Jumat, 20 Maret 2009

Politics of Indonesia

Indonesia

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Politics and government of
Indonesia



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The politics of Indonesia takes place in a framework of a presidential representative democratic republic, whereby the President of Indonesia is both head of state and head of government, and of a multi-party system. Executive power is exercised by the government. Legislative power is vested in both the government and the two People's Representative Councils. The Judiciary is independent of the executive and the legislature. The 1945 constitution provided for a limited separation of executive, legislative, and judicial power. The governmental system has been described as "presidential with parliamentary characteristics." Following the Indonesian 1998 Revolution and the resignation of President Suharto, several political reforms were set in motion.

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Reform process

A constitutional reform process has been underway since 1999, and has already produced several important changes.

Among these are term limits of up to two five-year terms for the President and Vice President, and measures to institute checks and balances. The highest state institution is the People's Consultative Assembly (MPR), whose functions included electing the president and vice president (since 2004 the president is elected directly by the people), establishing broad guidelines of state policy, and amending the constitution. The 695-member MPR includes all 550 members of the People's Representative Council (DPR) (the House of Representatives) plus 130 "regional representatives" elected by the twenty-six provincial parliaments and sixty-five appointed members from societal groups.

The DPR, which is the premier legislative institution, originally included 462 members elected through a mixed proportional/district representational system and thirty-eight appointed members of the armed forces (TNI) and police (POLRI). TNI/POLRI representation in the DPR was ended before the general election in 2004 and will end in the MPR in 2009. Societal group representation in the MPR was eliminated in 2004 through further constitutional change. Military domination of regional administration is gradually breaking down, with new regulations prohibiting active-duty officers from holding political office.

Having served as rubberstamp bodies in the past, the DPR and MPR have gained considerable power and are increasingly assertive in oversight of the executive branch. Under constitutional changes in 2004, the MPR became a bicameral legislature, with the creation of the Dewan Perwakilan Daerah (DPD), in which each province is represented by four members, although its legislative powers are more limited than those of the DPR. Through his appointed cabinet, the president retains the authority to conduct the administration of the government.

A general election in June 1999 produced the first freely elected national, provincial, and regional parliaments in over forty years. In October 1999 the MPR elected a compromise candidate, Abdurrahman Wahid, as the country's fourth president, and Megawati Sukarnoputri — a daughter of Sukarno, the country's first president — as the vice president. Megawati's PDI-P party had won the largest share of the vote (34%) in the general election, while Golkar, the dominant party during the Soeharto era, came in second (22%). Several other, mostly Islamic parties won shares large enough to be seated in the DPR.

The Indonesian political system before and after the constitutional amendments

Executive branch

Main office holders
Office Name Party Since
President Susilo Bambang Yudhoyono PD 20 October 2004
Vice-president Jusuf Kalla Golkar 20 October 2004

The president and vice president are selected by vote of the citizens for five-year terms. Prior to 2004, they were chosen by People's Consultative Assembly. The last election was held 20 September 2004. The president heads the United Indonesia Cabinet (Kabinet Indonesia Bersatu) The President of Indonesia is directly-elected for five-year terms, and is the head of state, commander-in-chief of Indonesian armed forces and responsible for domestic governance and policy-making and foreign affairs. The president appoints a cabinet, who don't have to be elected members of the legislature.


Legislative branch

The legisaltive building complex where the MPR, DPR and DPD meet

The People's Representative Council (Dewan Perwakilan Rakyat) has 550 members, elected for a five year term by proportional representation in multi-member constituencies. The other chamber of the People's Consultative Assembly(Majelis Permusyawaratan Rakyat) is the Regional Representatives Council (Dewan Perwakilan Daerah). Following elections in 2004, the MPR became a bicameral parliament, with the creation of the DPD as its second chamber in an effort to increase regional representation.

