第1回インドネシア看護学校視察ツアー報告書

実施日: 2010 年3 月9 日(火)~13 日(土)
参加者: 13 名(内12 名は全盲老連創立40 周年記念事業として団体参加)
主催者: 一般社団法人 外国人看護師・介護福祉士支援協議会
協力:  社団法人 日本・インドネシア経済協力事業協会

視察目的:
 EPA に基づく看護師介護福祉士候補者を送出している看護学校を視察し、送出し学校と受入施設双方の交流を図り、情報交換し相互理解を深めることにより、今後の送出し受入がより円滑に行われることを目的とした。今春、開始された看護学校内日本語教育の現状を確認し、必要
であれば助言することが看護学校より要請されていた。
 加えて、今回の視察は、全盲老連が創立40周年記念事業として団体参加するため、インドネシアにおける視覚障碍者福祉事情の視察も目的とされた。
 参加者に介護福祉士候補者の受け入れ施設が2施設含まれており、22年度の候補者も念頭に置いての看護学校視察であった。

参加費:
16万円 ビジネスクラス利用の場合は、5.5万円追加(利用航空会社:ガルーダ・インドネシア航空)

 1.看護学校視察ツアースケジュール

3/9(火)
11:00 - 17:35 NRT(成田) - DPS(デンパサール) (GA 881)(ガルーダ航空881 便)
18:35 - 19:20 DPS(デンパサール) - CGK(ジャカルタ) (GA 881)
20:00 - 21:30 空港からホテルに移動(ホテル日航ジャカルタ)

3/10(水)
07:00 - 08:00 朝食
08:00 - 10:00 ブカシに移動
10:00 - 12:00 老人施設『ブッディダルマ』及びタンミヤット視覚障碍者施設訪問
12:30 - 13:30 昼食『Warung Saung』
13:30 - 15:30 バンドンへ移動
15:30 - 16:30 バンドン社会福祉専門学校訪問
16:30 - 17:30 レンバン(バンドン郊外)へ移動
17:30 - 18:30 盲老人ホーム『EBEN HAEZER(神の救い)』訪問
19:00 - 20:00 夕食『Sindang Reret』
20:00 - 23:00 ホテルに移動(ホテル日航ジャカルタ)

3/11(木)
07:00 - 08:00 朝食 (ホテルチェックアウト)
09:00 - 10:00 社会省訪問
11:00 - 12:00 インドネシア視覚障碍者協会訪問
13:00 - 14:00 昼食『Warung Daun』
14:30 - 16:00 プルタメディカ看護大学訪問
18:00 空港チェックイン
19:20 - 20:20 CGK(ジャカルタ) - JOG(ジョグジャカルタ) (GA 218)
21:15 ホテルチェックイン(ホテルメリアプロサニ)

3/12(金)
07:00 - 08:00 朝食
08:00 - 11:00 休憩・自由行動
12:00 - 13:00 昼食『Restoran Gadri』
13:30 - 14:00 ノトクスモ看護学校訪問
14:45 - 15:45 視覚障碍者施設訪問
16:30 - 18:00 夕食『Saptohoedoyo』(空港近く)、土産購入
18:30 空港チェックイン
19:55 - 22:10 JOG(ジョグジャカルタ) - DPS(デンパサール) (GA 254)

3/13(土)
01:00 - 08:50 DPS(デンパサール) - NRT(成田) (GA 880)

2. 訪問施設詳細

indonesiatour1_01.jpg①タンミヤット視覚障碍者施設(ブカシ)
(Departmen Sosial. RI Direktorat Jenderal Pelayanan dan Rehabilitasi Sosial, PANTI SOCIAL BINA NETRA "TAN MIYAT")

 社会省管轄の6~35 歳の視覚障害児・者の全寮制教育施設。1959 年、南ジャカルタに創立。1993 年現在地に移転。
学齢児に対しては、一般的な小中学校教育に合わせて点字読み書き、移動訓練、コンピュータ教育がなされている。

