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Cablegate: Indonesia Earthquake Humanitarian Update #15: Usaid/Ofda

VZCZCXRO6016
OO RUEHDT RUEHPB
DE RUEHJA #1819/01 3060944
ZNR UUUUU ZZH
O 020944Z NOV 09
FM AMEMBASSY JAKARTA
TO RUEHC/SECSTATE WASHDC IMMEDIATE 3704
INFO RUEHGV/USMISSION GENEVA 8021
RUCNDT/USMISSION USUN NEW YORK 1124
RUEHBK/AMEMBASSY BANGKOK 8891
RUEKJCS/SECDEF WASHINGTON DC
RUEKJCS/JOINT STAFF WASHINGTON DC
RHHMUNA/HQ USPACOM HONOLULU HI
RUCNARF/ASEAN REGIONAL FORUM COLLECTIVE
RHEHNSC/NSC WASHDC

UNCLAS SECTION 01 OF 02 JAKARTA 001819

SIPDIS

STATE FOR EAP, CA
STATE FOR USAID
USAID FOR DCHA/OFDA CCHAN, ACONVERY, RTHAYER
USAID FOR ANE KROSEN
BANGKOK FOR ADWYER
NSC FOR CPRATT
USUN FOR DMERCADO
GENEVA FOR NKYLOH
PACOM POLAD/J3/J5

E.O. 12958: N/A
TAGS: PGOV CASC ECON EAID SENV ID PHUM AEMR ASEC CASC
MARR, PREL, PINR, AMGT, EAID, AQ, LA, RP, TN, VM, WS

SUBJECT: INDONESIA EARTHQUAKE HUMANITARIAN UPDATE #15: USAID/OFDA
FIELD VISIT TO PARIAMAN AND AGAM DISTRICTS

-------
Summary
-------

1. On October 28, USAID/OFDA Field Officers (FO) visited
International Medical Corps' (IMC) Mobile Health Clinics in Padang
Pariaman. On October 30, the field officers visited Mercy Corps'
distribution in Agam District. The field officers found no urgent
humanitarian needs. Both programs are running smoothly and the
beneficiary population is appreciative of the assistance. However,
access is going to be a challenge as we move further into the rainy
season. Many roads damaged during the earthquake are showing
further erosion.

-----------
IMC
-----------

2. On October 28, USAID/OFDA Field Officers visited IMC Mobile
Clinics in Patamuan sub-district in Padang Pariaman District.
Nearly all of the structures in this area are destroyed or seriously
damaged, with most of those being condemned. Some elements of the
local health system are slowly coming back on line, but many of the
community-level health posts sustained damage. IMC reported in the
general cluster meeting that roughly 50 health clinics in Pariaman
are destroyed. The field officers noted deteriorating road
conditions throughout the area. The rainy season has begun so we
can expect further erosion of roads, with some areas being
completely cut off.

3. Sarang Gagak Mobile Clinic - Currently, Sarang Gagak is only
accessible by 4X4. On the day we visited, the staff and community
had to carry to clinic equipment to the location when their vehicle
was unable to navigate the road. IMC mobile clinics visit two
locations a day. Each location receives weekly visits from the
health team. The mobile clinic is staffed with one doctor and one
nurse. Nearly all patients are accessing the mobile clinic for
non-earthquake related conditions such as respiratory infections and
gastrointestinal problems.

4. Puskesmas Patamuan Static Clinic - The structure has some damage
but a French engineer team installed support beams in the center of
the building as a short-term fix until rehabilitation work begins.
No timeframe was given for when this reconstruction would happen.
There are a few permanent staff members at Puskesmas Patamuan,
however, the doctor and warehouse manager work for IMC. The center
receives medicines from the Health Ministry with some supplemental
drugs provided by IMC. IMC assisted the clinic staff with
organizing their storage space, as well as improving the
pharmaceutical tracking system used by the facility. IMC has
established a warehousing system to track the medicines that the
health teams dispense at the mobile clinics. The system will help
IMC and local medical personnel track distribution of medicines in
case of recall and to follow-up with patients.

5. Sungai Kamuning Mobile Clinic - Sungai Kamuning is accessible
only by motorbike. Many of the patients seen at this clinic are
elderly. They were being treated for what appeared to be injuries
sustained during cleanup of their homes, i.e. cuts, nail punctures,
etc. The community health worker who attended the mobile clinic is
responsible for notifying the community of the mobile clinic and
will follow up with the patients to ensure that they are taking
their medicines. Access to this area is also threatened by further
rain-fed erosion to landslide-damaged roads. Field Officers
observed significant degradation of road damage since visiting this
area on 24 October.

-----------
Mercy Corps
-----------

6. On 30 October, OFDA Field Officers visited a Mercy Corps hygiene

JAKARTA 00001819 002 OF 002


kit and recovery kit distribution in Koto Baru, on the shore of Lake
Maninjau in Agam Province. The distribution site was on the main
road through the area and was well attended. The recipients were
identified by community leaders and had been given a chit for kits
they would receive. The distribution site was along the main road,
which raises safety concerns. The FOs witnessed no traffic
incidents, but suggested that distributions would be safer if they
took place away from the road. The Mercy Corps representative said
they had suggested another site further from the road, but local
leaders had selected the site they were using.

7. There were about fifty people present at the time of the
distribution. While the scene was fairly chaotic, there was no ill
will or shoving. The crowd was in good spirits and cooperative.
The crowd spilled out onto the main road and had to be alert to
passing traffic. The hygiene and recovery kits were transported by
IOM trucks. As Mercy Corps is reliant upon IOM for transportation,
distributions do not always happen at the established time. Mercy
Corps workers read each name from a list, and that person came
forward with the chit to receive a hygiene kit. The kits contained
personal hygiene products, mosquito nets, towels, blankets and soap
powder. The recovery kits were distributed to groups of five
families and included items such as wheelbarrows, sledge hammers,
shovels, and pry bars.

8. The FOs also visited an IDP camp a short walk from the
distribution site. These IDPs were displaced by landslides on the
coast of Lake Maninjau and had previously been housed in the local
market shelter. They were interviewed by OFDA FOs on 6 October. The
camp consisted of approximately 85 Shelter Box tents very tightly
packed on a field. The camp was being managed by the TNI, the
Indonesian military. It was overcrowded, with some tents shared by
two families, but appeared to be in fairly good order. There were
latrine facilities and water was being trucked to the site.
According to the camp manager, the government will relocate these
IDPs as landslide dangers prevent them from moving back to their
former homes. The FOs attempted to continue around the lake by the
main road but found the road impassible without a 4x4

--------
Comments
--------

9. Implementation of programs by IMC and Mercy Corps are proceeding
without problems. Both organizations have strong relationships with
local government and the beneficiary population. USAID/OFDA FOs are
confident that IMC and Mercy Corps will be able to successfully
complete activities on time.

Hume#

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