Indonesia Programme Reports 

14 November 2009 - AAI Seeks Funding to Support West Sumatra on its Long Road to Recovery

West Sumatra was hit with two devastating earthquake just over one month ago. The recovery phase has commenced in all affected districts but two. These two districts remain in the emergency phase due to the Internally Displaced Persons (IDP) camps.

District level data has been amended and the number of severely damaged houses has been revised downwards to 114 483 houses. Those who have been displaced from their homes are residing in emergency and transitional shelters. It has been reported that there is a significant funding shortage for the transitional shelter program.

The earthquakes have caused extensive damage to the water, sanitation and hygiene (WASH) sector and in Padang city, 600 000 people are reliant on water that is being trucked in. It has been reported that funding is still urgently needed to continue water trucking. There is also a need for emergency latrines. Debilitated water and sanitation systems coupled with limited funding to support WASH activities increase the risk of communicable disease outbreaks.

AAI's DART team has done an assessment of the area and is on stand by to assist however AAI's response efforts are restricted due to funding limitations. AAI has extensive experience providing emergency aid in disaster affected areas in Indonesia . AAI is urgently seeking funding to provide much needed medical outreach services and to support the WASH sector in West Sumatra.

1 November 2009 - Sumatra still recovering after two destructive earthquakes hit the west side of the island one month ago. 

Locals from Sumatra are still feeling the effects of the deadly earthquakes that shook their island one month ago. The earthquakes have affected 1.2 million people and a reported 1 117 people have died and 1 214 people have been injured. The earthquakes followed by landslides have damaged homes, schools, hospitals, roads and sanitation systems. The government has reported that 200 712 houses have been severely and moderately damaged.

Sumatra is currently entering the reconstruction and rehabilitation phase. It will take many months for Sumatra to return to how it was before the earthquakes. Debilitated infrastructure including health and sanitation systems indicate the ongoing need to monitor and control for possible infectious disease outbreaks.

AAI has the capacity to respond in Indonesia due to their well established networks, experience in the area and Indonesian headquarters. AAI is urgently seeking funding to support their relief efforts in some of the most remote and affected areas.

18 October, 2009 - Access To Remote Communities Proves To Be A Challenge in Delivering Humanitarian Aid.

The severely affected populations in Sumatra are beginning to slowly recover from the deadly earthquake that shook the west side of the island on 30 September, 2009 . It will however take a number of years until people have homes and services return to pre-earthquake levels. There is an ongoing and critical need for the provision of humanitarian assistance, particularly during the next six months. However, limited access to some isolated areas makes the delivery of services and supplies challenging. Sumatra has now moved towards the rehabilitation and reconstruction phase of the disaster. Attention is being placed on shelter, roads, safe water, sanitation, and livelihoods.

It has been confirmed that 1 117 people have died. Those who have been missing since the earthquake are now presumed dead and have been included in this number. A reported 198 200 households are in need of humanitarian assistance including emergency shelter.

The earthquake has caused extensive damage to infrastructure destroying health services, schools and roads. The three most affected areas including Padang City , Pariaman and Agam have experienced significant damage to their water and sanitation systems which has the potential to propel an infectious disease outbreak.

AAI has been directing their attention towards the water and sanitation sector. AAI has extensive experience in emergency relief and disease control and to forestall a potential outbreak it is essential to provide effective water and sanitation projects. AAI is now working on projects proposals and is urgently seeking funding for the delivery of water and sanitation projects to some of the most remote and severely affected villages. 

13 October 2009 - AAI focuses on water and sanitation to avert disease outbreaks

Locals from West Sumatra can still feel the earthquake that struck on 30 September 2009 and they will continue to endure the devastation caused by the quake for years to come. The earthquakes caused extensive death and damage and on 11 October it was confirmed by the National Disaster Management Agency (BNPB) that over 807 people have died. Hundreds of thousands of homes were extensively damaged leaving 250 000 people homeless. Many individuals either have nothing to return home to or are too scared to go back to what is left.

Schools, hospitals, places of worship, public infrastructure and governmental buildings have all been destroyed. A reported 1389 classrooms, 16 bridges and 1237 places of worship have been severely damaged which has impacted mobility, access, daily living, community spirit and overall wellbeing.

The AAI DART team has partnered with the Spanish Government emergency response organisation AECID. Together they have been conducting rapid assessments and surveillance in some of the reportedly un-reached areas of Padang . AAI's Director of Operations, Frank Tyler was assessing unsubstantiated reports of outbreaks of infectious diarrhoea. It was determined that many of the affected families have received some form of aid and infectious diarrhoea is under control.

The emergency phase of the Padang response is wrapping up however there is a significant long-term need to assist the population in the recovery and reconstruction phases. People who have lost everything will be living under plastic sheets in the ruins of their homes for months to come. AAI has been assessing areas that will need urgent water and sanitation works until their dwellings can be rebuilt. There is present concern about the potential for disease outbreaks including skin infection due to contaminated water and tetanus. AAI is seeking funding to aid in the recovery of the Sumatra Earthquake and to help avert outbreaks of infectious diseases through effective water and sanitation projects in the more remote villages of Padang. 

9 October 2009 - AAI Provides Support to Ministry of Health to Assist the Victims of the West Sumatran Earthquake

The International response to the Padang Earthquake has been overwhelming. Teams from across the globe have come to help in this deadly natural disaster. AAI responded immediately by deploying a Disaster Assessment Response Team (DART).

The AAI DART team is currently working with the Indonesian Ministry of Health to assist with the coordination of assessment and support services in association with the Provisional Health Office (PHO), World Health Organisation (WHO) and USAID.

Survivor rushed to hospital   A lucky survivor of the Padang EQ receives emergency treatment

The emergency and disaster relief operation is the first phase on the long road to recovery for the victims of Padang and its regional districts. Massive landslides wiped out entire communities in a matter of seconds which left thousands of people homeless and in urgent need of shelter, clean water supplies, food and health services. The quake severely affected many children and families and there is a need for trauma and mental health counselling as a part of the recovery program.


Emergency Department of Jamiel Public Hospital destroyed


Devastation at Jamiel Public Hospital, Padangs' largest hospital

The earthquakes caused significant damage to infrastructure and it remains a priority to rebuild damaged health facilities, schools and other social services throughout the Padang Pariaman and Agam district. There is a risk of disease outbreak due to damaged sanitation and hygiene systems. Waterborne diseases can be fatal and have the ability to impact mass populations. AAI's focus will be to help minimize this risk. The main medical concerns are secondary infection including tetanus. The most common communicable diseases presenting themselves at this point include and are not limited to: upper respiratory tract infection, fever, skin disease, wound infection and diarrhoea.


Down town Padang City, a typical scene of destruction


More devastation in Padang's suburbs

7 October 2009 - AAI Continues To Provide Lifesaving Medical Assistance in Sumatra

As rescue efforts are being scaled back in some parts of Sumatra in the wake of the recent disaster, AAI staff and volunteers are increasing their efforts to provide urgently needed emergency medical assistance and humanitarian aid to those people most in need.

With the death toll still to be confirmed, the devastation is very clear with damaged and collapsed buildings visible throughout the city of Padang and outlying villages. The Government of Indonesia estimates that 3,000 people are missing and 20,000 buildings have collapsed.

Since multiple earthquakes rocked the beachside cities of Sumatra late last week, heavy rains have continued to fall, increasing the possibility of more landslides, disease and further casualties.

AAI continues to implement its emergency action plan for Indonesia with the mobilisation of experts in disaster response from Indonesia and Australia. 

5 October 2009 - AAI's Disaster Response and Assessment Team (DART) on the ground Sumatra

The 7.6-magnitude earthquake that shook Sumatra on Wednesday 30 September has left the west side of the island in disarray. This destructive quake centred off the coast of Sumatra hit the city of Padang the hardest. The massive quake was followed by significant aftershocks one of which reached a magnitude of 6.8 on the Richter scale.

The deathly quakes caused buildings to crumble, trapping and crushing hundreds of people. It is believed that the death toll is approximately 1 100 people and thousands more are injured. This number is thought to climb because villages in surrounding areas have been completely destroyed. Whole hillsides in have collapsed.

Heavy machinery has been brought in to remove debris and rubble in the search for survivors. Hope for remaining survivors is slowly dissolving as machinery is being used to transport body bags rather than retrieve survivors.

The problem is being compounded by persistent rain as Sumatra enters the rainy season which is triggering mudslides. The spread of disease is a threat due to destroyed sanitation and hygiene systems. There is urgent need to direct attention towards health issues including access to clean water, sanitation and shelter especially with the onset of the rainy season.

AAI's DART team is on the ground in Sumatra. They are providing urgently needed emergency medical relief and are responding to the risk of disease spreading. 'They are working around the clock to address immediate survival needs in Sumatra. 

3 October 2009 - AAI moving a Disaster Response and Assessment Team (DART) into Sumatra

The Indonesian island of Sumatra has been struck by devastating earthquakes. On Wednesday 30 September an earthquake centred off the coast of Sumatra reached a magnitude of 7.6 hitting the city of Padang the hardest. This massive quake has caused significant destruction and death. Additional earthquakes have hit Sumatra in days following the first earthquake.

The Sumatra earthquakes have caused thousands of buildings to collapse which has resulted in countless people being trapped. Over 500 people have been confirmed dead and over 2 000 people have been injured. The search for survivors is ongoing and it is predicted that as the search continues, the death toll will continue to increase.

AAI is moving a DART team into Sumatra from their Indonesia Emergency Response Network to provide emergency medical relief. 

4 September 2009 - Access Aid International is continuing to assess the situation in Western Java.

Western Java is home to tens of millions of people where an earthquake struck on Tuesday leaving thousands homeless and nearly 100 confirmed dead so far. The earthquake was felt as far away as the island of Bali. The nearest town to the epicenter, Tasikmalaya, still requires detailed assessments before a proper determination can be made as to the extent of the damage.

The island of Java, Indonesia's most populous Island is the home to over 140 million people and has suffered from repeated natural disasters including earthquakes, tsunamis and volcanic eruptions. The last big earthquake to affect Indonesia was in July 2006, which killed nearly 800 people and devastated thousands more. Since then Access Aid International has been assisting with the construction of latrines, schools and community health centres, as well as conducting community health campaigns, education and hygiene activities. 

1 July 2009 - Individual emergency medical packs for immediate deployment of medical personnel to international disasters in resource poor environments

Direct Relief International (DRI), have developed an important project that will allow them to utilise and harness the human resources and skills of trained medical providers that respond to disasters and emergencies around the world. DRI recognise that firstly, there are people in the disaster zones that are in critical need of immediate assistance, and anything that DRI can do to get medical professionals to the people that need help is crucial. In addition, doing so advances and strengthens DRI's mission of providing the most needed medical care to the people who need it most. However, just getting health care providers to people in need may not be enough, and DRI has created a project that can provide emergency responders with the supplies they need and expedite the process of getting their help to where help is needed.

The project, essentially, provides a tested and proven emergency medical pack of medial supplies and equipment that are specifically suited for (a) the type of disaster or emergency situation that is being responded to (flood, earthquake, hurricane, fire) and (b) to a range of medical providers that are offering their assistance (midwife, nurse, doctor, surgeon).

With the help of DRI's trusted partner Access Aid International (AAI) and their medical staff who routinely donate their time and medical expertise to intervene to emergencies all over the world, a standard Individual Emergency Medical Pack (IEMP) has been developed. This standard IEMP consists of the medical supplies that are always needed in the field and can be utilised no matter the disaster or the specific level of training of the medical provider. To complement the IEMP, a number of more specific or supplementary modules has been developed that will be able to reflect the type of disaster being responded to and the level of training the responder has.

Click here to download full report. 

28 February 2008 - RHK Clinic Upgrade Project Yogyakarta-Central Java Community Assistance Program 

FINAL REPORT (Jul 07 – Feb 08)

AAI entered into the Clinic Up-grade Project with RHK Project Management with the goals to complete the building of 3 outstanding health facilities whilst providing associate DRR initiatives and having an underlying community engagement and social justice approach to the project. AAI also, from the onset, endeavoured to complete the project ahead of schedule and under budget. It is a pleasure to achieve these goals well within project parameters.

A project in the reconstruction phase of assistance has many challenges when using a development and capacity building approach. These things are even more complicated when time frames are relatively short as projects of this nature generally take years in regard to engaging communities and providing sustainability. However, AAI were able to make a significant contribution to this approach and have achieved goals well outside the scope of what would be expected in normal reconstruction phase activities.

On behalf of AAI, we would like to thank all those staff that contributed to this exceptional project. This includes all staff past and present from in-country support to International Headquarters, who have assisted along the way and made this project the success it has been.

Special thanks to our Construction Team lead by Michael Glockel, for his detailed construction planning and quantity surveying. His care to develop and capacity build our local staff to a position that they could take over management of the project is an outstanding achievement; Niko Herlambang for taking on the leadership role in replacing Michael and for his supervision, project management, and liaison skills with our sub-contractors; Our Community Engagement and Training Team; Elsje Fourie for taking over and leading the implementation of the training and evaluation components and her outstanding endeavours in preparing this exceptional final report; Corie Waddell for effectively leading our initial community engagement initiatives and developing our local staff capabilities, Daniel Pongsamma and Shanty Nest for their unfailing dedication to the project and providing our vital link between the project and the community; Administrative Support; Joe Litobarski for overall project management supervision and site management and contributions to the reporting for our Java office, and Eva Pitaloka for her continued commitment to AAI, government liaison and financial management and overall administration ensuring that the whole AAI machine was able to function and work within Indonesia.

Thank you to RHK staff that assisted and worked with AAI with providing advice and ensuring AAI complied with RHK requirements. Finally special thanks to Andrew McEverov for his professional approach and management of the overall project. Andrew has been the vital link in the whole project and his advise has been outstanding in quality and his guidance and support has been most beneficial to AAI and assisted AAI in achieve the project goals.

Click here to download full report.

The construction team was rewarded this month for all the hard work, patience and dedication that staff members have displayed since the project began. The completion of the official handover ceremony marked the formal opening of the clinics and the transfer of responsibility for the Community Based Disaster Management (CBDM) teams. The project now belongs to the communities of Jambakan, Ngerangan and Beluk.

AAI is proud of all the work which has gone into making these clinics, and community feedback has reflected this pride by being consistently positive. One community member said the clinics looked so modern, "they look like a five-star hotel!" The high-standards which AAI has kept during every stage of the project, from the planning to the construction, have now paid off. 

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