 職業訓練部では、指圧、リフレクソロジー、スポーツマッサージ、エステ、セグメントマッサージ、手芸等の職業訓練がなされている。実技の他、生理学、解剖学、病理学、診断学、運動学、東洋医学、宗教、英語、自立活動等の科目がある。医療サービスやカウンセリング等も行われている。職員は約50 名。管理職5 名、職業訓練担当スタッフ約10 名、その他、小中等部担当、事務員、給食担当職員等のスタッフが在籍。職員の3 名は視覚障碍者。

indonesiatour1_02.jpg 学生数約110 名。初等部6 学年、中等部3 学年、職業訓練部2 学年。職業訓練生は24 名。1993 年以降、JICA から指圧指導者が派遣され教育に当たっている。訪問時は、青年海外協力隊の鍼灸マッサージ師 藤浦 淳氏に案内いただいた。到着時、迎えに出てくださったSULIS 氏は1998 年に10 か月間、平塚盲学校で研修しており、日本語が話せる。藤浦氏、SULIS 氏、シロ氏の案内で施設内を見学する。中庭で児童によるアンクルンの歓迎演奏会が開かれ大歓迎を受けた。社会省からも1 名担当者が来た。敷地内に修了者が研修するための治療院があり、地域住民にサービスが提供されている。この治療院で2 年程度経験を積んだ後に、就職あるいは独立開業する者が多い。(右の写真:生徒による民族楽器演奏で歓迎)

 ②老人施設『ブッディダルマ』(ブカシ)
(Tua Berguna dan Berkulitas "Panti Sosial Tresna Werda Budhi Dharma")

タンミヤット視覚障碍者施設と同一敷地内にあり、広大な敷地内に平屋のホームが点在している。日本政府資金援助による建物が2棟ある。

提供するサービス:
◇施設内プログラム
・レギュラー(国から100%補助金110名、月額1.2万円利用者負担15名)
indonesiatour1_03.jpg・デイケア(ほぼ無料44名)送迎サービス付き

◇施設外プログラム
・ホームケア(ほぼ無料60名)訪問介護・栄養管理、(食材・薬提供含む)

職員数:52名(公務員39名、公務員候補者2名、退職者委託11名)
在職中に大学教育を受けて卒業する者も含め、職員は大卒率が高い。日本の介護施設と近似したサービスがなされている施設であり、ここの職員が日本の介護現場を経験することは、双方
にとって有意義であろうと考えられる。介護職員の交換研修等を行うには最適な施設と考えられる。社会省としても対外的に紹介したいモデル施設であろう。施設見学中、たくさんの利用者から片言の日本語で声をかけられ非常に親日的であった。入居者のDarmaningsih さん(女性)は父親が青梅出身の元日本兵で、青梅の全盲老連からの視察であることに感激していた。施設見学後、会議室においてタンミヤットとブッディダルマを合わせての懇談会が行われた。(右上の写真はブッディダルマ老人ホーム。施設見学の後、会議室で障碍者福祉・高齢者福祉の現場の声を伺う。)

③バンドン社会福祉専門学校訪問(バンドン)
(Bandung college of Social Welfare)

インドネシアで最も歴史のある社会福祉の専門学校との自負を持っている。
D4(4年制)で社会福祉のスペシャリスト育成を目的としている。1000名在籍

・リハビリテーション科・・・カウンセリング、ケア(老人、障碍者、保育)
・社会福祉開発科・・・貧困者援助計画、ソーシャルワーク
リサーチセンターを併設しており、8つの研究センターがある。

indonesiatour1_04.jpg1. 経済開発
2. 災害・難民
3. 女性・家庭
4. コミュニティー
5. 障碍者
6. エイズ・麻薬
7. 高齢者
8. 過疎地

 教員は70名中60名が博士号を持っており、その多くはマレーシアやオーストラリアで博士号を取得しているため、マレーシアやオーストラリアを福祉モデルとしていると考えられる。3名の教師は日本で研修した経験があり、今後も教員の日本研修を希望している。
 EPA に基づく介護福祉士候補者制度については、まったく知らず、今後、情報を集めたいとので、情報があればE-mail 等で教えて欲しいとのことであった。
 学内施設見学中に男子学生が日本語で話しかけてきた。日大に短期留学をしたことがあるとのことで、再度日本に行きたい希望を持っているとのことであったが、EPA 制度についてはやはり知らなかった。看護師養成校だけではなく、福祉士養成校との連携も今後必要であろう。
(右上の写真は、バンドン社会福祉専門学校(4 年制)前列右から3 番目の青年は、日本留学経験もあり日本語堪能。EPA で介護福祉士候補者として日本に行く制度については知らなかった。毎年入試倍率10 倍程度の人気校。)

④盲老人ホーム『EBEN HAEZER(神の救い)』(レンバン:バンドン郊外)

indonesiatour1_05.jpg 1975 年サンティアニ氏によって設立。現在はサンティアニ夫人によって運営されるキリスト教に基づく民間施設。入居者9名。全盲の方に生きる目的を持ってもらうための生活施設を目的とし、生活面、精神面の援助が行われている。毎朝、全員で散歩に出かけている。リクレーション、聖書研究会、温泉(近くにある)等の活動が行われている。

