1. Women’s Health at Work Program
Merck for Mothers Indonesia

2. Situation background
• Large manufacturing base employing
predominantly young women of reproductive
age
• Estimated that more than 5 million women
work in factories **
• Women often have low literacy and little
education on health.
**https://www.oxfam.org.au/2011/09/women-inspiring-change/

3. Situation background
• Women lack access to quality health care
services, particularly maternal and reproductive
health.
• Indonesia has one of the highest maternal
mortality rates in the region - est.10,000 women
die from complications during pregnancy,
labour, and childbirth each year*.
• *http://indonesia.usaid.gov/en/USAID/Article/621/United_States_55_Million_Program_Promoting_Healthy_Mothers_and_Newborn
s_Starts_in_Six_Provinces Jan 2012

4. Health affects productivity *
Studies undertaken in Indonesia have shown
that Anaemia is a significant problem in
women.
• 24-42% women workers shown to be anaemic
• This is increased for pregnant workers.
• Productivity seen to be decreased by av. 6.5
hours per week.
• Working capacity down by 5%
*Women’s Health Movement for Productivity in the Workplace.

5. Investing in health benefits business
Studies globally have shown a:
• ROI of $3 - $6 per $1 invested
• Reduction in sick time seen (28%)
•Reduction in absenteeism (11-19%)
•Reduction in staff turnover (8-14%)
• Reduction in health insurance premiums (28%)
• Reduction in workers compensation and
disability claims (30%)
Aetna study and http://meridian-group.com/?page_id=937

6. Investing in health supports
Government initiatives
Women’s Health Movement
for Productivity in the
Workplace.
Guideline for employer
responsibility
HealthWorks objectives are
in line with this

7. The Challenge
 More women can access and use quality health
services.
 Early detection of anaemia and treatment.
 Changing health behaviors and life styles.
 Reaching women (and their families) and to
empower them to actively take control of their
lives and health.

8. HealthWorks Indonesia

9. Goal
Reduce maternal morbidity
and mortality among factory
workers in Indonesia
(MDG 5a- significantly reduce global maternal
mortality and
5b-achieve universal access to reproductive
health)

10. Objectives
1. Increase women's health knowledge and
healthy behaviours
2. Increase access to quality health services
3. Improve skills of health workers employed
in factories
4. Improve linkage and access to afforable
external health services
5. Strengthen management health knowledge
and clinic policies and practice

11. Program Focus
–Maternal and reproductive health
–Family Planning
–Nutrition and anemia prevention
–Prevention of common diseases

12. Strategies
• Build capacity of health and other staff to deliver
Health Promotion activities that educate and
change behaviour
• Provide improved and expanded services for
women in Family Planning, anaemia, TB and for
pregnant, postpartum and breastfeeding women
• Strengthen referral system to external services
• Educate and gain the support of stakeholders to
sustain and fund health inputs

13. Local implementing partner
• Yayasan Kusuma Buana (YKB) will work
closely with suppliers to:
–Support and mentor clinic staff
–Strengthen clinical and educational services
–Deliver health promotion activities
–Strengthen links with external health services
if required

14. Key Activities
• Baseline survey (KAP survey and FGDs)
• Train health and other staff to conduct health
education activities in the workplace
• Train and mentor health staff to
– Provide education and guidance to pregnant and post
partum women and breastfeeding support.
– Provide services such as family planning, anaemia testing
and treatment and de-worming, screening and referral for TB
– Strengthen clinic operations and external referral
• Stakeholder meetings
• Review and final evaluation

15. Monitoring and Evaluation
Indicators will be collected to measure progress
and impact of the project.
• Health –from worker survey and clinic activity.
• Work related – will work with buyers/factories to
develop and measure changes in relation to
absenteeism, turnover, productivity and
communication

16. HealthWorks Cambodia
Phnom Penh
7 Factories
6 Clinics
12,000 women
Changes already seen
through Health Promotion
activities in the workplace

17. HealthWorks Cambodia

18. Health Works = Benefits for all
• This is a great opportunity to make gains for your
brand, your suppliers and their workers.
• Be part of an innovative program that will change the
way health is delivered in the workplace.
• Lead the way in incorporating government guidelines
in your supplier’s workplace.

19. Please contact us if you have...
• Suppliers located in West Java who are stable for
the next 3 years
• Have good labour practices in line with ILO
standards
• With more than 1000 workers with at least 80%
female
• Have a staffed clinic
• Have had no recent similar health programme and
• Who are committed to working with us and support
the project.

20. Project HOPE contact details
• Dr Nasar Sheldon –Country Director,
Indonesia
• nsheldon@projecthope.org
• Barbara Eagles – Regional Program
Director: HealthWorks
• beagles@projecthope.org

21. THANK YOU
TERIMA KASIH