Thinking outside the box

Promoting healthcare andenvironmental protection in

Indonesian Borneo

Kinari Webb, M.D.

Borneo

Borneo

Australia

India

Gunung Palung National Park

• 222,395 acres• Fantastically

Diverse habitat• Breeding population

of orangutans• Threatened by

illegal logging• High healthcare

needs- 60,000 people

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

Loss is Forever

Human and Environmental Health

• Watershed destruction• Floods• Landslides• Diseases• Global Warming

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

The Healthcare Model

Integrated Solutions

• High quality health care for everyone

• Environmentally-friendly non-cash payment options

• Extra benefits for communities that protect the forest

• Alternative livelihoods

The ASRI Clinic

• Over 9,000 patients• DOTS program for

TB• Birth Control• Eyeglasses• Mosquito Nets• Trained over 100

providers

Cataract Surgery

Design for Hospital

How do poor people pay?

Working in the Organic Garden and Seedling Nursery

The Red-Green System

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

Communities were asked what they wanted

• Over 400 hours of formal and informal meetings

What communities said they wanted:

1. Mobile clinic visits

2. An ambulance

3. Organic farming and health education

4. Discounts at the clinic

So Far…

Mobile Clinic Visits

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

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

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.

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

www.healthinharmony.org

Photos:

Erick DanzerTim Laman

Kinari WebbDavid PeartCam Webb

Antonia GorogStuart Webb

Photo Credits: