Case Studies

Case studies describe the dynamics of health-related partnerships on workplace and community health. They describe how and why the partners decided to partner, who does what, the challenges they face, results, key success factors, and future plans.

Bank Tabungan Pensiunan Nasional and the Indonesian General Practitioners Association: Empowering Pensioner Customers Through Better Health Care

Bank Tabungan Pensiunan Nasional (BTPN) partnered with the Indonesian General Practitioners Association (PDUI) to empower pensioner customers over age 55 to lead a healthy way of life. The partnership program, called The Daya Health and Wellness Program (Daya Sehat Sejahtera) or DSS, was introduced in 2010 and continued until 2013, with the possibility of extension. PDUI developed a Consultation and Health Service procedure, relevant educational materials, and a health care system; conducted interactive dialogues; and acted as resource for health volunteers’ training. BTPN provided the venue for activities carried out at its branch offices along with the required educational materials and covered the operating costs of health volunteers. The partnership has benefited both parties. PDUI has the opportunity to implement its organizational vision to revitalize primary health care in Indonesia through BTPN branches. BTPN, on the other hand, benefits from the improved health status of its customers, which ensures that they are physically and mentally fit to continue leading a productive and healthy life in their advanced age. From 2010 to 2013, the partnership helped develop 250 consultation and health clinics and initiated interactive dialogues in 403 branch offices, benefiting over 600,000 customers each year, 70% of whom have reported being satisfied with the availability of these activities. DSS-related activities are rolled out across 32 provinces throughout Indonesia. Both partners agree that the program’s continuity will be driven by pensioner customers’ demand for information and services on geriatric health care. Meanwhile, life expectancy among the elderly has improved over time, which points to a sustained need for specialized care among older adults.

ExxonMobil and Farabi: Improve Access to Clean Water and Sanitation in East Java, Indonesia

In 2008, ExxonMobil and Farabi formed a three-year partnership to provide access to clean water and sanitation in two districts of East Java where ExxonMobil operation areas are located. The partners worked closely with community leaders and members to design and implement the program. They trained community members to build water and sanitation facilities and manage community fund to maintain these facilities. In addition, the partners conducted meetings with local governments to introduce the program and ask for support in building the facilities and promoting healthy and clean living behaviors through the district health office. Involving communities and local governments from the beginning is key to the partnership’s success in ensuring ownership and sustainability of the program. During the implementation, the communities saw how they were benefiting from the services and became willing to pay fees and contribute resources to sustain clean water and sanitation services. By 2011, ExxonMobil and Farabi worked with communities to build and sustain 17 clean water distribution systems for 2,779 households, 2,583 units of latrines distributed to seven villages. Farabi conducted health promotion in 12 primary schools in ten villages. 

Nestle and the Indonesian Nutrition Association: Improve Child Nutrition

In 2012, Nestle Indonesia partnered with the Indonesian Nutrition Association (INA) to improve the nutrition status of children aged 6-12 through the Nestle Healthy Kids (NHK) programs across 17 areas in Indonesia. The partners shared belief that elementary school age represented a second golden opportunity to improve nutrition and nutrition-related health problems allowing children to develop into healthy adults. Nestle engaged in implementing the NHK program at schools in addition to provide financial and staff support. INA provided expert technical support, which included trainers, education materials, training modules for teachers, and gave technical recommendations for the planning and implementation of the NHK program. The partners had strategies set in place to ensure the program’s sustainability after their partnership ended. One strategy is to boost the schools’ and parents’ involvement in managing and implementing the activities to create a sense of ownership and ultimately willingness to support the program financially and physically. Results achieved as of May 2013 are (a) 28,500 students from 65 elementary schools are informed about nutrition and physical activities; (b) 2,200 parents were informed about child nutrition and health; (c) 860 teachers, 65 principals, and 72 community health centers attended the NHK program. In addition, Nestle and INA noted several impacts of the NHK program based on qualitative observation and monitoring.

Danone Aqua and YPCII: Community-based Clean Water and Safe Sanitation Program in West Java, Indonesia

Danone Aqua and Yayasan Pembangunan Citra Insan Indonesia (YPCII) partnered from 2010 to 2012 to increase community access to sustainable clean water and safe sanitation facilities and change behaviors in hygiene and sanitation practices.The program took place in West Java in areas where two AQUA factories are located. Danone Aqua and YPCII each contributed technical expertise and resources to the program. A key to success of their partnership was that the partners obtained support from local governments and the community from the beginning. The partners facilitated the establishment of a Community Workforce Team to oversee the installation of water pipeline and a village-owned business unit staffed by individuals selected by the village to manage clean water and safe sanitation facilities. Both processes built a sense of ownership to ensure the sustainability of the results of the partnership. YPCII was in charge of the behavior change component of the program. It used a community-led total sanitation approach to influence community hygiene and sanitation practices. By the end of the partnership, access to clean water increased from 17% to 74%; 92% of the communities (equivalent to 5,520 people) were able to use a house latrine; 20 out of 28 neighborhood associations are now free of open defecation;and the morbidity rate from diarrheal disease decreased from 20% to 11%, particularly among children.

Unilever Indonesia and Persada: Clean and Healthy Environment Through Community Participation Program in Yogyakarta, Indonesia

Unilever Indonesia and Perkumpulan Persada, an Indonesian NGO that trains communication professionals, partnered in 2011 to implement "Yogyakarta Green and Clean (DIYCG)," a community-based project to build a clean and healthy environment through household waste management. During the course of their partnership, Unilever and Persada encountered challenges in both implementing the program and managing the partnership. However, they found ways to address those challenges to drive success. The partnership succeeded in mobilizing community participation in sorting waste, making compost, converting waste into reusable material, and collecting and selling waste to collectors. In a year, the partners reached 452 of 614 hamlets (74%) in 68 sub-districts of Yogyakarta Province. The partners trained 452 community members as field facilitators and recruited more than 5,000 volunteers, many of whom are women. The communities in two districts of Yogyakarta reduced the volume of inorganic waste by 12 percent. The partnership was able to tackle post consumer plastic waste while empowering women as entrepreneurs turning plastic waste into fashion products, locally known as "Yogya Trashion". A total of one hundred women benefited from revenue earned through Yogya Trashion. The partnership also involved five district governments to build on the success of the project. The provincial government of Yogyakarta has continued the program after the partners ended their involvement in the one-year program. Unilever and Persada are now partnering to implement a Waste Bank program that helps improve the environment and provides additional income for the community.

Chevron and YBUL: Community-Based Environmental Conservation and Micro Finance Development Program

Chevron and Yayasan Bina Usaha Lingkungan (YBUL), an Indonesian NGO with expertise in renewable energy and small to medium businesses, have partnered since 2009 to reduce deforestation in the forest of Halimun-Salak National Park in West Java where Chevron operates a geothermal power plant. Chevron and YBUL believe that local communities can play a significant role in land use decision-making and benefit from managing the surrounding forest and its resources without damaging the environment. The partners also recognize that the communities must be able to pursue sustainable livelihoods in the process. The partnership focuses on the following activities to empower the local communities: (1) forest conservation and income generation from goat and rabbit breeding, organic farming, and creating tree nurseries; (2) protection of eagles in the target areas; (3) forest conservation communication and awareness; and (4) microfinance development. YBUL coordinates all organizations involved in activities including Chevron, four NGOs specializing in each of these issues, and local governments. By the end of 2011 the majority of communities had stopped cutting forest trees and communities were earning more than 3,000 USD per year from the goat and tree nursery businesses. The partnership had also leveraged approximately 6,000 USD in funds from local governments to help communities. Two events were held to release eagles into the wild. Materials were produced to increase awareness of forest conservation and the need for eagle protection. Chevron and YBUL continue to work on several challenges including how to: improve their strategy on micro-financing to benefit farmers; prevent community financial dependency on Chevron; increase communities' capacity to create business; and jointly monitor and evaluate activities. The partners envision more partnerships involving NGOs and local governments in the target areas to help farmers continue their businesses.

