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Community Health & Medical Services... : July - Sept 2011 Quarterly Activity Report

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Partnering with the community to improve the quality of their lives through transformational & holistic development and disaster response

NEWSLETTER

July - Sept 2011 Quarterly Activity Report

COMMUNITY HEALTH & MEDICAL SERVICES...


CFK continues to focus on improving medical services and improving the community health conditions of the Mentawai tsunami survivors.
In June 2011, CFK conducted a Community Health Survey & Assessment involving the community members, government institutions and non-government organizations (NGO) working on the Mentawai Islands of North & South Pagai. The villages located on the west coast of these two islands were devastated by a tsunami on 25 October 2011. One of the major issues needing to be addressed is improving access to scheduled medical services. Poor infrastructure and high transport cost makes it difcult for the villages to travel (by sea or road) to the government clinics (Puskesmas) in the main towns. It will take some time to improve the transport & infrastructure, so CFK!s Health Sector Team are implementing several program activities to help improve the community health situation for the short term. One of CFK!s activities is to bring medical services to the villages by providing mobile medical clinics implemented in partnership with GKPM (C hristian) Clinic and Pastoran (Catholic) Clinic. To improve pre & post natal care and decrease infantile mortality levels, CFK are also partnering with the Government Clinic (Puskesmas) and over the next 12 months will provide ongoing capacity building training!s to the government allocated midwives who live in, or near the remote villages and tsunami survivors IDP (Internally Displaced People) camps. The local Mentawai people are also accustom to seeking medical and birthing assistance from traditional village healers (dukun bayi), as such over the next 12 months CFK will also work together with the midwives hat are being trained to provide further capacity building training on sterilization, hygiene and safe birthing practices to the traditional village healers (using Train the Trainer methods, in the local Mentawai language). CFKs Health Team, including The wise old saying "prevention is Technical Advisor Dr. Karen better than cure! still hold true, so CFK Alford, are pictured above providing mobile medical are currently mobilizing Village Health Clinics to tsunami Volunteers who will be trained to deliver survivors. Between 50-70 health, nutrition & hygiene awareness patients are attended to at building to the boarder community and each visit. in elementary schools. [1]

TRAINING THE TRAINERS

CFKs local Mentawai Facilitators returned home to the Mentawai Islands full of hope and vision, they are determination to make a difference to the lives of the tsunami victims after participating in an Organic Farming Capacity Building Training held at LP3O in Bogor, Java (left & below).

ORGANIC AGRICULTURE.......
Food security and nutrition are also a major concerns for the Mentawai tsunami survivors. Many who have been moved from their coastal villages to start a new life at inland relocation sites where, at the moment, there are no accessible markets to meet their daily needs and they now preparing to clearing the land to plant new crops to provide food for their families.
The Mentawai Islands could produce an abundance of their daily nutritional needs themselves, the sea is full of sh and the soil with a little help could be very fertile. However, apart from bananas, some other seasonal fruits and talas (a starchy root vegetable), the local community is dependent upon importing expensive food products & produce from the mainland. Vegetables, rice, egg!s, milk, chickens all arrive from the mainland on the weekly ferry boat that arrives in the main port of Sikakap. However these supplies are inaccessible for most of the tsunami survivor!s as they have little, or no income to purchase the produce and catching a feed of fresh ocean sh for dinner is also a thing of the past since the IDP Camps are, for the most part, more than a days walk inland from their old coastal villages. To improve food security to the IDP!s and develop sustainable accessible sources of nutrition, CFK is training and mentoring a group of 9 local Mentawai Facilitators. Using a Train the Trainers (ToT) approach, the local Mentawai facilitators are being capacity built in the basic Organic Farming Techniques including; Organic Vegetable Growing - Site Selection & Preparation, Seedbed Production, Organic Fertilizers & Pest Control, Freshwater Fish, Chicken & Duck Farming and Home Industry Production of Soya Bean Products such as Tofu, Tempe and Soy-milk. CFK!s local Mentawai Facilitators have been practicing and rening their facilitation skills in preparation for delivering Organic Farming Capacity Building Training's to the broader community in the local Mentawai language.

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CAPACITY BUILDING LOCAL LEADERS & VILLAGE PLANNING.....

It is almost 12 months since the October 25, 2010 Mentawai Island tsunami. Most of the tsunami survivors have been relocated inland to IDP (Internally Displaced People) Camps, which are to be their new permanent village sites, located 10 - 40 km from the main port of Sikakap and in most cases more than a days walk from their old costal villages.

CFK staff working alongside the community to over come transport and logistic difculties which are regularly encountered in delivering humanitarian assistance to the Mentawai tsunami survivors IDP camp & relocation sites.

