thinking outside the box promoting healthcare and environmental protection in indonesian borneo
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Thinking outside the box Promoting healthcare and environmental protection in Indonesian Borneo. Kinari Webb, M.D. India. Borneo. Borneo. Australia. Gunung Palung National Park. 222,395 acres Fantastically Diverse habitat Breeding population of orangutans - PowerPoint PPT PresentationTRANSCRIPT
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Thinking outside the box
Promoting healthcare andenvironmental protection in
Indonesian Borneo
Kinari Webb, M.D.
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Borneo
Borneo
Australia
India
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Gunung Palung National Park
• 222,395 acres• Fantastically
Diverse habitat• Breeding population
of orangutans• Threatened by
illegal logging• High healthcare
needs- 60,000 people
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The Problem• Borneo has the worst
deforestation in the world
• Unsurpassed biodiversity loss
• Poverty and lack of economic choices
• Terrible health care• Environmental
destruction leads to worse health
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Loss is Forever
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Human and Environmental Health
• Watershed destruction• Floods• Landslides• Diseases• Global Warming
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Life around Gunung Palung• 1/3 choose between
food and medicine• Total assets: $270• Average cost of one
medical emergency: $460; 10% of households had one
• 41% have done illegal logging
• Average income from illegal logging: $310/yr
• 100% would readily switch to alternative work
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The Healthcare Model
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Integrated Solutions
• High quality health care for everyone
• Environmentally-friendly non-cash payment options
• Extra benefits for communities that protect the forest
• Alternative livelihoods
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The ASRI Clinic
• Over 9,000 patients• DOTS program for
TB• Birth Control• Eyeglasses• Mosquito Nets• Trained over 100
providers
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Cataract Surgery
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Design for Hospital
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How do poor people pay?
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Working in the Organic Garden and Seedling Nursery
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The Red-Green System
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Is a Community Red or Green?(Doing Illegal Logging or Not?)
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Communities were asked what they wanted
• Over 400 hours of formal and informal meetings
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What communities said they wanted:
1. Mobile clinic visits
2. An ambulance
3. Organic farming and health education
4. Discounts at the clinic
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So Far…
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Mobile Clinic Visits
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Signs of Success
• Communities going from red green
• Over six months: 31% 40% green
• Just completed evaluation meeting
• Need to spread word
• Process, not quick fix but encouraging
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Where We Want To Go• Expand from clinic to
hospital• Reforestation as part
of work program; carbon finance
• Continue to work with communities on conservation incentives
• Track successes
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Saying Thank You for Preserving Rain Forest
• Every $4.50 in donations allows Project ASRI to treat one patient and offer tangible benefits in exchange for the
protection of vital rain forest habitat.
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Costs to Provide Care
• Birth Control: $5/yr
• 6 months of TB medicine: $30
• Run DOTS program: $555/mo
• Doctors Salary for one month: $600
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www.healthinharmony.org
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Photos:
Erick DanzerTim Laman
Kinari WebbDavid PeartCam Webb
Antonia GorogStuart Webb
Photo Credits: