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On 11 May 2020, the first COVID-19 case in Nagekeo was confirmed.
This confirmation came two days after a fire burned down the pharmacy room of Aeramo Regional Hospital - the referral hospital for COVID-19 in the regency - along with medicine and personal protective equipment (PPE). Losses were estimated at thousands of US dollars. Although the provincial government has sent emergency supplies, our communications with hospital and health department staff suggest that are still critical PPE needs at the hospital as well as at the 14 health posts (Posko).
WISE’s procurement team has started contacting suppliers, but we need your help to raise the funds needed.
WISE response to-date
Since March 2020, WISE has been procuring PPE and preventive supplies for health facilities and the community respectively.
PPE is being handed over to the COVID-19 Health Post (Posko) who then distribute the equipment to Aeramo Regional Hospital as well as public health centres (Puskemas) as needed. These include thousands of dollars worth of N95 masks, KN95 masks, surgical masks, hazmat suits, gloves, face shields, goggles, boots, and hand sanitiser.
To support preventive action in the community, WISE and partner Yayasan Sao Mere (YSM) have been producing face masks for residents. With training from the Family Welfare Movement (Pemberdayaan Kesejahteraan Keluarga), YSM started sewing reusable masks, supported by a House representative member who provided disinfectant and allowance for the sewers. On 28 April, the head of Keo Tengah subdistrict (kecamatan) distributed 500 masks to the residents.
We also installed handwashing stations at Danga Market, the transportation hub, and Aeramo Regional Hospital. This was done in collaboration with Cooperation, Industry and Trade Office (Dinas Koperasi, Perindustian dan Perdagangan Kab Nagekeo), the Disaster Risk Reduction Form (Forum Pengurangan Risiko Bencana Nagekeo) and Disaster Management Agency (Badan Nasional Penanggulangan Bencana Nagekeo).
Amount spent as of 12 May 2020 = USD 4,716
WISE is providing emergency medical assistance to hospitals in Flores island responding to COVID-19, as well as supporting the people of Nagekeo in the event that COVID-19 spreads to the regency.
We are seeking your support to contribute to an emergency preparedness fund for referral hospitals on the island as well as Nagekeo regency. This will go towards ensuring that residents are able to take preventive measures, that the hospitals on the island have sufficient medical supplies, and to help residents of Nagekeo seek medical attention if they are unable to afford the costs.
There are only three hospitals in the entire province of Nusa Tenggara Timur that have the ability to treat COVID-19 (Kompas.com). Hospitals throughout the province have been appealing for equipment.
WISE has two staff from and based in Nagekeo, and we have been active in the regency since 2018, working closely with the local government and NGOs. We have the means to channel our resources to the right place.
Nagekeo has limited access to the necessary healthcare
A person who exhibits symptoms will be referred to their nearest public health centre (Puskesmas) which lacks personal protective equipment (PPE) and tools. Doctors and nurses have died treating COVID-19 patients in Jakarta and Bandung due to the lack of PPE.
Most residents of Nagekeo cannot afford to seek medical assistance
18,690 (or 13%) of Nagekeo’s 325,000 population live below the poverty line (Badan Pusat Indonesia as of 2018). This means that they earn an average of less than Rp 323.316 (or USD 21) per capita per month. Many residents would barely be able to afford the cost of medical care, let alone deal with the impact of losing their livelihood.
Many people are at risk
People working, studying and living in other provinces and countries (such as Malaysia, which had 2,031 confirmed cases as of 28 March) have flocked back to Flores due to lockdowns and orders to stay at home. Unfortunately, some people are unaware of the potential transmission risk. The local government also finds it difficult to lockdown the island because many people need to make a living (Republika).
WISE aims to provide three forms of support. The amount allocated to each component will depend on the existing situation.
1. Medical supplies for local hospitals
We are coordinating with relevant government agencies, hospitals, and other ground-up movements in the region to find out what is needed and will update the page as we find out more.
2. Preventive and mitigative action
This may include soap for households, disinfectants for close contacts of suspected COVID-19 cases, and so on.
3. Funding for Nagekeo residents to seek medical attention if they cannot afford it
WISE aims to cover what the family cannot afford to pay in order for the resident and one accompanying member to seek medical attention. This includes: hospital bills for testing and treatment (at cost), transportation (approximately Rp 500.000 each way by land), accommodation and meals (Rp 300.000 per person per day), and expenses incurred by WISE to administer the fund.
We will also consider supporting cases unrelated to COVID-19, where it is clear that the resident requires urgent medical attention.
WISE intends to put the following measures in place to ensure that the funds are being used appropriately:
SGD 200 25/05/2020
SGD 1,000 16/05/2020
Admirable work by everyone at WISE WASH. Stay Strong :)
SGD 100 15/05/2020
SGD 20 15/05/2020
SGD 100 15/05/2020
GBP 5 15/05/2020
Let's help one another regardless of borders and identity. Thank you for doing good work, WISE-WASH!
SGD 5 15/05/2020
SGD 25 14/05/2020
SGD 100 12/05/2020
SGD 100 12/05/2020
USD 10 11/05/2020
SGD 100 11/05/2020
SGD 25 10/05/2020
Thank you for staying resilient despite all the obstacles and challenges that you’re facing. Your efforts means alot to not just the folks in Indonesia, but their friends and family elsewhere 👍
SGD 25 04/05/2020
SGD 30 27/04/2020