SIOLA Preschool Development Project
In response to the basic needs of communities in remote areas of Sulawesi, Indonesia, PTTEP has taken the opportunity to participate in a project for early childhood development and their families. The company sees the significance of these groups of beneficiaries, as children are our future and their families represent a fundamental unit of society. In 2013, the Stimulation, Intervention, Optimization of Services Children Project or SIOLA as initiated with the objective to support childhood health and help create household environments that foster childhood development. The project has provided nutrition, healthcare, childcare support and family services, such as family counseling and training on household financial management. The project has been implemented in Mamuju in collaboration with the government of West Sulawesi province, UNICEF, local women groups, and the local private sector.
In 2018, the SIOLA project establishes 2 new SIOLA centers, bringing the number to 15 centers across West Sulawesi province. The project has also built the capacity of more than 30 local teachers, trained them as trainers, and encouraged experience sharing with teachers from other centers. PTTEP also established “SOBIS PAMMASE”, a social enterprise association to promote shrimp, duck, chicken, and bee farming. A portion of profits from farming activities will be used to support SIOLA centers’ operations to ensure their sustainability.
Furthermore, PTTEP organized a campaign to raise health awareness among pre-school children and their families, in collaboration with local hospitals and UNICEF, to promote good hygiene practices, disease prevention, nutrition, and to provide family counselling services in various areas. Since the project’s inception 5 years ago, SIOLA has provided quality support on early childhood development to 3,754 children at the 15 SIOLA centers. The participating children have shown improvements in their health, self-confidence, creativity, and their academic performances. SIOLA project has won Platinum Award in Best Community Program from the 9th Annual Global CSR Summit & Awards and the Global Good Governance Awards 2017 and also the prestigious Asia-Pacific Bronze Stevie Award in Innovation Community Relations. Furthermore in 2018, the project wins Platinum Awards in Best Community Programme from Global CSR Awards.
PTTEP has carried out analysis on Social Return on Investment (SROI) of this project by measuring the social impact of the program with the financial quantification calculation (monetization). This method is intended to measure the value of the financial impact of the program that compares to the value of the impact to the cost of the program that has been invested into. It appears that the value of the SROI ratio is 2.87 : 1
PTTEP Free Clinic Project
“It’s free? Really? Thank you so much!” is a familiar line of conversation from many of the first time visitors who can’t quite believe there really is a clinic that offers healthcare services totally free of charge.
In Indonesia about half the population earns an average monthly income of USD 28 or Thai Baht 900, earning enough to put food on the table is tough enough but when the poor falls sick, the money required for medical treatment puts an even greater economic burden on their finance and compounds their everyday hardships.
For these individuals who live in densely populated housing, various health problems and illnesses such as influenza, dengue fever, diarrhea and cholera are prevalent due to the housing conditions, which lead to a high mortality rate among the most vulnerable, namely mothers and babies. Attempts by the Indonesian government to address and alleviate these conditions through improvements to public healthcare have been slowed because of the sheer scale of those impacted and budgetary constraints.
The PTTEP-Layanan Cuma-Cuma Free Health Care Service (PTTEP-LKC) was first opened on April 1, 2015 and is a way for PTTEP to give back to the people of the country. In short, it is a “Free Clinic” to provide the underprivileged local community with access to public healthcare.
The project is run in cooperation with Domphet Dhuafa (DD) a non-profit foundation with experience in working on public healthcare.
The Free Clinic is situated in Rorotan village in the North of Jakarta, in a low income area, which is densely populated about 17,000 people but at the same time has the fewest healthcare facilities when compared to other districts in the city.
The 500-square meter, two-storey building was designed to be a light and airy polyclinic providing outpatient care to the local community. The ground floor has an information counter, a registration office, an emergency ward, examination rooms and a pharmacy. The upper floor is an open multipurpose space for holding events and activities.
The first phase of the project focused on providing basic healthcare, pre-natal care, classes on mother and baby hygiene and dental care.
Since then the second phase has seen a further expansion with a 24/7 emergency unit with an ambulance on duty ready to respond at all hours. In 2017 there are plans for further expansion of a Tuberculosis (TB) unit, the cramped living conditions of local residents and the high humidity make for perfect breeding grounds that can cause TB to spread quickly.
PTTEP has set a 5-year target to treat a total of 100,000 patients every year.
Apart from providing the local population with access to public healthcare, the Free Clinic fulfills another important role in promoting knowledge of healthy living and illness prevention, so as to equip the local population with the knowledge to take care of their own health and training volunteers as a first line to go out into their communities to educate their families and neighbours on healthcare. Moreover, PTTEP employees also participate as volunteers and go out to visit remote communities to spread healthcare knowledge and awareness.
