Innovative Practice 2019 on Independent Living and Political Participation

Increasing Access to Health and Education Services for Children

SEHATI Sukoharjo, an NGO in the Sukoharjo district of Java, Indonesia, has developed an Inclusion Club model that uses existing local resources to support children with disabilities in rural villages. Inclusion Clubs bring together village officials, health and education professionals, and children with disabilities and their families to build local capacity and exchange skills, such as simple therapies and education exercises, so families can support their children at home. Between 2011 and 2018, SEHATI replicated the Inclusion Clubs in eight areas of Sukoharjo and had 224 children with disabilities enrolled.

“We get new families who care for each other and fight to improve things for children with disabilities. Not just families, but the community and government too. That makes us excited to continue.“

Listri SedyaningsihManager of the Permata Hati Inclusion Clubs
About the practice at a glance
Name of Innovative Practice:Inclusion Clubs
Organisation:SEHATI Sukoharjo
Country
of Implementation
Indonesia

FACTS & FIGURES

  • The number of Inclusion Clubs has grown from two in 2011 to ten in 2018.
  • The number of children in each of the Inclusion Clubs ranges from 13 to 37.

PROBLEMS TARGETED

Children with disabilities living in Indonesia’s rural villages have limited access to health and education services, as these are usually expensive and based in cities.

SOLUTION, INNOVATION, AND IMPACT

Children receiving lessons on concentration and motor training.

Before establishing an Inclusion Club, SEHATI carries out village data collection exercises with key local stakeholders to understand the needs of local children with disabilities. It then invites these children and their families together with local government, health and education representatives, as well as members of the community to discuss the data. Together, they develop local family disability forums, which meet monthly to build family confidence and increase family knowledge around child disability.

These forums decide the activity of the weekly Inclusion Clubs, where local resources are mobilized to build capacity and develop skills in the community. Families are trained in early detection of disability and in simple therapies and educational exercises they can perform at home. Volunteer teachers and health professionals, such as physiotherapists and speech therapists, run training sessions and return to the Inclusion Clubs periodically to check in with families and monitor their progress. Each child has a record book to track the therapies he or she has received, to list any actions needed, and to record developments. The result has been improved health outcomes for children with disabilities, such as a reduction in seizures, improved speech and increased mobility, as well as improved literacy levels.

FUNDING, OUTLOOK AND TRANSFERABILITY

The Inclusion Clubs are mainly funded through individual donors in the community and some support from local businesses, with additional support from village government to cover some of the costs of health professionals and educators. Families attending the Inclusion Clubs also pay a membership fee of Rp 5,000 ($0.35) per month.

SEHATI has replicated the Inclusion Club model in eight subdistricts in Sukoharjo. Key elements needed to replicate the programme are the collection of disability data in the area and the establishment of the local family disability forums. In Sukoharjo, the support of local government has also underpinned successful replication.

Therapist volunteers support in rehabilitation of children with disabilities.

FACTSHEET

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