VIRTUAL FIELD WORK REPORT

(in the series of Residency Activities in Thailand)

October 27-29th, November 16-17th 2021

Prepared by:
Farah Faadhila
NIM. P1337424720063

MASTER OF MIDWIFERY
POSTGRADUATE PROGRAM
POLTEKKES KEMENKES SEMARANG
2021
 VIRTUAL FIELD WORK REPORT
(in the series of Residency Activities in Thailand)
October 27-29th, November 16-17th 2021

Prepared by:

Farah Faadhila
NIM. P1337424720063

Approved by Residency Advisory on date:

Knowing, Semarang, November 2021

The Chair of Applied Residency Advisory

Master Programm in Midwifery

Dr. Sri Sumarni, M,Mid Dr. Sri Sumarni, M,Mid

NIP. 197307291998032001 NIP. 197307291998032001

ii
 INTRODUCTION

Praise and thank you for the presence of Allah SWT, we always pray for all
the blessing and gifts that have been bestowed and for all the convenience that has
given in all matter so that the field work of Thai Residency activity can be resolved
properly. The preparation of this field work cannot be sparated from assistance and
guidance from various patient. Therefor, the author would like to thank:

1. Mr. marsum, BR, [Link], MHP, Director of Health Polytechnic of the Ministri oh
Health Semarang fot the oportunity given to us to pursue the Midwifery Appllied
Master Education
2. Prof. Dr. dr, Suharyo Hadisaputro, Sp, PD-KPTI as Chair of the Semarang
Ministry of Health Polytechnic Postgraduate Program for the support that has
been given tu us during our education
3. Mrs. Sumarni, M. Mid as Chair of the Midwifery Study Program for the
Postgraduate Program in Applied Health Master of Health Polytechnic of the
Ministry of Health of Semarang for the support that has been given to us.
4. Mr. and Mrs. Lecturers and Staff of the Postgraduate Program in Applied Health
Master of Health Polytechnic of the Ministry of Health in Semarang.
5. Our friends MST Midwifery batch 2020/2021
We realized that the preparation of this residency activity report still has some
disadvantage. Threfore, we expect constructive suggestion and criticism from all
parties so that the result of the preparation of this report can be useful to increase
knowledge for all of us.

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 TABLE OF CONTENTS

Title page...............................................................................................................i

Approval Sheet.....................................................................................................ii

Foreword.............................................................................................................iii

Table of contents.................................................................................................iv

BAB I INTRODUCTION

A. Bacground..................................................................................................1
B. Goal............................................................................................................3
C. Scope..........................................................................................................3
D. Benefit........................................................................................................3
BAB II DESCRIPTION OF ACTIVITIES IN SIRIRAJ HOSPITAL
A. Fisrt day.....................................................................................................5
B. Second Day..............................................................................................11
C. Third Day.................................................................................................15
BAB III DESCRIPTION OF ACTIVITIES IN IHC
A. First day International Health Conference Day I.....................................19
1. Agenda...............................................................................................19
2. Activity..............................................................................................20
B. First day International Health Conference Day II...................................21
1. Agenda..............................................................................................21
2. Activity.............................................................................................22
BAB IV CLOSING
A. Conclusion...............................................................................................24
B. Suggestion................................................................................................24

BIBLIOGRAPHY

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 CHAPTER I

BACKGROUND

A. Background
Health is the basic right of every human being, the health of a country is
measured through indicators of the degree of health. The picture of the degree of
health includes mortality (kematoan), morbidity (pain), and nutritional status.
Mortality rates can be seen from infant mortality (AKB) per 100 live, toddler
mortality rate (AKABA) per 1000 live births and maternal mortality rate (AKI)
per 100,000 live births.
Indonesia's maternal mortality rate (AKI) is still the highest in Southeast
Asia and is still far short of the SDG's global target of lowering AKI to 183 per
100,000 live births by 2021 and less than 70 per 100,000 live births by 2030.
This condition needs to signal a more strategic and comprehensive effort,
because to achieve the AKI target down to 183 per 100,000 live births by 2024
requires at least a decrease in maternal mortality by 5.5% per year.(Dirjen
Kesehatan Masyarakat Kemkes RI, 2020).
The results of Basic Health Research (Riskesdas) 2013 and 2018
showed an increase in the coverage of maternal health indicators that reflect
themselves from the indicator of four ANC visits (K4) and childbirth assistance
carried out by health care. The improvement in maternal health care
achievements that are not accompanied by improvements in maternal mortality,
indicates that the quality of maternal care has not been optimal. Midwifery
services are an integral part of the health care system with midwife assistance
activities for mothers and children that aim to improve health levels, especially in
mothers and children and can reduce maternal and child mortality.(Ari Arini,
2020).
To optimize midwifery services, there needs to be midwifery services
that are carried out holistically, namely with complementary services. Holistic