Political parties and elections

The General Election Committee (KPU - Komisi Pemilihan Umum) is the body responsible for running both parliamentary and presidential elections in Indonesia. Prior to the General Election of 2004, the KPU was made up of members who were also members of political parties, however members of the KPU must now be non-partisan.

ed Summary of the 5 July and 20 September 2004 Indonesian presidential election results
Candidates for President Supporting Parties Parties First round Second round
Votes % Votes %
Susilo Bambang Yudhoyono Democratic Party 36,051,236 33.58 67,196,112 60.9
Megawati Sukarnoputri Indonesian Democratic Party-Struggle 28,171,063 26.24 43,198,851 39.1
Wiranto Golkar 23,811,028 22.18
Amien Rais National Mandate Party 16,035,565 14.94
Hamzah Haz United Development Party 3,275,011 3.06
Total 106,228,247 100.0 110,394,163 100.0
Source: KPU
ed Summary of the 5 April 2004 Indonesian People's Representative Council election results
Parties Votes % Seats
Golkar (Partai Golkar) 24,480,757 21.6 128
Indonesian Democratic Party-Struggle (Partai Demokrasi Indonesia Perjuangan) 21,025,991 18.5 109
National Awakening Party (Partai Kebangkitan Bangsa) 11,994,877 10.6 52
United Development Party (Partai Persatuan Pembangunan) 9,248,265 8.1 58
Democratic Party (Partai Demokrat) 8,455,213 7.5 57
Prosperous Justice Party (Partai Keadilan Sejahtera) 8,324,909 7.3 45
National Mandate Party (Partai Amanat Nasional) 7,302,787 6.4 52
Crescent Star Party (Partai Bulan Bintang) 2,970,320 2.6 11
Reform Star Party (Partai Bintang Reformasi) 2,763,853 2.4 13
Prosperous Peace Party (Partai Damai Sejahtera) 2,425,201 2.1 12
Concern for the Nation Functional Party (Partai Karya Peduli Bangsa) 2,398,117 2.1 2
Justice and Unity Party (Partai Keadilan dan Persatuan Indonesia) 1,423,427 1.2 1
United Democratic Nationhood Party (Partai Persatuan Demokrasi Kebangsaan) 1,313,654 1.2 5
Freedom Bull National Party (Partai Nasional Banteng Kemerdekaan) 1,230,455 1.1 1
Pancasila Patriots' Party (Partai Patriot Pancasila) 1,073,064 0.9 -
Indonesian National Party Marhaenism (Partai Nasional Indonesia Marhaenisme) 922,451 0.8 1
Vanguard Party (Partai Pelopor) 897,115 0.8 2
Indonesian Nahdlatul Community Party (Partai Persatuan Nahdlatul Ummah Indonesia) 895,566 0.8 -
Indonesian Democratic Vanguard Party (Partai Penegak Demokrasi Indonesia) 855,218 0.7 1
Freedom Party (Partai Merdeka) 841,821 0.7 -
Indonesian Unity Party (Partai Sarikat Indonesia) 679,296 0.6 -
New Indonesia Alliance Party (Partai Perhimpunan Indonesia Baru) 672,952 0.6 -
Regional Unity Party (Partai Persatuan Daerah) 657,907 0.6 -
Social Democrat Labor Party (Partai Buruh Sosial Demokrat) 635,182 0.6 -
Total counted 113,488,398 - 550

[edit] Judicial branch

The Indonesian Supreme Court (Mahkamah Agung) is the highest level of the judicial branch. Its judges are appointed by the president.

[edit] Foreign relations

During the regime of president Suharto, Indonesia built strong relations with the United States and had difficult relations with the People's Republic of China owing to Indonesia's anti-communist policies and domestic tensions with the Chinese community. It received international condemnation for its annexation of East Timor in 1978. Indonesia is a founding member of the Association of South East Asian Nations, and thereby a member of both ASEAN+3 and the East Asia Summit. Since the 1980s, Indonesia has worked to develop close political and economic ties between South East Asian nations, and is also influential in the Organization of the Islamic Conference. Indonesia was heavily criticized between 1998 and 1999 for allegedly suppressing human rights in East Timor, and for supporting violence against the East Timorese following the latter's secession and independence in 1999. Since 2001, the government of Indonesia has co-operated with the U.S. in cracking down on Islamic fundamentalism and terrorist groups.