 運営資金は寄付金と月額250万ルピアの利用料。他に講堂を貸すことによる収入があるが寄付金が主である。
毎日、10件近い入居問い合わせがあり、受け入れたいところであるが、施設を拡張するための資金不足のため受入できない。

 歓迎会で夕食のもてなしを受け、歌の交換等、友好的な交流となった。秘書のヨセフ氏は元デサントのデザイナーであり、毎年2回訪日していた。(写真は、老人ホーム『EBEN HAEZER』私立(キリスト教系)の盲老人施設、現在9 名入所。寄付金によって運営されており、毎日多数の入居問い合わせがあるが、資金不足で拡張できないとのこと。)

⑤社会省(ジャカルタ)
Ministry of Social Affairs the Republic of Indonesia
Yulia Suhartini:老人福祉担当ディレクター
J.Dwi Noviantari:障碍者担当ディレクター

indonesiatour1_06.jpg会議室にて会見。前日タンミヤットに来られた担当者も同席。事前に送付してあった質問書に回答をいただく。

Q: 高齢者人口とその所得状況、それに対する社会保障について
A: インドネシアの高齢者の定義は58歳以上をいう。
貧困層・・・・・・・・ 270万6700人
低所得層・・・・・・・ 465万8280人
普通に生活できる層・・ 908万8360人
計 1731万3200人

内、社会省の保護を受けている人口は1 万人のみ。国から月額30万ルピア支給される。障害の有無、介護の必要度等の区別はなく援助金額も同額。(写真は、社会省 老人福祉局長、障害福祉局長と)

Q: 障碍者数と福祉の概要について
A: 障碍者人口・・・16万3232人
内、国から支援を受けている人は1万7千人。この内30%が高齢者。
障碍者施設は自治体営が22施設、社会省が管轄する施設は3施設。リハビリ施設、精神障碍者施設、点字出版物・点字プレート製作所が社会省管轄。点字出版社は民間で5社ある。
その他、地域コミュニティで行う支援活動が活発である。地域コミュニティが主体となる活動にソーシャルワーカーを派遣してリハビリの拠点等にしている。重度障碍者に対する地域住民の偏見は、残念ながらまだある。

Q: 高齢障碍者の生活、在宅におけるサービスには、どのようなものがあるか。
A: 全盲老連のような、障害を持った高齢者に対する施設がまだないことが弱点。

Q: 老人ホーム数と在所人数
A: 入所施設278施設約13,000名在所
   内訳:国営・・・・ 2施設 219名
   自治体営・・ 70施設 5,523名
   民営・・・・206施設 7,370名

Q: 老人福祉の概要、在宅福祉の概要
A: 入所施設、デイサービス、訪問介護の3種類。いずれも国営については国が費用を負担している。

Q: 老人ホーム入所希望者は多いか、入ることができる人は多いか。
A: 入所施設が足りなく待機者が多い。一旦入所すると亡くなるまで在所するため空きがない。(日本も同じ状況であることをツアー参加者より説明)

Q: 施設入居費用について
A: 国営施設・・・・ 年額900万ルピア/1人 食事代・レク代・健康管理費含む
   自治体営施設・・ 年額900万ルピア以下がほとんどだが、費用まちまち
   民営・・・・・・ 高額から低額まで様々

Q: 若い人は福祉や医療の仕事への希望者が多いか。
A: 比較的、興味を持つ若者が多い。たとえば昨日視察したバンドンの社会福祉専門学校の定員は1学年170人のところ、1700人の入学希望者が受験するなど人気が高い。

Q: EPA に基づく介護福祉士候補者の送出しについての社会省の見解は。
A: 保護庁と労働省が管轄しており、まだ社会省は直接関われていない。

Q: 民営ホームや地域コミュニティ活動への公的援助はあるか。
A: ないわけではないが、すべての施設になされているわけではない。国の基準に従って1利用者に対し1日3300ルピアを支払う。地域活動については、1グループあたり年額500万~1000万ルピア補助している。

Q: 昨日民間の盲老人ホームを訪問した。ぜひあのような施設が発展してほしいと考える。盲老人福祉を、障碍者の高齢化の課題ととらえるのか、それとも高齢者の障碍の課題ととらえるのか、どちらを適切とインドネシアでは考えていますか。
A: 盲老人施設を訪問していただきありがたい。民営ホームには未届けのところもあり、その施設についてはわからないが、届け出があれば、老人局か障碍者局か、どちらが支援担当することになるか検討することになるだろう。

