Indonesia Oral Hygiene Education Phase II

（Project period：2004～ Project site：Gianyar District, Bali Province）

In the Phase I project from 1998 to 2003, PHJ focused on strengthening dental care services of a clinic in terms of
technology and equipment and oral hygiene education directed to elementary school and kindergarten children. In the
latter program, school health care staff trained junior dentists who acted as peer educators to teach younger
children.

Having learned of many abnormal tooth growth among the children in the Phase I project, PHJ decided to focus on
the empowerment of pediatric dental technology in the Phase II project. Accordingly, PHJ organizes a week-long
technical seminar every year to provide a brush-up training to health staffs and dental staffs. Lecturers are from
universities in Japan or Indonesia.

Oral Hygiene Education Phase I

（Project period：1998～2003 Project sites： Gianyar, Bangli, and Klunkung Districts, Bali Province）

In 1998 PHJ made a dental service survey in East Bali and found the situation was quite poor. Many clinics had no
dentist nor dental health staff and lacked appropriate dental equipment. The district’s budget for dental care was
very small and clinics could not provide dental checks and oral hygiene education. Many children did not have tooth
brush due to poverty and parents did not know the importance of dental health. Since the oral health of children in
growing period is important for health including speech impediment, malnutrition, heart diseases, etc. , PHJ decided to
work with Bali Branch of Indonesia Dental Association to strengthen dental care services od clinics and oral hygiene
education directed to elementary school and kindergarten children. A dentist and dental health staff participated in
the project as PHJ’s staff members.

The oral hygiene education project Phase I consisted of the general oral hygiene education, prevention of tooth
decay, improving skills and knowledge of dentists. The project was implemented for five years with the grant
assistance from the Japanese Government.

World Vision Indonesia believes that the best way to help a child is through
their family and community. Therefore, at the heart of our transformational
community development work are Area Development Programmes (ADPs).
These are a comprehensive way to tackle poverty across extensive areas,
usually involving several villages and communities. World Vision Indonesia
staff work with local people to plan and implement a programme that will last
for up to 15 years, depending on the pace of change and capacities of local
partners to sustain and expand improvements in quality of life.

Within our programme areas we work with communities on a range of issues

(education, health, food supplies etc.) to improve and sustain their quality of
life. When working with the communities, our priority is to help them find ways
to improve their futures, with a special focuse on the needs of children.
Emergency response

World Vision Indonesia helps to save lives in many ways. One of the most
effective ways is our emergency response. We are committed to long-term
rehabilitation, working with communities to mitigate disasters and to increase
their ability to cope with future emergencies.

, PHJ people hope Japan

Indonesia Maternal and Child Health Improvement

(Project period：2003～2016 Project site：Tirtayasa Autonomous District, Selang
District, Banteng Province ）
 Infant mortality rate, under five mortality rate, and
maternal mortality rate are quite high in the banteng Province. To improve the health situation, PHJ
is implementing community health care and nutrition improvement projects together with the
provincial health department, provincial hospitals, health centers, and village clinics. The objectives of
these projects are to improve maternal and child health with the improved health and medical
services and environments, health education, nutrition improvement education. In short, PHJ is
building a primary health care system and nutrition education support model.

Activities

Maternal and Child Health Improvement Education

This education aims at improving health of women, expected mothers, infants and children so that
they can enjoy healthy lives with hope. The leader of the project is a midwife of village health center.
The midwife receives basic education course to become an effective leader of village education,
refresh training of midwife skills and knowledge, and special course on maternal and child health at a
national training institute. Following such training, the midwife organizes monthly education programs
on health and nutrition to villagers (women, expected mothers, and men) including health volunteers.

Enpowerment of Medical Staff and Equipment

At the start of the project, there were some villages where a midwife was not resident. PHJ
requested the autonomous district administration to increase the number of midwives. As a result,
the number of midwives increased and delivery cases attended by midwife increased. Normally a
midwife is stationed at a district or village health center. PHJ is supporting construction of health
clinics in Tirtayasa Autonomous District where villagers are motivated to improve their health
improvement. As of 2012, five out of 14 villages have a village health clinic. The health clinic requires
clean water. In the areas without electricity and drinking water supply system, PHJ constructed wells
operated by solar energy. In 2010, PHJ constructed a delivery clinic with solar energy lighting system
at Wargasa Village (population 1,800) on Twnda Island. 40km from the mainland.

Community Health Network Seminar

An effective community network at village and district level is necessary to improve maternal and
child health. PHJ is building such network with a village clinic mdiwife as a leader and cooperates with
health volunteers, autonomous district health center, provincial medical facilities. To expand the
network to not only health and medical institutions but also administrative and religious leaders, PHJ
organized a seminar to study importance of community health, particularly, maternal and child health.
Mutual Cooperation
PHJ introduced a blood donor registration system to secure required blood at delivery and a
childbirth saving system for expected mothers and families.

Indonesia Nutrition Improvement Education

（Project period：2004～2016 Project site：Banteng Province）

One of under five mortality causes is weak disease resistance caused by mulnutrition. Our
investigation prior to the project found the rate of malnutirition children was 6.3% and mothers
had hardly any knowledge on nutrition. Since the project provided nutritious meals, nutrition
counseling and nutritious menu contest, the rate was reduced to 1.5% in three years. From the
three year project, we confirmed that the health problem is caused by local eating habits not
concerned with nutrition balance. We also confirmed that it is not possible to supply foodstuff
to villagers forever even using locally available inexpensive materials. It is necessary for the
villagers themselves to improve their daily diet at home to more nutritious ones and continue
such efforts. So PHJ is providing education covering basic knowledge of nutrition and how to
prepare nutritious food to villagers.
Development of Nutritious Food Menu
Important factors are to use locally available and inexpensive food materials, that contain
nutrition elements required for growth of infants (animal and vegetable protein, calcium, iron,
Vitamin A, B1, B6, B12, C, and D), and that children love to eat. Menu contest is organized by
villagers, and women take responsibility of cooking and distribution of meals. Since the start of
the project, more than 100 menus have been developed.

Establishment of Nutrition Center

Since 2010, PHJ is extending nutrition education to mothers and women emphasizing the
importance of daily meals to children’s health. To meet the expanded education program, PHJ
established a Nutrition Center within a clinic as the education headquarters in the Tirtayasa
autonomous district. PHJ is happy to receive compliments such as “the number of mulnutrition
children has decreased significantly and we see many healthy energetic children around.” （
2004 6.3％→2006 1.5％→2010 0.13％）

Vegetable Garden
Villagers are growing vegetables to consume by themselves.