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service is a service using a comprehensive concept of social, emotional, cultural,

spiritual, psychological and physical aspects by natural methods.
The use of complementary therapies gives midwives the opportunity to
provide holistic care and enables them to respond to society. The World Health
Organisation develops traditional and complementary medicine with regard to
the holistic and cultural aspects that exist. Common types of complementary
therapies are: acupuncture, aromatherapy, herbal medicines, meditation,
movement therapy, chiropractic manipulation and osteopathy.
Thailand is one of the countries in ASIA that has implemented
traditional medicine as an effort to improve health services. There are hospitals
that have implemented health services in the form of traditional Thai medicine,
siriraj hospital which is the oldest and first hospital that uses traditional health
services. Traditional Thai medicine is the art of treating, improving, preventing
and improving health with Thai wisdom, culture and way of life. Traditional Thai
medicine consists of herbal medicine, traditional massage.
Indonesia is a tropical and multicultural country, where it makes
Indonesia has a variety of plants and plants that are very useful, besides that as a
result of the diverse culture Indonesia has traditional medicine for generations to
overcome health one of which is massage, but in its development there are still
not many traditional treatments in the form of herbs and massages applied in
health services in Indonesia, especially in Indonesia.
Based on this, traditional Thai medicine (TTM) is a treatment that can
be used as an example and can be adopted in efforts to improve health, especially
in health services in Indonesia. In this era of globalization, health workers must
further deepen their knowledge to be able to deal with increasingly advanced
situations and technologies. One of them is in midwifery science, midwives not
only act as implementers and managers of health services but also as educators
and researchers and in this case fieldwork lectures at the Ministry of Health
Semarang Police who have cooperated with stakeholders from abroad will help
students of the Master of Applied Health Program to obtain the latest knowledge
 3

so that students get the benefits that will be provision in carrying out their duties
in service and Education later this is in accordance with the vision of the mission
of Semarang police which reads "to become a higher education institution that
produces health workers based on wisdom and recognized internationally in
2025".
B. Purpose
1. General pupose
The purpose of this report is to make the general overview of the Virtual
Field Work Activities
2. Spesial Purpose
a. Describe the international conference activities
b. Describe online short course training for Siriraj Hospital Mahidol
University activities
c. Describe sit in Class MOPH
C. Scope
1. The scope of time This activity is carried out in September-November 2021
2. The scope of the venue This activity is carried out online using the
application via zoom
3. Material scope This activity discusses various at the Siriraj Hospital activity
from Mahidol University discussing Thai Traditional Medicine and at the
Ministry of Public Health activities discussing maternal and child health care
in Thailand, as well as reproductive health program and adolescent pregnancy
prevention and solution in Thailand & family planning museum presentation
by power point. Materials at the International Conference, the material
discussed is about “Legal and Ethical Aspects of Health Service During
Pandemic”.
D. Benefit
1. Students can add insight and knowledge in the academic field.
2. Students know about traditional thai medicine and Siriraj Hospital
 4

3. Students are able to master the practice of Thai traditional medicine and how
to apply it.
4. Students are capable and master of postpartum care practices 6. Students are
able to find out about herbal garden tours at Siriraj Hospital, Siriraj
Bhimukstan Museum and Dhammanamaya.
5. Students are able to know the state of maternal and child health care in
Thailand.
6. Students are able to know about reproductive health programs, adolescent
pregnancy prevention and solution in Thailand & family planning museum in
Thailand.
7. Increase knowledge and understanding of complementary health services in
Thailand and can apply them well in Indonesia later.
8. Students are able to understand in participating in international conferences
either as a participant or oral presentation.
 CHAPTER II

DESCRIPTION OF ACTIVITIES SIRIRAJ HOSPITAL

A. First Day (27 october 2021)

Today at 08.00 wib is the first day of residency activities
conducted by students of the midwifery program graduate program.
Residency activities began with the opening of the event by dr sukree
Qadir. After the opening ceremony was continued with material
presentation activities about the beginning of the establishment of
Mahidol University, the history of the development or beginning of
traditional medicine in the form of students, philosophy, and curriculum
of traditional Medicine of Thailand to the history of the establishment of
Siriraj Hospital, After the provision of material by Doctor Sukree Qadir
the provision of material to the two dos by Dr. Patthanin Sathiansri in this
session we explained about the basis of the concept of traditional Thai
medicine where there are 4 elements of traditional Thai medicine namely
the element of fire, water, air, and earth. And also the impact that occurs
when there is a balanced armpit on one or more elements.
This activity is carried out until 12 o'clock. 00 p.m. And continued
to rest until 13.00 wib, after the break finished the provision of the third
material continued, the material in session 3 was delivered by dr Ranida
Boonrak, The material conveyed is about the art in traditional Thai
medicine using a variety of herbal plants that can help in medicine, in
addition we are also taught about various flavors and examples of plants
that have flavors such as sweet, bitter, salty and others. After giving the
material to taste and plant activities continued by dividing the zoom room
into several rooms, in this session we were shown directly the plants used
in traditional Thai medicine, then the zoom room was returned to one
large zoom room and we did a game using the Kahoot application about
the material today, the game activities were quite fun. Here I got the

