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Tempo Timor

Ho hakraik an Tempo Timor hato'o komprimentus ba laitor sira katak, Jornal Tempo Timor hahu mosu iha imi le'et atu fasilita informasaun ba imi. Tamba ne'e ami presiza ita boot sira nia tulun atu ekipa jornal ne'e nian bele halao servisu jornalismu ho didiak.

Jornalista Jornal Tempo Timor, bandu atu hetan envelope ka sasan ruma husi fontes informasaun sira.

Website URL: http://www.tempotimor.com

 Why health coverage for all is public health priority number one

The promise of universal health coverage (UHC) is bold: that all people can access quality health services, when and where they need them, without suffering financial hardship.

UHC’s benefits are clear. UHC is central to improving health and well-being – a fundamental human right. Healthier populations in turn create more productive economies that raise living standards. UHC also strengthens health security by making it easier to contain the spread of infectious disease and respond effectively to natural disasters. UHC’s potential to promote better health, enhance equity and fortify health security can – and must – be fully harnessed.

Importantly, UHC is feasible: Whether a country is rich or poor, progress is possible. Some countries, including in the WHO South-East Asia Region, have already made significant advances. They began doing so when they were ‘low-income’. That is a critical point: No-one starts from zero; there are always opportunities to move ahead.

Since 2014 WHO South-East Asia has worked to leverage those opportunities, identifying UHC as a Flagship Priority, and – in consultation with Member countries – mapping-out and implementing a series of game-changing initiatives.

That includes increasing the availability and performance of health workers and ensuring their knowledge and skills are fit-for-purpose for today’s (and tomorrow’s) health needs. It also includes attracting health workers to rural and hard-to-reach areas and retaining them once there. Adapting frontline services to meet the needs of the Region’s ageing populations, as well as the growing burden of noncommunicable diseases (NCDs) such as diabetes and heart disease, has likewise been a crucial point of focus. That can be well understood: Apart from the Region-wide shift to increasingly sedentary lifestyles, by 2020 more of the Region’s population will be over 60 than under-5.

Increasing access to essential medicines has been similarly fundamental. Innovative mechanisms such as the South-East Asia Regulatory Network, which pools the Region’s regulatory resources, will go a long way to helping make safe, good quality medicines and medical products accessible to all. So too will present efforts to encourage greater price transparency via a multi-country information-sharing platform. A Region-wide initiative to pool the procurement of medicines, beginning with antidotes, will meanwhile benefit its smaller countries by increasing their bargaining power.

In each of these areas and more, progress has been made. According to the latest data, in the last eight years health services coverage has improved in all of the Region’s 11 Member countries. That is to be celebrated.

But Region-wide challenges remain immense. Around half of the South-East Asia Region’s population still lacks full coverage of essential health services. Some 65 million are pushed into extreme poverty, mainly due to paying out-of-pocket for medicines, especially for NCDs and other common ailments.      

Given the Region’s sustained economic growth, accelerated progress is both possible and necessary. Though action across sectors is essential to enhance health coverage, priority health programmes clearly play a major role. But to make health services truly universal they must be designed around and for people, rather than around diseases or institutions. Doing so will have immediate and lasting impact.

Accordingly, increased public spending on health is crucial. Increased public spending not only makes additional resources available – from more staff to basic tools and technologies – but can also help reduce household out-of-pocket spending, thereby increasing financial protection. In recent years, many of the Region’s countries have increased the amount they spend on health. This should also increase the affordability of (and therefore access to) health services, while decreasing the number of people being left behind.

But more public funding is not enough: Greater value for money is imperative. That means developing and implementing long-term strategies that define what services are required, who will deliver them, and designing payment mechanisms that maximize efficiency and equity. Sound complex? Basically, it means organizing health systems in ways that offer the right services to the people who need them.  

