»ACTIVITIES
MdM is working in nine villages, continuing the programme in partnership with our local partner PRIMARI. The activities include running mobile clinics, training trainers, awareness-raising sessions on mother and child health for groups of women and sessions on reproductive health for groups of adolescents, providing support to health centres and supporting the testing centre at Mulia hospital.

»OUTLOOK
MdM will continue the work that is underway with the addition of community component educating women on avoiding risks during pregnancy. We will also develop prevention sessions on HIV stigmatisation in the villages, encourage recognition of community health agents and strengthen the communication and advocacy work to lobby for better access to healthcare in Papua.

»ACTIVITIES
MdM was working in the shantytowns in the north of Jakarta, where many rural people now live. Their illegal occupancy status prevents them from accessing health services. MdM continued to provide care in four clinics with nutritional support to children who are malnourished or who have tuberculosis, vaccination sessions and growth monitoring for children and pregnant women. In addition, the team has trained community health agents, provided first aid training and family planning education, and supported patients needing medical referrals. Finally, the team have lobbied the health authorities for better access to healthcare for the illegal communities.

»OUTLOOK
The programme closed at the end of the first project cycle in August 2008.

»ACTIVITIES
Because of their distance from health facilities and the cost of river transport, the Punan Tubu do not have access to appropriate healthcare. Respiratory infections, epidemics, tuberculosis and infant mortality are the main health problems identified. Since 2006, three medical teams have visited each year and four vaccination campaigns have been carried out and nine community health agents—who have been able to organise education sessions in the Punan language—have been trained. Insecticidetreated bed nets have been distributed and we have started discussions with the Adat Punan association which represents the interests of the Punan population of Kalimantan.

»OUTLOOK
As set out in the project plan, the final medical mission (mobile clinics and the fourth vaccination campaign) were organised in April 2008. This was done in collaboration with the staff of Pulau Sapi health centre who will take over MdM activities and run two mobile clinics a year.

»ACTIVITIES
The main activities of this programme to tackle malaria in the worst affected communities on the island—where the disease is endemic and prevalence is over 20%—have been to set up two mobile teams to carry out early diagnosis and treatment, to carry out a ‘malario-metric’ study and an entomological study, and to train health workers and community health agents on malaria prevention and treatment. MdM has offered support to the eight laboratories of the district health centres by providing ongoing training and by distributing 8,300 treated bed nets in high risk communities far from health services.

»OUTLOOK
The programme will end, as planned, at the end of March 2009. By then, MdM will have carried out a second ‘malario-metric’ survey and will have continued the health worker training.