A S A P Full Proposal And Appendices Mobile Health Clinic

Mobile Health Clinic Initiative
Socially Responsible Humanitarian Assistance for Communities
Affected by the Sidoarjo Mud-Flow Disaster

Prepared for the consideration of Santos Ltd. by the Australian Sidoarjo
Assistance Project in co-operation with Gaia Foundation

July 2009

Gaia Foundation Mobile Health Clinic Initiative, 2009

Mobile Health Clinic Initiative
Socially Responsible Humanitarian Assistance for Communities Affected
by the Sidoarjo Mud-Flow Disaster

Prepared for the consideration of Santos Ltd. by the Australian Sidoarjo Assistance
Project in co-operation with Gaia Foundation

July 2009


project, brings a wealth of experience in managing
OVERVIEW successful mobile clinics, including a clinic for street
children in Yogyakarta, funded by the British
This paper presents a funding proposal for a mobile Embassy in Indonesia. The Gaia Foundation’s
health clinic initiative in Sidoarjo, East Java, policy of community consultation and co-operation
Indonesia. The aim of the initiative is to combat the will help to ensure that the mobile health clinic
growing health crisis in Sidoarjo by providing free operates to achieve optimum community satisfaction
health care services to mud-flow affected and results.
communities. The initiative has been developed by
a local Indonesian non-government organisation On a broader scale, the Mobile Health Clinic
(NGO), Gaia Foundation, in collaboration with the
Initiative also possesses several advantages to other
Australian Sidoarjo Assistance Project (ASAP), and
possible modes of assistance. Firstly, its mobility
in consultation with Sidoarjo community
representatives. Given the complex nature of the makes it well suited to the changing environment of
Sidoarjo mud-flow disaster and its frequently the mud-flow affected area, and the population
changing dynamic, the Mobile Health Clinic Initiative movements that occur as a result. In contrast,
provides an effective and viable way to achieve establishing any permanent health infrastructure in
significant improvements in community health. The communities surrounding this area would be
total cost for twelve months’ operation of the clinic unviable given the unpredictability of the mud-flow
amounts to $141,866.00 (AUD). itself. Secondly, the clinic is ‘mobile’, meaning it will
be able to conduct visits to multiple locations,
While all post disaster responses should incorporate
ensuring that health-services are distributed
a comprehensive health care plan, in the mud-flow
equitably across the affected communities. In doing
affected areas of Sidoarjo this requirement is yet to
so, the Mobile Health Clinic Initiative supports good
be adequately addressed. The extent of health
inter-community relations, where these relationships
problems faced by people living in mud-flow affected
have come under increasing strain in recent years.
communities is of grave concern, with many having
Thirdly, the mobile health clinic compliments, but
experienced a decline in overall health and well-
does not interfere with, other assistance operations
being since the mud-flow began in 2006. This
in Sidoarjo, such as the activities of the Sidoarjo
decline in health owes largely to the poor living
Mud-Flow Mitigation Agency (BPLS). In fact, health
conditions of affected communities, and particularly
care is one important area which has been largely
of those now living in refugee camps. Many mud-
neglected in emergency relief efforts, highlighting the
flow victims live without adequate food, clean water
need for a targeted response.
or shelter. These communities are particularly
vulnerable to poverty related illnesses, such as
As project coordinator, Gaia Foundation enjoys a
dysentery, respiratory problems, nausea, and skin
reputation for taking an integrated approach to
irritations, some of which are caused by high levels
achieve excellent results in all its projects. The
of noxious gas present in the Sidoarjo environment.
proposed clinic will be managed entirely by
Such health problems are further compounded by a
severe lack of access to adequate and affordable Indonesian staff, including East Javanese, in close
health care services, such as local health clinics - cooperation with local community members. The
many of which have been lost in the disaster. The project also includes detailed monitoring and
reporting components, ensuring transparency and
Mobile Health Clinic Initiative seeks to address some
accountability to its donor.
of these fundamental health concerns by providing
regular medical check-ups, basic treatments,
medicines, dental care, and a paramedic for Considering all of the positive attributes of a mobile
emergency services, free of charge. To ensure health clinic, this initiative would make an excellent
equity and accessibility, the Clinic is designed to component of Santos’ Corporate Social
make routine and on-demand visits to a number of Responsibility portfolio in East Java, while improving
mud-flow affected communities. Gaia Foundation, the quality of life for those directly affected by the
the Java-based coordinating NGO body for this mud-flow disaster.

2

T ABLE OF CONTENTS

Overview…………………………………………………………………………………………2

Background………………………………………………………………..…………………….4

Health in Mud-flow Affected Communities…………………………………..……………….5

Mobile Health Clinic Goals and Technical Operation........………………………………....8

Goals........………………………………………………………………….…………….8

Project Operator: Gaia Foundation……………………………………………………8

Gaia Foundation Staff………………………………………………..…………………8

Gaia Foundation Community Consultation and Planning………………………..…9

Visit Route and Schedule………………………………………………………………9

Program Socialisation....……………………………………………………………...10

Operational Set-up......………………………………………………………………..10

Budget..........……………………………………………………………………….….10

Monitoring…………………………………………………………………………..….10

Key Advantages of Mobile Health Care Clinic Initiative..………………………………….11

Conclusion..……………………………………………………………………………………12


in Sidoarjo. Such an initiative possessed several
BACKGROUND advantages to other possible assistance programs for
both practical and socio-political reasons. It was also
an acknowledgement of the fact that health is
The Sidoarjo mudflow disaster began in May 2006 and
fundamental to human welfare. Ignoring the health
has resulted in the displacement of approximately
issues that currently confront communities in Sidoarjo
75,000 people.1 The mud flow continues to this day,
would undermine other vital contributions to basic
causing severe social and economic breakdown in
social and economic development, such as education
surrounding communities. In response to the disaster,
and employment.
the Australian Sidoarjo Assistance Project (ASAP) was
established in 2008 to help achieve a long-term, Gaia Foundation has since undertaken further
sustainable and fair solution to the mud-flow disaster community consultation in Sidoarjo and obtained a
through community, corporate and government positive response about the proposed initiative from
engagement. Gaia Foundation was recommended to community representatives and local health workers.
ASAP as a local partner organisation by numerous Gaia has also begun extensive preparation and
consultants working on disaster relief in Indonesia. planning in order to ensure the project can be
Gaia has a reputation as one of the most professional implemented as soon as funding is secured.
and strategic local NGOs with a strong ethos of
community empowerment and participation. In late
2008 ASAP supported an extensive mapping project of
the disaster coordinated by Gaia.

The aim of the 2008 mapping project was to help Ignoring the health issues that currently
identify the main issues and dynamics of the disaster confront communities in Sidoarjo would
directly impacting on the local community, in order to undermine other vital contributions to basic
plan and implement an effective humanitarian
response. Community health was one of the major
social and economic development, such as
problems identified, a finding which reflects several education and employment.
2
other investigations into the disaster. Upon
consideration of this finding and after meeting with
community groups in Sidoarjo, the Australian Sidoarjo
Assistance Project discussed with Gaia Foundation the
option of establishing a mobile health clinic. Both
parties agreed that a mobile health clinic initiative
would be an appropriate response to the health crisis

1
Yayasan Gaia 2009, Real Impact/Demand Assessment and
Action Plan Development for Lapindo Mud-Volcano Disaster
Communities, Yogyakarta, Indonesia.
2
See Centre for Housing Rights and Evictions (COHRE)
2009, Human Rights Submerged: The 3rd Anniversary of the
Lapindo Mudflow Disaster, East Java, Indonesia, and the
Responsibilities of the State, Report for the United Nations
Special Rapporteurs on Housing and Health and the
Representative of the UN Secretary General on the human
rights of Internally Displaced Persons, pp. 5-6; Wahana
Lingkungan Hidup Indonesia (Walhi) 2008, Friends of the
Earth International 2007, Lapindo Brantas and the Mud
Volcano in Sidoarjo, Indonesia available at
http://www.foeeurope.org/publications/2007/LB_mud_vol
cano_Indonesia.pdf.

