Challenges

In the 2007 Indonesian Health Survey women were asked whether they have problems seeking medical advice or treatment for themselves. The most often cited problem is getting money for treatment (25 percent). Other concerns include distance to health facility (15 percent), having to take transport (13 percent), and concern that no female worker is available (11 percent).

Reliable transport enabling regular village healthcare visits helps to address each of these issues.

UNDP

The United Nations Development Program (UNDP) report on Human Development in 1999 said of Flores:

Population without access to health facilities: 29.9 %
Population without access to safe water: 54.7 %
Undernourished children under 5: 41.8 %
Households without access to sanitation: 32.5 %
Infant Mortality rate: 46 per 1,000
According to the United Nations Population Division the figures for Indonesia as a whole for 2006 were:

(United Kingdom figures provided for comparison)

Rank Country or territory Infant mortality rate
(deaths/1,000 live births) Under-five mortality rate
(deaths/1,000 live births)
87 Indonesia 26.6 31.8
174 United Kingdom 4.8 6.0
The East Nusa Tenggara Province continues to have worse figures for infant mortality and under five mortality than the rest of Indonesia. These are issues which improved basic healthcare delivery directly addresses.

UNICEF highlights East Nusa Tenggara infant mortality rate

Just an hour’s flight from the tourism hub of Bali lies a string of islands known as East Nusa Tenggara (NTT). White sandy beaches, picturesque sunsets and warm, friendly people have made the tiny archipelago look like an idyllic spot.
“Behind the beauty of these islands, however, lies a serious health problem affecting nearly every family. NTT has one of the highest infant mortality rates of any Indonesian region, mainly due to poor nutrition and lack of access to skilled health workers.”

UNICEF March 2007

New nutrition map of Indonesia highlights widespread infant mortality, underweight children

UN World Food Program July 2006

“JAKARTA – Many people in Indonesia do not get enough to eat, significant numbers of the country’s children are underweight and infant mortality continues to be a problem right across the island nation’s archipelago. Those are the findings of a new study jointly conducted by the United Nations World Food Programme and Badan Pusat Statistik-Statistics Indonesia and funded in large part by the Australian government. ”

Among its findings:

* People in roughly half of the sub-districts measured are consuming less than 1,700 kilocalories a day, well below the 2,100 kcal international standard considered necessary to provide the minimum energy required to adequately sustain an average adult.

* More than 30 per cent of pre-school children are underweight in 772 sub-districts, particularly in North, West and South Sumatra, Jambi, East Java, Nusa Tenggara Barat (NTB), Nusa Tenggara Timur (NTT) and West Kalimantan.

* Infant mortality rates of 55 per 1,000 live births, significantly above the national average of 43 per 1,000, are prevalent in 1,079 sub-districts stretching across the country, including Jambi, Bengkulu, West Sumatra, Banten, West and Central Java, NTB, NTT, West and South Kalimantan and Central, South and Southeast Sulawesi.

Further Reading

Improving_maternal_newborn_and_child_health_indonesia (PDF)

Indonesia Demographic and Health Survey 2007 (PDF) FR218_April_09_2009

UNDP Indonesia Annual Report 2007 (PDF)

 

Further UNDP information at: http://www.undp.or.id/pubs/undp_ind.asp