However there is much work to be done before these new locations can be called homes. Firstly the infrastructure needs to be improved, in some areas the roads are little more than mud tracks and with the onset of the rainy season are often impassable, bridges need rebuilding, permanent houses and public buildings need to be built, clean water sources and sanitation facilities need to provided, crops need to be planted, and markets need to be established. Due to limited funding resources, CFK is currently focusing most of our Mentawai Island Tsunami Recovery Program efforts in the 5 subvillages that have been relocated to IDP Camps between km 5 - 14 on Pagai Utara. These include Sabeugunggung, Muntei, Barubaru, Bulakmonga, and Raumonga sub-villages. CFK!s Local Government Capacity Building Team are coming alongside these 5 subvillages, mobilizing them to develop their own one year Village Recovery & Action Plans. CFK intend to help the villages achieve this by facilitating a series of participatory village planning workshops where they will identify and prioritize the most urgent rehabilitation needs. CFK will then mentor the sub-villages leaders to start implementing, monitoring and evaluating their Village Action Plans. CFK originally chose to focus in these 5 subvillages as most of the other NGO!s were focusing their efforts on Pagai Selatan Island, however while there are still many recovery and rehabilitation needs to be met, it is anticipated t h a t b y D e c e m b e r 2 0 11 m o s t o f t h e humanitarian aid organizations will have completed their tsunami recovery programs and left the Pagai Selatan area. Many aid agencies say they are experiencing difculty sourcing ongoing funding to meet the rehabilitation needs on the Mentawai Islands. [3]

CHILDHOOD & EDUCATION DEVELOPMENT.....


Carolyn Shearer is CFKs Technical Advisor to education development programs and has been working with CFK since 2008. In this interview Carolyn, who is originally from Australia, shares about the importance of upholding the UN Convention on the Rights of the Child and how this impacts her work in education development.
Can you briey explain your interest and motivation for working in Education Development in Indonesia? It is often said that children are worth investing in because they are our future leaders. While this is true I believe that children also have the ability to make positive contributions to their communities today. Each one of us, children and adults alike, have such unique, God given potential that when encouraged and developed, enables each individual to contribute their skills and talents to the community in which they live. Working in education development enables me to share my skills, abilities and experiences with parents, teachers and community members to equip them with skills and understanding about education and child development. My motivation lies in seeing communities realize the value and potential of each of its members, including children, and everyone playing their part as active participants in enriching their community. Can you explain briey about of the UN Convention on the Rights of the Child? The UN Convention on the Rights of the Child, adopted in 1989, is the most widely ratied human rights treaty developed out of the Human Rights Charter. It acknowledges that while every individual has inherent, basic rights, children are particularly vulnerable and have specic rights that recognize their special need for care and protection. The Convention outlines the important role of families, communities, organisations and governments in realising these rights so that all children thrive and have the full opportunity to become productive members of society. It sets a standard of protecting the rights of children in all areas of life including civil, political, economic, health, social and cultural spheres and asserts that every child has the right to survival, development, protection and participation, without discrimination. How does the UN Convention on the Rights of the Child impact NGO!s working in Indonesia? While the Indonesian government has ratied the CRC, realizing the rights of children in Indonesia can only be achieved when all of society works together in fullling them. NGO!s play an important role in partnering with the community to help achieve these standards and in taking on a "rights based! approach that focus on improving the position of children within their community. In practical ways it means listening to the opinions of children in designing and implementing programs and including them as active agents of change and not just passive beneciaries. It
CFK MEDAN (Head Office)! Jl Tuku Umar 2B! ! Medan ! ! North Sumatra! ! Tel +62 61 4516003 ! ! ! ! ! ! ! ! ! ! ! CFK PADANG! ! ! Jl Banjar 76!! ! Sawahan Timor, Padang! West Sumatra!! ! Tel +62 751 20902! ! ! ! ! ! ! ! ! ! ! ! CFK MENTAWAI Jl Nemnem - Sibaibai Sikakap, Pagi Utara West Sumatra Tel + 62 81 360336101

requires developing policies and procedures that provide a safe environment for children to participate in programs. In order for children to be able to enjoy their rights fully they need to live in communities that are aware of and respect their rights. Therefore, part of CFK!s role is to build community awareness and develop holistic programs that empower duty bearers to be responsible, and capable of protecting and fullling the rights of children in their community. How does the UN Convention on the Rights of the Child impact your work in Education Development? Education and development is one of the foundational rights of the Convention with all children having the right to develop and have access to quality education. However, when inuenced by the CRC an education program does not just focus on increasing the number of schools or children being educated but is concerned with creating an environment that develops the child holistically; physically, mentally, socially, emotionally, spiritually and morally. A "rights based! approach integrates the right of development with those of survival, protection and participation by partnering with parents, educators, education departments and the children themselves to develop child-centered teaching techniques that encourage students Carolyn Shearer, to participate and express their opinions as well as to create safe, Technical Advisor to child-friendly environments where CFKs Education Development children are protected. Programs

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