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Progress made in rebuilding Indonesia's health care system two years after the tsunami

20 December 2006

Midwife Rosdiana, a preservice clinical preceptor, sitting with her daughter in Lhokseumawe, IndonesiaWhile many relief organizations have concluded their tsunami-related efforts in Indonesia, Jhpiego continues to play a major role in the reconstruction of the public and private sector health care system in Aceh Province. The 26 December 2004 South Asian Tsunami claimed the lives of more than 220,000 people. Aceh was particularly hard-hit.

Jhpiego and partners are helping to rebuild and repair clinics and midwifery schools, provide updated equipment and oversee staff training. Accomplishments of the past year include:

  • With funding from CARE, four community health centers were reconstructed or renovated. Jhpiego provided all the supplies and equipment to the health centers and facilitated training for staff from the sites. Training included normal delivery care, infection prevention, counseling and interpersonal communication skills, and basic emergency obstetric care. These health centers are now fully functional.
     
  • With funding from the World Health Organization, Ford Foundation and ExxonMobil, Jhpiego has provided comprehensive assistance to three midwifery academies in Aceh. To strengthen the quality of teaching, Jhpiego conducted training of faculty and clinical instructors. In addition, Jhpiego provided equipment and supplies to improve classroom teaching and the skills laboratory, and each school received a large number of updated reference materials and computers for their libraries.
     

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Head of Lhokseumawe midwifery program with one of her staff and baby model

 

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Midwives practice childbirth skills using learning materials and an anatomic model
 

  • With funding from Save the Children, Jhpiego fully rebuilt or renovated 18 private midwifery practices that were damaged or destroyed during the tsunami. In the interest of "building back better," Jhpiego provided supplies and equipment to ensure that the midwives are able to meet national and international standards of practice. Jhpiego also provided training and on-the-job mentoring of these midwives to assist them in offering high-quality clinical services.
     
  • With funding from Chevron, CARE and Save the Children, Jhpiego has implemented activities to develop "Alert Villages" in three districts in Aceh. As a result of these activities, 30 villages have established emergency preparedness plans that include pregnancy notification, transportation, blood donors and funds that can be accessed by women and families in case of emergency. These activities are currently being replicated by other donors and organizations in additional villages in Aceh and throughout Indonesia.
     

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Exterior of Lembaro Skep Health Center in Banda Aceh (physically rebuilt by CARE; center equipped, staff trained by Jhpiego)

 

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Room and supplies inside midwife Mardiani's renovated private clinic in Sigli

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Two third-year midwifery students read library reference materials

 

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Community members from "Alert Villages" participate in facilitator training

Jhpiego's commitment to the health of women and their families in Indonesia spans more than three decades. Jhpiego was among the first responders following the tsunami and remains dedicated to providing support to the rebuilding of Aceh's health care system.

About Jhpiego
For 35 years, Jhpiego, (pronounced "ja-pie-go"), has empowered front-line health workers by designing and implementing simple, low-cost, hands-on solutions that strengthen the delivery of health care services, following the household-to-hospital continuum of care. We partner with community- to national-level organizations to build sustainable, local capacity through advocacy, policy and guidelines development, and quality and performance improvement approaches.

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