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second place in the game. After the game activities took place the event
on the first day was closed and ended at 16.00 wib.
1. Introduction to Traditional Thai Medicine and Siriraj Hospital
Traditional Thai medicine has been passed down by compiling
knowledge and formulations or recipes for effective herbal medicines and
writing on the marble wall decorations of buildings at Wat Phra Chetupon
(Wat Pho) and Wat Raja Oros in Bangkok in order to educate the general
public. Even after western medicine was introduced to Thailand,
traditional Thai medicine still had a role in providing services to
hospitalized patients. Traditional Thai medicine consists of traditional
medicine, traditional pharmacy, traditional massage, and traditional
obstetrics.
Professor Dr. Ouay Ketusinh, a renowned professor from the
Siriraj Hospital School of Medicine, who has a deep interest in traditional
Thai medicine, put forward a new philosophy for preserving traditional
Thai medicine. His opinion is that conservation of traditional Thai
medicine requires a scientific basis. New traditional practitioners who
wish to practice in this field must have basic knowledge and clinical
sciences so that traditional Thai medicine can be explained and further
developed. This field has come to be called Traditional Thai Medicine. In
1980, Professor Dr. Ouay Ketusinh founded a foundation called the
Foundation for the Promotion of Traditional Thai Medicine. Two years
later, opened a school for teaching, a 3-year course in traditional Thai
medicine 46 according to the philosophy and the school was named
Ayurved Vithayalai School (Chewaka Komarapaj).
In 1984, the Bovornives Boranvejchakam (applied traditional Thai
medicine) clinic was established to provide services in traditional Thai
medicine and has become a place where students gain their practical
experience. The school also has a small manufacturing unit for herbal
medicine. In 1999, the name of the school was changed to Ayurved
 7

School. The Faculty of Siriraj Medicine Hospital, Mahidol University is

affiliated with the Ayurved School and all its activities, clinics and
manufacturing units, The creation of a new school curriculum, the
Bachelor of Traditional Thai Medicine Applied Program, was established.
In 2007, HRH's daughter Mahachakri Sirindhorn gave the school a new
name, namely Ayurved Thamrong School, which means a school that
maintains Ayurvedic knowledge (in Sanskrit, Ayurved means medicine).
The Center for Traditional Thai Medicine is aimed at reviving and
preserving traditional Thai medicine, so that it will not be lost and can be
widely integrated into the existing health system. The mission of the
school is as follows:
a. Educational development Raise teaching and learning standards so
that graduates are knowledgeable and competent in the clinical
practice of traditional Thai medicine.
b. Health service development Integration of traditional Thai medicine
into the health care system so that it is of high quality,
trustworthiness, and is popular with the wider community.
c. Knowledge management Gather knowledge and carry out research on
the topic of traditional Thai medicine so that the knowledge and arts
of traditional Thai medicine becomes clearer.
2. Material Exposure
a. The Four Elements and Causes of Disease (Basic Concepts) Ancient
medical knowledge recognizes 4 elements that exist in the human
body, namely:
1) Earth
The characteristics of the earth elements are Roughness, Hardness
and can be touched which is the habitat of other elements.
 8

2) Water
The characteristics of the water element are Liquid (Liquidity),
Infiltration, Absorbability or can be absorbed where the nature of
water can nourish the body.
3) Wind
The characteristics of the angina elements are movability,
regulating, and circulating. The nature of this element is to
control energy and body movements.
4) Fire
The characteristics of the fire element are energizing, warming
and burning, which are vital heat energy. The relationship
between these four elements is in the circulatory system where a
hot body will make blood circulation smooth and good.
b. Principles of Pharmacology in Thai Traditional Medicine (TTM)
After establishing the diagnosis, a Thai Traditional Medicine (Art of
Thai Traditional Medicine / ATM) practitioner will provide treatment
in the form of one or all of the following three points.
1) Herbal medicine
ATMs will make herbal concoctions for patients in the form of
liquid extracts or prescribe modern prepackaged herbal
medicines, such as pills, capsules and tablets. Each patient may
receive a different prescription according to each body element,
even if treatment is carried out for the same complaint.
2) Healing procedures, which include massage, hot herbal compress
treatment, herbal steam bath treatment, hot salt-pot compress
treatment, hot herbal charcoal seat, herbal skin care, and so on.
3) Health promotion The ATM will provide advice on what to do
and what not to do, physical exercise, recommended foods and
foods that need to be avoided in connection with a disease being
suffered or to maintain the client's health condition. Regarding
 9