Doctors and medical staff who work in the clinic are all volunteers from the DD network. The clinic has doctors on duty for eight hours a day unlike many hospitals in Indonesia which do not have stand-by doctors. For patients who have more serious conditions the clinic provides a much needed and vital link to hospitals in the DD network and state hospitals where they can be referred for further consultation and treatment – as well as taking care of part of the medical bills.
The clinic has enhanced healthcare coverage for the local community but there remain many like the elderly or disabled who have difficulty in travelling to the clinic and so eight days a month the Free Clinic dispatches a mobile clinic to serve those people unable to travel to the clinic and those who live in remote areas.
The clinic has 60-100 patients who come for consultations at the clinic every dayand the accumulated number of patients during 2014-2016 was over 120,000; exceeding the initial target.
In 2017 the clinic serves more than 90,500 patients in total whereas the number of patients in 2018 is increased by 70% i.e. more than 155,000 patients.
In a survey of patients who had used the Free Clinic over 70 percent responded that the facility was satisfactory and the remaining 30 percent thought it was excellent.
Even though the Free Clinic has received this positive feedback, the Free Clinic team continually listens to suggestions and feedback from the people who it serves in order to improve on the services provided. For instance, future expansion plans are being drawn up to include an Aids center, as this is another serious disease affecting the people in the area surrounding the clinic.
For all of these efforts in 2017 the Free Clinic was awarded a Platinum Award in the Best Community Program at the 9th Annual Global CSR Summit and Awards and the Global Good Governance Awards 2017. Moreover the project wins 2 more awards in 2018 i.e. Stevie Awards for Innovation in Community Relations and Asia Responsible Enterprise Awards for Health Promotion. Such recognition lifts the spirits of the Free Clinic team and encouraging them to redouble their energies on providing healthcare services to the community.
PTTEP hopes that the Free Clinic will become a sustainable model for healthcare services for other communities in Indonesia.
Crab Hatchery Learning Center Project
Songkhla Lake, Thailand’s largest lake, is a vital resource for communities in the area. It covers an area of 974 square kilometres, measuring 20 kilometres from east to west and 75 kilometres from north to south. The basin around the lake covers an area of 1,040 square kilometres.
Songkhla Lake was once renowned for the abundance of its aquatic creatures, with over 700 species of fish, shrimps, crabs and so on. The economic foundations that helped to sustain over 150 communities living around it.
Initially, the group used the same system as any other crab banks: Members would bring female crabs with eggs spilling out from their ovaries to the group where the eggs are “stirred”. Later the group trains the members to stir the eggs by themselves and donate them to the group for hatching. The juvenile crabs will be released back into the sea.
The idea is to “deposit” natural assets with nature for them to grow. They will soon return as “interest” for the fishermen.
Initially the villagers adapted the experience from shrimp farming to the crab nursery, such as filtering coastal water, sterilisation and hatchery. But new knowledge has greatly improved the survival rate of the crabs. The stirred eggs are now hatched in a pool of high-quality saltwater collected from the sea some 10 kilometres from the shore, with 28-34 ppt level; unlike filtered coastal water, it has no sediments. After a period in the nursery, juvenile crabs are released into the sea far from the shore where the ppt level is suitable for their adaptation. The result is a higher rate of survival, meanwhile the fishermen receive a first-hand education on the biology of the crabs during each stage in its life.
Recognising the determination and early success of the project, PTTEP, who has developed a sea port and storage facility base to support the company’s petroleum exploration and production projects in Singhanakhon district, Songkhla, supported P. Sap-anan Crab Bank’s development into the full-scale Learning Centre and Crab Hatchery Ban Hua Khao by building a two-storey building for the group. The upper floor houses a workshop, while the lower floor is a living exhibition space, together with a hatchery and a nursery. Visitors will learn about the process from the hatchery with living creatures.
In just one night of the process at a hatchery, it produces an enormous number of crabs. Each day the fishermen catch 10 to 50 female crabs of different species such as blue swimming crabs, musk crabs and three-spot swimming crabs. A female crab weighing 100 to 200 grammes lays 700,000 to one million eggs. The healthier the crab is, the healthier her eggs are, with the ratio of hatching at around 600,000. A female crab weighing 200 to 300 grammes lays 1.8 million eggs, with the hatching ratio of one million. This estimate is based on folk wisdom which is adapted in conjunction with academic research.
A sizable budget is required, so the Manil family have opened a restaurant to bring in more income.
The stars of the menu, of course, are crab dishes cooked by Krasuay Manil, Anan’s wife.
Besides nutritional and culinary benefits, the restaurant also aims to build a spirit of conservation among customers. Before sitting down for a meal customers are taken on a tour of the centre to learn about the creatures’ life cycle and the need for long-term preservation.
It is a small gesture, but it can contribute a great benefit in the future.
“If we give them out without asking for anything in return, they won’t realise the value of the crabs. We’re not a standard crab bank where members simply deposit female crabs in a nursery tank and let the hatching happen naturally. We run this place as a learning centre to understand the biological process and try to spread that knowledge. Each month, 10 to 20 agencies in the southern region, all the way down to Pattani, approach us and ask for juvenile crabs to be released, and each time we give as many as 500,000. But before that, we want to instill an understanding of conservation among those who are about to release the crabs, because every single juvenile crab is important.”
What Chamnan means is more than protection of marine resources.
“I once protested against PTTEP projects. But the company was ready to listen and cooperate with the villagers for the benefit of the country. My family has a better living from our efforts to replenish the abundance of the sea. When we go out to sea, we return with crabs and bring more income. The difference is obvious. Before, the fishing season started at the end of June and continued until early October. But today, because of the increasing number of crabs, fishermen can bring their boats out from February to October.” Anan Manil, as president of P. Sap-anan Traditional Fishermen Group, asks us to look back at the past and how the success of the present came about.
Meanwhile, PTTEP trusts in the commitment of the villagers. It has also set a long-term goal that in five years, the Crab Hatchery Learning Centre at Ban Hua Khao will cement its operation and philosophy to become a model from which know-how and expertise can spread to smaller crab banks that have the potential to develop into learning centres.
More hatcheries will ensure that crabs will always swim in Thai waters, just as the fishermen of Songkhla Lake have proved possible.
In 2018, the project supports a network of 32 marine and coastal resources conservation groups, with a total of 1,539 members. The learning centers have also been expanded to Ban Phang Sai in Songkhla province and Panare in Pattani province. The project also contributes to the establishment of 8 conservation belts, covering a total area of 6 square kilometers, and continue to provide knowledge on crab hatchery.
Currently, PTTEP implements this project in collaboration with public sector and academic institutions, including the Department of Fisheries, the Department of Marine ad Coastal Resources, as well as local administrative organizations, to work towards the goal of comprehensive conservation of marine resources for the future, and continue to sustainably create value for the communities.
Number of visitors in 2018 has been increased by 65% compared to 2017. The fishermen’s revenue is increased to Thai Baht 60,000 or USD 1,764 per household per year. About 200-400 million juvenile crabs have been released back to nature each year.
The project wins the Gold Awards in Best Community Programme from Global CSR Awards, the Winner of CSR Programme of the Year from Petroleum Economist and the 2nd Place for the Asset Best Initiative in Social Responsibility from The Asset Corporate Award.
PTTEP has carried out analysis on Social Return on Investment (SROI) of this project by measuring the social impact of the program with the financial quantification calculation (monetization). This method is intended to measure the value of the financial impact of the program that compares to the value of the impact to the cost of the program that has been invested into.
It appears that the value of the SROI ratio is 2.29 : 1
Community Nurses Project
The Community Nurse Project of Ubolratana Hospital is a crucial part of the Network of Healthcare System in Ubolratana District,Khon Kaen Province. Not only does address the issue of the lack of nurses, it also reduces the number of young graduates who move out to find work elsewhere.It also provides opportunities for students as young as grades 9 and 10 to start studying to become a nurse.Dr. Thantip Thamrongwarangkul, Secretary General of the Sustainable Community Development Foundation for the Good Quality of Lifeat Khon Kaen, Ubolratana Hospital, talks about the problem regarding medical personnel in the province.“Most doctors have houses in the city, or they’ve come from other provinces. Nurses represent the largest part of the medical work force,and as many as 98 percent of them came from other areas”. One of the reasons is that local students rarely pass the exam for their desired faculties.
In 2006, Ubolratana Hospital initiated the Community Nurse Project. The hospital reaches out at rural schools calling for studentswho wish to become nurses to apply for the scholarship. Ubolratana Hospital also works with nursing schoolsat Khon Kaen University, the College of Asian Scholars, and Boromrajonani College of Nursing.PTTEP, has been exploring and producing natural gas at the Sinphuhom Field, contributes financial support.
Jongkolnee Srisud, a freshly graduated nurse, recalls her experience “I joined the program after hearing the advertisement on the village radio.It said the hospital was organizing a volunteer program for children. I always wanted to be a nurse, and I applied for the project”.Jongkolnee was active in the project through her secondary school years. She performed various activities, such as helping nurses record patients’ information, taking blood pressure, observing nurses on their field visits, as well as public relations work.“I’m proud – more than when I was a volunteer. Now I can give injections and treat people before they reach the doctor.It’s hard work but I’m happy. Being a nurse is not easy but it’s worth,” says Jongkolnee.Jeeraporn Nanongtoom is another graduate of the Community Nurse program. She returned home to work three years ago. “The project allows students with no financial means, or those who love the profession but have average scores – not necessarily outstanding – to have a chance to study nursing. When we graduate, we come back home to work instead of moving to other places. I’m happy to be able to help my patients”.
