Integrated Early Childhood Center for HIV Infected/ Affected Children and Their Family

Integrated Early Childhood Center for HIV Infected/ Affected Children and Their Family

Bandung, IndonesiaBandung, Indonesia
Organization type: 
nonprofit/ngo/citizen sector
Budget: 
$10,000 - $50,000
Project Summary
Elevator Pitch

Concise Summary: Help us pitch this solution! Provide an explanation within 3-4 short sentences.

Integrated Early Childhood Center for HIV Infected/ Affected Children and Their Family: one stop health, nutrition, and psycho-social development service to optimize children’s potential in order to ensure a good quality of life.

About Project

Problem: What problem is this project trying to address?

A data from Rumah Cemara shows that at least 300 children (Aged 0-19) are recorded as HIV+ in West Java. While some have accessed Anti Retroviral Treatment, many have to cope with other opportunistic infections which include multi-drug combination for treatment. Vulnerability to side effects and lack of knowledge among home caregivers have caused these children to suffer health problem. In terms of socio-psychological problem, many of these children have to bear witness of their parents’ drug addiction/ illness/ death and rejection from family members and society. Such emotional trauma in golden age period will affect children’s socio-psychological development.

Solution: What is the proposed solution? Please be specific!

Our solution is Integrated Early Childhood Center for HIV infected/affected children, in which we provide: 1) Day care, respite care, and 24-hour emergency care in a safe, loving environment for children infected & affected by HIV/AIDS. 2) Parental education and caregiver training enhance the quality of care, and thus quality of family life. Included here referral to rehab program for parents with drug addiction problem. 3) Public education about HIV/AIDS to prevent the disease from spreading and to eliminate the stigma. In collaboration with other community resources the center will also prepare pre-school children for inclusion and entry into primary school
Impact: How does it Work

Example: Walk us through a specific example(s) of how this solution makes a difference; include its primary activities.

We envision that every child (including HIV infected/ affected) can access the service needed to ensure optimal growth and development toward a better quality of life in the future. Objective: a) To fulfill children’s physical and psycho-social need through health, nutrition, and development program b) To educate parents and caregiver the know-how of optimizing children growth and development c) To educate public about HIV/AIDS, thus preventing the disease and eliminating the stigma

Impact: What is the impact of the work to date? Also describe the projected future impact for the coming years.

We aim to first start piloting one center serving Bandung area. In 10 years we expect that HIV+ children and their family will have the access to integrated quality care, be it in an exclusive or inclusive environment. Just like how parents of autistic children have now various options of treatment/ program in either specialized clinic or public hospital and school, the HIV+ should be fulfilled of their right of better life quality.
Sustainability

Financial Sustainability Plan: What is this solution’s plan to ensure financial sustainability?

Growth milestones: 1st year: pilot is up and running, ready as a franchise model 3rd year: replication in most affected area (presumably Papua and Nusa Tenggara), in partnership with NGO and government 5th year: preparation of inclusion to existing infrastructure (e.g. hospital, public school)

Marketplace: Who else is addressing the problem outlined here? How does the proposed project differ from these approaches?

By far, we saw no competitor providing service like Integrated Early Childhood Care for HIV infected/affected children and their family. We expect to collaborate with the following: organization working on HIV issue, medical institution/ professionals, early childhood education institution/ professionals, also health related governmental bodies.
Team

Founding Story

Though born innocent, HIV+ children have to cope with problems and stigma attached. As most HIV cases in Indonesia are among injecting drug users, they are also impacted by parents’ drug addiction and prolonged family conflict. Lacking socio-psychological and health support in golden age period, they potentially become the next lost generation.
Organization Name
About You
About You
First Name

Anna

Last Name

Alisjahbana

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Innovation
Explain what the "innovation" is about, e.g., is it the idea and/or the model you use to accomplish the idea, or your understanding of the target population, etc.?

The innovation is about our understanding of the arising demand for new service from the target population and the integrated service model that we offer.
1) Various studies have shown that HIV has spread among general population, beyond those supposedly at risk group. Accounted for this population is children, who are in fact the victims of their parents’ behavior. However, curative and preventive services are still mostly focused on adults, almost none available specifically for the children.

2) Parents/ caregiver play an important role in early childhood development to optimize children’s potential in order to ensure a good quality of life. Health, nutrition, stimulation, and affection are the necessary elements for proper growth and development. This intervention is designed to assist parents/ caregiver in addressing those needs through capacity and community building. For families in conflict due to drug addiction problem, a referral would be made to Rumah Cemara rehab program using peer to peer approach.

Describe how your innovation model is distinct from any other organization in your field?