the administration of herbal medicine, there are four basic

principles in making herbal medicine recipes that will be given to
clients, including drug matters, drug attributes, drug grouping and
drug compounding.
a) Drug Matters An ATM must be able to identify the
characteristics, taste, smell, color and name of herbal
medicinal ingredients in order for the concoctions or recipes
made to make the properties of herbal medicines effective.
Herbal medicinal ingredients are divided into three groups
based on their source, namely plants (safflower, cinnamon,
ginger, turmeric, tamarind, etc.), animals (deer horns, peacock
feathers, teeth / bile / snake bones, etc.) and minerals (sea salt,
white). clay, borneol flake, camphor, etc.).
b) Drug Attributes What is meant by drug attributes are the
properties and taste of herbal ingredients which are closely
related to the way drugs work. In general, there are 9 flavors
of herbal ingredients with their respective uses as described
below.
(1) Astringent / dry taste, which is a rough or dry taste. This
flavor is found in immature bananas, pomegranate peels,
mangosteen rind, dark black tea, Nutgall (Quercus
Infectoria Olivier) etc. The indication for its use is to heal
the earth elements and wounds both internal and external,
whether it is used to treat diarrhea or colitis.
(2) Sweet taste, which is sweetness. This flavor is found in
honey, licorice root, sugarcane, etc. The indications for
its use are to nourish the skin, muscles and heart, and to
cure dry coughs. Its working principle is to increase the
water element and moisturize the earth element.
Therefore, the use of herbal ingredients that have a sweet
 10

taste needs to be avoided in conditions of unhealed

wounds, diabetes mellitus, nausea and cough with
phlegm.
(3) Nauseating taste, which is a taste that stimulates nausea.
This flavor is found in Chinese ketapang leaves
(Ringworm bush leaf), betel leaf, konjac, snake jasmine,
etc. The principle of action is to detoxify and purify the
water elements in the body, especially in the blood and
lymph.
(4) Bitter taste, which is bitter taste. This taste is found in
bitter gourd (bitter ground), brotowali (Tinospora crispa),
king of bitters (Andrographis paniculata), etc. Its working
principle is to balance the water and fire elements in the
body. Indications for use are to nourish blood and
bilirubin, relieve fever, eliminate thirst and stimulate
appetite.
(5) Nutty / oily taste This taste is found in nuts, such as
peanuts, green beans, long beans, also in sesame,
coconut, etc.
(6) Fragrant taste, namely herbal ingredients that have a
fragrant smell. This taste is found in flowers, such as
jasmine, rose, cananga, or there are also pandan leaves,
etc.
(7) Salty taste, which is a salty taste. This taste is found in
common salt (Sodium chloride), epsum salt (Magnesium
sulfate), sea salt, Pilcheria indica, etc.
(8) Sour taste, which is a sour taste. This flavor is found in
tamarind (tamarind) leaves and fruit, lime, Indian
gooseberry, Mountain ebony, etc. Its working principle is
to clean and remove water elements in the body such as
 11

blood and phlegm. Good for coughing with phlegm,

constipation and relieving thirst. However, it should be
avoided in conditions of diarrhea, skin disease and fever.
(9) Pungent taste, namely herbal ingredients that provide a
warm / hot sensation to the body. Pungent taste differs
from spicy / spicy taste, where the spicy taste only gives a
burning sensation to the tongue, while pungent taste gives
a hot / warm sensation throughout the body. This flavor is
found in ginger, garlic, pepper (green / white / black
papper), wild beatle leaf, holy basil, etc.
3. Game
At the end of today's activity, the committee invited all
students and committees from the Poltekkes to play the Kahoot
application which contains questions about the material that has
been explained from the start, namely about Siriraj Hospital and
the materials that have been presented.

B. Second Day (28 October 2021)

Today is the second day of residency activities, the activities begin at
09.00 wib. As usual before the core event began this activity was opened by
doctor sukree qadir. In this material we explained about the theory of
traditional Thai massage by dr. sukree qadir, ranging from understanding, 2
types of traditional Thai massage, massage point points, massage techniques,
posture when massaging or traditional Thai massage is one of the parts of
traditional Thai medicine, where there are various massage points, massage
steps, and also evidence baased research on traditional Thai massage. After
the provision of the material is completed, the activity continues with the
practice of massage by dr sukree kadir which lasts until 12.00 wib.
The rest time was given to us until 13.00 wib. After the next session
is in the form of material exposure by dr. Ketmanee Jongjiamdee about the
 12

