- Nutrition and health
- Mental health and care practices
- Food security
- Water, sanitation and hygiene
- West Timor
Indonesia is the biggest archipelago of the world with more than 13,600 islands on more than 5,000 kilometers from East to West. It is also one of the most populated countries in the world with more than 242 million inhabitants.
According to economic forecasts, Indonesia will be one of the principal emerging countries in 2015-2020. Despite this, Indonesia is continuing its fight against poverty, unemployment, corruption and resources inequalities between regions.
In terms of medical care access and under-nutrition, inequalities between rich and poor (regions and populations) are obvious. Even if the average children rate with low weight is about 17,9%, 9 provinces out of 33 - including Nusa Tenggara Timur (NTT) where ACF is located - have insufficient weight rates which overpass the critical threshold of the World Health Organization,
The water and sanitation access is also factor of inequalities and is a key preoccupation for the country. There is a large number of unprotected water sources, a low number of permanent water sources and water public infrastructures, and a bad quality and quantity of groundwater.
Indonesia is an inclined country to disasters like earthquakes, floods and droughts (the most current ones in the country).
In 2012 thanks to its location in Jakarta and Nusa Tenggara Timur, ACF will focus on:
- Improving the under-nutrition prevention, treatment and care in an integrated approach.
- Increase the resilience of vulnerable populations to natural disasters, climatic change and shocks.
- Develop a disaster risk management to disasters and climatic change.
AQUA, TYCO, ACF, Agence de l’Eau Adour-Garonne (Adour-Garonne water agency), SYDED du Lot, SICASIL
Chiffres clés du pays
Number of beneficiairies: 37,618
Population: 242,3 million inhabitants
Life expectancy: 69,4 years old
Human Development Index: 124/187
GDP/inhabitant: 2,349 US$
Sources : PNUD, ONU
Il n'y a pas de résultat
Indonesia is a middle income country, with annual growth rates around 6%. However, there are inequalities between certain regions and populations. In terms of medical care access, despite the efforts made to increase the number of sanitary infrastructures, the average national access to health services is still low (52,5%) and the allocation of health services and human resources is not homogeneous: there is a good coverage on Java Island but a low one on Eastern provinces. The public health system particularly suffers from a lack of qualified staff and/or a staff insufficiencies and/or a lack of infrastructures in remote regions.
The same disparities exist between provinces in terms of under-nutrition. Most of the cases are concentrated in rural areas in Eastern provinces of Indonesia. Generally, under-nutrition comes from poverty (the NTT is one of the 6 less developed provinces: the insufficient weight rate is about 29,4% and the delayed development is about 58,4%). The principal factors responsible of this situation are the food insecurity, insufficient food supply, uncertain weather and the poor access to water, sanitation and health services.
A new analysis of the underlying causes of malnutrition (NCA)(1) led by ACF in the NTT in 2010 has confirmed the fact that the principal factors of under-nutrition are structural and include the lack of knowledge in babies and children food practices, the weak health and nutritional state of mothers, those two factors leading to a high disease risks for both mothers and children.
Since the 1990’s, the country has been affected by a global agricultural productivity decrease because of the research and development decrease, the reduction of the agricultural infrastructures budget and the reduction of public subventions to agricultural inputs, to industrialization and urbanization leading to a land competition and a small farm holding model. In NTT, 80% of the population lives in rural areas and needs agriculture to eat. In this region, 44,9% of households suffers from food insecurity. The recent NCA analysis made by ACF shows that food insecurity is also linked to under-nutrition, more because of the food use than because of its access and its availability.
Natural disasters in Indonesia have strong impacts on the population vulnerability, especially in terms of food insecurity and under-nutrition. Climatic change can worsened the situation because the consequences of those events have an influence on under-nutrition rates, are harmful on health, increase poverty and tensions on resources use.
ACF in Indonesia
Since the opening of the mission ACF in Indonesia in 1998, ACF as implemented emergency help projects, rebuilt and development programs in 10 provinces provinces (Papua, Maluku, North Maluku, Aceh, North Sumatra, West Sumatra, Yogyakarta, Central Java, Jakarta and NTT). Following an exploration mission led in the NTT province in 2006, a first intervention was launched in the Timor Tengah Selatan (TTS) district including a water, sanitation and hygiene program, a food security project and evaluations in order to eventually launch a nutritional program.
At national level, ACF cooperates with the Health Minister through an agreement protocol about a common effort to improve the nutritional situation of the population in the regions where under-nutrition is widespread. At province/district/under-district level, ACF is working with local authorities, competent agencies and institutions, with for example the Secretariat of Agriculture and Livestock, the Secretary of Public Work, the socio-medical centres, National Disaster Management Agency.
Téléphone : 06 24 81 35 48
Adresse postale : 69230 Lyon (69)
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