Tual (Indonesian: Kota Tual ) is a city in Maluku Province of Indonesia , geographically located within the Kei Islands . On 17 July 2007, it was separated from the rest of the Kei Islands (which continue to form the Southeast Maluku Regency ) and was created an independent city .
33-517: The city covers a land area of 254.39 km (98.22 sq mi), together with a sea area estimated at 19,088 km (7,370 sq mi). It includes the urbanized Dullah Island (Indonesian: Pulau Dullah ) which is situated to the northeast of the much larger Kei Kecil, and includes a further number of small islands to the west of Kei Kecil. The city comprises the main Dullah Island ( Pulau Dullah ) together with numerous smaller islands off
66-493: A polyclinic , it can house outpatient departments of some medical specialties, such as gynecology , dermatology , ophthalmology , otolaryngology , neurology , pulmonology , cardiology , and endocrinology . In some university cities , polyclinics contain outpatient departments for the entire teaching hospital in one building. Large outpatient clinics are a common type of healthcare facility in many countries, including France, Germany (long tradition), Switzerland, and most of
99-440: A decline in the agricultural sector and a shift to the industry and service sectors. Other agricultural commodities such as sweet potatoes and cassava also experienced a decline in production, from 21 tons to 14 tons and 107 tons to 76 tons, respectively. Another sector, fishery, contributes significantly to the local economy, in which there were 30,638 tons of seafood products from the city in 2019, ranging from tuna to shrimp . In
132-437: A first step in improving child morbidity and mortality in difficult-to-reach rural areas." Food supplementation in the context of routine mobile clinic visits also shows to have improved the nutritional status of children, and it needs further exploration as a way to reduce childhood malnutrition in resource-scarce areas. A cross-sectional study focussed on comparing acute and chronic undernutrition rates prior to and after
165-451: A local general practice run by a single general practitioner provides primary health care and is usually run as a for-profit business by the owner, whereas a government-run specialist clinic may provide subsidized or specialized health care. Some clinics serve as a place for people with injuries or illnesses to be seen by a triage nurse or other health worker . In these clinics, the injury or illness may not be serious enough to require
198-404: A relatively high content of iron and aluminium oxides . They are typically classified as oxisols ( USDA soil taxonomy ) or ferralsols ( World Reference Base for Soil Resources ). Latosols are tropical soils, but not all soils in the tropics are latosolic. Latosols are red or yellowish-red in colour throughout and they do not have distinct horizons like a podsol . The red colour comes from
231-406: A small slope between 0 to 25 degrees, most of it generally considered to be a low-lying region. However, there are several points within the city boundaries that have steep slopes above 45 degrees. The majority of the soils in the city are latosol , podzol , and rendzina . The soils generally are fertile and have good drainage, with the inhabitants using the land for agriculture, especially during
264-456: A visit to an emergency room (ER), but the person can be transferred to one if needed. Treatment at these clinics is often less expensive than it would be at a casualty department. Also, unlike an ER these clinics are often not open on a 24/7/365 basis. They sometimes have access to diagnostic equipment such as X-ray machines, especially if the clinic is part of a larger facility. Doctors at such clinics can often refer patients to specialists if
297-416: Is also supported by two clinics , nineteen puskesmas , and one central pharmacy. The only hospital in the city, Maren Hi Noho Renuat Regional Hospital, is owned by city government and undergoing an expansion expected to be completed in 2021. There are also 18 family planning clinics as of 2019. There are exactly 100 mosques and 24 churches in the city. 187,72 kilometers out of 353,59 kilometers of roads in
330-477: Is common to almost all soil types. The latosol is completely reliant on the rainforest to maintain fertility, as all nutrients leach away quickly when the forest is felled and the layer of humus is no longer being replaced. Clinic A clinic (or outpatient clinic or ambulatory care clinic ) is a health facility that is primarily focused on the care of outpatients . Clinics can be privately operated or publicly managed and funded. They typically cover
363-469: Is included in the figure for Pulau-Pulau Kur, from which it was split off. The Kur Islands District ( Kecamatan Pulau-Pulau Kur ) comprises the northern part of the Kur Islands archipelago, consisting of the northern half of Kur Island together with islands to its north including Kaimear, Kanos and Bui, of which Kaimear is the only inhabited island. The South Kur District ( Kecamatan Kur Selatan ) consists of