treatment that can be given by postpartum mothers. Based on the explanation

of the speaker that there are various treatments for postpartum mothers
provided by siriraj hospital in the form of Thai Traditional Masssage, Hot-
Herbal Compress, Hot Sal-pot Compress, Herbal Steam bath, Hot herbal
Charcol Seat, and Abdominal Wraping. Where the tteatment is a treatment
given by Siriraj hospital to postpartum mothers. In addition, we were also told
to perform the procedure to perform these treatments.
After the presentation of the theory about the treatment of further
activities was then shocked by the jawap tanya activity to the participants and
continued by the demonstration of post partum care treatmen conducted by dr.
ketmanee Jongjiamdee directly through virtual. Demonstration activities were
carried out until 16.00 wib followed by the closing of the second day of
residency events.
1. Thai Traditional Massage
The traditional Thai massage is one of the massages recognized by
the United Scientific and Culture Organization (UNESCO). Traditional
Thai massage that is commonly used among the public, namely Cha Loi
Suk and in special circles, especially the royal circle, namely Raja Sum
Nok. The difference between the two lies in the application of massage,
where the King Sum Nok is not allowed to use the elbow and only uses
the finger, thum, palm and thumb. The king of traditional thai massage is
Ajarn Narongsak Boontanahiran who has learned the skills of Thai
Traditional massage since 1982.
Traditional Thai massage generally uses hands. Therefore, the
therapists always train their hands or fingers in the Yok Kradon way,
which is to sit with fingers for 60 seconds. There are many benefits of
traditional thai massage, including: increasing body fitness and reducing
pain in certain body parts.
 13

a. The benefits of doing massage, namely: Blood circulation and

lhympatic and nervous system, Relaxes muscles, Treat ailments such
as relieving symptoms of pain, strainedness or fatigue.
b. Things that must be considered when doing massage, namely: wound
area, areas with tumors, open wounds and surgical wounds.
c. Things that are really considered when doing massage, namely:
Pregnant women in TM 3 and TM 1. In TM 1 can cause abortion and
in TM 3 can result in premature birth, Elderly with comorbidities,
Patients with diabetes, because they experience sensory loss, it is
feared that if they are too strong it can cause injury, Osteoporosis and
dislocation joint.
d. Contraindications to massage, namely: Fever with a body
temperature> 38.5 0C, Acute infection, Hypertension or blood
pressure> 160 mmHg.
2. Post Partum Care Treatment
Post partum care is carried out according to the needs of the
postpartum mother, especially to increase the fire element in the body. In
general, care for postpartum mothers is carried out after knowing the
medical history of the postpartum mother. Post partum treatment in
traditional Thai medicine, consists of:
a. Traditional Thai Massage
Massage treatment is carried out on the postpartum abdominal area
called `` Koei Thong '' which functions to accelerate the involution
process. Abdominal massage is done by placing gentle pressure on
the abdomen, precisely on the uterus. The strength of the pressure is
in accordance with the maternal pain threshold and is carried out for
5-10 seconds.
b. Hot-herbal Compress
Hot herbal compress functions to warm the postpartum mother's body
so that the mother feels relaxed and improves blood circulation. Hot
 14

herbal compress can be applied to pregnant women and postpartum

mothers. What must be done before doing therapy is to make sure the
temperature of the hot herbal compress is not too hot by measuring
the high temperature using the inner hand and if the heat is reduced,
then the hot herbal compress does not need to be coated with a towel.
c. Hot Salt Pot
Compress Hot salt pot compress is useful for accelerating the process
of uterine involution. Hot salt pot compress can be applied to
postpartum women 7 days normally and after 30-45 days in a history
of delivery with SC or when the surgical scars have healed. The
ingredients used for hot salt pot compress, namely plai, chakmodlook
waan, mahamaek waan, crinum lily, campoor and sea salt. The
application of hot salt pot compress must also pay attention to the
temperature that is not too hot by feeling it with the elbow and
pressing it not too deeply so that there is no injury. Hot salt pot
compress is carried out for 10-15 minutes or not until hot again.
d. Herbal steam bath
Initially, herbal steam baths were only used in post partum mothers,
but now it has also been applied to pregnant women. Herbal steam
bath treatment is useful for improving blood circulation and relieving
sinusitis and asthma. The application of herbal steam bath is very
important for patients with heart disease and hypertension. For
postpartum mothers, herbal steam bath is done for 15 minutes once a
day for 5 days, but for normal individuals it can be done 2 sessions or
30 minutes. Herbal steam bath treatment ingredients, consisting of:
lemongrass, leech lime and campoor.
e. Hot Herbal Charcoal Seat
Hot herbal charcoal seat is very common in rural areas and is not
allowed in mothers with a history of SC labor. Hot herbal charcoal
seat is very useful for preventing inflammation and accelerating the
 15