4


6
environment. Such health problems are further
compounded by a severe lack of access to adequate
HEALTH IN MUD-FLOW and affordable health services, with many local health
AFFECTED COMMUNITIES clinics having been submerged in the mud-flow and
additional medical services yet to be supplied. Overall,
there are severe inadequacies in the current provision
7
The provision of additional health care services is one of health care services in the Sidoarjo area.
of the most urgent needs of mud-flow refugees and
mud-flow affected communities in Sidoarjo. All post People living in mud-flow affected communities
disaster responses are required to have a strong currently suffer from a range of concerning health
3
mental and physiological health care plan. In the problems. Those who live in houses around the mud-
mud-flow affected areas, however, this need appears flow area contend with the presence of noxious gases,
4
to have been largely ignored. while many of those who have who have been forced
to leave their homes now live in cramped shelters,
Moreover, management of the disaster response in lacking adequate protection and security. These
Sidoarjo is complicated by the ongoing nature of the cramped living conditions and the intense heat inside
disaster, unlike disasters such as a tsunami or the make-shift shelters negatively impacts on the
earthquake. As a result, these communities have health of residents, particularly of children and the
8
suffered an ongoing decline in overall health over the elderly. The poor sanitary conditions and lack of
last 3 years, since May 2006 when the mud-flow clean drinking water in the area has also led to an
began. Many of their illnesses are caused by the increase in illnesses like diarrhoea
decline in living conditions, particularly for those now
living in refugee camps. In November and December 2008, the Medical
Emergency Rescue Committee (Mer-C), an
Indonesian emergency health care NGO, undertook a
Mud-flow victims often live without adequate food or preliminary survey of people affected by the disaster in
shelter and can no longer safely drink local four displacement locations (Pasar Baru Porong, along
groundwater. 5 Communities are particularly vulnerable the Besuki toll road, in Siring Barat, and Mindi Jatirejo
9
to poverty related illnesses such as dysentery as well Barat villages). The team documented 2,260 health
as respiratory problems, nausea, and skin irritations cases.
caused by high levels of noxious gas in the Sidoarjo

6
Overall, there are severe inadequacies Centre for Housing Rights and Evictions (COHRE) 2009,
in the current provision of health care Human Rights Submerged: The 3rd Anniversary of the
Lapindo Mudflow Disaster, East Java, Indonesia, and the
services in the Sidoarjo area. Responsibilities of the State, Report for the United Nations
Special Rapporteurs on Housing and Health and the
Representative of the UN Secretary General on the human
rights of Internally Displaced Persons pp. 5.
3 7
The Sphere Project, Humanitarian Charter and Minimum Ibid, pp. 5-6. Rohman Taufik 2008, ‘Lapindo Mud Contains
Standards in Disaster Response: Chapter 5, Minimum Dangerous Chemical Elements’ Koran Tempo, August 4
Standards in Health Services, p. 254 available at 2008. Harsaputra, ‘Locals exposed to daily health hazards’,
http://www.sphereproject.org/dmdocuments/handbook/h The Jakarta Post May 29 2009.
8
dbkpdf/hdbk_c5.pdf. COHRE 2009, above n 6, p. 4.
4 9
Imam Shofwan 2008, ‘Lapindo Mud Victim Health Ignored’ See for example, ‘Mercy for Victims of Mindi, 6 December
Lapindo Victim’s Porthole, available at 2008’, available at http://en.korbanlumpur.info/stories/17-
http://en.korbanlumpur.info/stories/local/330-kesehatan- story/419-mercy-for-victims-in-mindi.html and ‘Another
korban-lumpur-lapindo-terabaikan.html Life Lost to Lapindo’, 3 December 2008, available at
5
Harsaputra, ‘As Land Sinks, 200 Families Threatened’ in http://en.korbanlumpur.info/stories/17-story/415-another-
Jakarta Post, Wednesday 1 June 2009 life-lost-tolapindo-.html

5


Health consultation sessions were held in Mindi
village, and masks were distributed to the three PAHs are substances commonly found near oil and
villages (Siring Barat, Jatirejo Barat and Mindi) as well gas drilling sites and pose a serious risk to human
as to those already displaced, living along the Besuki health. A recent study by the US Geological Survey
toll road. The following health problems were found to also confirmed the presence of PAHs in and around
be most prevalent in these villages: the mud-flow site at Sidoarjo.
• Respiratory conditions: 21.81% (493 cases);
• Musculoskeletal conditions: 15.35% (347 cases); The health and well-being of those people living in the
• Nerve related problems: 15.13% (342 cases); villages surrounding the mud-flow containment area is
• Cardiovascular conditions and high blood pressure: particularly vulnerable. The walls of houses have
13.23% (299 cases); cracked and floors have also suffered considerable
• Digestion: 11.24% (254 cases); damage, exposing residents to noxious gases and
• Skin problems: 9.73 per cent (220 cases) providing little protection from other pollutants.
Sidoarjo hospital had as many as 1,500 patients
The survey team also observed a low level of registered as affected by gas fumes in the three
12
community awareness regarding general health months immediately after the mud-flow began.
issues, hygiene and sanitation, among those displaced
by the disaster. The survey stated that this was
exacerbated by the badly degraded environmental While a number of medical clinics have been
conditions, such as strong gas fumes emanating from lost in the mud-flow, there has been no
the mud, especially in Siring Barat village. subsequent replacement of permanent medical
services or medical staff in the area and there
The Sidoarjo Hospital has recorded an increase in
patients registered as affected by gas fumes are few services directed at refugees.
(hydrogen sulphide - H2S). Symptoms included
dizziness, breathlessness, breathing difficulties, skin
irritations, and nausea. Evidence suggests a 50% According to the East Java Sidoarjo Health Monitoring
increase from 2006 to 2007 in patients seeking team, since that time the situation has continued to
treatment for respiratory infections at district 13
worsen. In Jabon, three doctors work at the local
10
hospitals. For instance, according to Jabon health health clinic providing health care services to a sub-
clinic records, the number suffering from respiratory district with a population exceeding 64,000. That is,
illness increased monthly, from 60 patients in February roughly, one doctor for every 20,000 residents. There
2008, to 164 patients by May 2008. Acute respiratory has been no increase in medical staff in this region
infection is also the illness most commonly since the mud-flow disaster.
experienced by refugees living along the Porong-
Gempol toll road. The loss of homes and sources of livelihood has also
negatively impacted on the ability of affected
Environmental pollutants, introduced into the area communities to access adequate and affordable health
since the mud-flow began, continue to exacerbate care. These dispersed communities are now farther
health problems. Research conducted by Walhi from health care facilities, leading to an increase in
(Friends of the Earth Indonesia) using facilities at transportation costs which become prohibitive for
Surabaya’s Airlangga University revealed that PAH― many of the unemployed in the district.
Policyclic Aromatic Hydrocarbons― content in
locations near the mud-flow far exceeded the limits of
acceptable absorption for humans.11

10
COHRE, above n 6, p. 6. 12
11
Walhi Director Bambang Catur Nusantara in Rohman Friends of the Earth International 2007, above n 2, p. 5.
13
Taufik 2008, ‘Lapindo Mud Contains Dangerous Chemical Hasaputra 2008, ‘Locals exposed to Daily Health Hazards’,
Elements’ Koran Tempo, August 4 2008. in Jakarta Post, Thursday 29 May.

6


For those who can access the remaining, poorly- Gaia’s health status assessment conducted in early
equipped local health care centres, they find that while June 2009 found that the community which formerly
diagnosis is free, medicines are expensive. Many resided in the marketplace at Pasar Porong, now in
residents cannot afford treatment after diagnosis. Kedungsolo village, is particularly vulnerable to
negative health outcomes, as their living conditions
Some temporary medical services have been funded have rapidly deteriorated. Further, as of June 2009,
by local NGOs. For instance in one case an NGO the Porong community health clinic is no longer
distributed mosquito nets, while another provided free offering any reduced cost services for these victims.
health services for 15 days. However, such services
Likewise, former Besuki, Pejarakan and
have been intermittent and haphazard. At the same
Kedungcangkring villagers lack access to any
time, neither local government nor the BPLS agency
adequate and affordable health services. In particular,
has taken up the specific issue of health care at
14 those living in make-shift housing along the toll-road
Sidoarjo.
are susceptible to poor health and illnesses.
Other than the nation-wide basic health care for the
underprivileged there has been no additional
assistance to help mud-flow affected communities gain The Mobile Health Clinic Initiative is designed
access to basic health services. Some of the to address the neglected issue of community
residents in the affected communities do not even health and well-being in Sidoarjo, particularly in
have a health care card.
the most vulnerable communities which have
In short, the overall prospects for improved community directly felt the impact of the mud-flow disaster.
health in mud-flow affected regions of Sidoarjo remain
bleak in the absence of additional health services.

While the clinic will not be able to resolve the myriad
health issues over night, the basic services it provides
will help to alleviate basic health complaints, improving
quality of life for those displaced by and living in the
vicinity of the mud-flow. The following sections set out
the goals and operational framework for the Mobile
Health Clinic Initiative.

