaign to ensure access to maternal rights and improved maternal healthcare for all women in Sarawak and Sabah. As part of the campaign, they are currently holding screenings of the documentary both nationally and internationally to raise awareness on this critical issue as well as launching a petition to be handed to the Malaysian Minister of Health on 11th April 2019 to coincide with International Maternal Health and Rights Day.

Many causes of maternal illness and death are preventable with the implementation of simple, evidence-based measures. Ensuring equitable maternal healthcare and maternal mortality reduction is a key priority under “Goal 3: Ensure healthy lives and promote well-being for all at all ages” as part of the new Sustainable Development Goals (SDGs) agenda1. Prevention, early detection and treatment of pregnancy related complications as well as effective management of complications during delivery and the post-partum period are essential components of safe maternal healthcare.

We welcome the recent announcement by the federal government regards the construction of a number of new hospitals throughout Sarawak. However the construction of new buildings is not enough if these remain token shell facilities without safe, working medical equipment for diagnostics and patient management as well as increasing the number of trained, skilled, competent staff including specialty doctors, nurses and midwives to run these facilities.

We therefore call on the Malaysian government to implement the following measures urgently:

1.     CONDUCT an urgent needs assessment and service evaluation of the current state of maternal healthcare provision in Sarawak and Sabah in order to identify needs, gaps and enable effective implementation of service improvement and development

2.     INCREASE the healthcare budget spending per capita for patients in Sarawak and Sabah in line with that of Peninsular Malaysia with immediate effect

3.     ENSURE that all pregnant women and mothers have safe access to healthcare facilities with appropriate, working equipment for diagnostics and management as well as access to essential medicines

4.     ENSURE all pregnant women and mothers in Sarawak and Sabah are cared for by trained, competent healthcare professionals including specialty doctors, nurses and midwives

5.     IMPLEMENT a dedicated TRAINING ALLOCATION for speciality doctors, nurses and midwives from Sarawak and Sabah as part of  the national training curriculum to ensure better service retention particularly within local rural communities

6.     ENSURE all women have easy access to family planning services to allow women and families to time and space desired pregnancies for the health and safety of the mother and overall well being of the family

For further information on the case and our campaign please follow the link below:

http://kamagong.org/court-case/

Bahasa Malaysia

KAM AGONG, KEMPEN KESIHATAN DAN KESELAMATAN IBU MENGANDUNG

'Setiap ibu sewajarnya mendapat penjagaan kesihatan mengikut tatacara yang berhemah dan selamat, baik di Long Semadoh, Lembah Klang, Pensiangan mahupun di Permatang Pauh. Setiap ibu adalah BERHAK mendapat penjagaan kesihatan yang rapi.'

Dokumentari Kam Agong mengisahkan tentang Agnes Padan yang kembali ke kampungnya, Lun Bawang di Long Semadoh, sebuah kawasan pedalaman di Sarawak demi mencari kebenaran tentang kematian ibunya, Kam Agong. Ibunya meninggal dunia enam belas tahun yang lalu selepas melahirkan anak kelapannya, Jordan. Perjalanan pulang Agnes itu telah mendedahkan bagaimana ketiadaan akses terhadap kemudahan dan perkhidmatan kesihatan yang kompeten dan esensial di kampungnya menjadi punca kepada kematian Kam Agong. 'The Story of Kam Agong' bertujuan memberi gambaran sebenar situasi penjagaan kesihatan ibu di kampung-kampung yang terpencil di Sarawak.