process of healing the episiotomy wound. Postpartum mothers with

episiotomy 68 wounds are advised to do hot herbal charcoal seat
therapy for 15-20 minutes.
f. Abdominal Wrapping
Abdominal wrapping, which is to wrap the abdomen using a cloth
with a length of at least 2 meters, is useful for accelerating the
involution process. During the wrapping process on the abdomen,
then give one hand a limit.
g. Herbal Skin Care
Herbal skin care in the past was very often used in the post partum
period and now it is also highly recommended, especially for
pregnant women who cannot use doctor creams, so as to keep skins
fresh and bright. The ingredients used in the manufacture of herbal
skin care, namely turmeric powder and white clay. In practice, it can
be mixed with honey, milk or lime juice. The application of herbal
skin care is by applying it to the whole body and let it dry, generally
for 15 minutes, it is done 1-3 times 69 a week. On the face, honey
and milk can be used once a week. Besides being beneficial for the
skin, herbal skin care is not recommended to do it frequently, because
it contains antibacterial properties that can make skin sensitive.
h. Food Recommendation
Foods that are good for consumption by post partum mothers should
be foods that can increase the fire element, because in the postpartum
period, mothers tend to be tired and experience psychological
changes.

C. Third Day (29 October 2021)

On the third day, the activity begins at 09.00 wib. In the first session
we were invited to go around by siriraj hospital doctors to directly see the
plants used for traditional Thai medicine grown in the siriraj hospital area,
 16

many plants that can be used to help various treatments, such as java chili,
sambiloto, ginger, turmeric, lily leaves, bangle, temu ireng and others. Most
of these plants grow in Indonesia. After we finished showing the plants, we
were invited to tour the siriraj hospital health museum, on the way the
museum this time we were shown in the form of writings on the wall of the
museum that discussed the traditional health of Thailand, the history of the
establishment of Thai hospitals, gabar which shows the building where the big
event is done which is currently siriraj hospital, and also the family of prince
siriraj. Activities around the health museum are carried out until 12.00 wib
and continued with a break until 13.00 wib.
The event was held at 1:15 p.m. In this session we conducted joint
exercise activities, namely damanaya guided by dr. sukree qadir dr. dr.
ketmanee Jongjiamdee, and dr. kamonchanok sir. Exercise damanamaya
activities conducted in the form of nine-square step exercive, nine square
dance exercise, laziness exercise, posture to relieve the wind in the wrist,
posture to telieve the wind causing dizziness, posture to telieve the wind
causing headache, posture to telieve the wind in the waist, the posture to
maintain the body and promote longevity, the posture to re, ive tightness in
the shest, the posture to telive cramping hands and feet.
Once explained we practice exercise together. After the exercise
activity was done we were given a break for 5 minutes, then continued with
post test activities for 20 minutes, the posttest we did amounted to 28
questions about the material that had been given from the first day to the third
day. These materials include traditional Thai medicine in the form of
pharmaceuticals, massages, and postpartum treatments found in Thai
hospitals. The residency activity on the third day ended with post test and
farewell activities conducted by the hospital and pltekkes represented by
eviyati to convey messages and impressions during the residency activities at
siriraj hospital.
1. Herbal Garden tour
 17

The first material is a live herbal garden tour, we are invited to the Siriraj
Hospital garden where here we can see firsthand the herbs in each plant,
given information about the plant from its name, classification to its
benefits.
2. Siriraj Bhimukstan Museum
Siriraj Hospital is the largest hospital in Thailand and as an
educational institution for national medical institutions in Thailand. Siriraj
Museum consists of Siriraj Bhimukstan and Siriraj Medical Museum.
Siriraj Hospital is the oldest medical institution in Thailand. The Siriraj
Medical Museum has six separate museums. Most of the museum is
located on the second floor of the Adulyadejvikrom Building. This
hospital was founded by King Chulongkorn in 1888. Siriraj was the
residence of the late King of Thailand, Bhumibol Adulyadej. The Siriraj
Bhimukstan Museum is a Siriraj Hospital museum that opened in early
2013. The museum is housed in renovated Vintage Bangkok architecture,
which is located next to the Siriraj Piyamaharajkarun private hospital
recently opened by Siriraj. Here, we can browse different rooms to learn
about the story of the hospital premise and the history of Thai medicine.
Historical guidance here is told through rare relics that are rarely
found, complete with modern technology. At first the entire museum story
was told via video, which was shown in a lecture hall used by past medical
students. Then, the relationship between the royal family and the hospital
was presented in the front hall. 71 There is also a 4D screening room
showcasing the heyday of the heyday near Thonburi Train Station, taking
visitors on a dated train journey. Surgical simulations are available to
educate and inspire visitors, before visitors are presented with various
views to explore the wonders of the human body and learn about human
disease.

3. Dhammanamaya
 18

Those who seek practical ways towards good health and longevity must be
aware that there are several factors, ranging from their own ohysical
(body) and mental (mind) conditions, their behavior and proper
relationship with fellow human beings, to society and the environment.
Prof. Dr. ouay Ketusinh has put forward a complete practical system for
health promotion using natural methods called Dhammanamaya, on the
occasion of the commemoration of his majesty the king's 60th birthday.
This system emphasizes the holistic approach to good health and longevity
concerning body, mind and behavior as in the symbol shown in figure. In
Thai, having a healthy body is Kayanamaya, a healthy mind is
Cittanamaya and a health way of life or leading one's way of life to
achieve goog health is Jivitanamaya.
 CHAPTER III

DISCUSSION

The discussion in this paper is an evaluation of the implementation of activities and

readlines of the participants of the international seminar.

A. International Health Conference Day 1

1. Agenda
On the first day following the schedule of activities:

Conference day 1, Tuesday, 16th November 2021 PIC

ID : 897 2527 1438 Password : 374934
Jakarta time (GMT+7)
07.00- Registration IT : Intanwati
08.00
Opening Ceremony
08.00- Indonesian Anthem and Mars of Poltekkes
08.10 Kemenkes Semarang
08.10- Pray (Ishaq Ibrahim)
08.15
08.15- Committee Report from The Chief Committee (Dr. MC: Tecky Afifah SA,
08.20 Sri Sumarni, [Link]) [Link].T., [Link].
08.20- Welcoming Speech from Head of Postgraduate
08.25 Program (Prof. Dr. dr. Suharyo Hadisaputro, [Link],
KPTI)
08.25- Opening Remarks from Director of Poltekkes
08.35 Kemenkes Semarang (Dr Marsum, BE, SPd, MHP)
Speaker 1 Moderator :
Associate Professor Dr. Wilmolrat Puwarawuttipanit, Mardiyono, MNS,PhD
RN, PhD. (@30’’ for Presentation,
Faculty of Nursing Mahidol University 10” for discussion)
“Legal and ethic aspect of interprofessional Note Taker: Novita
08.35- collaboration in caring for non-communicable Kurnia W, [Link].
10.35 diseases”
Speaker 2
Assoc. Prof. Kasara Sripichyakan, PhD, RN
Faculty of Nursing, Chiang Mai University
"Legal aspect of Maternal and Child Health Care in
Thailand During Pandemic in Thailand”
Speaker 3
Dr. Emy Nurjasmi, [Link]
Ketua PP IBI Indonesia

19
 20

“Legal Aspect and Ethic in Midwery Education In

Indonesia”
Speaker 4 Moderator :
Prof [Link] Diyah
Fatmasari, MDSc.
Speaker 5 (@30’’ for Presentation,
Prof. Nawi NG.,MD.,MPH.,PhD 10” for discussion)
Sahlgrenska Academy, University of Gothenburg, Note Taker: Novita
10.35- Swedia Kurnia W, [Link].
12.45 “The Impact Of Covid-19 On Health Services For
Non-Communicable Disease”
Speaker 6
Assoc Prof dr. Yudthapon Vichianin
Mahidol University, Thailand
“Ethics and legal aspects of using health electronic
data for research in industrial era 4.0”
12.45- Closing day 1
12.50

2. Activity
Today I participated in the IHC (International Health Conference) held by
poltekkes semarang. This activity is carried out for 2 days with the
implementation of the first day, namely the presentation of material and the
second day of oral presentation. There are several sources who come from
various countries, namely: Thailand, Indonesia, switzerland. The theme of
this IHC activity is “Legal and Ethical Aspects of Health Service During
Pandemic”
a. The first material was presented by Assoc. Prof. Dr. Wimolrat
Puwarawuuipanit from Thailand Mahidol University, in the first matei
discussed care oh hypertention crisis in Thailand. Where there are several
materials provided in the form of: Interprofessional Educatioan, Situation
of Hypertention, Hypertention care in Thsilsnd best practice, continuing
challenges in hypertention control and interprofessional education.
b. The second material presentation was delivered by Kasara Niprichyakan,
Ph.D, RN with the theme of the material, namely legal and ethical aspects
of maternal and child health service during the pandemic.
 21

c. the third material was delivered by Dr. Emi Nurjasmi, [Link] with the
theme of legal basic and ethic in midwifery practice and education.
d. The fourth material presentation was delivered by Prof. Nawi NG, MD,
MPH, PHD with the theme the impact of covid-19 on healrh services for
non communicable deseases

B. International Health Conference Day 1

1. Agenda

Conference day 2, Wednesday, 17th November 2021 PIC

ID : 897 2527 1438 Password : 374934
07.00- Registration IT : Astri Ulina Saragih
07.45
07.45 - Opening Day 2 MC : Tecky Afifah SA,
08.00 [Link].T., [Link].
Invited Speaker Session
08.00- Mardiyono, MNS, PhD. Moderator :
08.15 “Holistic nursing in cardiovascular patients in Dr. dr. Ari Suwondo, MPH.
hospital” Note Taker : Dhita Aulia
08.15- Dr. Sri Sumarni, [Link]. Octaviani, [Link]., [Link].
08.30 “Ethical approval in midwifery research during
the pandemic era”
08.30- Gatot Murti Wibowo, [Link]., [Link].
08.45 ”Experience and learning teleradiology by generic
workflow system for postgraduate student in
diagnostic imaging”
08.45- Dr. Bedjo Santoso, [Link], [Link].
09.00 “Dental and oral health policy during pandemic”
09.00- Back to MC announcement for Oral Presenter MC : Tecky Afifah SA,
09.05 Room, and Participants room [Link].T., [Link].
Oral Presentation Session
BREAK OUT ROOM
ROOM 1 (Nursing) Moderator : Widya
Reviewer : Mardiyono, MNS, PhD Juniantina nusantari
Note Taker : Radiah Ilham
Operator (IT) : Ainun
09.05- Mutmainah
11.35 ROOM 2 (Midwifery) Moderator : Eviyati Aini
Reviewer : Sri Widatiningsih, [Link] Muriana
Note Taker  : Tyas Febrina
Operator (IT) : Ninick
ROOM 3 (Midwifery) Moderator : Farah
 22

Reviewer : Dr. Melyana Nurul W [Link].T.,[Link] Faadhila

Note Taker : Gustiyana
Operator (IT) : Intanwati
ROOM 4 (Diagnostic Imaging) Moderator : Gatot Santosa
Reviewer : Dr. Sudiyono, SE. [Link] Note Taker : Giovana
Nopa Prancisca
Operator (IT) : Astri Ulina
Saragih
ROOM 5 (Oral Health Therapist) Moderator : Muh. Firdaus
Reviewer : drg. Ani Subekti, [Link] Tullah
Note Taker : Lanny
Hapsari W
Operator (IT) : Efa
Nurizza
ROOM 6 (Oral Health Therapist) Moderator : Aprilia Dini
Reviewer : Sulistyanti
drg. Endah Aryati Ekoningtyas, MDSc Note Taker : Annisaa
Sittatunnikmah
Operator (IT) : May
Fransiska
ROOM 7 (Oral Health Therapist) Moderator : Miranda Gita
Reviewer : Note Taker : Ratna Dwi
Hermien Nugraheni, SKM.,[Link] Handayani
Operator (IT) : Yayuk
Fathonah
11.35- Best Presenter, Best Paper, Best Output MC :  Tecky Afifah SA,
12.05 [Link].T., [Link].
12.05- Closing Statement [Link] Suwondo MPH.
12.10
12.10- Closing Ceremony
12.15

2. Activity
Today I did an oral presentation with the theme of the effect of acupressure
therapy on virgin pressure in menopausal women with hypertension. In this
activity I presented my paper consisting of background, methods, analysis,
discussion, conclusions and suggestions. Oral presentation is conducted in
front of reviewers where attended by 34 audiences. In this activity I presented
the material for 10 minutes and did Q&A. In this presentation I get some
 23

input in terms of exposure not to be too hasty and the contents in ppt are
asked to be shorter and interesting.
 CHAPTER IV

CLOSING

A. Conclusion

It can be concluded that the virtual field work event went well. All activities
can be carried out optimally. With this activity, it can help students where the insights
and knowledge of students in the holistic and complementary fields are increasing.
International conferences activities provide a lot of additional knowledge about
noncommunicable diseases and provide experience watching oral presentations. The
online short training course provides additional knowledge about Thai traditional
medicine which is run at Siriraj Hospital, students are also able to master the practice
of Thai traditional medicine and how to apply it as well as insight into services in
postpartum care in Thailand. Siriraj Hospital apart from being a hospital that provides
services in complementary and holistic midwives as well as a herbal garden regarding
medicines used in treating patients so far. Students also get to know the Siriraj
Bhimukstan museum and dhammanamaya medicine. Besides the ministry of public
health in class provides an overview of the situation about maternal and child health
care in Thailand and reproductive health program, adolescent pregnancy prevention
and solution in Thailand.

B. Suggestion

I suggest that in the next field work, the students can join the international
conference, Thai short course and visiting the ministry of public health directly. So
we can learn the materials optimally.

24
 BIBLIOGRAPHY

Ari Arini, L. (2020) ‘Penerapan Asuhan Kebidanan Secara Holistik Berbasis Tri Hita
Karana Di Pelayanan Kesehatan Tingkat Dasar’, Jurnal Kesehatan
MIDWINERSLION, 5(1), pp. 47–57. Available at:
[Link]

Dirjen Kesehatan Masyarakat Kemkes RI (2020) ‘Rencana Aksi Program 2020-

2024’, Jurnal Ilmiah Teknosains, 2(1/Mei), pp. 1–33.