MISSIONTo improve the health, wellbeing and self-reliance of people living in isolated regions.

THE IDEASurfAid targets remote and underdeveloped communities to address infectious disease, maternal and child mortality, sanitation and clean water and build capacity into the fabric of the communities that allows them to move out of poverty.

DELIVERY TO DATEIn the past 3 years SurfAid has collaborated with communities to create:• 76 new and revitalized community health posts,

staffed by 446 SurfAid trained community healthvolunteers and government supported midwives.

• Sustainable clean water sources and sanitationtraining for 591 communities.

Since inception in 2000:• Community rebuilding and interim care for 38,000

people affected by earthquakes and tsunamis.• Malaria prevention education and treated mosquito

nets for 60,000 people.

IMPACTSurfAid’s programs results in Nias:• Breastfeeding for first 6 months of life: 1% to 52%.• Women who receive prenatal care: 14% to 85%.• Births attended by trained midwives: 0% to 84%.• Access to clean water and sanitation: 10% to 95%.• Community health posts sustained by

microfinance: 0 to 8.The net result of these programs over 2 ½ years:• Maternal deaths reduced from 8 to zero women.• Children under five deaths reduced from 22 to 5.• Greater social cohesion, community spirit, and• involvement of women in the local economy and

decision making process.

SOCIAL RETURN ON INVESTMENT• SurfAid’s community driven, bottom up approach

creates locally produced change imbedded inhealthier communities.

• Investing in Community Health Workers producesreturns as high as 10:16.

• SurfAid’s data collection allows evidence-baseddecision making based on outcomes and costs.

MODELProgrammatic elements include:• Clean Water, Sanitation (CLTS model), Malaria,

Nutrition, Community Health Centers, andMicroenterprise.

SurfAid’s approach is to work with each village, driven by and adapted to the local circumstances. While SurfAid provides practical support, it is the capacity building of health volunteers, school children, community members and government staff that lies at the heart of what we do.

5.9 million children under the age of 51 and 289,000 pregnant women die every year.2 It is estimated that 70% of these deaths are preventable with basic resources including rudimentary heath care, access to clean water, and improved nutrition.3 This dilemma is exaggerated in remote locations where traditional resource intensive aid programs are impractical and the incidence of mothers and children dying is often far higher than in better-resourced urban areas. SurfAid targets very remote and underdeveloped islands in Indonesia using community driven development to create sustainable programs that directly address critical areas including health care, access to clean water, improved nutrition, and disease prevention.Indonesia is one of ten countries with the highest number of under-five deaths1 and one of seven countries that account for over half of all maternal deaths worldwide.2

Evidence regarding the effectiveness of community-based approaches in improving Reproductive, Maternal, Newborn and Child Health4 shows that community-based primary health care is needed to fight the top killers of children and mothers around the world such as malnutrition, diarrhea, malaria, and causes related to pregnancy and childbirth.5 Community Health Workers play a critical role in extending the reach of health programs beyond facilities and deliver basic preventive, promotional, and remedial interventions in poor, marginalized and remote populations.6 Indonesia, an archipelago of more than 17,000 islands, has more than its fair share of remote, isolated areas. Most people in these regions cannot access basic public services; either because there are no services, or because they are too far away. The quality of available services are often far below national standards. Isolation directly contributes to the poverty status, abysmal health, and unnecessary death. Founded in 2000, SurfAid is recognized for its pragmatic approach to establishing positive health behaviors in remote areas that help to prevent unnecessary disease and death. Barriers to behavior change include a lack of access to clean water, nutritious foods, trained heath staff and a culturally supportive environment. SurfAid partners with local and national government and communities to provide a mix of training and practical support to break down these barriers and facilitate long-term behavior change. SurfAid works in partnership with communities to construct water facilities, establish nutrition gardens and seed banks, promote healthy eating through cooking classes, build latrines, distribute malaria nets, and provide practical training for the whole village to support the new behaviors and facilities. Complementary to these efforts, SurfAid trains local health volunteers to run community health posts that provide health promotion and monitoring of pregnant women, mothers and children under five. Each health post is supplied with basic equipment, training and coaching; leading to independent, self-sustained posts and potential for income generation for involved community members.SurfAid specializes in finding low-cost, sustainable solutions that are tailored to each specific community; linked to the national strategy and existing structures, to ensure backing from government partners and sustainability.SurfAid has won many awards for the quality of its innovative approaches and was named “one of the best NGOs in the world” when it was chosen from over 49,000 NGOs to win the World Association of Non-Governmental Organizations Humanitarian award in 2007.

BASIC FACTS• Budget: $3 million USD• Employees: 2.5 in USA, 3.5 in AUS, 80 local staff in

Indonesia• EIN: 14-1850033

Reducing child and maternal mortality ratesin remote areas of Indonesia

FUNDING OPPORTUNITIESSurfAid is raising funding for our Mother and Child Health Programs.Examples include:

COMMUNITY HEALTH POSTS IN SUMBAGoal: improve the health and wellbeing of 16 communities through trained health volunteers, with a focus on pregnant women and children, over 4 years. Total budget: $622,000

FUNDING GOAL: $400,000

COMMUNITY HEALTH IN MENTAWAIGoal: improve the health status, social cohesion, resilience, and household income of 14 displaced, tsunami-affected communities in South Pagai over 5 years.Total budget: $889,000

FUNDING GOAL: $222,000

MICROENTERPRISE IN NIASGoal: provide training on income generation and small business development in 37 villages over 4 years. Total budget: $268,000

FUNDING GOAL: $100,000

MATCHING OPPORTUNITIESSurfAid receives funding from the New Zealand and Australian governments. Under program contracts, donor funds are used to leverage these government grants.

www.surfaid.orgContact Name: Corinne HabelContact Email: corinne@surfaid.org

QUANTITATIVE IMPACTS AND QUALITATIVE RESULTS• SurfAid’s Mother and Child Health Program in the sub-district of Hiliduho on the island

of Nias has decreased maternal deaths from 8 out of 150 childbirths to zero, anddeaths for children under five from 22 to 5, within a 28 month time frame.

• Having received exceptional evaluation results from the Ministry of Health, theIndonesian government has requested expansion of SurfAid health and communitydevelopment efforts and interventions.

• SurfAid has expanded its projects in Nias from 9,229 people to 30,498, with prospect ofreplicating our program through the whole district of 132,329 people.

LEADERSHIP & ORGANIZATIONAL CAPACITY• The SurfAid USA Board is comprised of doctors and professionals who have a wide

range of experience.• The leadership team are career professionals with extensive experience in the nonprofit

sector. Tenure of leadership team: Andrew Judge, CEO - 8 years; Anne Wuijts, CountryDirector - 4 years; and Corinne Habel, International Marketing & Fundraising Director -2 years.

FINANCIAL FACTS• Current annual budget: $3 million USD• Operating Reserve: On March 31, 2015 - $550,000 USD• Mix of revenue sources: 30% government funding, 70% private sources• Administrative cost ratio: Historically varies between 77% and 85%FUTURE PLANS & PROJECTIONS• Our strategic plan is to improve the health of mothers and children and their access to

clean water, sanitation, and health care in the most cost efficient manner possible. Weaim to continue to create strategies for sustainable development of programs includingmicroenterprise and livelihood alternatives, while we actively seek opportunities tocollaborate and partner with government, donors and other NGOs.

• Projected 2016 budget: $4 million USD• With more resources, we can expand our program to help more people in remote villages.CHALLENGES AND SUSTAINABILITY• Risks include natural disasters, difficulty attracting and retaining staff for remote areas,

turnover of government staff, and disputes over land usage.• In addition to government grants, SurfAid has a number of strong partnerships with a

variety of organizations including Billabong, Vibrant Village Foundation, the Pamela K.Omidyar Trust, and Lutheran World Relief.

“SurfAid staff are like our family. They live with us. We share our

concerns and together we work on improving our situation.”

-Bapak Sapardi

Saving lives,in one remotevillage at a time

Because of SurfAid, children like Olianus survive their childhood and grow up healthy. In a village of Hiliduho, Olianus is the second-born child of Genaria Draha, and is now an only child. Genaria Draha lost her first child in 2012, at one and a half years old, due to preventable health problems. At that time, neither she nor her husband knew much about infant nutrition and the benefits of breastfeeding.In January of 2013, Genaria Draha gave birth to Olianus, assisted by village midwives. The midwives strongly suggested that she exclusively breastfeed for six months, and also attend SurfAid’s community health post every month to monitor her baby’s growth and wellbeing. Since then, she has been attending the community health post regularly, and Olianus is now a healthy toddler. Genaria Draha attributes her success at breastfeeding and other healthy, life-saving behaviors to SurfAid’s support through midwives and health volunteers.

1. You, Danzhen, Lucia Hug, Simon Ejdemyr, Jan Beise, and Priscilla Idele. Levels & Trends in ChildMortality: Report 2015. Estimates Developed by the UN Interagency Group for Child Mortality Estimation.Rep. Ed. Natalie Leston. New York: United Nations Children’s Fund, 2015.

2. Alkema, Leontine, Doris Chou, Alison Gemmill, Daniel Hogan, Colin Mathers, Samuel Mills, Ann-BethMoller, Lale Say, and Emi Suzuki. Trends in Maternal Mortality: 1990 to 2013. Estimates by WHO, UNICEF,UNFPA, The World Bank, and the United Nations Population Division. Publication. Ed. Agbessi Amouzou,Victor Gaigbe-Togbe, Lianne Gonsalves, and Edilberto Loaiza. Geneva: World Health Organization, 2014.

3. Garin, Emily, Priscilla Idele, Danzhen You, Lucia Hug, Agbessi Amouzou, Liliana Carvajal Velez, Jan Beise,Simon Ejdemyr, Julia Krasevec, Tom Slaymaker, Nina Schwalbe, Guy Taylor, and Chris Brazier. Committingto Child Survival: A Promise Renewed. Progress Report 2015. Rep. Ed. Lois Jensen. New York: UnitedNations Children’s Fund, 2015.

4. Perry, Henry B., Jim Ricca, Karen LeBan, and Melanie Morrow. Prospects for Effective and ScalableCommunity-Based Approaches to Improve Reproductive, Maternal, Newborn and Child Health (RMNCH):A Summary of Experiences from the Maternal and Child Health Integrated Program (MCHIP) and the ChildSurvival and Health Grants Program (CSHGP) and a Review of the Evidence. Rep. Baltimore: Jhpiego, 2014.

5. WHO Media Centre. “Children: Reducing Mortality.” World Health Organization. WHO Fact Sheets, Sept.2014. Web. 24 Sept. 2015.

6. Dahn, Bernice, Dr., Addis Tamire Woldemariam, Dr., Henry Perry, Dr., Akiko Woldemariam, Dr., Drew vonGlahn, Dr., Raj Panjabi, Dr., Na’im Merchant, Dr., Katy Vosburg, Dr., Daniel Palazuelos, Dr., ChunlingLu, Dr., John Simon, Jerome Pfaffmann, Daniel Brown, Austin Hearst, Phyllis Heydt, and Claire Qureshi.Strengthening Primary Health Care through Community Health Workers: Investment Case and FinancingRecommendations. Rep. N.p.: World Bank, Partners in Health, MDG Health Alliance, The ClintonFoundation, and the Governments of Ethiopia and Liberia, 2015.

SurfAid Citations

Note: Facts and outcomes contained in this profile are both self-reported by SurfAid, and collected in collaboration with the Indonesian Health Department.

Updated 10/15/15