Indonesia is the largest archipelagic country in the world, where 2/3 of its territory is the ocean. As an archipelago with 80% sea and 20% land, Indonesia is a maritime country with a wealth of marine resources that are very important for the economy and development. According to data from the Ministry of Home Affairs of the Republic of Indonesia in 2004, the number of islands in Indonesia was 17,504 islands. 7,870 of them already have names, while 9,634 do not. Of the many islands in Indonesia, there are only around 6,000 inhabited islands. Some of the islands, especially remote areas, lack health services because the distribution of health workers rarely reaches these remote areas, and the difficulty of access to these areas also causes inequality in development, information flow, technology, education, and infrastructure compared to other regions.
The government actually gave special attention to addressing development and health inequality, President Joko Widodo emphasized in a speech that, “The government that I lead will work to ensure that every citizen throughout the country feels the presence of government services. We must work hard to restore Indonesia as a maritime country. Ocean, sea, strait, and bay are the future of our civilization. We have turned to the sea for too long, back to the ocean, back to the strait and bay. Now is the time for us to return everything so that Jalesveva Jayamahe – in the sea we are victorious, as the slogan of our ancestors in the past, can re-form.”
Social service activities that provide health services have indeed been carried out several times by a number of parties as part of the company’s CSR program, educational institutions are also realized in the form of Tri Dharma Perguruan Tinggi, or social service by other agencies. This is insufficient because the nature of social service is temporary and non-routinely, while the need to get health services is absolutely necessary at all times.
The difficulty of the population in obtaining health services in remote islands is what makes some Airlangga alumni use small boats and provide services to the area. Many of the obstacles they experience in using the small boat mainly involve bad weather, which could also be dangerous and life threatening. Various efforts have also been carried out in providing access to health services in remote areas with local government agencies, but the results obtained have not been maximized. Finally, an alumni who has an adventurous spirit and indeed intends to devote himself to health services in remote areas has initiated the creation of a Phinisi wooden ship with a length of 27 meters and a width of 7 meters. The vessel is now completed and named as “Ksatria Airlangga Flotaing Hospital.”
The ship is a heritage from our ancestors, especially the Bugis, which has proven its toughness navigating the entire archipelago. Phinisi Nusantara was even able to sail from Jakarta to Vancouver across the Pacific Ocean, so it is considered safe enough to reach the entire archipelago in Indonesia. With a size that is not too large, this ship can enter relatively shallow waters. In addition, the operational costs and maintenance are also efficient. Phinisi ships are much more stable compared to ships the size of glass fiber material.
As one form of community service support in remote areas, FK UNAIR Alumni has held the Symposium on Adventure and Remote Medicine in the framework of the 62nd UNAIR Anniversary in November 2016. This symposium was planned to socialize and get full support from various parties to realize the Ksatria Airlangga Floating Hospital. It is expected that the alumni, together with health stakeholders, Ministry of Disadvantaged Regions, and University Partners of Airlangga University can coordinate together in realizing shipbuilding planned as this floating hospital. This is one alternative solution in health problems in remote areas and the problems of the nation’s children are left behind in achieving “Health for all.”
Medical adventure and remote areas “Adventure and Remote Medicine” is the harmonization between courage (adventure) and accuracy as described as the right wheel and the left wheel of the war chariot in the war era of Bharatayuda. Moral strength and strong competency are needed. Adventure medicine and remote areas are about the ability to conquer backwardness and bring change and progress in remote areas. It is expected, then, that a community that is interested in the field of “Adventure and Remote Medicine” will be created. They will continue to roll out ideas and tangible contributions to change towards progress in remote areas.