14
Imam Shofwan 2008, ‘Lapindo Mud Victim Health
Ignored’ Lapindo Victim’s Porthole, available at
http://en.korbanlumpur.info/stories/local/330-
kesehatan-korban-lumpur-lapindo-terabaikan.html

7


MOBILE HEALTH CLINIC
Project Operator: Gaia Foundation
GOALS AND TECHNICAL
The Gaia Foundation is a Java-based Indonesian
OPERATION NGO with an exceptional international reputation and a
wealth of past experience managing mobile health
clinic projects, including the past five years in Java.
Goals Since September 2004 Gaia has coordinated a mobile
health clinic for Yogyakarta street children, providing
The primary goal of the Mobile Health Clinic is to for over one thousand patients. The mobile clinic,
contribute to the welfare of mud-flow affected sponsored in part by the British Embassy, circulates
communities by improving overall health outcomes in three times a week, visiting up to 12 locations around
these communities. Health is among the most the city. The program consists of a mobile clinic, two
fundamental of human needs. Health is also a general doctors, two dentists and one assistant medic.
foundation for community development; without good The service is offered to street children at no cost and
health, individuals do not enjoy the freedom to engage includes both routine and on-demand visits. Due to its
in other activities which enhance standards of living success, Gaia has since been invited by several other
and quality of life, such as education and employment. NGOs and community groups to broaden the service
15
to new areas and communities. In addition to
ongoing clinics, Gaia foundation has also managed
emergency response mobile clinics in earthquake and
The Mobile Health Clinic aims to tsunami affected communities. These efforts have
gained support from UNICEF and CUSO Canada
improve health outcomes across
among other international organisations.
mud-flow affected communities in
Sidoarjo through the provision of Gaia Foundation Staff
easily accessible medical check-ups, Gaia employs the highest quality of local staff from
basic treatments, medicines, dental multi-discipline backgrounds. All staff have prior
care, and emergency service, free of experience in both the NGO and corporate sector. In
charge. particular, many Gaia staff members have a
background in consultancy, since Gaia foundation is
the NGO arm of the large consultancy company, Gaia
Solutions. Employees include former NGO workers,
consultants for community development in national/
To ensure equity and accessibility, the mobile clinic will
international organisations, information technology
make routine and on-demand visits to several mud-
experts, consultants for business transformation
flow affected communities dispersed throughout
projects, consultants for human resources/organisation
Sidoarjo. In addition, the clinic will also play an
development and change management, business
educating role by promoting awareness of health
entrepreneurs, as well as senior managers in
issues in the communities and working closely
multinational companies. Yudhi Hermanu, who will be
alongside local health authorities.
managing the Sidoarjo Mobile Health Clinic, has over
The clinic will collect valuable data about the overall 30 years experience in consulting on community
16
health issues in mud-flow affected communities which development issues.
can be used in future by government agencies and
NGOs working in the region. Thus the clinic will also
assist in the co-ordination of targeted responses to 15
For more information visit: http://www.yayasan-
some of the most urgent health issues. gaia.org/mc.htm; see also Appendix III: Gaia Foundation
Profile.
16
See Mr. Yudhi Hermanu’s curriculum vitae in Appendix IV.

8


Gaia Organisation Community Visit Route and Schedule
Consultation and Planning
Gaia is currently working to devise a strategic and
Gaia has a policy of involving local community in all its equitable route for its Mobile Health Clinic visits to
activities, which are based on community consultation ensure maximum ease of access and that all affected
17
and collaboration. In the context of the Sidoarjo mud- communities in Sidoarjo are serviced. (See map in
flow, Gaia’s ability to work together with local Appendix II).
communities while maintaining a high level of
professionalism and objectivity will be a vital asset. In
preparation for the mobile clinic Gaia has already Pending finalisation of funding for the mobile health
begun to liaise with local community representatives care clinic, Gaia will conduct meetings in all affected
and local health workers. Sidoarjo communities to ensure that all community
members are aware of the Mobile Health Clinic
services. Gaia will also ensure that information
regarding the visit schedule is widely disseminated and
clearly displayed in community spaces. Gaia will
arrange the Mobile Clinic visits through a weekly
schedule as follows:

No. Day Location
1 Wednesday Kedungsolo
2 Thursday Besuki
3 Friday Kedungsolo
4 Saturday Besuki
Free visits to other
5 Sunday areas (final location
In early June 2009, when Gaia mentioned the
plotting to be defined)
possibility of launching a health clinic to members of
the former Renokenongo community (now living in
Kedungsolo) they responded enthusiastically. The
community also expressed eagerness to help socialise
the program and participate as ‘general helpers’.
Community leaders from the communities living
alongside the Gempol toll road (formerly of Besuki,
Pejarakan and Kedungcangkring villages) were also
excited by the prospect of a community health clinic.
They also showed a willingness to support and
socialise the program among the community. Gaia
obtained a positive response from initial discussions
with the Porong community clinic representative, who
stated that they are ready to support any organisations
that wish to carry out a health service for the victims
provided the program is substantial (i.e. continues for
more than just a few days).

17
See proposed Mobile Health Clinic visit route map in
Appendix II.

9


conducted outside of the vehicle, sheltered by a tent
designed for the medical check-ups.
Program Socialisation
The socialisation plan for the future Mobile Clinic Budget
program will be carried out in several steps:
The complete budget for the Sidoarjo Mobile Health
1. LOCAL GOVERNMENT AND AUTHORITIES: Clinic can be found in Appendix I. It includes the initial
It is essential that activities to be undertaken by start-up costs required for a Mobile Health Clinic and
the Mobile Clinic have official permission and establishing a Gaia office in Lapindo, in addition to the
support in executing the program. Gaia will liaise full operational costs of the Clinic for a twelve-month
with relevant Indonesian Governments and bodies, period. The project will employ seven full-time staff
including: the District Government of Sidoarjo, members in both medical and administrative
Sidoarjo District Health Agency, Porong, capacities, with support also received from volunteers.
Tanggulangin and Jabon Sub-District Offices, as
well as Porong, Tanggulangin, and Jabon
community health clinics. The total cost of $141,866 (AUD) is calculated
2. LOCAL SETTLEMENT AREA ASSOCIATIONS: based on the exchange rate of
8270.9 Rp/AUD as of 24th June 2009.
After obtaining formal authorisation letters from
local government institutions, Gaia will socialise
the initiative to the head or leader of community
associations in the settlement areas, both in
The unit costs are specified in Indonesian Rupiah. The
Kedungsolo and Besuki. Their assistance will be
essential in disseminating information about the total cost is 1,173,360,000 Rp, which equates to
initiative to the community. $141,866 (AUD) is calculated based on the exchange
th 18
rate of 8270.9 Rp/AUD as of 24 June 2009.
3. GENERAL COMMUNITY/BENEFICIARIES:
Monitoring
Together with community association leaders,
Gaia will socialise the mobile clinic initiative to the Gaia makes project monitoring and feedback an
wider community through various channels. This important priority in all their work. Thus the Sidoarjo
will include both community meetings prior to Mobile Health Clinic will conduct regular community
commencement, as well as several evaluation feedback surveys to ensure that it is achieving
meetings during the program execution to invite optimum results. Gaia frequently uses data collected
community feedback and opinions. Gaia will use at Mobile Health Clinics to identify major health
other media that can be distributed to the problems in visited communities. In the past this has
community, such as pamphlets and posters. lead to conducting targeted health awareness
campaigns alongside their regular check-up visits.
The data collected can also provide a valuable
Operational Set-Up resource for other NGOs and government agencies.
Gaia also ensures accountability by documenting its
Gaia’s Mobile Health Clinics operate with the use of a
activities and posting regular updates on its website
specially refitted jeep and the use of a local workshop
and community blog.
to accommodate the project requirements. The
vehicle consists of two main areas to accommodate
basic medical equipment and to enable practitioners to
perform standard health examinations, consultation,
treatment, and minor surgery. Two compartments for
equipment, prescriptions and a separate area for
sanitation equipment have been fitted inside the
vehicle. The main health service activities are 18
Source:http://www.reuters.com/finance/currencies?srcAmt=1.0
&srcCurr=AUD&destAmt=--&destCurr=IDR accessed 24/6/09.

10


KEY ADVANTAGES OF MOBILE
The clinic will visit numerous major population centres
H EALTH CARE CLINIC (see map in Appendix II) so that access is equitably
distributed across mud-flow affected communities.