By far, no organization in Indonesia has provided service like Integrated Early Childhood Care for HIV infected/affected children and their family.
F2H has developed such program with Taman Posyandu, however it’s for public/ general population. Considering that stigma on HIV/AIDS is still strong, it might be difficult for them to access the service. Thus we have to start from exclusive center prior to working toward inclusive service.
Some organizations are serving HIV+ children through hospice, together with late stage cancer patients. Public hospital gives medical service (but not specifically differentiated between paediatric and general medic care for adult).

What type of operating environment and internal organizational factors make your innovation successful?
How do you make sure you constantly innovate in light of (potential) external challenges, or your growth plan?
Organization Country

, JR, Bandung

Business Model
The systemic challenge you are trying to overcome (select one)

Bring accessible healthcare to communities in emerging markets

Health area (target market) where the need is [select only one]

Other specialty care

Categories along the health continuum you are covering [select all that apply]

Intervention, Social integration.

Stage that best applies to your solution [select only one]

Idea (poised to launch)

Core strategies of your business model [select all that apply]

Approaches to behavioral change at the individual level, Patient-centered design.

If other, specify here:
Most relevant tools you are using to implement the strategies outlined above [select only two]

Consultation, Education/training.

If other, specify here:
What is your value proposition?

Integrated Early Childhood Center: one stop health, nutrition, and psycho-social development service for HIV infected/ affected children and their family to optimize children’s potential in order to ensure a good quality of life.

Who is your customer(s)?

HIV infected/ affected children and their family.

What approaches to you use to reach your customers?

We use both direct approach through existing community (HIV and IDU support group), also referral system from hospital/ medical facility/ health infrastructure.

What are your primary activities?

1) Day care, respite care, and 24-hour emergency care in a safe, loving environment for children infected & affected by HIV/AIDS.
2) Parental education and caregiver training enhance the quality of care, and thus quality of family life. Included here referral to rehab program for parents with drug addiction problem.
3) Public education about HIV/AIDS to prevent the disease from spreading and to eliminate the stigma. In collaboration with other community resources the center will also prepare preschool children for inclusion and entry into primary school.

What other challenges - individual, organizational, or environmental – are you currently facing or might hinder future success of your business, and how do you plan to overcome those?

The biggest challenge is environmental: the stigma of HIV/AIDS in the society. Thus this initiative must be coupled with efforts to educate the public about the truth and myth of the disease, such that they can avoid the virus, not the people.

Briefly describe your growth strategy going forward

Replication of the pilot nationwide, particularly in areas where HIV case rate is high among general population. To do so we aim to collaborate with local and international NGO and government.

What dimensions for growth are you currently targeting for your innovation [select all that apply]

New regions(s).

What makes your business "ready" for growth?

With a decade of field experience, F2H has already the expertise and network needed in implementing integrated childhood care and development. We work in partnership with Rumah Cemara, as a pioneer in integrated IDU and HIV community based program, adding the expertise and network needed from HIV field.

What are your key growth objectives?

To make the service accessible nationwide (particularly where demand is high/ high number of target population) on the first stage, and preparing a transition to inclusion of such service in the existing infrastructure on the second stage.

Organization's Country of Operation

, JR, Bandung

Social Impact
What methods for quantification of social impact are you applying (if at all)?
Could your solution work in other geographies or regions? If so, where?

Yes, particularly in areas where HIV has entered general population. Some of our planned priority target areas in Indonesia are Papua and Nusa Tenggara, where HIV problem is combined with poverty and lack of knowledge about the disease.

What is your projected impact over the next 1-3 years?

To finish piloting the service for Bandung area, and prepare replication of the model in Papua and Nusa Tenggara.

Sustainability
Elaborate on your current financing strategy

For this initiative, currently we’re looking for funding from philanthropy (e.g. Rotary Club), Corporate CSR (e.g. Johnson & Johnson), and development agency to start. Apart from that we also have small amount from community saving. Some possibilities for the future are service fee (with cross subsidy system) and franchising.

Share of revenue generation in total income of organization (in percent)

20

Direct sales to patients or other beneficiaries (in percent)

10

Of the possible sources of these sales listed below, check all that apply to your current strategy

Friends and family, Individuals, Patients.

Licensing fees, e.g., for technology/franchise model (in percent)

10

Of the possible sources of these licensing opportunities listed below, check all that apply to your current strategy

Foundations, NGOs, Private businesses, Regional government, National government.

Service contract with organizations, e.g., government, NGOs (in percent)
Of the possible sources of the service contracts listed below, check all that apply to your current strategy

Explain your revenue generation strategy in more detail
Share of philanthropy in total income of organization (in percent)

80

Philanthrophy strategies you are using

Diversified strategy.

Explain your philanthropic approach in more detail
Expand on your selections; explain how you will sustain funding over the next 1-3 years.
Years in Operation

Operating for more than 5 years

Has the organization received awards or honors? Please tell us about them

Anna Alisjahbana was elected Ashoka Fellow in 2009.