Miracle girl

I am sleeeepy. I slept at 2:00 AM and I woke up today at 4:00 AM! now I feel exhausted.

I carried this only once and it was on Friday.. So there was no one to annoy me with hundreds of questions based on the impression they get out of carrying looney tunes stuff!

I always make sure to buy whatever has a pic related to FOOD.

.............................................

Elmhm, yesterday I decided to change! I am annoyed a lot by the staff... I don't want to be a friend with every Tom, Dick, & Harry!

& here is what I came up with:

1) I promised myself NOT to smile unless I feel it is something worthy to smile about! & this is probably the hardest thing for me.. how to stop smiling?!

2) I promised myself not to carry or wear any cartoonish thing. & this includes (bags, pendants, and watches). & if I ever plan to wear any of such things, I will hide 'em with my clothes.

3) I promised myself not to sign with my famous hearty signature! I was misunderstood because of it!!! Imagine that some people thought that that signature of mine was indented for them!!! OMG! they thought I drew hearts for some love purposes! O_O it was such a shock... really!

4) I promised myself not to allow endless talks with coworkers.

5) I promised myself not to join those who talk behind people's backs.

6) I promised myself not to have more than 2 pens in the pocket of my lab coat!

All that to distinguish between work life & personal life. I still cannot grasp the fact that I have to be a different person at work! I just can't. The more I try, the more I fail. It sounds frustrating...

Like today for instance... I was trying to look too stern! I did not open my mouth during the morning shift... I was so happy that I was following the rules I made for myself.

and when lunch time came, I ruined everything... I ruined everything unintentionally! It was really a spontaneous thing!

This is a mobile shot taken by one of the dietitians! She thought it was the weirdest thing ever to ask for a mashed diet!

I just ruined everything by asking for A MASHED DIET for myself!

I just wanted to have a mashed diet...

what was wrong with that? Something to remind me of CERELAC... and who said that adults cannot eat cerelac? even my uncle does eat Cerelac... Even my brother used to love cerelac... So, what was wrong with ordering a very tasty mashed diet??? Perhaps I did not want food to stick between my teeth!

& OH MY GOD..

allllllllllllllllll the coworkers were laughing and laughing when they knew about my request! & I shrank for sure.. You should have seen my face! my face was the size of an olive.. & I was turning red!!! I just wanted to collect my face after it was dropped, but I couldn't! & I really wished that I'd be swallowed by an earthquake or something.

They thought I was a little kid!!!

They always tell me: "you have baby-like features"

& now after the mashed diet.. what will they think of me?

As a matter of fact, mashed diet was so yummy... especially the carrots! I am not a big fan of carrots though! They make it with a very magical touch! I am not exaggerating.. otherwise I wouldn't have ordered for it! yum yum.. & I finished it all.

To add more yeast to the brew, after a short while & while I was enjoying my meal, the manager came to the place where I and the dietitians were eating.. and said with a very loud voice: "MASHED DIET... MASHED DIET FOR A DIETITIAN!!!" and then he concluded that phrase with my name!

SO next time,

I should never ASK for mashed.

I should get rid of what I LOVE in order to be professional... Let's see if this will work for me!

Secsio saesarae

PEMBAHASAN

A. Konsep Dasar Medik

1. Pengertian

Secsio saesarae adalah suatu cara melahirkan janin dengan membuat sayatan pada dinding uterus melalui dinding depan perut atau vagina atau secsio sesarae adalah suatu histerotomia untuk melahirkan janin dari dalam mulut rahim.

2. Istilah-istilah dalam Secsio Saesarea

- Seksio sesarae prime (efektif)

Dari semua telah direncanakan bahwa janin akan dilahirkan secara seksio sesarea, tidak diharapkan lagi kelahiran biasa, misalnya pada panggul sempit (cv kecil dari 8 cm).

- Seksio sesarea sekunder

Dalam hal ini kita bersikap mencoba menunggu kelahiran biasa (pertus percobaan) bila tidak ada kemajuan persalinan atau pertus percobaan gagal, baru dilakukan seksio sesarea.