A further advantage of the Mobile Health Clinic
Given the instability of land and insecurity of land- initiative is that the project does not interfere with the
holdings in mud-flow affected areas, 19 the mobility of operations of the national Sidoarjo Mud-flow Mitigation
the health care clinic is one of its central advantages. Agency (BPLS) in any way or form. While an urgent
Since the area inundated by mud continues to issue, the provision of additional medical care for mud-
increase, there is great difficulty in establishing a flow affected communities has not been taken up by
permanent health-care centre. In contrast, the mobile the Indonesian Government or the BPLS. The
health clinic can adjust its routes not only to changes provision of additional health services falls outside the
in the physical environment but also changes in the framework of the Presidential Regulation of 2007,
movements of mud-flow affected community which fails to mention any specifics with regards to
populations. These communities are increasingly community health care.
dispersed and transportation costs are increasing
beyond the means of residents, many of whom are As discussed above, other than ad hoc temporary
now unemployed. The mobile health clinic brings services, there has been no sustained public or
health-care to the door step of those who otherwise do privately funded additional health service provided in
not have practical access to health services. The Sidoarjo. The Mobile Health Clinic Initiative helps to fill
mobile clinic will also help lessen the strain on local a substantial gap in efforts to improve the health and
clinics, which are drastically understaffed as increased well being of mud-flow affected communities in
demand outstrips capacity. Sidoarjo.

Aside from the environmental instability of the region,
one of the major dilemmas in establishing any The Mobile Health Clinic initiative does not
assistance project in Sidoarjo is the need to ensure
that assistance is provided fairly, across
interfere with the operations of the national
geographically dispersed communities. Sidoarjo Mud-flow Mitigation Agency (BPLS) in
any way or form.
Increased population pressures, lack of adequate
shelter and unemployment have increased community
tensions in Sidoarjo. In some areas, inter-community
relationships are under intense strain since the onset
of the disaster, due to an array of complex social,
economic and political perceived inequalities. Thus
any responsible assistance project in Sidoarjo must
operate with an ethic of inter-community equity to
ensure that it will not exacerbate tensions or potential
for conflict between communities. The mobile health
clinic initiative is sensitive to this need by being
inclusive across community groups.

19
BPLS, ‘Lapindo dams may collapse any time, agency
warns’ in Jakarta Post, 11 March 2009. Harsaputra, ‘As
Land Sinks, 200 Families Threatened’ in Jakarta Post, 1
June 2009.

11


CONCLUSION

The Mobile Health Care Clinic is a carefully co-
ordinated response to the current health crisis in
Sidoarjo. By directly visiting numerous locations in
affected communities and providing free medical
check-ups, basic treatment and medicines the clinic
will improve the welfare of the most vulnerable groups
in Sidoarjo. The clinic is well suited to the difficult
Sidoarjo environment because it can adjust quickly to
population movements and changes in the mud-flow
dynamic. Importantly, the Mobile Health Clinic also
ensures a degree of inter-community equity that is
often lacking in other responses that target single
community locations.

Gaia Foundation, responsible for managing and co-
ordinating the Mobile Health Care clinic, also brings to
the project a wealth of practical experience and a
highly professional group of staff to ensure optimum
operation of the project.

As this initiative has outlined, the Mobile Health Clinic
initiative addresses a fundamental prerequisite for all
future social and economic development in Sidoarjo:
human health. But the project cannot go ahead
without your valuable sponsorship. Santos is invited to
take up the opportunity to make a significant
contribution to the welfare of the Sidoarjo community
and support this project for an initial twelve month
period. Parties involved respect the right of donors to
remain discrete thus we give Santos the option to
become a sponsor on an anonymous or open basis.
For this reason, the details of this specific initiative
have not been disseminated beyond ASAP leadership.

Gaia Foundation, ASAP and the people of Sidoarjo
thank you for your present consideration of this
important initiative and sincerely hope for your future
support.

12

APPENDIX I
MOBILE HEALTH CLINIC BUDGET


APPENDIX I
TOTAL Budget for Mobile Health Clinic Services - LAPINDO AREA

12 Months Operation: 20 Trips/Months - 240 Trips/12 Months
Approx. 50 Patients/Trip: 1,000 Patients/Month - 12,000 Patients/12 Months
COST/ SUB
No DESCRIPTION QUANTITY/UNIT
UNIT TOTAL

A. PROGRAM INVESTMENT & RENT COST
On Site Operations Office &
1 Staff Lodge 1 unit 12 months/rent 2,500,000 30,000,000
1
2 Project Relocation 1 package 10,000,000 10,000,000
Mobile Clinic & Operations
3 Vehicle (Rent) 1 package 180,000,000 180,000,000
See Table 1
Mobile Clinic Infrastructure &
4 Equipment 1 package 59,060,000 59,060,000

5 Laptop/Printers & Peripherals 1 set 1 set 15,000,000 15,000,000
Communication Set/Handy
6 Talkies 3 set 3 set 1,500,000 4,500,000
Operational Vehicle: Motor
7 Bike 1 unit 12 months/rent 750,000 9,000,000
SUB TOTAL A. 307,560,000
B. PROGRAM & PERSONNEL COST

1 Program Coordinator 1 person 12 man/months 5,000,000 60,000,000
Administration/Finance
2 Coordinator 1 person 12 man/months 3,500,000 42,000,000

3 Office Supplies 1 package 12 months 500,000 6,000,000

4 Medical Records 1 package 12 months 220,000 2,640,000
2
5 Program Running Cost 1 package 12 months 750,000 9,000,000

6 Physician 1 person 12 man/months 8,000,000 96,000,000

7 Dentist 1 person 12 man/months 5,500,000 66,000,000

8 Pharmacist 1 person 12 man/months 4,250,000 51,000,000

9 Paramedic 1 person 12 man/months 2,750,000 33,000,000

10 Driver 1 person 12 man/months 1,200,000 14,400,000
SUB TOTAL B. 380,040,000

1


C. MOBILE CLINIC TRIP OPERATIONAL EXPENSES

1 Medicine (see Table 2) 1 package 240 package/trip 1,500,000 360,000,000
Consumables Medical
3
2 Supplies 1 person 240 package/trip 150,000 36,000,000

3 Gas for Vehicle 1 package 240 package/trip 200,000 48,000,000
Vehicle Periodical
4 Maintenance 1 package 12 package/month 500,000 6,000,000

5 Meal & Snack per Day Trip 1 package 240 package/trip 150,000 36,000,000
SUB TOTAL C. 486,000,000
T O T A L A+B+C /12 months 1,173,600,000
AUD /12
1
months $141,866.00

Notes for Budget
1. Project Relocation: A temporary Gaia office will need to be established in the Lapindo area for the
twelve-month duration of the project to administer operational management, and control all
activities concerning the Mobile Health Clinic. This item includes all costs, aside from office rent,
that will be necessary to furnish and assemble equipment for the temporary Gaia office.

2. Program Running Cost: This is required to help guarantee the smooth running of the Mobile
Health Clinic. It inc ludes unpredictable costs such as possible administration fees.

3. Consumable Medical Supplies: This includes all medical supplies that will be required, not including the
medicines listed in Attachment 2 of the Budget. The purchase of items such as sample cups, bags to
place the medicine in, printing costs for clinic membership cards and medical records are incorporated.

1
Calculated at the rate of 8270.9Rp/AUD as of 24/6/09, sourced from http://www.reuters.com/finance/
currencies?srcAmt=1.0&srcCurr=AUD&destAmt=--&destCurr=IDR accessed 24/6/09.
2


TABLE 1: Medical Equipment & Vehicle

COST/
QUANTITY/ TOTAL
No DESCRIPTION UNIT
UNIT
(Rp.) (Rp.)
A Mobile Clinic Infrastructure & Equipment
1 General Medical Equipment
Mobile Examination Bed 1 unit 2,500,000 2,500,000
Acid Uric Monitoring System 1 unit 1,000,000 1,000,000
Bio Chemical Urine Analysis 1 unit 500,000 500,000
Blood Glucose Monitor 1 unit 5,000,000 5,000,000
Blood Pressure Monitor 1 set 1,500,000 1,500,000
Blood Test A, AB, O 1 unit 500,000 500,000
Body Height Scale 1 unit 150,000 150,000
Body Weight Scale 1 unit 120,000 120,000
Chair 2 set 200,000 400,000
Cholesterol test 1 set 500,000 500,000
Ear currete tool set 1 set 250,000 250,000
Ear/Nose/Throat Examination Tool Set 2 set 2,000,000 4,000,000
Emisis Basin 2 unit 25,000 50,000
Exam table 2 unit 500,000 1,000,000
Floorstand Examination light 2 set 500,000 1,000,000
Glucose Monitors 1 unit 1,500,000 1,500,000
I.V. Poles Set 1 unit 500,000 500,000
Lamp Set 2 unit 100,000 200,000
Medical Flashlight 2 unit 100,000 200,000
Medical Hamper 1 unit 200,000 200,000
Medical Minor Set 1 set 300,000 300,000
Medical Shelves 2 unit 1,500,000 3,000,000
Minor Surgery Kit 2 set 300,000 600,000
Mobile Medical Cabinets 2 unit 1,500,000 3,000,000
Mortar 1 set 50,000 50,000
Ophthalmoscopes 1 unit 1,500,000 1,500,000
Penlight 2 set 50,000 100,000
Portable Fire Extinguisher 1 unit 500,000 500,000
Pregnancy Test Pack 1 package 100,000 100,000
Refrigerator 1 unit 2,000,000 2,000,000
Mobile Vaccine Thermos 1 unit 1,200,000 1,200,000
Rontgent Viewer 1 unit 500,000 500,000
Solution Basin 2 unit 80,000 160,000
Sterilizer 1 unit 1,500,000 1,500,000
Stethoscope 2 unit 1,000,000 2,000,000
Thermometer 2 unit 50,000 100,000
Sub Total A.1. 37,680,000

