Samsara : In Women's Hands

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Samsara : In Women's Hands: Empower women and increase access to safe abortion in a restricted setting

Bantul, IndonésiaIndonésia
Year Founded:
Organization type: 
nonprofit/ngo/citizen sector
Project Stage:
$10,000 - $50,000
Project Summary
Elevator Pitch

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

Safe Abortion Hotline is a strategy for combatting mortality and morbidity from unsafe abortion by providing women with reliable information about the correct dosage and protocol for medication. The use of technology such as mobile phone and mHealth saves million of lives.

WHAT IF - Inspiration: Write one sentence that describes a way that your project dares to ask, "WHAT IF?"

What if there's magic pills that could save thousands of lives and access to safe abortion just a finger click away?
About Project

Problem: What problem is this project trying to address?

Each year, tens of thousands of women die as a result of unsafe abortion, and millions more experience unsafe abortion related complications. Recent evidence suggests that over half of all abortions worldwide are performed in illegal or unsafe conditions.

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

Increased use of Misoprostol in settings where abortion is legally restricted has been shown to significantly decrease the negative consequences of unsafe abortion. Unfortunately, misinformation about correct routes of administration, dosage, and timing of misoprostol use is widespread, drug quality in unregulated environments is often questionable, and knowledge about how and when to seek medical care is lacking. Safe Abortion Hotline and mHealth is a strategy to address the unmet needs of unmarried women, young people, poor women, and women in general that had barriers to access safe abortion in Indonesia. Hotlines providing women with reliable information about the correct dosage and protocol for medication.
Impact: How does it Work

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

Efficiency to health care where women from anywhere in Indonesia regardless their social and economy status can call a series of local Indonesian phone numbers and access the Samsara hotline 8 hours a day, Monday to Friday. Low-cost service where women in rural areas do not need to travel to the cities to access health care. They will receive the medicine at home and can use it at home by themselves. Due to stigma and discrimination, privacy and security are the most critical issue when it comes to abortion. Having it safely at home with your beloved and trusted one is what we want to deliver for the women. Revolutionary and de-medicalization of safe abortion where women can treat themselves outside health care facility.

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

When we start, there's no reliable information in Bahasa Indonesia. Now the blog have been copy-pasted by other blogs, this means that information on abortion in Bahasa Indonesia become widely available and our blog is the main source for safe abortion information. Samsara has been invited into many international training, meetings and conferences to share the success story, to inspire and encourage more organization and medical profession to start a hotline or using medical abortion. Now we are working with international researcher to document the success of medical abortion outside facility, develop mHealth and a secure server database system. All app master made in English to make it easy to share and translated for other hotlines in Asia, Latin America and Africa. In the future we expect there will be more hotlines around the world and no women suffer from unsafe abortion.

Spread Strategies: Moving forward, what are the main strategies for scaling impact?

(1) Scale up, first step is to compile a hotline module and sharing best practice with other organization/hotlines. (2) Research and documentation, and use the datas as advocacy tools. (3) mHealth : Developing feature phone and smartphone app to reach more urban and rural women. (4) Advocacy : We work with national advocates and international organization to influence health ministry on policy reform, including (i) interpret the law for mental health (ii) and how to involve mid-level provider into service delivery (iii) regulation and supervision for service delivery

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

(1) Collect donation from clients (2) mHealth for smartphone release in free-mode and pro-mode where women need to pay to get full content of the app. (3) Cow-farming (4) Set up a training centre for reproductive health, especially on safe medication abortion

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

Indonesian Planned Parenthood Association (IPPA). The proposed project different from IPPA because our services (i) open to all, either married or unmarried women, (ii) easy to access national wide simply by calling/texting/browsing. (iii) Low-cost service for young people and poor women, all they need is a mobilephone credit, (iv) no clinic needed, women can do it safely at home and no transportation cost to go to the clinic, while IPPA services focussed on married women and mainly in big cities where women in rural area need to go for hours or days to access it.

Founding Story

I started my work in the age of 26 by blogging my abortion story that turns into online consultation. In 2008, I set up a hotline to provide pre and post abortion counseling. In the first 3 years I help women to access surgical abortion and this is the most painful period where I witnessing women facing violence, stigma, discrimination and treated with no dignity. Since 2011 we integrated medical abortion into our counseling service and promoting WHO guideline on misoprostol use for safe abortion. With medical abortion, women have the power in their hands and no one could take their freedom and bodily integrity. Medical abortion is a revolutionary.


1 Director & Supervisor : Inna Hudaya (Full-time) 1 Hotline Coordinator (Full-time) 2 Counselor (Full-time) 1 Dissemination officer (Full-time) 1 Hotline administrator (Full-time) 1 Media officer (Full-time) 1 Education officer (Full-time) 1 Admin & Finance (Full-time) Our team compose of young people age 19 to 35 with a mixed background of educational, cultural, religious, gender identity and sexual orientation. All staff recruited through application and interview process. They will receive training and mentoring to increase their capacity building on counseling skills advocacy and media dissemination. Hotline supervisor will monitor the service delivery to ensure that each counselor will deliver high-quality counseling. Every 3 month there will be mystery client to evaluate counselor skills, and documented regular feedback from clients. Each staff will receive periodical and annual Performance Review. Director also provide 1 to 1 mentoring to prepare the staff to the next level, including to represent Samsara at the regional and international networks.
CO-CREATION IDEA: Please offer a brief description of how you imagine a win-win partnership with Boehringer Ingelheim to better serve unmet needs in health. (Hint: Please mention the underlying business model envisioned that would make such a partnership sustainable.)

I imagine that Boehringer Ingelheim start produce mifepristone or misoprostol, the demand growing really fast and we could share our datas and expertise on medical abortion.

NEEDS: Based on you response above, please specify which of the following resources, operations or expertise by Boehringer Ingelheim you imagine leveraging to actualize the proposed co-creation opportunity. Please check all that apply. (Hint: while financing is often critical to scale, we are also interested in understanding what other assets or expertise could be leveraged).

Research and Development, Relationships/New Contacts, Manufacturing, Marketing/Communications Support, Technology Expertise.

EXPLANATION OF NEEDS: Please explain your choices in more detail.

We would like to understand the business approach on health care, especially to make it sustainable. We really want to understand how a pharmacy company works in between business, research and human rights.

OFFER: What are the main assets you may contribute in a co-creation partnership with Boehringer Ingelheim that would better serve unmet needs in health?

Deep understanding of an unmet need in a specific market/context, Access to and established trust with customers/beneficiaries.

FOCUS AREAS: Which of the following best describes the main focus of your project? (select all that apply)

Improving the affordability of healthcare (e.g., microinsurance, reducing the economic cost of care), Holistic solutions that work across the entire care continuum (including education, prevention, detection, treatment, management, follow-up), Packaging of health products and services to address needs currently unmet.

Please share what your organisation and Boehringer Ingelheim will Co-Create together
Please specify what your Co-Creation will result in:

If you selected "other" above, please explain:
Please provide a 1-2 sentence summary of your Co-Creation idea
How does this project link to the core mission of your organisation?
Beyond social impact, how does this project link to Boehringer Ingelheim’s core business?
What are the specific inputs and actions that each side will contribute to this Co-Creation idea based on each of your unique competencies and experiences?
Please describe the potential revenue model for this Co-Creation idea.
What possible risks or challenges do you foresee?
Is there anything else you would like to share about your Co-Creation idea?
How much input do you hope to receive from Boehringer Ingelheim?

If you selected "other" above, please explain:
Besides Boehringer Ingelheim, what other types of partners might be valuable to carrying out your Co-Creation idea, and why?
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