Q: 日本では、児・者・老と、年齢で区切るが、インドネシアでは58歳以上は老人局ということか。
A: その通りである。実際のところ、区別による援助額に差はない。盲老人施設を国が作ることが理想であるが現在のところ難しい。

Q: 民営ホームの開設や改築に国の援助はあるか。
A: インドネシア政府からの補助金はあるが選考基準が厳しく、稀なケース。日本政府の援助があり、東ジャワのジョンバン、スマトラのジャンビンで改装拡大のために1施設当たり980万円補助された。

Q: 昨日訪問した民営盲老人施設で資金要請があった。ぜひ応えたいと思う。日本人がインドネシアで盲老人施設を作ることの許可は出るか。また、エベン・ハザルのような施設を作るのにいくらぐらい必要か?
A: 日本を訪問した時に奈良と東京で施設を視察した。その際に見た3階建て程度の施設がインドネシアでも必要で見積もりを取ったが、9000万円程度であった。施設開設は、現段階では、国―国でやっており、外国資本の経営はまだない。

Q: インドネシアから介護福祉士候補者を迎えるにあたっての、送出していただく窓口・かけはしとなるような関係性の構築を考えており、オーナーになって経営するのではなく、資金援助と交流を考えている。
A: それであれば、直接でも、社会省を通してでもどちらでもOK。ありがたい話で、支援いただけることは光栄。ぜひ、お願いしたい。
質疑応答終了後、名刺・記念品交換、記念撮影。

⑥インドネシア盲人協会訪問(ジャカルタ)
Persatuan Tunanetra Indonesia (PERTUNI) : Organisaki Kemasayarakatan tunanetra Indonesia

indonesiatour1_07.jpg会長: Mr. Didi Tarsidi
会員数 約16,000人(全盲者・弱視者)
7つの目的: 1.教育、2.公共施設のバリアフリー化活動、3.コミュニケーション支援、4.就業支援、5.アドボカシー(差別・人権侵害)、6.健常者への啓もう活動、7.協会の財務強化

今年千葉で開催されるWBU(世界盲人連合)に参加予定であり、今後、協会同士で協力・交流を深めたい意向。高齢者に限定した交流となることを全盲老連より説明した。
Didi 会長より、「視覚障碍者高齢者問題をインドネシアも迎えることになるが、全盲老連にあたる団体がまだなく、いずれ必要になるだろうと考えている。日本の技術・学問を利用させてほしい」との話があった。
indonesiatour1_08.jpg1階がコンピュータ教室で、10日間コースで教育を実施している。視覚障碍者の就労先は、1位マッサージ師(90%)、2位教師(3~4%)、3位電話オペレーター、他はミュージシャン、ミキサー、JAWS パソコンプログラマー等でコンピュータ技術習得に力を入れている。
視覚障碍者の初等教育完了率は10%に過ぎない。大学進学者数は300 人に過ぎない。ジャカルタの渋滞状況から、「視覚障碍者が単独で外出することが可能なのか」との質問に対し「Harus(そうするしかない)」との答えであったが、障碍者の交通事故被害は深刻なようであった。

⑦プルタメディカ看護大学(ジャカルタ)
STIKes PERTAMEDIKA : Sekolah Tinggiilmu Kesehatan Pertamedika

ダニー理事長の「インドネシア国民のため、国の名誉のために頑張りたい。一緒の目線で教育に協力してほしい」との表明に、ツアー参加者より、訪問の意図説明と、インドネシア人看護師・介護福祉士候補に寄せる期待が語られた。会見後、一行は候補者を含む学生との面談に移動した。(左の写真はプルタメディカ看護大学にてプルタメディカ看護大学教授陣と懇談。右の写真はプルタメディカ看護大学教室にて発見したひらがなの悪戯書き)

indonesiatour1_10.jpg indonesiatour1_11.jpg

 ⑧ノトクスモ看護学校(ジョグジャカルタ)
Akademi Keperawatan NOTOKUSUMO

indonesiatour1_12.jpg バスを降りると布製の歓迎の横断幕と香りのよい花のレイを各自かけていただき、1年生が作る花道の真ん中で民族舞踊披露で迎えられた。
 口々に「こんにちは」「ようこそ」と学生が迎えてくれる中を花道を通って学校に入る。学内の案内を受ける。今回訪問した校舎は新校舎で、病院に似せて作った実習教室等詳細に説明を受けながら見学。見学後、「学生たちの計画」とのことで、中庭の学生用カフェテリアに案内される。メニュー作りからすべて学生の手作りによるココナッツジュース、ケーキ等が学生によってサーブされ、学生の発案による歓迎会であることが再三強調される。学生による民族舞踊が披露された。

 1 年生133名が中庭を隔てた回廊に整列して座り、スディアント理事長より「この1年生たちが日本で働くために日本語を勉強している」と紹介された。ツアー一行近くの席に、第3陣候補者としての訪日を予定している8名が制服を着て着席。スディアント理事長の進行により、学校より歓迎の挨拶、ツアー参加者の挨拶。

 ノトクスモ看護学校の暖かいもてなしから、学校を上げて、この事業に本気で取り組んでいる意気込みと送出す学生への愛情が感じとられた。歓迎会に参加した1 年生たちの日本行へのモチベーションが上がり、熱心に日本語を身に着けて数年後に来日されることが大いに期待される。(下の写真は、「ようこそノトクスモ看護学校へ」横断幕と1年生全員整列でお出迎え。ジャスミンのレイもかけていただく。)

 

indonesiatour1_13.jpg  indonesiatour1_14.jpg

indonesiatour1_15.jpg indonesiatour1_16.jpg

左上の写真は学生手作りのスイーツのおもてなし、右上の写真は、看護学生による民族舞踊 。後ろには1年生133 名が整列。1年生は、在学中日本語を履修。)

 

⑨視覚障碍者施設(ジョグジャカルタ)
Panti Sosial Bina Netra "PSBN"

indonesiatour1_17.jpg 講堂で、利用者による歓迎演奏会が開かれた。イベントを張り切って仕切る職員の姿に、参加者一行は、「うちの施設にも似た職員がいる」と親近感を感じた様子であった。演奏曲も演歌系で庶民的な雰囲気であった。
 2 年前にはJICA から指圧教師がいた。日本に指圧教師としての研修にいった職員もいる。質疑応答で、当事者に質問してもすべて職員が回答し、直接の回答は遮られたようであった。(右の写真は、視覚障碍者施設での指圧の職業訓練)

3. 総評

 第1 回BIMACONC インドネシア看護学校視察ツアーは、全国盲人福祉施設連絡協議会様の団体参加により13 名の参加で実施した。訪問先では、暖かい歓迎を受け、充実した情報・意見交換と交流ができた。

 今回は全盲老連様に団体参加をいただいたので、視覚障碍者福祉施設、福祉専門学校、社会省も訪問した。今後も、参加者の皆様のご関心に合わせたコーディネートが可能である。

 参加者からは、「インドネシアから候補者を受け入れるからには、必ずこういう視察に参加しなければ」との言葉をいただくことができた。

 実際に訪れて語り合ってこそ分かり合えることが実感できるツアーとなった。訪問した看護学校・社会福祉士専門学校・施設のホスピタリティーは、看護・介護の土台をなすものであり、プロフェッショナルとしての資質の高さを再認識することができた。

4.訪問・面談相手リスト

①Mr. SIROJUL MANAN   PSBN Tanmiyat (盲人施設) 施設長
②Mr. TEDY PSTW     Budi Dharma(老人施設)   施設長
③Mr. FUJIURA JUN    JICA 青年海外協力隊員   鍼灸指導員
④Mr. EDI SUHARTO    STKS (社会福祉大学)   教務担当副会長
⑤Mr. RAMLI A. RAHMAN  STKS (社会福祉大学)   管理Ⅱアシスタント会長
⑥Ms.STELLA SATYADI    EBEN HAIZER 『盲老人施設)施設長
⑦Ms. J.DWI NOVIANTARI  DEPSOS (社会省) リハビリテーション.サービス障碍者局長
⑧Ms. YULIA SUHARTINI  DEPSOS (社会省) 老人福祉局長
⑨Mr. DIDI        PERTUNI(インドネシア盲人協会)会長
⑩ Mr. DANNY A. ICHDAN  STIKES PERTAMEDIKA(保健科学大学)PERTAMEDIKA 財団法人理事長
⑪ Mr. SEDIANTO     AKPER NOTOKUSUMO (ノトクスモ看護学校)NOTOKUSUMO 財団法人理事長
⑫ Mr. SUMARWANTO    BINA NETRA YOGYAKARTA(盲人施設)施設長

第1回インドネシア看護学校視察ツアー報告書

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2016年9月 4日 20:12 | HOME HEALTHCARE AGENCY IN MCLEAN|ARLINGTON |ANNANDALE|LORTON VA|POTOMAC|BOWIE|GAITHERSBURG|UPPER MAL

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