Wound, ostomy and continence in Indonesia

Setting up wound and stoma care services started in 1993 in the Indonesian capital, Jakarta. Then, there was collaboration between surgeons, enterostomal therapy nurses (ETNs), wound care clinicians and patients to promote quality of life and mutual help among patients and healthcare providers.

Wocare was developed in 2007, situated in Bogor, about two hours' drive from Jakarta. It is administered as a foundation and has been set up to provide education and train ETNs and wound care clinicians. The numbers have grown in the last 15 years, and ETNs and wound care clinicians are now in Indonesia. The Wocare Indonesian ETN Education Program has had recognition from World Council of Enterostomal Therapists (WCET) since 2007.

Project initiatives

Independent Nursing Private Practice—Wound Ostomy Care (WOC) entrepreneur

Wocare runs outpatient clinics looking after stoma, wound and continence patients. Patients pay according to their means. Nowadays, the practice of wound, ostomy and continence nursing in Indonesia has demonstrated significant improvement, as indicated by increased numbers of ETNs and wound care clinicians. Consequently, the quality of care for wound, ostomy and continence patients has improved.

Indonesian Wound Care Clinician Association (InWCCA) is an alumnus of Wocare Indonesia. There are 22,000 members located in various locations of Indonesia. The unique organisational structure is headed by the President and propagated by the Governor. As a progressive organisation, InWCCA has 11 projects to improve the quality of care for wound, ostomy and continence patients in the community.

Diabetic Foot Ulcer Management Project for Stop Amputation—Prevention First

Prevention of diabetic foot ulcers focuses on teaching, counselling and preventive education in self-care behaviours, including good foot care with daily inspection of the feet to reduce the recurrence of foot ulceration, followed by curative, rehabilitative and palliative conditions for advanced cases.

Stoma Care Project—Friend of Ostomate, serving up big opportunities

‘Advocacy’ is an important area as it helps to create awareness in society about the issues that ostomates face. The ostomy groups, along with health professionals, created an advocacy programme; through that, they promote and protect the rights of ostomates within society.

Disaster Management Project—7 Steps DISASTER WOUND MANAGEMENT

The ‘7 steps of disaster wound management’ model has been developed based on evidence-based practice. These steps contain basic instructions and recommended actions for each of the seven steps and will help wound clinicians use critical thinking in managing disaster situations.