- Seksio sesarae ulang (repeat caesarea sectio)

Ibu pada kehamilan yang lalu mengalami seksio sesarea (previous caesarea section) dan pada kehamilan selanjutnya dilakukan seksio sesarea ulang.

- Seksio sesarae histerektomi (Caesarae Sectio Hystereetomy)

Suatu operasi dimana setelah janin dilahirkan dengan secsio sesarea, langsung dilakukan histerektomi oleh karena suatu indikasi .

- Operasi porro (porro operation)

Suatu operasi tanpa mengeluarkan janin dan kavum uteri (tentunya janin sudah mati) dan langsung dilakukan histerektomi, misalnya pada keadaan infeksi rahim yang berat.

Seksio sesarea oleh ahli kebidanan disebut obstektrik panacea yaitu obat atau terapi ampuh dari semua masalah obstutri.

3. Indikasi

ü Placenta previa sentralis dan lateralis (posterior)

ü Panggul sempit

Holmor mengambil batas terendah untuk melahirkan janin vias naforalis ialah : CV : 8 cm, panggul dengan CV : 8 cm dapat dipastikan tidak dapat melahirkan janin yang normal, harus diselesaikan dengan secsio sesarea. CV antara 8 – 10 cm boleh dicoba dengan partus percobaan, baru setelah gagal dilakukan seksio sesarea sekunder.

ü Disproporsi sefalo-pelvik : yaitu ketidakseimbangan antara ukuran kepala dan panggul.

ü Ruptura uteri mengancam

ü Partos lama (prolonged labor)

ü Partos tak maju (obstructed labor)

ü Distosia serviks

ü Pre-eklamsia dan hipertensi

ü Malpresentasi janin

¨ Letak lintang

Greenhil dan Gastman sama-sama sependapat :

- Bila ada kesempitan panggul, maka seksio sesarea adalah cara yang terbaik dalam segala letak lintang dengan janin hidup dan besar biasa

- Semua primugravida yang letak lintang harus ditolong dengan seksio sesarea walau tidak ada perkiraan panggul sempit.

- Multipara dengan letak lintang dapat lebih dulu ditolong dengan cara-cara lain

¨ Letak bokong

Seksio sesarea dianjurkan pada letak bokong bila ada :

- Panggul sakit

- Primigravida

- Janin besar dan berharga

¨ Presentasi dahi dan muka (letak defleksi) bila reposisi dan cara lain tidak berhasil

¨ Presentasi rangkap, bila resposisi tidak berhasil

¨ Gemelli, menurut Easman seksio sesarea dianjurkan :

- Bila janin pertama letak lintang atau presentasi bahu (shousder preventation).

- Bila terjadi interlock (locking of twins)

- Dutosia oleh karena tumor

- Gawat janin dan sebagainya

Pada masa dulu seksio sesarea dilakukan atas indikasi yang terbtas pada panggul sempit dan plesenta previa, seperti yang telah diterangkan diatas, meningkatnya angka kejadian seksio sesarea pada waktu sekarang ini justru antara lain disebabkan karena berkembangnya indikasi dan makin kecilnya resiko dan mortalitas pada seksio sesarea karena kemajuan tehnik operasi dan anastesi serta ampuhnya antibiotic dan hematerapy.

Yang disebut dengan seksio posmortem adalah seksiao sesarea segera pada ibu hamil cukup bulan yang meninggal tiba-tiba sedangkan janin masih hidup.

4. Jenis – Jenis Operasi Seksio Sesarea

a. Abdomen (seksiosesarea abdommalis)

- Seksio sesarea transperitonealis :

¨ Seksio sesarea klasik atau korporal dengan insisimemanjang pada korpus uteri

¨ Seksio sesarea ismika atau profunda atau low cervical dengan insisi pada segmen bawah rahim.

- Seksio sesarea ekstraperifinialis, yaitu tanpa membuka perifonium paraetalis, dengan demikian tidak membuka vakum abdommalis.

b. Vagina (seksio sesares vaginalis)

menurut arah sayatan pada rahim, sesio sesarea dapat di lakukan sebagai berikut :

1. Sayatan memanjang (longitudinal) menurut kroning

2. Sayatan melintang (transversal) menurut ferr

3. Sayatan huruf T (T-incision)

c. Seksio sesarea klasik (korporal)

Dilakukan dengan membuat sayatan memanjang pada korpus uteri kira-kira 10 cm.