Nestle Indonesia and Hivos: Turn Waste into Benefit

Nestlé Indonesia and the Humanist Institute for Development Cooperation (Hivos), a Dutch non-governmental organization, have partnered since May 2010 to implement the domestic biogas program known as “BIRU” that distributes biogas units to households as a sustainable energy source through the use of microcredit. The program aims to improve living conditions of household by using biogas. The two partners agreed to collaborate based on two objectives: (1) increase access to affordable energy by using biogas, and; (2) reduce negative environmental and health impacts of dairy farming activities. The three-year partnership operates in East Java and is beneficial to all stakeholders involved. As of October 2011, 11 cooperatives had been trained on how to build biogas units and provide maintenance. They have built 3,121 units. The partnership has created 250 new jobs. More than 50% of households that have built biogas units are now using biogas waste as organic fertilizer to replace chemical fertilizer. The partners also hope to continue to reach as many dairy farmers as possible in East Java and to overcome challenges that emerged during the partnership.

Kraft Foods and Save the Children: Revitalizing Posyandus in Indonesia to improve maternal and Child Health

Kraft Foods and Save the Children created a partnership program called FRESH (Future Resilience and Stronger Households) - also known as the "Posyandu Strengthening Program" to improve feeding practices, healthy behaviors, community-based health services, and early childhood development (ECD) services in Indonesia. A posyandu is a monthly community gathering organized and managed by the community to improve maternal and child health. The partnership started in April 2009 and will continue until March 2012. Intervention areas include West Bandung, Bekasi, and Karawang districts in West Java that target 54 villages and 556 Posyandus. By the end of March 2011, the program had reached 40,204 children and mothers through posyandus and ECD services, trained 2,560 cadres (village volunteers), reached 455 of 556 Posyandus, and reached 399,726 individuals through food festivals and the distribution of health education materials. Over 240 Kraft Foods' employees have volunteered to help with the FRESH Indonesia project. A schedule of quarterly employee engagement program (EEP) activities has been developed for the duration of the project. The two partners are continuing to find ways to address challenges and leverage key success factors that emerged during the partnership.

PT Freeport Indonesia and Amungme-Kamoro Community Development Institute (LPMAK): Malaria Control Integrated Program in Papua, Indonesia

PT Freeport Indonesia (PTFI) and the Amungme-Kamoro Community Development Institute or LPMAK, an NGO the company founded in 2002, work in partnerships with two Indonesia health organizations to eliminate malaria in Mimika district using a community empowerment approach. One of the partnerships came about as a result of the partcipation of PTFI and one of the health organizations in CCPHI's Health and Business Roundtable Indonesia (HBRI). Through their activities, the partners have seen the number of malaria cases decrease, the number of communities participating in activities increase, and the percentage of students testing positive for malaria decline between 2009 and 2010. The program still faces considerable challenges including engaging the relatively new local government more actively to ensure the sustainability of activities and encouraging more community involvement in education on how to prevent the spread of malaria.

Pertamina and the Indonesian Planned Parenthood Association: Ensuring Sustainable Reproductive Health Services through Community Participation

Pertamina, Indonesia’s state-owned oil and gas company and the Indonesian Planned Parenthood Association (IPPA) partner to increase access to reproductive health services in seven provinces where both partners operate. Their three-year partnership program, SEHATI, or Healthy Loving Children and Mother, started in 2009. The program is one of several efforts by the two partners to decrease maternal and child mortality rates. As of 2010, SEHATI has reached over 60,000 villagers with its activities. SEHATI committees in 16 out of 26 targeted villages are now able to manage community funds to help pregnant women on their own. They are also now able to revitalize village health posts and organize emergency task forces to help more mothers and children in their villages.

