Report for Program of Post Graduate Student Exchange
Master of Nursing Program,Faculty of Medicine Universitas Gadjah Mada

ACTIVITY REPORTDuration: 1st October 2013 – 30th March 2014

BY:Ryuichi Sawa
Graduate School Of Health Sciences,
University Of Kobe Japan2013

Report for Program of Post Graduate Student Exchange

2013

Master of Nursing Program,Faculty of Medicine Universitas Gadjah Mada

Activity Report
During my staying for program of post graduate student exchange in the University Gadjah Mada ofYogyakarta, Indonesia from October 1st 2013 – March 30th 2014 my activities is consisted of 8parts: ①Introduction about this exchange program from Gadjah Mada University ②Field trip ③Attending someclasses ④Giving the lecture ⑤Attending a seminar ⑥Attending health education for community member⑦cultural activities．
① First, I met and discussed with Prof. Sunartini Hapsara( Sp.A(K), Ph.D) , Dr. Elizabeth Siti Herini( Sp.A(K)),and
was introduced many staff in Master of Nursing , Faculty of medicine by Ms.Elsi.
② Field Trip is included as follows;
Visiting Sardjito Hospital, Meeting with Ms.Novi (PT) and visiting her private hospital to understandphysiotherapy in Indonesia, visiting disaster area (Mt, Merapi Area) and temporary houses, visiting
Puskesmas, visiting Kindergarten for screening and the place for children with malnutrition with Dr.
Niah, visiting assessment centre for child development with Dr.Erni and Dr.Ippe, visiting thephysiotherapy clinic for pediatric: gria fisio bunda novy kadisoka with Ms.Elsi and Ms.Nina,③ Attending lectures for undergraduate and postgraduate nursing program. Lecture for undergraduate
program include: Japanese class (Block4.1), English class (Block1.2), and maternity nursing class (Block2.3) with Ms.Elsi. Lecture in postgraduate nursing program that I attended include class for pediatricnursing and maternity nursing. And also attending a leture of Bahasa Indonesia by Ms.Itsuna④ Giving a lecture to master of nursing program. My topic is “about physiotherapy in Japan”.
⑤ Attending a seminar in Sematera, 15th March 2014 and the 10th International Seminar on Disaster, 27th – 28th March2014.
⑥ Attending health education for community member at children house, 13th December 2013.
⑦ Cultural activities, Visiting many famous places in Yogyakarta.
Person in Charge:Members :Prof. Sunartini Hapsara, Sp.A(K), Ph.D

Dr. Elizabeth Siti Herini, Sp.A(K)Elsi Dwi Hapsari, S.Kp, M.S., D.S
Wiwin Lismidiati, S.Kep, Ns., M.Kep, Sp.Kep.Mat
Sri Hartini, S.Kep, Ns., M.Kes
Anita Herawati, S.Sos

Supervisors : Dr. Elizabeth Siti Herini, Sp.A(K)Elsi Dwi Hapsari, S.Kp, M.S., D.S
The results and my impression regarding each activity is as follows:
1. Preparation class
1: Campus orientation-Wednesday,2th -3 rd Octorber,2013,(getting campus orientation by Ms.Sri Hartini)-Wednesday,23th Octorber,2013,(how to use Library and internet by Ms.Anita Herawati )Report for Program of Post Graduate Student Exchange

2013

Master of Nursing Program,Faculty of Medicine Universitas Gadjah Mada

Impression: My first impression about UGM was how big it was if I compared with campus of healthsciences in Kobe University. Ms. Sri Hartini showed me the place of Medical faculty and café in campus,
and also showed several places I need dairy life around my hotel. Café in UGM was not like Japanese
one. There were a lot of Indonesian foods and you can choose some in one plate. Price was too cheap. I
could not eat a lot because some food was too much spicy but almost all food was delicious and I used thecafé every lunch. Ms. Anita took me to the library to show how to use it included with using Wi-Fi forinternet. At the library, there are a lot books and journals and many students were studying there. I also
used library sometimes for making some reports and looked for some journals when I had a time, I thinkit’s nice environment for students to study.
2: Bahasa Preparation-Monday,21th Octorber,2013,9:00am-12:00pm,(Attending lecture of Bahasa Indonesia by Ms.Itsuna )-Tuesday, 22th October,2013,13:00pm-15:00pm,(Attending lecture of Bahasa Indonesia by Ms.Itsuna)-

Wednesday,8th Octorber,2013,9:00am-12:00pm,(Attending lecture of Japanese Class for 4th gradestudents by Ms.Elsi)-

Friday,11th Octorber,2013,8:00am-10:00pm ,(Attending lecture of Japanese Class for 4th gradestudents by Ms.Elsi)-

Thursday,21th November,2013,15:00am-16:30pm,(Attending lecture of English Class for 1st gradestudents by Ms.Elsi)

Impression: It was great opportunities for me to learn Bahasa Indonesia. It was not so difficult tounderstand about its grammar and basement of Bahasa as Ms.Itsna taught it very slowly, carefully andkindly. She also answered many questions I had about grammar. But I thought it was difficult for me to
get used to it only 3month because it is different way of speaking from English. Ms.Elsi took me to join
Japanese class and English class, it helped me to study Bahasa Indonesia. And I made some friend thereand had a chance to talk with Bahasa Indonesia, English and Japanese to them. So it was nice to learnBahasa. Fortunately, I could use some words and sentences in daily- life (Greeting and introducingmyself etc). After that I continued to study bahasa Indonesia in private language school because I would
like to communicate with friends from Indonesia. I hope I continue to study bahasa Indonesia in Japan.
3: Health problem in Indonesia-Thursday,17th Octorber,2013,13:00am-17:00pm,(Attending a presentation of treatment of childrenwith malnutrition with Dr.Herini)

Impression: In Japan I worked as a physiotherapist. However I was a physiotherapist for elderly people
in terminal phase, and thus, I haven’t experienced to see a child of malnutrition. But in Indonesia, there
are a lot of children of it and I knew it is very serious problem. The presentation that I attended was forresidents. And they discussed a lot about the treatment of children. I couldn’t understand all because of
my poor knowledge of Bahasa Indonesia, but I could understand how serious problem it is in Indonesia.
And I also learned the one cause of malnutrition was from a lack of knowledge by parents how to feed
foods. I think it is one of the important for us to educate parents how to train their child.

Report for Program of Post Graduate Student Exchange

2013

Master of Nursing Program,Faculty of Medicine Universitas Gadjah Mada

2. Field trip
1: Field trip to hospital-Thursday,17th Octorber,2013,13:00pm-17:00pm,(Visiting Saljito hospital with Dr. Herini andobserved her treatment for 3 inpatients at pediatric ward)

Impression: We went to Saljito hospital with Dr.Herini. And she took me to the pediatric ward andintroduced her 3 inpatients. Inpatients I saw were in different type of the rooms. First patient I saw wasa private room but others was in room which can stay 3 or 4 family, but the size of the room looked
smaller than Japanese one I have ever seen in Japan. The environmental of treatment was muchdifferent from Japan. Although the choice which room you want to stay was up to your income as sameas Japan, it doesn’t look good enough to keep the Standard Precautions for the infection control. First
patient was a boy (6month) with Hydrocephalus, second was a girl (5yrs old) with unconsciousness byvirus infection, third patient was also a girl(1month) with vitamin K deficiency disease. Each patient I
saw at that time was said they were getting well now, and each parents looked fine. Dr, and Nurses
looked like so kindly and answered for question they were worried.
2: Field trip to public health care-

Friday,4th Octorber,2013,10:00am-12:00am,(Visiting Puskesmas with master students who has apractice about ICHS of WHO program)-

Monday,21th Octorber,2013,18:00am-18:30pm,(Visiting Puskesmas in Bantul with Ms. Elsi and
Meeting a midwife and nurse)-

Wednesday,14th Novenber,2013,10:00-12:00,(Visiting Puskesmas in Bantul with Ms. Elsi and
Meeting Dr and Pt and Nurse)-

Tuesday,19th Novenber,2013,15:00-16:00,(Visiting Assessment centre for child development with Dr.
Elni and Dr.Ippe )-Friday,29th Novenber,2013,15:00-17:00,(Visiting Assessment centre for child development with Dr.
Elni and Dr.Ippe )Impression: Puskesmas (Indonesian: Pusat Kesehatan Masyarakat) are government-mandated
community health clinics located across Indonesia. They are overseen by the Indonesian Ministry ofHealth. I visited 2 puskesmas during my staying Indonesia. Bantul has 27 puskesmas, and One of it I
visited had 2 Doctors and 7 Nurses. There also had dentist, pharmacy and physiotherapy. The role of it
was a quiet different from Japanese health care center. It is asked for of the separation from thepharmacy and clinic and every co-medical has a role strictly for efficiency of work in Japan. So it isinterested in this clinic for me. If you think by patient’s side, it might be not bad there has all of functionof medical in same place and same staff who you trust.
3: Field trip to Merapi Area-

Tuesday,15th Octorber,2013,9:00am-14:40pm,(Visiting Merapi Area with Ms.Elsi and Seeing onevillage had eruptionReport for Program of Post Graduate Student Exchange

2013

Master of Nursing Program,Faculty of Medicine Universitas Gadjah Mada-

Saturday ,19th Octorber,2013,11:00am-14:40pm,(Visiting Merapi museum with undergraduate
students of UGM)

Impression: We went to the place had a big damage by eruption of Mt,merapi 2010. We visitedpermanent house for the refugees and visited surrounding areas. And also I went to the museum, andsaw the history of eruption. I have never seen and had experience about eruption so that it is difficult toimage of it when I saw around area. But by the museum, I understood how big disaster it was and felt soscary. And it is really important thing if you think about the communities’ life, you must know whatkind of the character the area has. And you must know and make a system to avoid heavy damage.
4: Field trip to Children’s House (Pusat Pengembangan Potensi Anak)-Monday,21th Octorber,2013,:00am-14:40pm,(Visiting Children’s House With Ms.Elsi and Meetingwith one of the staff)-Wednesday, 20th November,2013,16:00-18:00,(Visiting Children’s House With Dr.Elni and Dr.Ippe
Seeing the activity for children under 5 yrs old )Friday, 6th December,2013,16:00-18:00,(Visiting Children’s House With Ms.Elsi to Seeing the activity-for children under 5 yrs old )-Friday, 12th December,2013,16:00-18:00,(Visiting Children’s House With Ms.Elsi to Seeing theactivity for children under 5 yrs old and seeing the education to parents by master student of UGM )-Tuesday, 24th December,2013,16:00-18:00,(Visiting Children’s House With Ms.Elsi and Prof.Takada
to Seeing the activity for children under 5 yrs old for cerebration ceremony )Impression: Children house is established in 2007 by Indonesia government and Kobe University. It is
the place that is for children can get education and activities for growth and development before
elementary school. The activities are held twice per week and it is not for typically children but also
children with developmental disability. In addition, that has one physiotherapist so that children withdisability have a therapy twice per week. I saw the activities for typically children 4 times during mystaying. And I learned their mothers have a lot of simple question about growth and development andhow to treat them. I think that it is very important to have a place mother can have a conversation likethis. They can share about worries and also it helps their children’s development too.
3. Optional Program
1: Pediatric and Maternity nursing-

Monday, 12th November 2013 (Giving a lecture for master course students)-

Thursday, 5th December 2013,10:00am-11:30 pm ,(Observing the exam for master students ofMaternity Nursing by Ms.Elsi)

Impression: On 12th November, I gave a presentation for master course students. It was the first time
for me to give a lecture. I introduced my research in Japan. My English was not good enough to teachso that I think they couldn’t understand my research well.

Report for Program of Post Graduate Student Exchange

2013

Master of Nursing Program,Faculty of Medicine Universitas Gadjah Mada

2: Rehabilitation care
- Thursday, 17th Octorber, 2013, 8:00 am-12:00 pm, (Visiting Saljito hospital with Ms. Novy andobserved her treatment at Rehabilitation care ward)- Saturday, 19th Octorber, 2013, 9:00 am-11:30 am (Visiting the physiotherapy clinic for
pediatric :gria fisio bunda novy kadisoka)- Monday, 2th December, 2013,12:00 pm-15:00 pm (Visiting Academic school for physiotherapy[Akademi Fisioterap ’YAB’ Jogjakarta] by Ms.Elsi)- Thrsday, 5th December, 2013,12:00 am-14:30 pm (Visiting Academic school for physiotherapy[Akademi Fisioterap ’YAB’ Jogjakarta] by Ms.Neni
Impression: The private clinic by Ms. Novy has about 20 children visiting per a day to getphysiotherapy. There are 7 physiotherapists there and the owner Ms.Novy is who works in Saljito
hospital. She made this clinic for children who can get a therapy easier in community. There are a lot ofpatient in Saljito Hospital. And sometimes it is very difficult to get a therapy continuously. But also itis very important to get it for child development. So she made the clinic and she works there every
evening time and weekend. I was very impressed about her activities and I hope the number of theclinic like hers would be increased. In Indonesia, there is a problem about lack of physiotherapist. Andthe school is few also. One of the academic schools where I visited was a private one and it was only 1in Jogjakarta for studying physiotherapy. It was first time for me to know about the curriculum about
physiotherapy.
4.

Cultural Activities-

Sunday, 6th October 2013 (Visiting the Beach Parangtritis and balon beach with Ms.Srihartini)-

Saturday, 12th – Sunday, 13th October, 2013(Climbing up Mt. Bromo)-

Sunday, 20th October 2013 (Visiting the Beach Pok Tunngal with undergraduate students)- Saturday, 9th November, 2013 (Visiting plambanam temple by myself)- Sunday, 10th November, 2013 (Visiting Solo by myself)- Monday, 11th November, 2013 (Visiting Borobudur temple by myself)- Saturday, 14th – 15th, December, 2013 (Visiting the beach named Pacitan with master coursestudents)- Friday, 14th February, 2014 (Eruption of Mt. Klud)
Impression: I really enjoyed the visit and could learn about the culture of Yogyakarta and Indonesia.