Fellow Since 2008
Mitra Aksi Foundation
This profile was prepared when Hambali Hambali was elected to the Ashoka Fellowship in 2008.
The New Idea
Hambali’s self-sustaining model of reproductive health services is a departure from top-down, under-staffed, and often corrupt services provided by the government because it works to staff local midwives in clinics owned and managed by villagers. Under a work contract, health providers agree to meet the service quality standards and tariffs that are determined by the villagers. They are now able to serve more than 60,000 women, men and adolescents across several districts in Jambi. Hambali has shifted the current centralized practices of the health department to a strategy that encourages participation among community members in providing health service. Community health clinics are now legal entities that meet national health service standards, resulting in improved quality of care and reduced costs. The community centers have also pressured the government into building roads and bridges and installing electricity to support their clinics, which has both improved access to care in villages, as well as significantly reduced travel costs. To ensure the efficacy and sustainability of the service, Hambali has created an education program to invest in human resources for the health sector. In addition to the scholarship he established, he has also partnered with national midwifery institutions to incorporate new modules that teach reproductive health from a gender perspective into the existing curriculum. Both the scholarship program and the new curriculum are being piloted in twelve midwifery schools across Java and Sumatra. Currently, there are 160 young girls from six provinces enrolled; twenty-five from Jambi, Riau, and Bengkulu provinces have just graduated and returned to their own villages to start work.