 Okay. Super. Thank you. So, let me introduce you to Istri Bhattini. She is a midwife and a master of public health. And she's working as a lecturer and a director of the Dr. Kata Midwifery Academy. Also, she's working as a midwife and a private practice. And she's a member of the Indonesian Midwives Association. And she has prepared this presentation together with Noor Alaylaia, who sent her apologies. She cannot come. So, Istri, over to you. We are looking forward to listen to your presentation. Feel free to start, Istri. Okay. Hello. Thank you. Thank you, Michelle, for introducing me. Hello, everybody. My name is Istri Bhattini from the Indonesian Association of Midwives. And I'm the friend of the Kata Group in Indonesia. Today is a special moment and we would like to say happy international day of Midwives 2017. Congratulations for all Midwives around the world. Be proud to be a midwife. And I'm very happy to connect you in this forum today. Can you speak up a bit? Can you speak up a bit? Some people cannot hear you. Okay. Is it okay? Yes. Much better, I think. Thank you, Michelle. And hello, everybody. Let me introduce myself. My name is Istri Bhattini from Indonesian Association of Midwives in Bantulbrang, Jakarta, in Indonesia. And today is a special moment and we would like to say happy international day of Midwives 2017. Congratulations for all Midwives around the world and be proud to be a midwife. And I'm very happy to connect you in this forum today. And the theme of the IDM this year is relevant to our work is about partnership. IDM said that Midwives mothers and families is a partner for life. Definitely. And I will describe our way, I will describe other way to do a partnership as well as our philosophy in Midwives Recare. Well, I will share our experience in managing a program and working a partnership as a role of Midwives organization to promote exclusive breastfeeding. And now I'll talk to you representative from EB or Indonesian Association of Midwives in Bantulbrang, Jakarta. Okay. Well, I think Michelle has introduced us at the beginning of the session. So I will continue to show you our position now. Here we are. I'm sure most of you have now in Indonesia and we stay at Jakarta Profins, Semaw Profins in Central Java. And in Indonesia, we have only one Midwives organization or association named EB or Indonesian Association in Indonesia. Therefore, in each province, there are local committees and also brands in every region. And Bantul is one of a brand of EB in Jakarta. And here at Bantul, there are 503 registered Midwives and 147 of them have been providing and provide practice at their home. And Midwives... history, can you speak up a bit? Sorry, can you speak louder a bit? Can you just turn up your volume and speak louder? Some people cannot hear you. Okay. Just a bit closer to the microphone. I think then it's fine. Yes. Hello. Is it okay? Yeah. I will continue. Okay. Midwives Association in Bantul or EB Bantul. This is a strong organization. We have a commitment to do the best together. And we have a regular meeting to discuss many agendas including to fast respond in breastfeeding problems. And let's have a look to the background. In 2014, WHO stated about 10 facts on midwifery and emphasized that midwife preferred an essential care for mother and child. And after childbirth, midwives support mother to breastfeed. But in fact, in Indonesia, proportion of mothers who breastfeed exclusively only 52.3% even though midwives have been struggling to promote breastfeeding exclusively but it is not easy to gain 100% breastfeed exclusively. And walking outside is one of the problems for mother to breastfeed exclusively. At Bantul, many women or mothers walk outside and left their baby at home. Therefore, Indonesian Midwife Association in Bantul create a program and meet a networking team being with women at workplace. Well, at the moment, we were thinking about possibility to involve other institutions or organizations into this party. First, we concerned to a place where women working in and we found the ITP, PT ITP or International Government Protection. It is a big company in city of Bantul. ITP company employed 1,742% and mostly are women or around 65% including pregnant and breastfeeding women. Actually, they have a health corner where two nurses are placed for emergency care but they do not concern to breastfeeding. ITP Bantul has designed an activity to promote breastfeeding care for women employees. There are six employees counseling every month. Our target is the proportion of women employees who do breastfeeding exclusively increase to 80% in particularly breast-proven and to improve women's employees' knowledge and go on managing breastfeeding as exclusively. And also, to improve the proportion of women workers who do breastfeeding. And Istri, we cannot hear you anymore. You are stating it's really, really quiet and people cannot hear you. You have to really focus on speaking into the microphone on very close. Can we make a try? Can you just say something please? Hello. Yeah, that's a bit better. Yeah, and really stay there. Don't move away because it's very good at the beginning and then it's kind of fading and people say they cannot hear you. So make the best of it and