Finally, monitoring matters. Monitoring helps us understand who is being left behind and why. It helps us learn what is working and what is not, allowing us to make course corrections where needed. It is to the Region’s immense credit that in 2017 eight Member countries completed voluntary national reviews of progress on the Sustainable Development Goals (SDG), including on health. In the same year, Member countries unanimously agreed to review progress on UHC and SDG3 (the health-specific goal) at WHO South-East Asia’s annual Regional Committee until 2030. That will prove critical to gauging progress and maintaining momentum.

To that end, the wind is at our back. The leadership and vision of WHO Director General Dr Tedros Adhanom Ghebreyesus – whose top priority is securing health coverage for all – is driving global support for what WHO South-East Asia and its Member countries are striving to achieve: to honor a promise that is bold yet simple, and that will change the lives of millions of people across the Region and beyond – health coverage that is universal; health coverage that is for everyone, everywhere and leaves no one behind. (pr)    

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Tansa kobertura saúde ba ema hotu mak hanesan prioridade primeiru iha saúde públiku

Promesa ba kobertura saúde universál (UHC) mak forte: katak ema hotu bele hetan asesu ba servisu saúde ne’ebé kualidade wainhira no iha ne’ebé sira presiza, sein hetan difikuldade finanseiru nian.

UHC nia benefísiu klaru. UHC mak hanesan sentral atu hadi’ak saúde no ben-estar – fundamental ba direitus umanus. Populasaun saudavel sei kria ekonomia produtiva ne’ebé mak sei hasa’e padraun ba moris nian. UHC mós fortalese seguransa saúde nian hodi bele fasilita kontensaun diseminasaun moras infesiozus no responde ho efeitivu ba dezastre naturais. Potensiál UHC nian mós atu promove saúde di’ak liu, aumenta igualdade no fortalese seguransa ba saúde – no tenki uza ho totalmente.

Importante liu, UHC nee viável: Iha posibilidade ba progresu, se nasaun nee riku ka kiak. Iha nasaun balun, inklui iha OMS Rejiaun Sudeste-Aziatíku, halo ona progresu mak signifikadu. Sira hahuu wainhira ho 'rendimentu ki'ik'. Nee mak pontu kritíku: laiha ema ida mak hahú husi zero, sempre iha oportunidade hodi muda ba oin.

Dezde tinan 2014 OMS Rejiaun Sudeste-Aziatíku hodi loke oportunidade sira nee, identifika UHC nian hanesan Prioridade Emblemátika, no halo konsultasaun ho membru nasaun seluk - halo planu ho implementa inisiativu ne'ebé di’ak.

Nee inklui aumenta disponibilidade no dezempeñu traballadores saúde nian no asegura sira nia koñesimentu ho abilidade atu bele tuir kriteriu ba nesesidade saúde ba ohin loron nian (no loron aban). Ida nee mós inklui atrai traballadores saúde ba área rurais no fatin sira ne'ebé labele asesu no mantein sira iha nebaa. Adapta liña servisu hodi atende nesesidades populasaun idozus, no mós ho responsabilidade ne’ebé aumenta aas ba moras la hada’et hanesan diabetes no moras fuan, ida nee mós hanesan pontu importante atu fo atensaun liu. Ida nee bele iha kompriensaun mak diak: alende mudansa husi Rejiaun tomak hodi aumenta estillu moris sedentáriu, ba tinan 2020 ne’ebé mak sei iha populasaun ho tinan 60 duké tinan 5.

Aumenta asesu ba medikamentus esensial mós hanesan asesu importante ida mós. Mekanismu inovativu hanesan Rede Regulatóriu ba Sudeste Aziatíku, ne’ebé mak tau hamutuk rekursus regulatóriu Rejiaun nian, ne’ebé maka sei ajuda hodi fornese produtu médiku mak seguru, medikamentus ho kualidade diak ne’ebé mak ema hotu bele asesu. Nunee mós sei iha esforsu atu enkoraja ba presu transparénsia mak di’ak, liu husi plataforma fahe informasaun iha nasaun oioin. Inisiativu iha Rejiaun tomak nee atu bele tau hamutuk akizisaun medikamentus no hahú ho antidotu ne’ebé mak sei fo benefísiu ba nasaun ki’ik sira hodi aumenta sira nia poder ba negosiasaun.

