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A promise kept
By Marge Tsitouris
Banda Aceh, NAD, 17/12/2006 --
In September 2005, I travelled to a number of tsunami-affected areas in Sri Lanka, Thailand, and Indonesia. In Banda Aceh, Indonesia, I visited temporary Maternal Child Health centres, water distribution points, temporary housing and barracks, and future housing construction sites. As a public health and disaster response professional with CARE for more than 25 years, I was in awe of the calamity that struck so many people, so quickly, so totally. I was also in awe of the job that had already been done and the work still left to do. 

One site in particular made an impression. We were with an architect from Planning Alliance (pA), a Canadian architectural firm working with CARE, at a health clinic site that was then no more than a footprint – just a concrete slab that provided the dimensions of the building, and a sign that noted the clinic and CARE’s name. Architect Anierin Smith told us with full confidence that “you will be able to come back here in four-six months and find a fully functioning health clinic, well-equipped and staffed…’. I was impressed by his assurance not only that the clinic would be rebuilt, but how it would also be staffed.

Exactly one year later, I was back in Banda Aceh. Driving through a neighborhood that was under reconstruction, I caught site of the mosque that was directly in front of the former clinic. And there it was: a sea-green and coral two-storey health clinic – a bright, bright spot in a neighborhood still in transformation.

We were met at the door by the midwife in charge, Ibu Sinarti. When she saw the CARE logo on the vehicle, she opened her arms to us. “Selamat datang (welcome),” she said with a smile, and showed us around. The new clinic was impressive. Opened in July, 2006, nine months after our visit, it was bright and airy, clean and shining with walls tiled and painted in soothing pastel colours. One of the staff was holding a freshly swaddled newborn, the mother laying nearby, tired and smiling. Ibu Sinarti told us she chose the colours for the building herself, because she wanted her clinic to look “more like a person’s house – comfortable, not like a hospital.”


Midwife Ibu Sinarti stands outside the new health clinic, which provides health care for the local community, all of whom are tsunami survivors. Photo: CARE/Josh Estey
 
Since the clinic opened in July, 2006, midwife Ibu Sinarti has delivered 45 healthy babies. Photo: CARE/Josh Estey

The government clinic provides antenatal and post-natal services, maternal and infant care, health education and immunizations, primarily to the poorer residents of the area. It is well-equipped and furnished through CARE and JHPIEGO, an international health organization affiliated with the Johns Hopkins University in the United States. Although the clinic, staffed by Ibu Sinarti and her two assistants, has official hours, it is open for deliveries 24 hours a day, and there is always a midwife on hand.

Ibu Sinarti, 47, has worked as a midwife most of her life, and has been resident in this clinic site for 10 years. She had just delivered a baby when the tsunami hit, and was seriously injured. Like so many others that day, the mother and infant were killed.

When asked about her job, she says with a big smile: “This is what I do. I want to help. It is my privilege.” She sees about 30-40 patients a day, and has proudly delivered 45 children since the clinic opened in July. With additional training provided through CARE and JHPIEGO, Ibu Sinarti has also learned new skills and techniques for delivery and counselling and caring for new mothers after they give birth.

On my way out, I met baby Siti, now just over two months old, delivered by Ibu Sinarti and in for a check-up. Mother and baby were doing well and rely on the clinic for their health needs. Others in the clinic echoed her comments that ‘life was getting back to normal’, and having the clinic working again in their neighborhood has been an important event for the women there. They could again take comfort that someone would be there when needed. The clinic is indeed a promise kept for the women in Lambaro Skep.


Sectors related to this feature story
Health and Nutrition

Emergencies related to this feature story
Tsunami Response Program – 2004 to present

Related documents or links
Year of Reckoning: CARE and the Drive to Rebuild Aceh after the Tsunami
CARE Tsunami Response: Two years in Aceh
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