3


2 Dental Equipment
Mobile Dental Chair Unit 1 unit 10,000,000 10,000,000
Dental Extractor Toolset 1 set 5,000,000 5,000,000
Curing Light 1 unit 2,000,000 2,000,000
Sub Total A.2. 17,000,000

3 Complement Equipment
Closed Trash box 1 unit 45,000 45,000
Disposable Face Mask 4 box 75,000 300,000
Examination Gloves 4 box 45,000 180,000
Hand Sanitizer 4 package 120,000 480,000
Needle & Syringe Set 6 package 500,000 3,000,000
Sterile Container 5 unit 75,000 375,000
Sub Total A.3. 4,380,000

B Mobile Clinic & Operations Vehicle (Rent)
1 Operations Vehicle (Rent) 12 months 5,000,000 60,000,000
2 Mobile Clinic Vehicle Unit (Rent) 12 months 10,000,000 120,000,000

Sub Total B. 180,000,000

TOTAL A1+A2+A3 59,060,000

TOTAL B. 180,000,000

TOTAL A + B 239,060,000

4


TABLE 2: Medicines

No. PURPOSE MEDICINES REQUIRED
1 Antibiotics Amoxicillin, Ottoprim Forte, Butacyn, Doxyciclin, Erythromycin,
Thiamphenicol, Ciprofloxacin, Lanacetin, Metronidazole,
Chloramhenicol, Zenychlor.
2 Analgetics/Antipiretic Paracetamol, Antalgin, Ibuprofen, Metenamat, Pyroxicam, Natrium
Dichlofenac.

3 Cough & Colds Remedy Alpara, Bronex, Delmacolin, Grantusit, Tera F, Ambroxol, OBH,
Zenirex, Dextrometrophan, GG.
4 Genito Urinary System Antacida Doen, Cimetidine, Ranitidine
5 Anti Inflammatory Dexamethasone, Prednisone

6 Hypertension/Cardiovascular Reserpin, Captopril,

7 Antihistamine CTM, Bufacaryl, Profut, Polamec

8 Vertigo Enakur, Dymenhidrynate

9 Roburantia/ Multi-vitamin/ Vit B1, B6, B12, B Complex, C, Neurmec, Hufralgin, Neurodex,
Mineral Sakaneuron, Mecobex, Calcium Laktate,
10 Anti Diarrhea Lopamid, Molagit

11 Enzyme Librozym

12 Anti Spasmodics Spasmal, Papaverin, Extract Beladona

13 Anti Asthma Aminophylin, Salbutamol, Ephedrine

14 Anti Hemorrhage Vit K, Danokrom

15 Obstetrics & Gynecology Methylgometrin Maleat

16 Anti Fungi Griseovulvin

17 Topicals Gameksan, Betamethason cream, Hydrocortisone cream,
Gentamicyn oint, Miconazol cream, Acyclovir, Ichtiol, Zalp 2-4,
Zalp Witfield, Chloramfecort
18 Suppositories Antihaemorhoid

19 Injections Neurothropil, Xylomidon, Duradryl, Cortisone, Epinephrine,
Dexamethason, Sulfas Atropine, Vit K, Lido Cain, Diazepam, CPZ
20 Eye Drops/ Cream Kemicetin, Oxytetracyclin, Erlamycetin, Sulfacetamid

5


21 Ear Drops Erlamycetin, Phenol Glycerol

22 Intestinal Parasites/Helminthes Pirantel Pamoat

23 Anti Uric Allopurinol

24 Kalium Aspar K

25 Psychotropic Diazepam, Luminal, CPZ, Haloperidol, Trihexiphenidil, Amiltripilin,

26 Others Ergotamine caffeine, Hipafix, Leucoplast, Rivanol, P K,
Albendazol, Handscoon, Mask, Cream Pot, Oralit, Consumable
Medical Supplies, Dental Medicine Kit

6

APPENDIX II
MOBILE HEALTH CLINIC
ROUTE MAP

APPENDIX III
GAIA FOUNDATION PROFILE

YAYASAN GAIA
Narrow the gap, because the gap matters…!

Yogyakarta – Indonesia

2009

T ABL E OF C ONT ENT S

OVERVIEW………………………………………………………………..…………3

1. YAYASAN GAIA’S PROJECTS…………………………………………..……….4
Mobile Health Clinic – Yogyakarta Street Children..…………………..…..4
Other Mobile Health Clinic Initiatives......…………………………………...5
Yogyakarta – Central Java Earthquake..……………………………..…….5
Pangandaran – West Java Tsunami..…………………………………..…..5

2. E MERGE NCY R E SP ONS E I NI TI ATI VE S …………………………………....6
Earthquake Disaster Response – Yogyakarta & Central Java………….…6
Tsunami Disaster Response in Pangandaran…………………………….…8
Flood Disaster Response in Central Java & East Java....……………….…9

3. P OST -E ME RG E NCY R E CO NS T RUCTIO N P ROJ E CT S ...... ..……………. .10
Preliminary Reconstruction – Yogyakarta Earthquake Disaster...........…10
Preliminary Community Reconstruction in West Java........………………11
Transitional Shelters in Sleman, Yogyakarta.........………………………..11

4. O T HE R P ROJ E CT S R UN BY Y AY AS AN G AIA .... .....……………………12
Mobile Community Assistance Pilot Program............……………………..12
Ayo Sekolah Program...........................................................................…13
Learning Centres......................................................................................13
Young Urban Farmers Life Skills Project.................................................13

YAYASAN GAIA LEADERSHIP COMMITTEE...............……………….………………14
Chairman Board of Trustees: Yudhi Hermanu................…………………14
Executive Director: Siti Difla Rahmatika..........................................……..15

REFERENCES........................................................……………….………………15

OFFICIAL DETAILS...............................................................……………….……16

2

OVERVIEW
1) Gaia Foundation (Yayasan Gaia) is a non-profit organisation based in the city of
Yogyakarta in Central Java, Indonesia. It was founded in 2003 with the aim of reducing
the economic and social divides that currently exist within Indonesian society. Yayasan
Gaia therefore focuses on helping those who face difficulty in attaining even the most
basic living standards, and its projects aim to improve their social and economic
prospects.
2) Yayasan Gaia consists of 17 staff members with experience in both the private and
public sector. Yayasan Gaia staff have extensive experience in working on aid-related
projects in Indonesia and, since its establishment in 2003, they have conducted several
long-term and short-term programs in partnership with various Indonesian and
international organisations, including the British Embassy (based in Jakarta), the UN
Office for the Coordination of Humanitarian Affairs (UN-OCHA), the International
Organisation for Migration (IOM), and the Australia Indonesia Partnership run under the
auspices of AusAID.
Yayasan Gaia achievements include establishing a mobile health clinic for street
children in Yogyakarta, constructing 55 semi permanent houses for tsunami victims in
Bulakbenda-Madasari, Masawah Village, Cimerak, Ciamis, West Java, and assisting
flood victims in Bojonegoro, East Java in January 2008.

