Salud en Armonía: Proteger la Conexión Crítica entre la Salud Humana y el Medio Ambiente
Esta presentción ha sido seleccionada como finalista del desafío
Innovations for Health: Solutions that Cross Borders .
Salud en Armonía se dedica a proteger la salud del planeta mediante la protección local de la conexión crítica entre la salud humana y del medio ambiente.
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Sobre tu organización
Nombre de la organización
Health In Harmony
Sitio web de la organización
País de la organización
Estados Unidos, OR, Multnomah County
Países en donde este proyecto está creando impacto social
Tu organización es
¿Cuánto tiempo ha estado operando la organización?
¿Tu organización ha recibido premios y/u honores? Cuéntanos sobre ellos.
Dr. Hotlin Ompusunggu, who both manages our program in Indonesia and serves as its clinic dentist, received a prestigious Whitley Award in London last year. In addition, Health In Harmony was recently featured in Outside Magazine as one of the top 30 organizations "making a difference": http://www.outsideonline.com/outdoor-adventure/nature/Health-in-Harmony.....
Referencias – Por favor provee dos referencias con una biografía de dos renglones y una dirección de e-mail para cada una.
Nancy Angoff, MD, MPH, MEd, FACP
Nancy Angoff is the Yale University School of Medicine Assoc. Dean for Student Affairs and an Assoc. Professor of Internal Medicine. She has known Kinari Webb since Kinari was a medical student at Yale, and she currently serves on the board of Health In Harmony.
Alison Norris, MD, PhD
Alison Norris is an Assistant Professor of Epidemiology at Ohio State University. She attended medical school with Kinari Webb and currently serves as the President of Health In Harmony's board of directors.
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Selecciona la fase que describa mejor el momento en el que se encuentra tu emprendimiento
Crecimiento (tu iniciativa piloto ya se está aplicando y se empieza a expandir)
¿Cuánto tiempo se lleva poniendo en práctica tu iniciativa?
Operando entre 1-5 años
¿Cuál de las siguientes describe mejor la(s) barrera(s)s a la que da respuesta tu innovación? Elige hasta dos.
La necesidad: ¿Cuál es el problema que tratas de solucionar?
I believe that human and environmental health are critically linked, and that the key to protecting planetary health is guarding those links at the local level. In many parts of the globe, poverty, poor health, and ecosystem destruction spin together in a downward spiral. I am working to stop that spiral by injecting high quality, accessible, affordable healthcare into the picture. My current focus is Gunung Palung National Park in West Kalimantan, Indonesia. I intend the model I build there to be replicable in other areas where poverty and poor health tip local resource use to the unsustainable.
La solución: ¿Cuál es tu solución? Sé específico.
In 2007, Health In Harmony established the Alam Sehat Lestari program (ASRI) in a village called Sukadana on the border of Gunung Palung National Park. We opened a clinic and began community outreach activities to raise awareness about the local link between human and environmental health. The clinic promotes the protection of the park, an important conservation area for Borneo’s forests and wildlife and a vital watershed for local communities. Local villagers can trade seedlings and participation in conservation-promoting activities, such as reforestation, for healthcare, rather than paying with cash. In addition, communities that help protect the park, rather than log it, are given additional healthcare rewards of their own design, including discounts at the ASRI clinic, discounted mobile clinic service, and ambulance service at cost.
El Modelo: Muéstranos a través de un ejemplo específico cómo tu solución hace una diferencia, incluye tus actividades primarias
Sometimes 14-year old Ayu struggles to breathe. The problem was worse when Ayu and her family still lived in polluted West Java. Ayu’s father lost everything covering the cost of medical bills. At a loss for other options, four years ago he brought his family to West Kalimantan through a government-sponsored transmigration program. Ayu’s asthma attacks lessened in the clean air of one of Indonesia’s least-developed provinces, but did not disappear. Once when Ayu suffered a dangerous episode, her father learned about HIH’s ASRI Clinic. The staff treated the girl and now, each month, they provide her with inhalers that are effective, but costly. The father is able to pay clinic bills with work in ASRI’s seedling nursery two days a month. There, he plants rainforest seedlings in poly bags and waters them in preparation for reforestation work that ASRI’s conservation staff will coordinate with local communities during the wet season. As director of ASRI, my role includes training and overseeing the Indonesian medical staff who treat Ayu, conducting community outreach to design medical incentives and trades for conservation (such as the father’s nursery work), and designing the reforestation effort that will use the seedlings the man is cultivating.
El mercado: ¿Quiénes son tus pares y competidores? Identifica a otros que también estén trabajando para dar respuesta a las necesidades que tú abordas y en qué te diferencias de ellos. ¿Cuáles son los desafíos que estos jugadores podrían representar para tu éxito o crecimiento?
ASRI’s "competitor” is the local government clinic, but we have turned this relationship into one that is mutually beneficial. The Health Department Head told us, "I did not know it was possible to provide quality care in a remote place. Now [in ASRI] I can see that it is, and it makes us realize what we can achieve if we try hard enough." ASRI works with the government healthcare workers to identify and meet training and equipment needs, and to teach a new way of looking at health largely focused on preventing illness by maintaining a healthy natural environment.
Esta presentación se trata de
Historia de la fundación: Queremos saber acerca del momento en el que hiciste "¡Ajá!". Comparte la historia de dónde y cuándo el/los fundador(es) vio (vieron) el potencial de esta solución para cambiar el mundo.
In 1993, when I was working as an assistant researcher in Gunung Palung National Park, my field guide, Tadin, accidentally slashed his hand with a machete. I saw dread in Tadin’s eyes when he looked at his bleeding palm — fear that he might be unable to work and support his family. I realized that villagers living near valuable natural resources can be empowered to protect those resources only if they are healthy and have stable livelihoods – the dangerous spiral of poor health, poverty, and ecological destruction became clear to me, and the incredible power to disrupt that dangerous cycle with accessible healthcare. I decided to become a doctor, using healthcare to simultaneously reduce the threat of illness and motivate forest conservation.
Por favor, describe el objetivo de tu iniciativa: un resumen de lo que están tratando de lograr
HIH aims to demonstrate a model with the power to protect planetary health by locally disrupting the cycle of poverty, poor health, and ecosystem destruction that prevails in places where unmet needs result in unsustainable resource use. The ASRI project in Indonesia represents HIH’s first implementation of the model. ASRI uses its clinic to promote protection of Gunung Palung National Park, an important conservation area and watershed for local communities. Through an incentive system of healthcare rewards to communities that cease illegal logging, villager participation in conservation work in exchange for healthcare, and education, ASRI links healthcare to environmental protection.
¿Cuál ha sido el impacto de la solución hasta la fecha?
My project, ASRI, is designed to break the destructive cycle of poverty, poor health, and deforestation around Gunung Palung National Park. To date, the ASRI clinic has served 20,000 patients, who are invited to pay for treatment by participating in conservation work – bringing better health without incurring debt. ASRI has also brought organic farming to five communities, reducing the costs of farming, increasing yields, and discouraging slash-and-burn agriculture that destroys the park. ASRI has reforested fifteen hectares of damaged parkland, beginning to revitalize the local watershed. ASRI has saved countless lives and has improved livelihoods for 22 communities.
Cuál es tu impacto proyectado para los próximos 5 años?
>Demonstrated success of ASRI model, spinning off a replicate in another area of Indonesia.
>Enabled the provision of high quality healthcare to the 60,000 villagers around Gunung Palung, as well as the training of Indonesian healthcare providers, by building a full-service hospital in Sukadana.
>Measured a significant reduction in illegal logging in Gunung Palung, thus protecting a watershed needed by 60,000 villagers.
>Measured significant improvements in both health and livelihoods of villagers around the Gunung Palung area connected to ASRI’s healthcare are sustainable agriculture programs.
¿Qué barreras pueden dificultar el éxito de tu proyecto? ¿Cómo planean superarlas?
We must make a constant effort to maintain positive relationships with the local government and health department. We never, ever pay bribes – our positive relationships are built on common courtesy, respect, and generous efforts to provide training to local government medical workers at every opportunity. In this fashion, with will overcome the somewhat onerous hurdle of obtaining permits for the construction of ASRI’s hospital.
Las iniciativas ganadoras presentan un plan fuerte de cómo van a alcanzar y realizar un seguimiento del crecimiento. Identifica tus metas a seis meses para el crecimiento de tu impacto
Measure ASRI's impacts on health, cessation of illegal logging, and healthcare worker training to date.
Identifica tres grandes tareas que tendrás que completar para llegar a las metas de seis meses.
Repeat ASRI’s baseline health survey in communities around Gunung Palung in early 2012. Compare results to 2007.
Conduct monthly monitoring of illegal logging through regular joint patrols with village Forest Guardians.
Analyze ASRI Clinic patient database figures to design strategies to improve training of our own staff and government staff.
¡Ahora piensa en grande! Identifica tu meta de impacto a 12 meses.
Begin construction of ASRI's hospital and spread knowlege of sustainable agriculture in the Gunung Palung area.
Identifica tres grandes tareas que tendrás que completar para llegar a tu meta de impacto a 12 meses
Obtain hospital construction permit from the local government.
Hire a trustworthy contractor and break ground.
Train an additional eight communities in organic farming and sustainable agroforestry.
Cuéntanos sobre tus alianzas.
HIH partners with Yale University, Stanford University, Johnson & Johnson, and other supporters to bring high quality medical care and volunteer medical professionals to the Gunung Palung area. In addition, we partner with the Arcus Foundation, US Fish & Wildlife Service, Conservation Food & Health Foundation, and other conservation donors to support ASRI’s healthcare incentives for conservation, as well as activities to protect and restore Gunung Palung’s forests.
¿Actualmente te estás dirigiendo a otras poblaciones, lugares o los mercados para tu innovación? Si es así, ¿dónde y por qué?
Our intention is for the ASRI project to be replicable in other areas where natural resources important for global health are threatened by insufficient healthcare locally. We hope to both provide guidance to other organizations wishing to implement the model we have created in West Kalimantan, and to create additional ASRI-type projects in other areas. To date, we have begun to explore options for replication in northern Sumatra and Papua New Guinea.
¿Qué tipo de sistema operativo y factores internos de la organización hacen que tu innovación sea un éxito?
Two factors are critical in maintaining the ASRI project’s success: ASRI’s excellent staff, and continuous intensive outreach to ensure open lines of communication with communities around Gunung Palung and community support for ASRI’s initiatives. Staff quality is kept high by excellent training provided by myself and skilled volunteers from the US, and a staff gathering each morning keeps all of the team personally involved and invested in programmatic decisions. Frequent gatherings in villages around the park ensure that each ASRI initiative is created in response to local needs and constraints – this is a critical feature of our success. We listen and respond.
Por favor, pon en claro las necesidades u ofertas que hayas mencionado anteriormente y/o sugiere categorías de apoyo que no están especificadas en la lista
HIH is poised to offer guidance to organizations with a serious interest in using ASRI's combined health/conservation model to improve local health and protect natural resources.