Support and consent from the community is a requisite for candidates. The standards for candidate selection set in 2013 requires parents to fully support the students who want to join the program. Another condition set is that parents will receive a budget to plant 100 Yang Na trees, 100 Banana trees and 100 trees to build wood to build houses before their children can go to the nursing school. Once their children are in school, the parents have to sit in adult schools as well. If some of those trees die, they are obliged to replace them.This is a strategy to promote the sufficiency economy and build a strong foundation not only for the children but for the whole family. The idea is to foster a strong community in relation to a proactive healthcare policy.
Nipa Taiso, a professional nurse, explains the importance of field visits “Usually only 25 percent of sick people come to a hospital. The remaining 75 percent stay at home. To visit villages and communities means we can better take care of them. We have to be proactive instead of just passively waiting at the hospital”.Visiting the people in their environment allows community nurses to understand the complex structural problems and to tackle them at their roots. This is the way to ensure a sustainable healthcare provision.Since the beginning of the Community Nurse Project, a number of graduates have devoted themselves to the nursing profession.They look after patients, who actually are their friends or family members whom they have known since they were young.They are proud of their status as professional nurses, an achievement that began when they were just volunteers.The fabric of love and care woven by the project is an immunity system that better safeguards the community from physical and social illness.
To date 19 nurses under this program are working at the area and the 4 successful candidates are studying at College of Asian Scholars
Parasite-Free School Project
Armed with this information in 2010, PTTEP initiated the “Parasite-Free School Project” in two pilot schools aimed at improving the quality of life by reducing parasitic infection among the school children in the communities living near the Zawtika Project’s natural gas pipeline routes.
The “Parasites-Free School Project” pilot sought to address this through educating the local communities on prevention of intestinal parasites and promotion of public hygiene.The project is further supplemented by health check programs in three main areas: general health, nutrition levels and the treatment of parasites. Two teams comprising 4 medical professionals in each provide health coverage for the large number of schools in the project, performing visits every 6 months to address health issues based on criteria outlined by the World Healthcare Organization. The first visit usually takes place in June of each year as an introduction where the children learn about personal healthcare regimes, sanitary knowledge, proper use of toilets and the risks from intestinal parasites. At the same time the medical team collects stool samples from the children before administering appropriate treatment where needed. The second visit which is usually around November of each year, the medical teams follow up on results as well as evaluate nutritional conditions, all of school children which is provided free of charge.
In addition to this the project distributes “Health Report Books” to all students so they can record symptoms of illness to assist the medical teams in tackling long-term health problems.
During the first year of the pilot project the medical team found that only half of the students cooperated. The locals and even the teachers regarded the process as dirty. But it is the lack of public hygiene that was contributing to the poor quality of life and spread of parasitical illness.
Convincing the children to change their attitudes is key and to accomplish this the project teaches in a fun and entertaining way using cartoon style information boards to spread knowledge, raising children’s awareness of health issues with group discussions for example asking them what happens when they do not wear shoes, or why they have to clean themselves and wash their hands after using the toilet.
And gradually after 6 months the team saw progress as the 232 children in the two pilot schools became healthier and exhibited less of the previous health issues. As other villages became aware of the project and its benefits other schools asked to be included in the project and four years on from the initial pilot (2010-2014) the number of schools in the project increased to 35 villages promoting hygiene and health care to over 6,000 students.
Most importantly the infection rate of parasitic illness declines sharply from 41.5 percent in the first year (2010) to 15.4% in 2014.
During 2015-2017 Parasite-Free Follow Up Program focuses on the 10 schools out of 35 schools in first phase that still have high rate of illness and aims to reduce the risk of repeated parasitic infection. Result shows that the infection rate is decreased by 3%.
In 2018, the program covers 3,471 students from 35 schools along Zawtika pipeline corridor and result of the 2nd follow-up campaign shows that the parasite infection
rate is decreased by 4%.
Besides providing treatment and raising awareness, PTTEP also improves general public hygiene, by building high-standard toilets for schools and providing clean drinking water to reduce the risk of parasitical diseases. Even though patients are free of parasites, chances are that they contract them again if they live in an unhealthy environment.
In the future, the “Parasites-Free School” Project will also organise other activities to increase awareness and promote healthy living among locals. Among them is a healthy school contest, in which the winner is the school that has the lowest number of children with intestinal parasites. The goal is to spark a movement for better healthcare, expanding from children to family and the whole community. The final reward is a healthier society with a sustainable long-term development.
In the end, a sound body is a sound mind, which leads to happiness in a life that may lack other opportunities.