Iha ona progresu iha kada área hirak nee no sira seluk tan. Tuir dadus foin lalais nee, kobertura ba servisu saúde sai di’ak liu tan iha tinan ualu ikus nee iha nasaun 11 membru nasaun iha Rejiaun nee. Ida nee ita tenki selebra. Maibe dezafius iha Rejiaun tomak nee kontinua boot nafatin. Kuaze metade husi populasaun iha Rejiaun Sudeste-Aziatíku seidauk hetan kobertura tomak ba servisu saúde esensial. Ema milliaun 65 balun monu ba liña kiak, tanba halo pagamentu uza osan rasik hodi asesu ba medikamentus, liu-liu ba NCD no moras sira babain.

Haree ba kresimentu ekonomiku mak sustentadu, iha posibilidade no presiza duni aselera ba progresu ida nee. Maske asaun entre setór sira nee mós esensial hodi bele haforsa kobertura saúde, prioridade ba dezempeña programa saúde mós sai hanesan papél importante ida. Maibe atu halo servisu saúde universál lolos sira tenki dezeñu programa nee kona-ba ema, laos kona-ba moras ka institusaun sira. Halo nunee sei fo impaktu ne’ebé imediata no ba durasaun kleur.

Nunee, gastus públiku ba saúde mós importante tebes. Aumenta iha gastus públiku nee la’os deit halo rekursus adisional disponivel – husi aumenta pesoál ba nesesidade báziku no teknolojia – maibe bele mós hamenus gastus husi uma-kain ida-idak, nunee aumenta protesaun finanseiru nian. Iha tinan foin lalais nee, nasaun barak husi Rejiaun nee aumenta ona montante osan ne’ebé gasta ba saúde. Ida nee mos tenki aumenta asesibilidade (no asesu ba) servisu saúde, enkuantu hamenus númeru ema sira ne’ebé husik hela iha kotuk.

Maibe fundus públiku sei la sufisiente: Presiza osan ho valor boot. Ida nee signifika katak dezenvolve no implementa estratejia longu prazu mak defini servisu saida mak presiza, see mak sei fahe, no halo dezeñu mekanismu pagamentu hodi bele maximiza ho efisiensia no hanesan. Sente komplexu? Simplesmente, ida nee signifika organiza sistema saúde iha maneira ne’ebé oferese direitu ba servisu ba ema sira ne’ebé presiza.

Ikus mai, importante halo monitorizasaun. Monitorizasaun ajuda ami hodi komprende see mak husik hela iha kotuk no tanba sa. Ida nee ajuda ami hodi aprende saida mak funsiona no saida mak lae, hodi permiti ami atu halo kursu retifikasaun wainhira presiza. Ida nee hodi rekoñese fali servisu makaas maka nasaun membru ualu ne’ebé iha tinan 2017 voluntáriu halo kompleta revizaun progresu nasionál kona-ba Objetivu Dezenvolvimentu Sustentavel (SDG), inklui iha saúde. Iha tinan hanesan, membru nasaun sira akordu hamutuk atu halo avaliasaun progresu kona-ba UHC no SDG3 (objetivu espesífiku ba saúde) iha Komite Rejional anuál ba OMS Sudeste Aziatíku too tinan 2030. Ida nee sei sai pontu kritíku hodi bele sukat progresu no mantein nafatin momentum nee.