3

1. YAYASAN GAIA’S PROJECTS

MOBILE HEALTH CLINIC – YOGYAKARTA STREET CHILDREN

In October 2004, Yayasan Gaia launched a mobile health clinic program to deliver
free health services to Yogyakarta street children. The mobile health clinic was run out of
a Short Chassis 1972 Land Rover, which was modified in a local workshop to contain two
compartments, with the first used as a storage space for medical equipment and with the
second used as a space to give treatment to patients and for minor surgery. Main health
services were conducted outside of the vehicle, under a tent designed for the medical
check-ups. This initiative of Yayasan Gaia was supported by the British Embassy’s Small
Grant Scheme, which covered the initial set-up and operational costs of the program for
two years.
The mobile clinic conducted three trips per week. During each trip, the clinic would
travel to one of the five major locations where street children commonly gather in
Yogyakarta. On each trip, the clinic would open for service for approximately two hours.
The free-of-charge medical service provided included general check-ups, basic medical
treatment for general and dental health, as well as minor surgery. Medical staff for the
clinic was drawn from the 28 doctors and dentists who volunteered for the program.
Since its first operation in September 2004, the mobile clinic has conducted 683
visits to street children in Yogyakarta. The total number of treatments provided so far is
4,565 with a total number of 3510 patients.
The most common diseases were found to be upper respiratory infections (36 %),
musculoskeletal (20 %) and dermatological diseases (11%); while the most frequently
prescribed medications were antibiotics, analgetics/ antipyretics, anti inflammatories and
vitamin supplements.

4

In addition to being supported by the British Embassy, the mobile health clinic program
was also supported by other organisations and private companies, including:

• PT. Dexa Medica, Jakarta & PT Dankos Jakarta, who funded the clinic’s medicine
supply for 6 (six) months;
• CRS Yogyakarta Project Office, who provided condoms and books about sexual
and maternal health;
• PT Dharmamulia Purnakarya (manufacturer of Susu Sapi Pohon, Yogyakarta),
who provided healthy food for the Mobile Clinic patients;
• Rotary & Rotaract Club Yogyakarta – Merapi: supporting several Gaia health
campaign programs.
Over four years of operation, the mobile health clinic program cost $45,810 (USD)- for its
operational expenses (which included medical supplies, doctors & travel costs). The
funds to cover all of these operational costs were provided by:
• The British Embassy Small Scale Grant Program (2004), which provided the
start-up cost of this program and the costs for its first year of operation.
• Funds raised by Yayasan Gaia itself, collected from two main small scale
businesses managed by the organisation: a café and an extreme
games/outbound sports ground. Yayasan Gaia also ran a fundraising campaign
that encouraged people to support the mobile clinic operation by donating a
minimum amount of 30,000 rupiah (AUD 3.90). Any donations made were
significant, as this amount was roughly equivalent to the average medical fee for
one patient.
• Support was also provided through Yayasan Gaia’s non-commercial partnerships
with local pharmacies and medical agencies, who provided funding, medicine,
and medical equipment.
The costs above exclude all the investment/capital costs such as medical equipment,
vehicles and other associated costs.

OTHER MOBILE HEALTH CLINIC INITIATIVES

YOGYAKARTA – CENTRAL JAVA EARTHQUAKE
When an earthquake hit Yogyakarta and Central Java on 27 May 2006, resulting in the
death of more than 4000 people, Yayasan Gaia set up a temporary refugee camp at a
soccer field in Bantul, and the mobile clinic provided health services to 2614 patients over
a period of two months.

PANGANDARAN – WEST JAVA TSUNAMI
The mobile health clinic was also used in Pangandaran, West Java (6 hours drive from
Yogyakarta) when a tsunami hit the Pangandaran coast on 17 July 2006, resulting in 660
deaths. Yayasan Gaia opened a health service centre in Pangandaran on the day of the
tsunami, and served 930 patients over the duration of its two week long operation.

5

2. EMERGENCY RESPONSE INITIATIVES

In addition to deploying its mobile health clinic, Yayasan Gaia also has extensive
experience in providing assistance in situations where an emergency response is
required.

EARTHQUAKE DISASTER RESPONSE - YOGYAKARTA & CENTRAL JAVA

As a response to the tragic earthquake that struck Yogyakarta and Central Java, on May
27, 2006, Yayasan Gaia carried out numerous social welfare services for earthquake
refugees.
While this began with the deployment of Yayasan Gaia’s mobile clinic (consisting of one
vehicle equipped with medical supplies, doctors and volunteers) to remote earthquake
locations, it later included the establishment of a medical service station on the Mblali
soccer field in Seloharjo village of the Pundong District in Bantul. Although this station
was initially intended to provide health services to earthquake victims, it was later
expanded into a shelter and used to house refugees.

The staff used by Yayasan Gaia on that occasion did not only involve the organisation’s
own personnel, but also included 300 volunteers who contributed their time, effort and
ideas to help the refugees.
Yayasan Gaia also partnered with various organisations to provide supplies including
medicine, food, clothes and domestic necessities. The region covered by Yayasan Gaia
did not only include Mblali village but expanded to include 33 communities that consisted
of around 11 sub-villages of 1,237 families, resulting in a total of 4,561 people altogether.
This included 329 toddlers/babies, 728 children, 35 pregnant mothers and 756 seniors.
This service was supported by 15 doctors, 15 medical students, 17 paramedics, and 120
volunteers working in shifts, all residing at Mblali Camp for the duration of the operation.
During its operations at Mblali Camp, Yayasan Gaia treated more than 1200 patients.
Some of the emergency response initiatives carried out by Yayasan Gaia in Seloharjo
include:
i) Temporary Shelter Development – established a range of kampung tenda (tent
villages) consisting of 32 family tents, equipped with 8 community latrines/bathing
areas, public tap water supplies from electric pumped wells, a medical clinic
including minor surgery facilities (with 1200 medical treatments/records).

6

ii) Semi Permanent Public Latrines Development – the setting up of 33 semi
permanent public latrines in the earthquake area in cooperation with UNICEF.
iii) Food & Non-Food Supplies Distribution – supported through funding from CUSO
Canada, provided both emergency food & non-food supplies for entire target group.
iv) Stress Release Initiatives – The ‘Stress Release Project’ started on June 12 2006
and lasted for 30 days, and included:
• “From village to village”: a series of entertainment programs and performance
art run by musicians and comedians, and held in 8 affected village areas.
• “From Mosque to Mosque”: a series of religious programs, regular visits and
sermons to the sub-villages to boost and hearten victim’s spiritual needs.

7

TSUNAMI DISASTER RESPONSE IN PANGANDARAN
In response to the tsunami that hit Pangandaran and its surrounding areas, Yayasan
Gaia again carried out various measures to assist refugees. Through funding from CUSO
Canada and some individual donors, Yayasan Gaia coverage expanded to include 8
neighbourhoods in Bulakbenda, which consisted of 373 families and 1095 individuals
including 66 toddlers/babies, 175 children, 12 pregnant mothers and 64 seniors.

The details of Yayasan Gaia’s emergency response initiative are described below:
i) Mobile Health Clinic Deployment - Yayasan Gaia deployed its mobile health clinic
(consisting of one vehicle equipped with medical supplies, doctors and volunteers) to
remote tsunami locations, and established a medical service station at Bulakbenda
(Madasari), Masawah sub-district, Cimerak district, Ciamis province.
ii) Temporary Shelter Development – the establishment of a range of kampung tenda
(tent villages) in Bulakbenda, each village area consisting of 120 family tents (for 600
individuals), 8 community latrines/bathing facilities, 4 water tanks (5000 litres each)
with support from UNICEF, PU Pangandaran & Ciamis, a medical clinic including
minor surgery facilities (720 medical treatments/records), 1 community tent hall, for
community gathering, meeting and other social activities, 2 UNICEF school tents, a
children’s playground tent to be used as a temporary school and for other children’s
activities, and a warehouse/logistics tent.
iii) Food and Non Food Supplies Distribution –starting from the fourth day of the
tsunami, Yayasan Gaia, supported through funding from CUSO Canada, supplied all
of the emergency food & non food supplies for the entire target group.

8

FLOOD DISASTER RESPONSE IN CENTRAL JAVA & EAST JAVA
In response to the flood disaster in Sragen – Ngawi, Central Java, and Bojonegoro –
Lamongan, East Java, from 28 December 2007 until 11 January 2008, Yayasan Gaia
carried out a series of measures designed to assist those affected by the disaster.

Yayasan Gaia again deployed its mobile clinic (consisting of one vehicle equipped with
medical supplies, doctors and volunteers) and dropped supplies to the most remote
flooded locations that were located in four different regions, and whose inhabitants were
cut off and therefore lacked easy access to any kind of assistance.
Yayasan Gaia – with some help from individual donors and volunteers – deployed 7
rubber boats to visit the isolated villages. Working together with local organizers and
partially supported by two international organisations (CRS Yogyakarta Project Office and
Save The Children Jawa Timur Office) and a private company (PT Sari Husada
Yogyakarta), Yayasan Gaia distributed food, water and other supplies to 5000 families,
including rice, instant noodles, biscuits, bottled drinking water, baby food, baby milk,
tarpaulins, and sleeping mats.

9

3. POST-EMERGENCY RECONSTRUCTION PROJECTS

PRELIMINARY RECONSTRUCTION – YOGYAKARTA EARTHQUAKE DISASTER

i) Physical Thematic Mapping & Community Socio-Economic Quick Assessment

Yayasan Gaia, along with representatives from each group of refugees and 60
volunteers, gathered information about the affected area in order to facilitate
recovery. This process involved mapping the location of various houses in the area,
complete with detailed information about current condition and damage level of each
house and to public facilities. It further involved recording the socio-economic
conditions faced by locals, including demographic data, occupations, previous daily
patterns related to community participation, and the range of skills held by locals.
ii) Provision of Tools and Building Materials

Yayasan Gaia provided a chainsaw, a table circle saw, an electric planer, and a
technician to operate it. These tools were then used by the community to cut and
process their own trees into wood and boards that could then be used as the main
materials in reconstructing their homes, including the main frame for the house, the
roof frame, and frames for the windows and doors. Yayasan Gaia also provided 1000
sheets of bamboo walls (2x3 meters squared) that were bought in West Java at a
cheaper price. These bamboo walls were then shared amongst 180 families whose
households included young children, elderly, orphans, or who were poor.
iii) The OXFAM Innovative Transitional Shelter (ITS) Project

From 5 September 2006 to 5 October 2006, Yayasan Gaia ran a project with one of
Oxfam’s Innovative Transitional Shelter grants. Using this grant, Yayasan Gaia built
369 transitional shelters for 369 families in Seloharjo, spread throughout 7 Seloharjo
sub-villages.
iv) Gravity Fed Piped Water System

Through Yayasan Gaia’s survey and village mapping, it was found that there was
enough spring water surrounding the Mblali sub-village, Seloharjo to establish a
gravity fed water system to areas of settlement, saving people some of the labour of
collecting water. Working together with the community 1,262 meter of gravity fed
piped water system were set-up for the people at Dusun Blali (sub-village/hamlet),
which covered 989 lives/356 families (houses). Yayasan Gaia provided all the
materials, while technical design and technical assistance through individual donors;
with the community contributing all labour. Starting in February 2007, The GAP
Foundation (a Corporate Social Responsibility initiative from GAP Inc. USA)
committed to support the continuation of this project to enable more people to access
water for their daily needs. As of June 2007, all the 2465 meters of piping system had
been installed and were benefiting the community in 5 RTs in Mblali sub village,
Seloharjo, Pundong, Bantul. Benefits provided to the community from this initiative
also include allowing the community to utilise their small dry land plot surrounding
their settlement area for planting some short-term crops such as: red onions, chillies
and some varieties of beans. In addition, the larger volumes of water that can be
accessed as a result of this system mean that local farmers are able to utilise their
land plot any time of the year.

10

PRELIMINARY COMMUNITY RECONSTRUCTION IN WEST JAVA
i) Physical Thematic Mapping

A simple mapping of houses in 8 RT (neighbourhood cluster unit), complete with
detailed information about current condition and damage level of each house and
public facilities.

ii) Community Socio-Economic Quick Assessment

Record about the locals’ socio-economic condition, including demographic data,
occupations, previous daily patterns that are related to community participation, and
the range of capacity that the locals may contribute should it is required within
community based reconstruction schemes (human resources, bamboo, stone, woods
and other materials).

iii) Provision of Housing

Supported by UN-OCHA, Yayasan Gaia builds 55 semi-permanent houses for 55
families affected by the tsunami in Bulakbenda-Madasari, Masaweh village, Cimerak
sub-district, Ciamis District. These houses, completed in July 2007, had raised floors
to diminish the possibility of flooding. After this housing had been built, Yayasan
Gaia, again in conjunction with UN-OCHA, helped these 55 families add latrine units
to these houses.

TRANSITIONAL SHELTERS IN SLEMAN, YOGYAKARTA
Supported by the T-Shelter grant from IOM (funded by the World Bank), Yayasan Gaia
built 301 transitional shelters for 301 families in Kalitirto village, Berbah Sub District,
Sleman, Yogyakarta. This project began on 2 January 2007 and all 301 temporary
shelters had been built by 27 February 2007.

11

4. OTHER PROJECTS RUN BY YAYASAN GAIA

In addition to their mobile health clinic, emergency response initiatives, and post-
emergency reconstruction, Yayasan Gaia has also successfully managed a number of
other projects, including:

M O BIL E C O M M UN I TY A S SISTANCE P ILO T P ROG RAM ,
A US AID P A R T NE RS H IP (J UNE – D E CEMBE R 2007)

The goal of this project was to teach local construction workers and community members
some technical skills for building an earthquake-resistant permanent house, through
using the construction of 9 prototype houses in both the Pundong Sub District (six
houses) and in Bambanglipuro Sub District (three houses), Bantul, located in Yogyakarta
Province. These prototype houses were used as training centres.

The main objective of this plan was to build 9 (nine) earthquake resistant permanent
houses in collaboration with community labourers and residents, to ensure that they knew
the appropriate local standards for earthquake resistant houses. This endeavour helped
raise the community’s awareness about the safe construction in the earthquake-prone
area.

12

AYO SEKOLAH PROGRAM
This program has been running since 2003 and assists students from primary schools,
junior secondary schools and senior secondary schools with tuition. This program
currently assists 50 students from several towns in Java.

L E ARNI N G C EN T R ES
Yayasan Gaia has also established two Learning Centres, one located in Dusun Sambi,
Pakembinangun, Sleman – near Kaliurang, and the other in Watu Gupit, Gunung Kidul, both
in the province of Yogyakarta. These two learning centres cater to various individuals/ groups:
children, youths, adults, families, as well as profit/ non-profit oriented organisation – to give
them a space in which they can address various issues concerning the development of
personal/ professional/ technical competence, management skills & knowledge, and
environmental awareness.

Y OUNG U R B A N F A R ME RS L IFE S KILLS P ROJ E CT

The Young Urban Farmers Life Skills program ran from December 2004 to July 2005 and
was directed toward unemployed youth living on the urban edges of the city of
Yogyakarta. This program aims to develop sustainable jobs in alternative farming,
entrepreneurial activity, aided by soft loans for appropriate candidates. This program
began in December 2003, with 5 groups of young farmers who started with
Rp.10.000.000 each.

13

Y AYASAN G AIA L EADERSHIP C OMMITTEE

In 2008, Gaia Foundation employed 17 people from diverse academic and professional
backgrounds. Gaia staff have extensive work experience in both the profit and non-profit
sectors and Gaia staff members include former NGO workers, consultants for community
development in national/international organisations, information technology experts,
consultants on business transformation projects, consultants for human
resources/organisation development and change management, business entrepreneurs,
and senior managers in multinational companies.

Yayasan Gaia’s Leadership Committee are listed below:
• Chairman of the Board of Trustees: Yudhi Hermanu
• Executive Director: Siti Difla Rahmatika
• Operations Director: Dipi Uti
• Finance & Administration Manager: Ari Nurfadilah
• Program Development Working Group Leader: Yudhi Hermanu
• Capacity Building Working Group Leader: Dipi Uti
• Water Accessibility and Health & Sanitation Working Group Leader: Suharyoko
• Strategic Emergency Response Unit Working Group Leader: Fendri Romli

CHAIRMAN BOARD OF TRUSTEES – CHAIRMAN YUDHI HERMANU

Yudhi Hermanu – Chairman, Board of Commissioner, Yayasan Gaia; began his career as
consultant in Yayasan Dian Desa - Dian Desa Foundation since 1984, starting as field,
research and project coordinator until 1990, and continued as consultant team leader
until 1997 and also served as Dian Desa’s assistant director for external affairs since
1989.

During this period his client list has included:
 World Bank/IBRD (Provincial Health Project, 1999)
 Ministry of Health and BAPPENAS (Health Project - East Kalimantan, 1993-1995)
 Ministry of Public Works and UNICEF (Clean Water Project - Jakarta, 1989-1990)
 GTZ-Germany (Food Security Project - Flores, 1989)
 International Development Research Centre/ IDRC, Canada
(for wood fuel saving stove project in rural Yogyakarta, 1985-1987).
His involvement on the issues of street children began when he was a team leader of
CIUD project (Community Involvement in Urban Development), funded by Swiss
Development Cooperation/ SDC in 1994 – 1997, where he collaborated with other
institutions in setting up a special clinic for street children.
Yudhi Hermanu accomplished his degree in Psychology from Gadjah Mada University in
1985, and gained his master degree in 1989 from School of Public and International
Affairs, University of Pittsburgh, PA, USA, majoring in Manpower Planning and Human
Resources Development.
Since September 1997, Yudhi Hermanu joined Astra International Company: PT United
Tractors Tbk in Jakarta as Change Management manager and become Head of MID
Division (Management Improvement & Development) in 1999. In January 2000, United
Tractors merged its MID Division with its Management Information System/ MIS Division
and Yudhi Hermanu was appointed as the general manager.

