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Thinking outside the box Promoting healthcare and environmental protection in Indonesian Borneo

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

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Thinking outside the box Promoting healthcare and environmental protection in Indonesian Borneo

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  1. Thinking outside the box Promoting healthcare and environmental protection in Indonesian Borneo Kinari Webb, M.D.

  2. India Borneo Borneo Australia

  3. Gunung Palung National Park • 222,395 acres • Fantastically Diverse habitat • Breeding population of orangutans • Threatened by illegal logging • High healthcare needs- 60,000 people

  4. 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

  5. Loss is Forever

  6. Human and Environmental Health • Watershed destruction • Floods • Landslides • Diseases • Global Warming

  7. 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

  8. The Healthcare Model

  9. Integrated Solutions • High quality health care for everyone • Environmentally-friendly non-cash payment options • Extra benefits for communities that protect the forest • Alternative livelihoods

  10. The ASRI Clinic • Over 9,000 patients • DOTS program for TB • Birth Control • Eyeglasses • Mosquito Nets • Trained over 100 providers

  11. Cataract Surgery

  12. Design for Hospital

  13. How do poor people pay?

  14. Working in the Organic Garden and Seedling Nursery

  15. The Red-Green System

  16. Is a Community Red or Green?(Doing Illegal Logging or Not?)

  17. Communities were asked what they wanted • Over 400 hours of formal and informal meetings

  18. What communities said they wanted: • Mobile clinic visits • An ambulance • Organic farming and health education • Discounts at the clinic

  19. So Far…

  20. Mobile Clinic Visits

  21. 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

  22. 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

  23. 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.

  24. 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

  25. www.healthinharmony.org

  26. Photo Credits: Photos: Erick Danzer Tim Laman Kinari Webb David Peart Cam Webb Antonia Gorog Stuart Webb

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