Self-reliant Reproductive Health Clinics

Non-governmental organizations (NGOs) can play an important role in providing health services in urban areas. Since 1981, the Indonesian NGO Yayasan Kusuma Buana (YKB) has successfully operated urban clinics offering family planning information and services for a modest fee. Today it has six clinics, which also provide routine antenatal care, immunization, and general maternal and child health services and information. The programme, started with UNFPA assistance, has been financially self-sufficient since 1992. 52

The YKB programme targets people of low to moderate income, complementing the Government clinics which mostly serve the poor and the private clinics and hospitals used by wealthy Indonesians. Patients are willing to pay for services because the midwife-run clinics offer them quality services, a range of choices (based on surveys of clients' needs), longer service hours and a clean and friendly atmosphere. Delayed payment plans are available for those who need them. The NGO programme also provides follow-up home visits.