“Indonesia’s Experience and Best Practices”

1. “Indonesia’s Experience and Best Practices” Directorate of Traditional Health Service Directorate General of Health Service Ministry of Health Republic of Indonesia

2. Territory : 17,499 Islands; 7,81 million km2; 34 provinces, 539 districts, 6994 sub districts, • 75, 410 villages • Population (2016) : 257 Million; • Population Density : 116/sq/km)

3. Human Resources & Facilities until April 2018

4. Traditional Medicine Policies in Indonesia • Act No. 36 of 2009 on Health • Act No. 36 of 2014 on Health workforce • Government Regulation No. 103 of 2014 on Traditional Health Services • Minister of Health Decree No. 003 of 2010 on Jamu Scienfication in Health Services on Research Based • Minister of Health Decree No.007 of 2012 on Traditional Herbal Registration • Minister of Health Decree No.8 of 2014 on SPA Health Services • Minister of Health Decree No.61 of 2016 on Empirical Traditional Health Services • Minister of Health Decree No.6 of 2016 on Formulary of Indonesian Herbal Medicine • Minister of Health Decree No.9 of 2016 on Traditional Health Development Efforts Through Selfcare of Family Medicinal Plants and Skill Utilization • Minister of Health Decree No.37 of 2017 on Integrated Traditional Health Services • Minister of Health Decree No.187 of 2017 on Formulary of Indonesian Traditional Herbs

6. Government Regulation No. 103 of 2014 on Traditional Health ServicesType of Traditional Health Services 3. Integration of Traditional Health Services 1. Empirical Traditional Health Services 2. Complementary Traditional Health Services A form of health service that combines conventional health service and complementary traditional health medicine, either as a complement or subtitute Implementation of traditional health service using biomedical and biocultural science whose benefit and safety are scientifically proven. Impelmentation of traditional health service whose benefit and safety are empirically proven Implemented in one system of traditional health service

8. Standardization of T&CM Education

9. Training on Medical Acupuncture

10. Hospitals that offer Traditional Health Services RSUD Soetomo RSUP Sardjito RSUD Syaiful Anwar RSUD Soetomo RSUD Prof. Dr. MargonoSoekarjoPurwokerto RSUD SuradjiTirtonegoro

11. Traditional Medicine in Health Facilities

12. Herbal Medicine

13. BACKGROUND • Indonesia traditional medicine has grown for centuries • Indonesia have more than 500 types of massage techniques from 440 ethnic group that spread over 34 provinces. • Archeological evidence depicting massage already exist. • The ancient kingdoms uses traditional massage as one way of health care and beauty • 8-9th century evidence depicted in the borobudur temple & prambanan temple (“karmawibhangga“ relief)

14. BACKGROUND (2) • Kakawin Ramayana Book, Chapter 1-9, 898-910 M, which contain about Usada (Bali) • Cabdra Rini (1792), Mangkunegaran IV; • Serat Centhini (1788-1820 M), documented by Prince Adipati Anom Amengkunegara III, Prince Sunan Pakubuwono IV; • Serat Kawruh Chapter Jampi-Jampi (1831); • Serat Wulang Wanita, Pakubuwono IX.

15. INDONESIAN HERBAL “DJAMOE”

16. Indonesia’s Original Heritage Herbal Drink “Djamoe (Jamu)”

17. Djamoe (Jamu) • The term ‘Djamoe (jamu)’ originated from two words: ‘Djampi’ which means healing through medicinal mix or prayers and magic and ‘Oesodo’ which means health. Jamu is Indonesia’s traditional herbal medicine, and is frequently associated with the Javanese culture

18. Resourches of Indonesian Herbs “DJAMOE”

19. Traditional healer can use 2 type of herbs “djamoe”: • Traditional medicine preparation which have License Number of Distribution from Indonesian National Agency of Drug and Food Control • Self formulated traditional herbs • Fresh Djamoe • Dry Simplicia Herbs • Topical Herbs

20. “Djamoe” is traditional drink in Indonesia always been able to provide for health and beauty • For example : • Kunyit asam (mixed turmeric, tamarind, brown sugar and water believes as body cooling,increasing breast milk, body ache, strenghthen the teeth

21. For example : • Jamu pahit (Mixed sambiloto leaf and water) for itching and diabetes, lack of appitite, and eliminate the fever. • Jahe (mixed ginger, brown sugar and salt) to help lower Cholesterol improving blood circulation

22. BERAS KENCUR Original drink recipes heritage from Indonesia Everyday some beauty women sell this beverage and shout ..”Jamu. Jamu.. Jamu... Around village to other village Beras Kencur has ability for adding strength (stimulant character and appetitte enchacer), cough, gastritis, ulcers, food posioning, or flatulence

23. Beras Kencur Ingredient • 3 kencur • 1 pieces big ginger • 125 sugar • 1 pieces turmeric • 1 lemon • 1 of spoon acid ( asam jawa) • 1 pandan leaf • Salt enough

24. STEP HOW TO MAKE BEVERAGE First, rice is soaked in water more than 3 hours Boiled water, sugar, ginger, turmeric, pandan leaf, and acid jawa together After bolling, take the ginger, turmeric, and kencur after that you can grind all ingredient together with rice until smooth Boiled the water and pour with all ingredients before little by little, than filtered it. Added with lemon and salt If you fell less sugar you can add the sugar Beverage beras kencur ready

25. INDONESIAN TRADITIONAL MASSAGE (“PIJAT URUT”)

26. Definition “Pijaturut” is a tradition and culture massage from various ethnicity in Indonesia, generally use coconut oil that is enriched with Indonesian traditional herbsuch as: • Sereh: stamina • Flowers (rose, jasmine, kenanga, pandan): aromatherapy • Daun dewa: Anti inflamation

27. Goals Goals • Various ethnicities and cultures describe the diverse ways of massages to maintain health and fitness in promotive and preventive effort. • “Pijaturut” to achieve the balance of a healthy and dinamic body, soul, and spiritual through various massage technique.

28. “Pijat urut Ritual” • “Ritual” is an actions performed primarily for symbolic value. • “Pijaturut ritual” is a series of actions performed by practitioner to achieve the balance of body, soul, and spiritual that affect and harmonize the practitioner’s energy with client.

29. “Ritual” is done as : • Sincere intentions and pray to ask the God for a benefitically massage • Concentration • Smile and greetings • Massage is done with body language and verbal in Indonesia appropriate norms.

30. Benefit • Increase muscle soreness • Strengthen blood, lymph, and hormon circulation • Improve nerve stimulation • Mind relactation and reduce anxiety so as to achieve balance and healthy body, soul, and spiritual.

31. “Pijat Urut” Techniques The based on “Urut” • RUB : • Rubbed gently /rub with smooth-relaxation • Rub with pressure • Combination

32. “Pijat Urut” Techniques 2. Pressed in circular motion 3. Squeezing

33. “Pijat Urut” Techniques 4. Pat : with palms ; with the back of hand; c.clanched hand with side tapping techniques ; d.inside 5. Thrilling : to reduce pain and tens of muscle

34. Important Things in “Pijat Urut” • Touch • Rhythm • Pressure

35. “Pijat Urut” technique that are widely use :

36. TERIMA KASIH