14

EXECUTIVE DIRECTOR – SITI DIFLA RAHMATIKA

Siti Difla Rahmatika – Executive Director of Yayasan Gaia since June 2005. She
completed a degree in architecture from Gadjah Mada University, Yogyakarta, majoring
in environmentally friendly building design. Currently, she is working on her post-graduate
thesis in tourism planning at the same university. She has started her active involvement
in various NGO initiatives by joining Yayasan Dian Desa (Dian Desa Foundation) in 1996,
particularly in Program of Community Involvement in Urban Development (CIUD).
Afterward, she also initiated several non-profit independent programs that later on
became the basis of Yayasan Gaia.

R EFE RE N CE S

• The British Embassy – Small Grant Scheme, partnership in Mobile Clinic for Street
Children Program: providing free health service for street children and urban poor in
Daerah Istimewa Yogyakarta Province, August 2004 – August 2006. Contact: Lila
Dwilita Sari, email: lilabrata@yahoo.com
• Yayasan Dian Desa (YDD), Yogyakarta: partnership on providing clean water supply
for 4500 lives of Yogyakarta earthquake victims (during emergency stage – 30 days);
and the construction of 19 temporary public latrine/bath in Seloharjo, Pundong,
Bantul, Yogyakarta, May – October 2006. Contact: Anton Soedjarwo, email:
anton@yogya.wasantara.net.id, cell.phone: 0811250640
• CUSO Canada – Asia Pacific Region, Indonesia Office: partnership on helping the
earthquake victims in Yogyakarta & tsunami victims in Pangandaran, reaching an
amount of Rp. 300 millions fund deployment. Contacts: Sarah Ruth Whitmore, email:
sarah_w@indo.net.id, Courtenay Ellingson, email: twocourt@yahoo.com
• CRS – Yogyakarta Project Office: partnership on helping the victims of earthquake in
Yogyakarta, tsunami in Pangandaran, and flood in Bojonegoro, East Java. Contact:
Syahri Ramadhan, email: sramadhan@id.seapro.crs.org, cell phone: 0811286442
• OXFAM GB: Innovative Transitional Shelter (ITS) Project; partnership on the
construction of 369 temporary houses for earthquake victims in Seloharjo Village,
Pundong, Bantul, Yogyakarta. Contacts:
• Dave Hodgkin, email: dave.hodgkin@gmail.com
• Sonya Fleming, email: sfleming@oxfam.org.uk, sonyaf@oxfam.org.au
• IOM International: T-Shelter Project; partnership on the construction of 301 temporary
houses for earthquake victims in Kalitirto, Berbah, Sleman, Yogyakarta. Contacts:
• David Samuel Wolfowitz, email: dwolfowitz@gmail.com
• Diana Setiawati, email: dsetiawati@iom.int
• UN-OCHA: partnership on the construction of 55 semi permanent houses for tsunami
victims in Bulakbenda-Madasari, Masawah Village, Cimerak, Ciamis, West Java.
Contact: Laksmita Noviera, email: noviera@un.org
• UN-OCHA: partnership on the construction of 12 semi permanent public latrines for
tsunami victims in Bulakbenda-Madasari & Rancaleutik, Masawah Village, Cimerak,
Ciamis, West Java. Contact: Laksmita Noviera, email: noviera@un.org

15

• AIP (Australia Indonesia Partnership – AusAID): partnership on the Mobile
Community Assistance Pilot Program: the training and construction of 9 (nine)
Earthquake Resistant Prototype Houses in Pundong and Bambanglipuro, Bantul,
Daerah Istimewa Yogyakarta Province (June – November 2007). Contacts:
• Ian Hamilton, email: planner1@gmail.com
• EJ Heri Wahyudi, email: ejheri.wahyudi@gmail.com
• CHF International: partnership on the Mobile Community Assistance Core Program –
AusAID, in doing the community training about Earthquake Resistant House in
Klaten, Central Java; and Pundong, Bantul, Daerah Istimewa Yogyakarta (December
2007 – March 2008). Contacts:
• Louis O’Brien, email: lobrien@chfindonesia.org
• Robert S. Adams, email: robert_s_adams@hotmail.com, afghbob@yahoo.com
• Mark Nagle, email: markenagle@yahoo.com
• Save The Children, partnership on helping the flood victims in Bojonegoro, East Java
(January 2008). Contact: Bambang ‘Kirik’ Ertanto, email: bertanto@savechildren.or.id

O FFICIAL D ET AILS
Full legal name (business
Yayasan Gaia
name)
Acronym Gaia
Legal status Non Profit Organisation
Registration number(s) 1) Notary Deed: No. 4/ 15 Maret 2004 –Notaris: Budi
Suryanto, SH., S.Sos.
2) Ijin Gangguan: No. 503/8939/HO/2006 –
Pemerintah Kabupaten Sleman
3) NPWP: PEM – 428/WPJ.23/KP.0606/2006 – Kanwil
DJP Jawa Bagian Tengah II, KPP Yogyakarta Dua
Official address Jalan Jembatan Merah 84b – Prayan, Condong
Catur, Sleman, Yogyakarta 55283
Postal address Jalan Jembatan Merah 84b – Prayan, Condong
Catur, Sleman, Yogyakarta 55283
Contact person Siti Difla Rahmatika /Ms.
Telephone number (62) (274) 524 117
Fax number (62) (274) 524 117
gaia@yayasan-gaia.org
E-mail
hallo@yayasan-gaia.org
Internet sites Bahasa Indonesia:
http://www.yayasan-gaia.org
http://gaiacorps.blogspot.com
http://corps.gaiasol.com/updates/index.html

English:
http://gaiacorps-e.blogspot.com
http://corps.gaiasol.com/updates/index-e.html

16

BOARD OF DIRECTORS:

1. Siti Difla Rahmatika (Executive Director)
2. Zamri Kusaini (Finance/Administration Manager)
3. Dipi Uti (Operations Director)

BANK ACCOUNTS:

BANK MANDIRI

Account name Yayasan Gaia
Account number(s)  1370005074816 (for IDR currency)
 1370005281866 (for USD currency)
Bank name Bank Mandiri Cabang Sudirman Yogyakarta
Address of bank Jalan Jendral Sudirman Yogyakarta
SWIFT address of bank BEIIIDJA

BCA (BANK CENTRAL ASIA)

Account name Siti Difla Rahmatika
Account number 0372233107
Bank name BCA KCU Sudirman Yogyakarta
Address of bank Jalan Jendral Sudirman Yogyakarta
SWIFT address of bank CENAIDJA

17

APPENDIX IV
CV YUDI HERMANU

CURRICULUM VITAE: YUDHI HERMANU

Yudhi Hermanu
Jln. Perumahan Bukit Sentul Jln. Sakura 3/7,

Bogor, Indonesia

Ph. +62 (0)811 160 162 / +62 (021) 831 40 32/33

yudhi@gaiasol.com

EDUCATION
1985 Graduate, Faculty of Psychology, University of Gadjah Mada, Yogyakarta, Indonesia.
1989 Graduate, Manpower Planning and Human Resources Development, Graduate School of Public and
International Affairs (GSPIA) University of Pittsburgh, PA, USA.
2001 AGMP (Astra General Management Program) Course, Asian Institute of Management, Jakarta,
Indonesia

EXPERIENCE
Managing Director

PT. Gaia Solutions (September 2002- Present)

Gaia Solutions is a consulting company founded in 2002. Gaia Solutions offer various
organizational enhancement initiatives within three core management areas: business process
integration, people and organization alignment, and information, communication and technology
(ICT) advancement. Consultancy initiatives conducted by Gaia Solutions include:

• organization development, restructuring and transformation;
• process based change management;
• business process mapping and integration;
• competence based HR management;
• competence assessment center;
• professional development and training.
Previous clients include: Unilever, Krakatau Steel, Pemprov. D.K.I. Jakarta (Bapeda and BKD),
BKN (Biro Kepegawaian Negara), Pertamina, Astra Honda Motors (AHM), Astra Oto Parts
(AOP), Indonesian Forestry Department, Pfizer, Birdlife Indonesia, Asuransi Astra Buana (AAB),
Pasifik Satelit Nusantara (PSN), Indonesian Health Department, CUSO Canada.
See www.gaiasol.com

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