asri 5 year results indonesia
TRANSCRIPT
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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.