Maternal and Child Health

   In response to the economic and resulting healthcare crisis in Indonesia, UPLIFT International donated two airlifts of pharmaceuticals and medical supplies valued at $2.5 million (wholesale) to public hospitals and orphanages throughout Indonesia in 1998 and 1999.  Committed to investing in sustainable, long-term health programs in Indonesia, UPLIFT International is launching the Maternal and Child Health Network (MCHN), centrally located in Surabaya, East Java, to serve as a regional resource for health care providers and at-risk populations.

The Maternal and Child Health Network (MCHN) is a comprehensive, umbrella project with programs that span the spectrum of maternal and child health.  A regional resource, based in Surabaya, East Java, for health providers and at-risk populations, the MCHN is designed to enhance, support, and strengthen the existing health system in place in Eastern Indonesia. The MCHN is designed to create links between the disciplines of public health, medicine, and nursing through focused, multidisciplinary programs.  

The MCHN programs provide education and training through health, medical, nursing, and public health education at the preservice level (students), the post-graduate level (interns and residents in hospital), and practicing provider/manager level (continuing professional education).  The activities of the MCHN include clinical (direct healthcare) programs, clinical and program research, and healthcare management programs. In addition, there are special, targeted programs for the most vulnerable populations.

The Malnutrition Hospital Outreach Pilot Project is the first phase in the implementation of the MCHN.  The Malnutrition Hospital Outreach Pilot Project (MHOPP) is an innovative, multidisciplinary project targeted to reach and help the most vulnerable population –- severely malnourished children under the age of five years.

In Surabaya currently, approximately fifty percent (50%) of severely malnourished children under five years of age die within the six (6) months following hospitalization.  The MHOPP will provide continuing follow-up treatment and nutrition education outreach for the families of children under five years of age after discharge from hospitalization for malnutrition.   Outreach intervention will serve not only the malnourished young child, but also siblings, the larger family, and the surrounding community.  Nutrition and health education taught in the home impacts family members and neighbors in the surrounding area.  Outreach activities will also identify other children at risk for appropriate referral within the health system.

The project’s core activities will:

1) Strengthen the current health infrastructure;

2) Expand existing health services; and

3) Build institutional capacity through education and training.  Complementary activities will amplify the expected, favorable impact of the core activities on child survival. 

These complementary activities are:

1) Case management in the hospital

2) Case management in outpatient health centers (puskasmas and posyandu) ; and

 3) Community-based participatory prevention programs.

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