Mobile Healthcare Access
Members of the project team were in Lombok at the time of the two major earthquakes and were compelled to offer assistance to the people of Lombok.
The project team assisted in channeling donations and supplies to the people of Lombok through their generous donors and community network.
The team identified several small villages in the Tanjung area that were severely affected by the earthquake and provided several medical teams to assist in emergency care and referral to local hospitals. In the time following the emergency period the medical team reported that there were an increasing number of primary health care cases that needed attention with some requiring referral.
Currently the health services in the North of Lombok are significantly affected with clinics and hospitals not only sustaining structural damage to their buildings but also having significant numbers of their staff affected by this tragedy. Therefore the health system is not only overwhelmed by emergency medical cases and follow up of those cases, but, currently does not have the human resource capacity to manage the routine flow of community patients.
With many earthquake affected communities (over 400,000) in camps for an unknown amount of time, and community clinics and hospitals rebuilding their capacity it is proposed that there is implementation of a pilot program called Mobile Healthcare Access (MHCA).
MHCA will consist of a specially fitted and equipped vehicle, staffed with a doctor, nurse, midwife that will provide basic primary care to evacuation camp inhabitants.
It is envisaged that this pilot program will be assessed after six (6) months with the option to scale the program depending on the need.
Proposed Service Area
The project team has been supporting several evacuation camps within the Bentek area near Tanjung regency. The camps are spread across several kilometers and house around 3000 people.
Currently the health care service is under significant stress as it rebuilds facilities as well as works towards rebuilding human resource capacity.
The evacuation camps pose a risk to public health with poor sanitation, compromised hygiene and the high probability of related healthcare issues.
Communities within the camps are reluctant or unable to leave their families to travel to a local clinic or hospital and are significantly affected by psychological trauma, which restricts how far they are willing to travel away from their families.
The Indonesian government has been proactive in providing emergency healthcare support and is focused on the efforts to rebuild local medical facilities. With fewer emergency cases within the camps the initial government personnel have started to withdraw.
Currently the primary barrier to health care is access.
Anecdotal field research data from the Bentek area will be reviewed to create an informed strategic intervention for this project. Reviewing data and working closely with government agencies will set the project up for success.
The MCHA project will support the existing local community health workers who are trained and equipped to treat routine health needs, to mobilize the community for daily or weekly clinic visits, and to identify, refer and communicate emergency cases. The project will also capitalize on Project Karma’s existing partnerships for health education and intervention in schools, expanding and empowering the capacity of beneficiaries.
The project targets children, youth, women, and families from poor, vulnerable, and underserved communities in North Lombok.
Goals & Strategic Objectives
Appendix accommodate the following working space: