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Aceh Update
April 27, 2006

Observations from an Uplift staff member

Letter From Aceh
 

                     The Tsunami May Be Out of The Headlines, But We Are Still Working
 

                                            Restoration of Syiah Kuala Medical School
                                                      
Newmont Mining Funds Uplift Project

 

In the wake of the tsunami, the immediate concern was to get enough basic medicines, medical supplies, food, shelter and health workers to the survivors.  The tsunami indiscriminately killed and injured hundred of thousands of people.  Swept up with houses, power plants, schools, roads, and mosques were shopkeepers, laborers, mothers, fathers, children, fisherman, teachers, religious leaders, the unemployed, and doctors.  In an instant everything had changed.  And the world responded with unprecedented compassion and generosity.   

When the waters receded, a huge part of Aceh’s infrastructure, including hospitals and clinics, lay in ruin.   The largest hospital in the province, Rumah Sakit Zainal Abidin, sustained severe damage.  This public hospital serves a large segment of Aceh’s population and is also the primary teaching hospital for Aceh’s only medical school. Restoration of the hospital was one of the top priorities in the early phase of the relief efforts.  The restoration effort consisted of cleaning up facilities that could be used, finding qualified health professionals, obtaining appropriate medicines, supplies and equipment to help put a dent in the incomprehensible and overwhelming demand for health services by the survivors.  Uplift International, other local and international organizations and governments worked collaboratively to help R.S. Zainal Abidin restore its lost capacity so it could once again begin to function as the primary health center for Aceh.  By the end of May, 2005, the Government of Indonesia declared that the emergency relief phase was over and it was time to fully focus on the huge task of rebuilding lives and infrastructure. 

Seeing that Aceh’s capacity to deliver health services to it population was severely crippled, not only for the short-term, but also for the long-term, we realized that our efforts should focus on our core mission - building the capacity of health professionals. 

Building Capacity of Health Professionals

A logical first step was to restore the medical school building next to R.S. Zainal Abidin.  The building housed the medical school’s research library, computer center, several classrooms and a lecture hall for students while in training at the hospital.  All the books, computers and other teaching materials had been lost in the flood.  The building also sustained significant physical damage.

With the generous funding from Newmont Mining, Uplift International began a six-month effort, to restore the building.  In addition to bricks, mortar and paint, the restoration included new medical books, journals, computers, photocopying machines and class room furniture.  This effort expanded the resources available for the medical students beyond what they had prior to the tsunami.  The building was dedicated in March 2006.  Noke Kiroyan, President Director of PT Newmont Pacific Nusantara led the Newmont delegation.  Dr Syahrul, Dean of the Medical School, and Geni Achnas, Uplift International's Country Director spoke at the dedication.  Representatives from the Governor's office and the city of Banda Aceh also attended the ceremony.

The Next Steps

Uplift International is developing a long-term professional training program with the Schools of Medicine and Law at Syiah Kuala University to provide training for health and legal professionals to help eliminate barriers to health, such as discrimination, that harm the most vulnerable.  This will be an expansion of Uplift International’s Health and Human Rights Program it has developed with Ikatan Dokter Indonesia (IDI).  The training teaches student and practicing health and legal professionals to collaborate with lawmakers, national and local government officials, policy makers, opinion leaders and the media to develop policies that protect and provide individuals with better access to critical disease-prevention information and quality services. 

The restored medical school  building


Photos by Adham Nugraha

Bapak Noke Kiroyan, President Director PT Newmont Pacific Nusantara (left) & Ibu Geni Achnas, Uplift International (R) inspect the new research library Bapak Noke Kiroyan, addressing attendees at ceremony citing Newmont's commitment to the people of Aceh Bapak Noke Kiroyan cuts the ribbon to officially open the facility

 


                                                                                                      UPDATE:   22 February 2005

Uplift International and its partner Project Hope have already shipped 25 tons of medicines valued at $7 million to Indonesia. FedEx, which has partnered with Uplift International, delivers the shipment by air to Jakarta from the United States.  PT Repex is coordinating the warehousing and transfer to a military plane or commercial cargo flight bound for Banda Aceh. Uplift International has also worked closely with UPS to send relief supplies flown in by FedEx into Jakarta to get them to Banda Aceh to supplement the military airlift.

Prior to the first shipment from Jakarta to Banda Aceh, our logistics team went to Banda Aceh to survey the situation and develop a logistics and distribution plan. The planning was critical for a speedy and safe arrival of the donated medicines and medical supplies.

The Indonesian Air Force helped coordinate air transport with the U.S. Air Force for our first two shipments from Jakarta to Banda Aceh  On 10 January, a US Air Force C-130 delivered our first shipment of medicines along with our logistics team to Banda Aceh.  The third shipment was handled by UPS. 

Our local partner, the Indonesian Medical Association (IDI), met the plane and the Uplift team that accompanied the shipment with trucks and transported the medicines and supplies directly to our secure warehouse in the IDI command post in Banda Aceh.  Meeting the aircraft upon arrival in Banda Aceh is now a standard operating procedure.  The medicines and supplies are being used by teams of IDI doctors to treat the sick and injured. We are also sharing our commodities with other organizations to supply them with needed medicines and supplies. We are implementing an inventory and tracking system in Banda Aceh with our partner Project Hope to control our donated medicines and supplies.

The Government of Indonesia has established 24 camps to consolidate internally displaces persons (IDP) in the provinces of Aceh and Northern Sumatra and has requested IDI to lead a team of professional health organizations to coordinate the placement and monitoring of volunteer health professional in the 24 IDP camps.  Uplift International is working with IDI in this effort.  The program includes the deployment of 200 health workers to operate in the 24 IDP camps to carry out the following:

  • Provide basic medical assessment and curative services, including necessary medicines and medical supplies.

  • Provide disease prevention guidance

  • Provide psychological counseling and support to individuals and families

  • Provide medical referrals

  • Provide hygiene advice

This initiative mobilizes doctors, nurses, midwives, and public health workers from professional organizations, medical schools, and other appropriate groups to provide these interventions.  Cash donations made to Uplift International are not only being used to provide medicines and supplies, but also being used to provide financial assistance to support the health needs of IDPs.

IDI and the other affiliated professional health organizations are membership groups that have access to almost all medical professionals in Indonesia, including branch members in North Sumatra and Aceh.  The IDI lead coalition will help unite all health care workers in various governmental, NGO and private organizations to work together as a coordinated body to deliver the needed health care services and equipment in a timely and effective manner.

In addition to providing the medicines directly to the IDI effort in the IDP camps, we have also donated medicines and medical supplies to R.S. Zainal Abidin, the largest public hospital in Aceh and just reopened after sustaining severe damage as a result of the tsunami, Kesdem, the military hospital in Banda Aceh, and several NGOs. 

Photos from the Field
Photo Credits: Luciana Ferrero & Mark Schlansky

Medicine and medical supplies getting ready in FedEx warehouse
First shipment destined for Jakarta and then on to Banda Aceh, Indonesia being loaded at Dulles Airport in Washington, DC.
The arrival of the first shipment in Jakarta.
Tsunami and earthquake devastation in Banda Aceh
This boat was swept 2 kilometers.
This boat wound up 1.5 kilometers from its former berth on the river.
Close to "ground zero" in Banda Aceh
The biggest hospital in Banda Aceh, Rumah Sakit Zainel Abidin, was totally flooded by the tsunami.  Patients died in the the wards and half of the medical staff died or is missing.  This photo was taken outside of one of the hospital wards.  The hospital is a rambling one-story facility and the flood waters were more than four feet high.
An infant in the first area of R.S. Zainal Abidin to be opened to receive patients.
Donated medicines in R.S Zainal Abidin.
Mark Schlansky of Uplift International with a survivor in R.S. Zainel Abidin Hospital in Banda Aceh.
Our medicines and supplies reach Banda Aceh and are loaded into the Uplift/Project Hope warehouse for distribution.
Uplift International partner, PT Repex (RPX) stored our donated shipments in their warehouse in Jakarta and delivered them to the cargo flights from Jakarta to Banda Aceh.
Uplift International coordinating shipping logistics with the Indonesian Air Force.
A child awaiting news of the fate of his family.
Dr. Adib of the Indonesian Medical Association (IDI) and Uplift International partner organization, coordinating medical operations in Banda Aceh.
A girl in a hospital in Banda Aceh two weeks after the tsunami
Uplift International/Project Hope medicines being loaded on to a truck after delivery from Jakarta by a US Air Force C-130.
Survivors searching for missing family and friends post notices at locations throughout Banda Aceh.
Survivors looking for names of survivors/patients at the military hospital in Banda Aceh.
Another Uplift Hope shipment being loaded on a USAF C-130 bound to Banda Aceh.
After shipping 2 tons of medicines to Aceh, Uplift/Hope personnel returned to Jakarta on an Indonesian Air Force C-130 internally displaced persons (IDP) flight to prepare for the next shipment.  Conditions on the plane were hot and very cramped.
Luci Ferrero (left) of Uplift International and Scott Crawford (right) of Project HOPE on Indonesian Air Force IDP flight from Banda Aceh to Jakarta.
A family photo album placed on the foundation of a house where the family once lived.
I survived.

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