just go close to the microphone and speak really loud. Thank you so much. We'll keep the microphone. Very close and very loud speaking. Thank you. Yes, I'm forgetful of the trouble. And I will continue about, well, yes. We know that midwives do not work exclusively or even isolated. We need mutual relationship with many, for example, general manager of ITB factory, department, laboratory department, and our member of TB, Indonesian association of midwife, particularly in Banto's, Banto's branch. And also we informed midwifery academy and of course we employ women employees in the factory. In this party, we bring a key method that all we can do is to strengthen midwives and waves organization in public policy. The same book is, this program is an initiation to introduce a company in breastfeeding, including planning, implementation, monitoring and evaluation. And second is that this work is assisting for provider and equipment which has been needed for a woman employee. And the tour is feminine for midwifery in public policy in matinee and child health. In constant disability side to side and women side. And the fourth is that advocacy and negotiation in this partnership. Well, according to legal aspect, our work based on some law and political policy. In my slides, you can see that since 2009, until now, our government support breastfeeding by a society law and policy. But as I said later that breastfeeding exclusively is not a practice. And we think about some activities. Then what I can explain. Okay, I will continue to describe our unforeseen work and whom we work successfully with. Well, in our first partnership, there are three main thoughts, are EB, Labor Department and the company. And I will explain what they have done one by one. First, I will show you what EB has done. EB or we start doing advocacy and introducing the program. We are approaching too many people and organizations to get an interest and understanding about breastfeeding problem. Those, they can willing to join us in the program. And then we are giving some equipment to be placed in location room, such as table, chair, switch and fan. In addition, we are also collaborating with Health Department in planning for breastfeeding consular. We plan a midway free to some workshop of planning about breastfeeding. And in the fact we are leading an assistant woman employee and her team. Now, so we have provide some knowledge and services such as guidebook and procedure. That you are another counseling team. Yes, you can hear your history. You can continue. But what we can also try is you can click on your microphone symbol and see if your volume is really, really up. Can you check that just for a second? Can you click on the microphone and see if the volume is up? To adjust microphone volume, can you go to that and put it up? Do you see it? There's the microphone symbol and there's a little arrow to the right. You click on it and then there's adjust microphone volume. Yes. Can you click on that? Yes. I have it down to adjust microphone volume. Well, can I continue? I will continue. I hope you are hear my voice. This picture in this slide explains what we realized. The most important we hope is awareness. It is a reality that gender equality is still a problem in our country. Not too bad. But in some conditions it has been implied in the policy. For example, about breastfeeding. Some people think that it's just women's problem, nothing take on their business. They never aware in this problem even they think formula is the answer. Therefore, we never give up to explain about it and we try to meet with K person in Jakarta, also the general manager in IEP company and the labor department which responsible with employees. We do a door to door approach. We try to continue that breastfeeding program which would give positive impact for community, community, company in our country. We explain with simple words, nice ways and a positive attitude. In Banto, Jakarta, Indonesia, majority mid-wide work takes place in community. So, we need sophisticated understanding of the importance of working and establishing partnership with other agencies in our local community. One is a success that labor department accepted our idea and they encourage us based on action for example, they give many books and funding for our program. They also help us writing to the company staff about excellent services and good standard for company. They also give technical assistance and regular monitoring to the local government on implementation of breastfeeding at workplace. They also report on this program. And what about the company? Wow, it's amazing that they function with this program. They build a lactation room. They point out a person who will take over the program. So, they point out a nurse at the class. You enter every woman in the factory now about lactation room. They also describe the lactation room to the privacy and comfort table and allow and give time to mother to pump breast milk about one hour. They also ensure the security and safety in the lactation room. And also they give space to set poster and flyer. Sure, we get a positive response that could be determined that networking, willingness and social responsibility are the key to do a partnership for midwives and young big women at workplace demonstrate the necessity and mutual benefit for women and children. This lesson learned inspired us to expand the program. This is the situation in the factory. Women and their jobs. The factory produce an export, an export baby dress. If you have a little daughter who has a baby doll perhaps the baby dress is made by this woman. And here is our partnership pattern. Look like a beautiful triangle. We complement it with others and the main focus is in clothing that mean the women. Our relationship like a puzzle and we must know and understand our position. We have some power to help women in her baby health. Here also some documentation in this program including how we share in local newspaper to inspire others. This is a change before and after we do an amazing work. Before we have time, they just have a child and a drug cupboard. The room is very quiet. Let's have a look after returning. This room has many equipment, not the baby. These are the services in the factory. We also invite Vietnam employees to discuss about preparation for this meeting. Like in Ntenata and Postnatal Cres. We divide them into two groups, Vietnam and Postnatal Groups. In Vietnam Groups, we discuss and sharing experience about voting and how to prepare the speech. Most of them worry about the voting process and do not understand that the speech must be prepared in the time period. In Postnatal Groups, we support and train how to plan the speech in an auspicious manner. This activity clearly shows that we are providing continuity of care. It allows the women across the interface of community service, particularly at workplace. It never comes before. And far enough, from this work, we have understood that it requires organization to play a vital role in partnership with other sector for supporting exclusive breastfeeding programs. And breastfeeding women and pregnant women to the very best in their workplace. And we were into Salipairman 2006 to state that working in partnership with women is also extremely rewarding powering from advice. And from this work, we know that speech is true and we have been practicing and finding the meaning. So this evidence in our experience has explored the importance of partnership with women in the workplace and has learned how Midwest can work in partnership, not only with women for whom we provide delivery care, but also with other agencies or organizations in community. We hope this works inspire others, particularly with ways around the globe to promote breastfeeding exclusively. Oh, and thank you. Terima kasih. Is there any questions? I would... Excellent, Astrid. Thank you so much. That was really interesting. Terima kasih. That was typing in. There were already some questions while you were presenting. So the first... I mean, a lot of people expressed that well done to the company that they did this. And some people highlighted that what you are doing is actually the this year's theme of the IDM, that you're working in partnership. And so somebody asked if Midwest are there in the factory to promote breastfeeding. Is that your role? That was a question. Is there anything about that? Okay. Thank you for the questions. I just mean that our work to provide delivery care is like a continuity care. So we follow the woman in the workplace that never comes before with other health departments or other health practices. So we create some activities. We struggle to find ideas. And we found that we have to meet women in a factory. We think that it is also our role because the best way of practice is the continuity of care. So we emphasize that being with women is important. Whenever a woman lives, wherever she lives, wherever she is, we have to give her delivery care for women. Thank you. Excellent. And Monica is asking who brings the baby to the mom? Is it the family? Yes. Usually a woman left the baby and they give to her mother or grandmother. Someone also left to their network. Yes, like that. So it's very interesting to me to ask how the baby can get the best nutrition. The woman is kind of most of the women, particularly women employees, they didn't know how to save the personnel. Thank you. And Sarah is asking what barriers are there when you are working with these women or within their working environment? What are the barriers? Can you say something about it? Sarah is asking what the barriers are when you work with women at their workplace? Do you experience any barriers? Or is it no barriers at all? At the beginning we have some problems because we continue the company would introduce for women employees is not easy to do. But we try again and again and eventually we can identify them in the lactation room and we do a basis. And Jinta is asking what the improvement were over time? Could you see any improvement? Well, in this factory we also evaluate every month we look at the list, attend the list and we know that every Monday more and more women come into this lactation room to discuss breastfeeding. We think it is a good progress that we have evaluated and generally for breastfeeding programs in our regency, in Banco Regency in two years there is a significant increase in proportion of breastfeeding women in my first slide I explained that 52.3% about proportion of breastfeeding women would give breastfeeding exclusively but in two years in 2016 the data showed that in case of more than 75% that is a very good for us. Okay so more questions coming in so Jinta is asking how many women just pump and they actually feed the child is that also a possibility in these lactation rooms? Yes for too much we have about 10 women who come in this room every Friday a month women and more including pregnant women for breastfeeding women we meet five or six women thank you and these women they breastfeed or they pump they pump because the baby they have a baby so they pump the breast milk in the fridge okay so we have Anya who raised her hand we will just quickly give her the microphone and she can speak up if she likes wait a second Anya maybe in the meantime we can have another question if this is affecting the wage of the women if they take time to feed or to pump in that case does it affect the wage? no we have to put a process to the manager of the factory it is a policy that we surprise that the manager has a time allow a time about one hour to feed us and to meet with the factory excellent Anya you have the microphone you can ask the question if you like it was taking time for me to connect the microphone it's a very very interesting discussion going on just now about encouraging women to be able to breastfeed while they're at work I can see from the discussion that they maybe are spending a lot more time pumping and I would like to ask if Trey hi Hi hello Anya nice to meet you so exactly how many women actually breastfeed in these lactation rooms with their baby and how that works well Anya hello thank you for coming and hear my presentation as I said there are about 10 10 times and sometimes more women in the lactation room but they including pregnant women so not of the breastfeed women we have 5 about 5 breastfeed women come let me excuse me if Trey can you repeat the last sentence I didn't hear it okay it is like I I cannot hear you at all for the pregnant women we discuss about how to breastfeed for the breastfeed women we find how to farm and how and we also give enough of the patient Anya has your question been answered or is there anything else you want to ask the gist of how this lactation room is going and I hope that women are actually able to have their babies with them for that hour that they are allowed to breastfeed I think it is a very very good initiative and it is definitely a good beginning but I would hope that babies would actually get to be with their mother for some time during the day thank you very much history for very very interesting talks thank you Anya I can just to repeat what Anya has said because some people could not understand it So Anya just emphasised that she would she sees this is a great initiative and a really good start but that she also would like to see the children actually with the mother breastfeeding history is there any is there any vision of having the babies there in the lactation room is there any demand by women or what do midwives think about it at the beginning it is midwife initiative but by the time women know that lactation room is 5 so they come with because women fight but they know and they want to meet the midwife so history Sheila is asking if there is a clear policy about how much time is permitted during the day for lactation or is this a flexible approach in our country we have a policy that pregnant women who is kind of 13 they have 3 months for this video but in the factory for example it depends on the policy it depends on the manager they are in this story that I told you there is one hour every every okay so one hour let me see let's have one more question and then we are finishing so the ginger was asking are the workers paid per hour or per output like the breastfeeding mothers or any mothers or any women are they paid by the hour or by output yeah at least for example in the factory at least one hour it gives a change for mother for women for women employees to save the breast milk and they can give the breast milk after they come home at least it is believable for women okay we need to wind the session up so there are plenty more questions coming in history and I think you've raised a really innovative idea you had and it's great there was really a lot of positive responses to your initiative but also to the company who supported that and I think you clearly expressed this year's theme of the international day of the midwife that midwives and women should be in partnership and I think your example was an excellent showcase in that and I think the midwives are there where women are, I think that was another really good comment I've read that actually we should not wait for women to come to us but then go to women and you inspired a lot of people who might think now where can I go to meet women so thank you so much history and we are clearing up the chat and doing some housekeeping here and thank you so much for this excellent presentation and for everyone thank you Mr. for facilitating me in this presentation and thank you for everyone and again happy international day of the midwife in 2017 and we will see you again in next year, bye bye bye so let's stop the recording