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WINNER 2023 » Speakers » Roy Massie
Roy Massie
a Senior researcher at BRIN, a physician, and a public health expert on what works


Dr. Roy G.A. Massie is a Senior Researcher in Rural and Marginalized Community Health Research Group, Health Research Organization, BRIN. Previously, worked in National Institute of Health Research and Development, Ministry of Health. Medical Doctor from Sam Ratulangi University, Manado; Master of Public Health from SPH Boston University, Massachusetts; PhD from Queen Margaret University , Edinburgh. Certified in  Public Health Complex  Emergency  from Columbia University, Manhattan and University of Hawaii. Certified  Health   Policy   from Chulalongkorn   Bangkok and  ITM   Antwerp.

Experiences in   Public   Health   settings   in   rural   areas   in   NTT   Province, including   Independent   Consultant   for   Hospital   FS   and   Master   Plan,   Health Systems, Planning   and   Development   Programs,   Social   Determinant  of  Health   and   Complex Emergencies in Public Health. He has been involved in various projects related to health systems   and   policy   in   small   islands   and   outermost   areas   Indonesia,   particularly   in collaboration with national and international institutions.

Presentation Summary

This presentation provides some information of community health needs including describing in depth the felt needs of the community in villages located on small islands.  This study uses qualitative methods. The results the challenges of health services in Gangga Island are quite significant due to the geographical conditions and climate which are often very extreme, resulting in limited access to more complete health service facilities located on the mainland.

Moreover, interest in health workers working in this area and its surroundings is rather low. This is proven, even though there are health facilities in the form of auxiliary health centers, they are not functioning because health workers are not interested in living. Another situation is that the medical equipment available for health services is incomplete. Meanwhile, health services at posyandu are only provided once a month by health workers at the puskesmas.

Meeting the health needs of island communities should be applicable wherever possible. Professional health workers at least resided with the community. It is very important for health workers to understand the culture, language and habits of the community so that the health needs of the people living on the island can be met.

Health needs are not automatically translated into demand for health services. Health needs are also determined by the pattern of disease suffered by each individual. Demand for health services determined by clinical diagnosis is also greatly influenced by professional health workers (Bradshaw, 1972).