Di Sarawak dan Sabah, ibu yang hamil seringkali terpaksa melalui perjalanan yang panjang dan sukar serta menampung kos perbelanjaan yang tinggi bagi mendapatkan perkhidmatan kesihatan. Seperti yang dialami oleh Kam Agong, di mana beliau dipercayai menghadapi komplikasi selepas melakukan pembedahan caesarean. Keluarga beliau telah berulang kali cuba untuk mendapatkan bantuan perubatan kecemasan. Namun, kekurangan rawatan dan perkhidmatan perubatan yang berkesan, berakhir dengan kematian tragis Kam Agong apabila beliau mengalami pendarahan selepas bersalin (secondary post partum hemorrhage) dan jangkitan kuman seluruh badan. Kini, demi memperingati Kam Agong, keluarga beliau telah melancarkan ‘Kam Agong Maternal Health Campaign’ bagi memastikan kaum ibu di Sarawak dan Sabah faham akan hak-hak mereka dan juga sebagai inisiatif menaikkan taraf perkhidmatan kesihatan ibu mengandung.  Bersempena dengan kempen tersebut, keluarga beliau melancarkan tayangan dokumentari ‘The Story of Kam Agong’ di peringkat nasional dan antarabangsa yang bertujuan meningkatkan kesedaran umum mengenai isu kritikal ini. Mereka juga telah melancarkan sebuah petisyen yang akan diserahkan kepada Menteri Kesihatan Malaysia pada 11hb April 2019, “Hari Hak Dan Kesihatan Ibu Sedunia’ (International Maternal Health and Rights Day).

Kadar kematian dan kemudaratan ibu-ibu mampu dicegah dengan perlaksanaan langkah-langkah yang berasaskan ‘evidence based’ (bukti). Penjagaan kesihatan ibu yang adil dan sama rata serta pengurangan kadar kematian ibu merupakan suatu keutamaan dalam agenda baru  ‘Sustainable Development Goals-SDGs; "Matlamat 3: Memastikan kehidupan yang sihat dan mempromosikan kesejahteraan untuk semua1. Pencegahan, pengesanan awal dan rawatan komplikasi semasa kehamilan dan kelahiran adalah perlu bagi memastikan penjagaan kesihatan ibu yang selamat.

Sehubungan itu kami amat mengalu-alukan pengumuman terkini dari kerajaan persekutuan mengenai pembinaan hospital baru di seluruh Sarawak. Walau bagaimanapun, amatlah penting bagi hospital tersebut diberikan kelengkapan peralatan perubatan yang terkini dan berfungsi untuk diagnostik dan pengurusan pesakit.  Di samping itu ia juga perlu mempunyai kakitangan yang terlatih, mahir dan berwibawa dan ini termasuklah doktor-doktor pakar, para jururawat dan bidan yang mencukupi.

Oleh itu, kami menyeru kerajaan Malaysia untuk melaksanakan langkah-langkah berikut dengan segera :

1.     MEMASTIKAN Hospital Daerah Lawas (dimana Kam Agong dirawat) mempunyai kakitangan perubatan yang terlatih, termasuklah  pakar Obstetrik dan Ginaekologi, peralatan perubatan penting yang berfungsi dan terkini serta ubat-ubatan yang mustahak.

2.     MELAKSANAKAN dengan kadar segera penilaian terhadap keperluan dan perkhidmatan kesihatan (needs assessment and service evaluation) ibu hamil di Sarawak dan Sabah.  Ini adalah untuk mengenalpasti sebarang keperluan dan kekurangan serta bagi melaksanakan peningkatan/pembaik-pulihan perkhidmatan dan pembangunan yang berkesan.

3.     MENINGKATKAN peruntukan bajet kesihatan dengan serta merta per kapita bagi pesakit di Sarawak dan Sabah sejajar dengan Semenanjung Malaysia.

4.     MEMASTIKAN bahawa semua wanita hamil dan kaum ibu mempunyai akses terhadap perkhidmatan rawatan kesihatan, peralatan perubatan yang berfungsi untuk diagnosis dan penjagaan pesakit serta ubat-ubatan yang penting.

5.     MEMASTIKAN semua wanita hamil dan kaum ibu di Sarawak dan Sabah mendapat perkhidmatan kesihatan daripada kakitangan yang terlatih, termasuk doktor, jururawat dan bidan.

6.     IMPLEMENTASI program latihan untuk doktor pakar, jururawat dan bidan yang berasal dari Sarawak dan Sabah sebagai sebahagian daripada latihan kebangsaan untuk memastikan peningkatan bilangan kakitangan yang akan  berkhidmat di kawasan pedalaman.

7.     MEMASTIKAN semua wanita mempunyai akses kepada perkhidmatan perancang keluarga bagi memastikan kehamilan berlaku pada masa yang sesuai demi memelihara keselamatan ibu dan juga kebaikan keluarganya secara am.



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