Hodi nunee, ita iha ona situasaun ne’ebé diak. Diretór Jerál OMS ba lideransa no vizaun Dr Tedros Adhanom Ghebreyesus – ne’ebé mak fo prioridade liu ba asegura kobertura saúde ba ema hotu – agora dadaun lidera suporta global ba OMS Rejiaun Sudeste Aziatíku no membru nasaun sira seluk servisu makaas atu atinji: fo onra ba promesa ne’ebé barani maibe simples, no sei muda ema milliaun nia moris iha Rejiaun tomak no liu tan – kobertura saúde mak universál; kobertura saúde mak ba ema hotu, iha ne’ebé deit no la husik ema ida. (pr)   

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Grupu Deskoñesidu Asalta Segundu Vise Sekjer CNRT

Published in Politika
Kareta ne'ebé hetan tuda iha Letefoho, Ermera, Sesta (06/04). Foto supplied. 

 DILI – Seidauk tama ba iha periodu kampaña eleitoral ba eleisaun antisipada, maibé tensaun politika iha baze komesa manas ba dadauk. 

Lider partidu politika sira ko’alia bebeik no husu bebeik ba povu tomak atu labele kria ka halo instabilidade iha rai laran, liliu iha periodu konsolidasaun partidaria ba to’o periodu kampaña no eleisaun nian, maibé liafuan hirak ne’e folin la’ek de’it, tanba la’ós tentasaun de’it, maibé mosu duni asaun anarkizmu no krime hasoru lider partidu politika sira bainhira ba hala’o konsolidasaun iha baze.

Ijemplu konkretu mak antes ne’e mosu grupu ida taka dalan ba konvoiu portavoz Alliansa Mudansa ba Progresu (AMP) atual prezidente Partidu Libertasaun Popular (PLP), Taur Matan Ruak (TMR) iha Vikeke, no iha loron Sesta dader, 6 Abril 2018, mosu tan grupu balun halo asaltu ba konvoiu TMR nian ne’ebé tuda kareta Segundu Vise sekretariu jeral partidu CNRT nian, Jacinto Rigoberto iha postu administrativu Letefoho, munisipiu Ermera.

Tuir informasaun ne’ebé Tempo Timor asesu katak, ekipa AMP nian kompostu hosi TMR no Jacinto Rigoberto mai hosi diresaun postu administrativu Atsabe atu ba halo konsolidasaun partidu nian iha postu administrativu Hatulia, maibé derepente hetan asaltu hosi grupu deskoñesidu iha dalan klaran, iha postu administrativu Letefoho.

Segundu Vise sekretariu jeral partidu CNRT, Jacinto Rigoberto hatete, nia saudavel hela, maibé nia kareta mak a’at.

“Tarjetu ne'e ba ha'u duni. Vidru kareta oin boot ne’e mak rahun, tanba fatuk boot tolu mak mai loos. Sorte tau reben be la borus,” hatete Rigoberto via kontaktu telemovel ba Tempo Timor, Sesta (06/04).

“Ohin ha’u relata kedas iha polisia eskuadra Letefoho, hasai evidensia buat sira ne’e hotu ne’ebé entrega ba sira. Polisia mós haruka nia ema ida mai akompaña ha’u mai to’o tiha Bulolo mak fila,” hatutan Rigoberto.

Rigoberto hatutan, asaltu ne’e akontese iha postu Letefoho, suku Haubu iha dalan atu ba Hatugau.

Entretantu, komandante eskuadra polisia postu administrativu Letefoho, Cornelio Moniz rekoñese katak, iha duni keixa mai partidu AMP nian kona – bá akontesementu ne’ebé akontese iha Letefoho, maibé komandante Moniz seidauk bele relata kronolojia klean, tanba sei relata relatóriu kompletu ba komandante polisia munisipiu Ermera mak foin bele sai klean.

“Iha keixa duni, maibé sei submete hela iha prosesu iha eskuadra Letefoho, Ermera,” hatete komandante Moniz via kontaktu telemovel ba Tempo Timor, Sesta (06/04).

“Loloos ne’e ha’u bele relata hela, maibé sei prepara hela relatóriu hodi relata ba komandante munisipiu, tanba ha’u nia elementu sira sei halo hela observasaun, identifikaasaun ba fatin krime, no iha hela prosesu laran”.

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