Month: March 2018

Medical Life at ASRI: medicine at the end of a bumpy highway.

Although I trained mostly in large academic centres, I’ve spent much of my medical life practicing at the remote end of bumpy highways.  There is an elegance to it—an instant humility brought about by limited resources, a ‘we’d better stick together or we’re sunk’ solidarity amongst staff that evaporates much of the posturing that can …

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Chainsaw Buyback: Just Transition in the Bornean Rainforest

Chainsaw Buyback: Just Transition in the Bornean Rainforest   One of my take-homes from attending the COP23 climate change negotiations in November was just how strongly environmental and labour groups are now, rightly, pushing for a “Just Transition” to ensure that workers are supported as we move from a fossil-fuel economy to a low-carbon one. …

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Morning Meeting

Morning Meeting All staff, including people in charge of healthcare, conservation, agriculture, driving, education, finances and more, get together at 8AM Monday to Friday at ASRI for morning meeting. Hoping to be as helpful as possible during my visit, I’d emailed my friend Dr Anne-Marie Pegg, who has a tremendous amount of experience heading up …

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Visit With Forest Guardians

Consistent with rapid deforestation rates in much of the Bornean rainforest, more than 70% of the lowland forests within Gunung Palung National Park’s buffer zone were deforested between 1988-2002. During sequential surveys done by ASRI/HIH, they found 1,350 logging households around the park at baseline in 2007.  ASRI’s clinic and conservation program opened in 2007—and …

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Goats for Widows!

ASRI/Health in Harmony take data from their village surveys to determine which widowed women in the area may benefit from goats. The women receive 1-2 goats, then repay ASRI in goats once the animals procreate. There are about 200 widows in the program. A goat sells for about 2-2.5 million rupiah in an area with …

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Paying for Healthcare With Manure?

Paying for Healthcare With Manure? For real. ASRI-Borneo’s head MD Dr Nomi explains how rainforest-conservation incentives are built into their hospital’s payment scheme. Imagine if all healthcare systems took Planetary Health into account?