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#1732854571206396-407: Is provided to those regions' vast rural areas by mobile health clinics or roadside dispensaries , some of which integrate traditional medicine . In India these traditional clinics provide ayurvedic medicine and unani herbal medical practice. In each of these countries, traditional medicine tends to be a hereditary practice. The function of clinics differs from country to country. For instance,
429-438: The iron oxides in the soil. They are deep soils, often extending 20–30 m (66–98 ft) deep whereas podsols are 1–2 m (3 ft 3 in – 6 ft 7 in) deep. The soil generally contains a thin but very fertile layer of humus dropped from plants and animals in the forest above, followed by an infertile second layer due to rapid leaching caused by high rainfall. The third level, weathered bedrock ,
462-450: The primary care needs of populations in local communities, in contrast to larger hospitals which offer more specialized treatments and admit inpatients for overnight stays. Most commonly, the English word clinic refers to a general practice , run by one or more general practitioners offering small therapeutic treatments, but it can also mean a specialist clinic. Some clinics retain
495-417: The 2010 census and 2020 census, together with the official estimates as at mid 2023. The table also includes the locations of the district administrative centres, the number of administrative villages in each district (totaling 3 urban kelurahan and 27 rural desa ), and its post code. Note: (a) including 3 kelurahan - Ketsoblak, Lodar El and Masrum. (b) the 2010 population of the new Kur Selatan District
528-460: The city are paved using asphalt . Angkots exist in the city and are the only available form of public transportation. Other informal taxis and motorcycle taxis also exist, but online transportation services such as Grab and Gojek have not yet established a presence as of 2021. The closest airport is Karel Sadsuitubun Airport and Dumatubin Airport which are located around 10 minutes' journey from
561-543: The city. The city is also served by Pelni to connect it to other neighboring islands and regions. The city and neighbouring regions have access to 4G internet service, in addition to other basic telecommunication services such as the telephone. There are also some public Wi-Fi spots provided by the government. The only fiber optic connection provider is IndiHome , which is state-owned under Telkom Indonesia . Latosol Latosols , also known as tropical red earth , are soils found under tropical rainforests which have
594-424: The coast became "artificial" communities, and due to lack of traditional home healing practices here, alternative methods such as mobile clinics had to be implemented in these communities for the protection and prevention of diseases. A study done in rural Namibia revealed the health changes of orphans, vulnerable children and non-vulnerable children (OVC) visiting a mobile clinic where health facilities are far from
627-501: The countries of Central and Eastern Europe (often using a mixed Soviet-German model), as well as in former Soviet republics such as Russia and Ukraine; and in many countries across Asia and Africa. In Europe, especially in the Central and Eastern Europe, bigger outpatient health centers, commonly in cities and towns, are called policlinics (derived from the word polis, not from poly-). Recent Russian governments have attempted to replace
660-414: The country which will benefit about 33 lakh (3.3 million) ex-servicemen residing in remote and far-flung areas. Policlinics are also the backbone of Cuba's primary care system and have been credited with a role in improving that nation's health indicators. Providing health services through mobile clinics provides accessible healthcare services to these remote areas that have yet to make their way in
693-411: The industry sector, fish meal production is the main industry product with an investment value of more than $ 680,000. There are 12 registered restaurants in the city, not counting informal restaurants and shops. Unemployment rate was 9.3% as of 2019. As the city's location is isolated and dependent on logistics from the sea, it is very prone to high inflation. The inflation rate in 2020 was 1.15%, which
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#1732854571206726-565: The medical field: for example, legal clinics are run by lawyers .) Some clinics are operated in-house by employers, government organizations, or hospitals, and some clinical services are outsourced to private corporations which specialize in providing health services. In China , for example, owners of such clinics do not have formal medical education. There were 659,596 village clinics in China in 2011. Health care in India , China , Russia and Africa