Kelebihan :

- Mengeluarkan janin lebih cepat

- Tidak mengakibatkan komplikasi kandung kemih tertarik

- Sayatan bisa diperpanjang proksimal atau distal

Kekurangan :

- Infeksi mudah menyebar secara intra abdominal karena tidak ada reperitonealisasi yang baik.

- Untuk persalinan berikutnya lebih sering terjadi ruptura ueri spontan.

d. Seksio sesarea ismika (profunda)

Dilakukan dengan membuat sayatan melintang-konkaf pada segmen bawah rahim (low cervical transversal) kira-kira 10 cm,.

Kelebihan :

-Penjahitan luka lebih mudah

-Penutupan luka dengan reperitonealisasi yang baik

-Tumpang tindih dari peritonialflap baik sekali untuk menahan penyebaran isi uterus ke rongga peritonium

-Pendarahan kurang

-Dibandingkan dengan cara klasik kemungkinan ruptura uteri spontan kurang/lebih kecil.

Kekurangan :

- Luka dapat melebar kekiri, kanan dan bawah, sehingga dapat menyebabkan uterina putus sehingga mengakibatkan perdarahan yang banyak.

- Keluhan pada kandung kemih postoperatif tinggi.

5. Komplikasi

ü Infeksi purfural (nifas)

- Ringan : dengan kenaikan suhu beberapa hari saja

- Sedang : dengan kenaikan suhu yang lebih tinggi, disertai dehidrasi dan perut sedikit kembung

- Berat : dengan peritonitis, sepsis dan ileus paralitik. Hal ini sering kita jumpai pada partus terlantar, dimana sebelumnya telah terjadi infeksi intrapartal karena ketuban ynga telah pecah terlalu lama.

ü Perdarahan, disebabkan karena :

- Banyak pembluh darah yang terputus dan terbuka

- Atonia uteri

- Perdarahan pada placental bed

ü Luka kandung kemih, emboni paru dan keluhan kandung kemih bila reperitonialisasi terlalu tinggi

ü Kemungkinan ruptura uteri spontan pada kehamilan mendatang

6. Prognosis

Dulu angka morbiditas dan mortalitas untuk ibu dan janin tinggi. Pada masa sekarang, oleh karena kemajuan yang pesat dalam tehknik operasi, anastesi, penyediaan cairan dan darah, indikasi dan antibiotika angka ini sangat menurun.

Angka kematian ibu pada rumah sakit dengan fasilitas operasi yang baik dan tenaga-tenaga yang cekatan adalah kurang dari 2 per 1000.

Nasib janin yang ditolong secara seksip sesarea sangat tergantung dari keadaan janin sebelum dilingkungan operasi. Menurut data dari negara-negara dengan pengawasan antenatal yang baik dan fasilitas neonatus yang sempurna angka kematian perinatal sekitar 4 - 7 %.

7. Nasehat Pasca Operasi

- Dianjurkan jangan hamil selama + 1 tahun, dengan memakai kontrasepsi.

- Kehamilan berikutnya hendaknya diawasi dengan antenatal yang baik.

- Dianjurkan untuk bersalin di rumah sakit yang besar

- Apakah persalinan yang berikut harus dengan seksio sesarea tergantung dari indikasi seksip sesarea dan keadaan pada kehamilan berikutnya.

- Hampir diseluruh institut di indonesia tidak dianut diktum “once a cesarean always a cesarean”.

- Yang dianut adalah “once a cesarean not always cesarean” kecuali pada panggul sempit atau disproporsi sefalo-pelvik

DAFTAR PUSTAKA

- Straight. R. Keperawatan. Ibu Bayi Baru Lahir, Edisi 2.

EGC : Jakarta

- Doenges, dkk. 2001. Rencana Keperawatan Maternitas/Bayi. Edisi 2.