asri 5 year results indonesia

8/13/2019 ASRI 5 Year Results Indonesia

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Some 5-Year Results..

Project ASRI completed household surveys

in 2008 and 2012, to assess health outcomes and

attitudes on forest conservation.

Here are some of the survey results.


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Selected results for Health

1. Prevalence of Common Disease Symptoms

2. Attendant at Last Childbirth

3. Immunization of Last Child

4. Child Mortality

5. Percentage of smokers

6. Awareness of HIV

7. Good Hygiene


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1. Prevalence of Common Disease Symptoms

0

10

2030

40

50

60

70

8090

100

Diarrhea Fever Persistent

cough

Severe

weight loss

Percent

ageofhousehold

s

2007 (n=1296)

2012 (n=1497)

Fever and cough may signal serious diseases, such as TB and malaria

diseases that ASRI works to prevent. Diarrhea and weight loss may result

from preventable infectious diseases, addressed in ASRIs patient hygiene

education efforts. Incidence in all categories is dramatically improved.

Symptoms self-reported,

for the 3 months prior to

survey; p


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2. Attendant at Last Childbirth

0

1020

30

40

50

60

70

80

90

100

P

ercentageofbirths

2007 (n=1302)

2012 (n=1358)

ASRIs midwife trainings, patient education, and outreach haveplayed a role in the shift from traditional healers to midwives.

As reported by mother


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3. Immunization of Last Child

0

10

20

30

40

50

60

70

80

90

100

Received Any

Immunizations

(p


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4. Child Mortality

0

10

20

30

40

5060

70

80

Neonatal (to 1 week;

p=0.84)

Perinatal (to 1 mo.;

p=0.39)

Infant (to 1 yr;

p=0.026)

Under 5 (p=0.066)

Deathsper1000births

2007 (n=4002 births) 2012 (n=3230 births)

Overall, total child mortality has declined by almost 15%, with

the most dramatic improvement in the infant mortality rate.


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6. Awareness of HIV

0

1020

30

40

50

60

7080

90

100

Know how

transmitted

Don't

understand

transmission

Unaware of HIV

per

centageofrespon

ses

2007 (n=1347)

2012 (n=1482)

Survey results show somegreater awareness of the transmission modes

of HIV, and someoverall increased awareness of the existence of the

disease (including some who do not understand its transmission).


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7. Good Hygiene

0

10

20

30

40

50

60

70

80

90

100

Access to toilet

facilities

Use river as toilet Boil water before

drinking

percentageofrespo

nses

2007 2012

Access to restroom increased more than 20%; boiling drinking water

increased almost 25%. Defecation in river declined by 37% a hygiene

benefit for the entire community.

All significant at

p


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Selected results for Conservation

9. Valuing the National Park

10. Attitudes toward logging

11. Logging activity (households)12. Logging activity (individuals)

13. Effect on participating loggers

14. ASRI Clinic discount

15. From red to green

16. Testimonial of a village head


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9. Valuing the National Park

50%

60%

70%

80%

90%

100%

Agree the Park is

"good"

Want to keep the

Park for their

children

Agree the Park

needs protection*

2007

2012

*Not asked in 2007

ASRIs outreach efforts have been effective in promoting appreciation ofthe Gunung Palung National Park. It is also clear that most local residents

were alreadyaware of preserving the Park for their children almost 99%

in 2007. But only 85% think this would require protecting the Park.

p


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10. Attitudes toward logging

0%

20%

40%

60%

80%

100%

Okay to cut

down trees

Okay to work

as logger

Logging

happens in

my village

Logging in my

village cannot

be stopped

2012

These questions were asked for the first time in 2012. Only 9% ofrespondents consider logging acceptable and less than 1.5%

think it is unavoidable.


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11. Logging activity (households)

0%

20%

40%

60%

80%

100%

Anyone logging in family? Do you do any logging?

2007

2012

Respondents were asked whether they or anyone in their family benefited from logging in Gunung Palung National Park. The 2012 results

are dramatically lower (by 68 and 70 percent).


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12. Logging activity (individuals)

0

20

40

60

80

100

2008 (n=1299) 2012 (n=1497)

Respondents were asked whether they had done logging inGunung Palung National Park in the previous year. The percentage

of active loggers declined by two-thirds from 9% to 3%.


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13. Effect on participating loggers

0

5

10

15

20

25

Attended ASRI

meeting (n=9)

Met Forest Guardian

(n=20)

Aware of ASRI

discount (n=11)

Numberofloggers

stopped considered stopping no effect TOTAL PARTICIPATING

Those loggers (past and present) who were aware of ASRI activities were asked

about any effect on their logging. Each of these three activities convinced more

than 80% of loggers to either stop logging or consider stopping and the

conservation education meetings appear to be 100% effective.


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14. ASRI Clinic Discount

Only 22% of respondents were already aware of

ASRIs health discount for non-logging villages.

When told about the discount, over 90% of people

believed theirfamily members would stop loggingfor the discount; over 80% believed their

communitywould stop logging.

Almost all the respondents who already knew aboutthe discount and had discussed it with others said

it had alreadydecreased logging (98%).


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15. From Red to Green

Since early 2011, ASRIs field assessment has showna two-thirds increase in non-logging villages

from six to ten, out of 30 total villages served.


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Summary

In the 5 years of ASRIs operation, key health indicators have

improved , in some cases, dramatically with greater access

to affordable, high-quality health care as well as patient

education.

The survey results also show:

Strong local interest in preserving the forest

Evidence that ASRIs conservation activities are effective

Welcome reductions in numbers of loggers

But there is still more to do to increase awareness of ASRI

programs.

asri 5 year results indonesia

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