Johnson & Johnson Indonesia and IBI: Improving the Quality of Maternal and Child Health Services in Indonesia

Johnson & Johnson and the Indonesian Midwives Association are working together to standardize and improve the quality of maternal and child health services provided by private-sector midwives in Indonesia who comprise 30% of all midwives. Since 2006, the partnership has supported training and materials for over 2,000 private-sector midwives on how to deliver, monitor, and evaluate services. The partners have run national media campaigns to encourage communities to use services provided by qualified midwives and both partners hope to see all sectors leverage more of their resources to help reduce rates of maternal and infant mortality.

PT Unilever Indonesia Tbk and KKI: HIV/AIDS and Drug Abuse Prevention Campaign in the Workplace

PT Unilever Indonesia Tbk (UI) and The Indonesian Humanitarian Committee (Komite Kemanusiaan Indonesia or KKI) have been partnering since 2003 to prevent HIV and drug abuse among its workers, most of whom are male, at a UI factory in Cikarang, an industrial area just outside of Jakarta. A major success of the partnership has been a training-of-trainers (TOT) program carried out by KKI. The program has developed a team of volunteer workers who provide information and training to other workers on preventing HIV/AIDS and drug abuse.

PT Tupperware Indonesia and HOPE worldwide: Empowering the Community At Risk 

In one of the poorest districts in north Jakarta, PT Tupperware and HOPE worldwide have come together to help bring women and children a better quality of life. In response to priorities set by the community, Tupperware employees have joined volunteers that are part of the network of 7000 that support HOPE worldwide in Indonesia and community members carry out projects. These include a Saturday school program, health clinic and mobile clinic, new public toilet facility, beautification project, and sewage clean-up. The partnership also provides training to women to make handbags and other products from recycled plastic to supplement their incomes.

Standard Chartered Bank and Helen Keller International: Seeing is Believing

To help eliminate preventable blindness in Indonesia, Standard Chartered Bank and Helen Keller International have joined forces to improve the sight and nutrition of adults and children. Since 2004, the partnership has supported nearly 2,000 surgeries to restore sight on the island of Lombok, reached nearly half a million children with supplements in West Java, and supplied eye glasses and surgeries to more than 800 children in Jakarta. The partnership also involves the Indonesian Ministry of Health to ensure consistency and sustainability as well as professional ophthalmology associations.

PT Gajah Tunggal Tbk and Yayasan Kusuma Buana: Preventing HIV/AIDS in the Workplace in Indonesia

PT Gajah Tunggal Tbk (GT) and Yayasan Kusuma Buana (YKB) have partnered to educate and train the company's 10,000+ factory workers in HIV/AIDS prevention using peer education. Transferring training skills from YKB to GT staff has reduced costs and increased sustainability of the training. The partnership also educates nearby communities with support from Muslim clerics and other community leaders.

Chevron and Jhpiego: Re-establishing and Sustaining Reproductive Health Care in Aceh after the Tsunami

Chevron and Jhpiego helped rebuild and increase the sustainability of public and private reproductive health services in Aceh following the 2004 Tsunami. The partnership supported a community mobilization program to ensure safe childbirth and strategic planning and advocacy that led to a tenfold increase in the district budget for maternal and child health between 2005 and 2007.

PT Dewhirst, Yayasan Kusuma Buana, Marks & Spencer and Medika Pratama: Working Together to Improve the Health of Workers, Their Families, and the Community in Indonesia

PT Dewhirst (PTD) and Yayasan Kusuma Buana (YKB) established a community health clinic with seed money from Marks & Spencer (M&S). The clinic became self-sustaining in less than two years. Key factors include how the company implements government-mandated worker health insurance, service quality, and the willingness of the private health insurance company used by PTD, Medika Pratama, to cover health education.