759-422: The name "clinic" even while growing into institutions as large as major hospitals or becoming associated with a hospital or medical school . The word clinic derives from Ancient Greek κλίνειν klinein meaning to slope, lean or recline. Hence κλίνη klinē is a couch or bed and κλινικός klinikos is a physician who visits his patients in their beds. In Latin, this became clīnicus . An early use of
792-400: The need arises. Large outpatient clinics vary in size, but can be as large as hospitals. Typical large outpatient clinics house general medical practitioners (GPs) such as doctors and nurses to provide ambulatory care and some acute care services but lack the major surgical and pre- and post-operative care facilities commonly associated with hospitals. Besides GPs, if a clinic is
825-514: The north of Kei Kecil island, together with the small archipelagoes of the Tayando Islands, and Kur Islands, which lie to the west of the Kei Islands. The total land area of these islands is 254.39 km (98.22 sq mi). The Tayando Islands have a maximum altitude of around 100 metres above the sea, while the Kur Islands has an altitude of around 400 metres. On Dullah Island, the city has
858-474: The northern half of Dullah Island, and 22 smaller islands, while the more urbanised South Dullah Island District ( Kecamatan Pulau Dullah Selatan ) comprises the southern part of Dullah Island and 7 smaller islands. The city produced 3.9 tons of galangal , 3.7 tons of turmeric , and 2.02 tons of ginger in 2019. This is a sharp decrease from the previous year, in which the city produced 11 tons of galangal, 4.2 tons of turmeric, and 3.45 tons of ginger, suggesting
891-548: The policlinic model introduced during Soviet times with a more western model. However, this has failed. In the Czech Republic , many policlinics were privatized or leasehold and decentralized in the post-communist era: some of them are just lessors and coordinators of a healthcare provided by private doctor's offices in the policlinic building. India has also set up huge numbers of polyclinics for former defense personnel. The network envisages 426 polyclinics in 343 districts of
924-522: The politicized space. For example, mobile clinics have proved helpful in dealing with new settlement patterns in Costa Rica. Before foreign aid organizations or the state government became involved in healthcare, Costa Rica's people managed their own health maintenance and protection. People relied on various socio-cultural adaptations and remedies to prevent illnesses, such as personal hygiene and settlement patterns. When new settlements that sprang up along
957-452: The rainy season, growing various tubers. Tual has a tropical rainforest climate (Af) with moderate rainfall from July to October and heavy to very heavy rainfall from November to June. The city as of 2010 was divided into four districts ( kecamatan ), but subsequently in 2018 a fifth district — Kur Selatan (South Kur) — was created from part of Pulau-Pulau Kur District. These are tabulated below with their areas and their populations as of
990-445: The remote villages. Over 6 months, information on immunization status, diagnosis of anemia, skin and intestinal disorders, nutrition, dental disorders was collected and showed that visits to mobile clinics improved the overall health of children that visited regularly. It concluded that specified "planning of these programs in areas with similarly identified barriers may help correct the health disparities among Namibian OVC and could be
1023-635: The southern half of Kur Island, together with islands to its south including Mangur, Fadol and Wonen, of which only Mangur is inhabited. The Kur Islands are situated far to the west of the Kayando Tam group. The Tayando Tam District ( Kecamatan Tayando Tam ) comprises 27 islands (of which the largest and only populated ones are Pulau Tayando and Pulau Tam ) situated to the west of Kei Kecil. There are five villages - Ngurhir on Tam Island, and Langgiar, Yamtel, Ohoitel and Yamru on Yayando Island North Dullah Island District ( Kecamatan Pulau Dullah Utara ) comprises
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1056-449: The word clinic was "one who receives baptism on a sick bed". Clinics are often associated with a general medical practice run by one or several general practitioners . Other types of clinics are run by the type of specialist associated with that type: physical therapy clinics by physiotherapists and psychology clinics by clinical psychologists , and so on for each health profession. (This can even hold true for certain services outside
1089-585: Was the highest inflation rate in Indonesia that year. Around 75% of the population are Muslim, 25% are Christian, 0.08% are Hindu, and 0.01% are Buddhist. The city's life expectancy is 65.21. As at mid 2023, there were 44,782 males and 45,225 females. There are fifteen kindergartens, sixty-four elementary schools, thirty junior high schools, fourteen senior high schools, and six vocational high schools both public and private. In addition, there are three higher education institutions. The city only has one hospital, but
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