YAYASAN RAMA SESANA ANNUAL REPORT 2018 · CA MAMAE MASTITIS BREAST FAM BREAST NORMAL 0 8 130 220 254 304 PAP TEST SEE & TREAT STI TEST USG BREAST Sexual and Reproductive Health Services

ANNUAL REPORT 2018

www.yrsbali.org

YAYASAN RAMA SESANA

1 Who We Are

2 Letter from the Director

4 Program Achievement

13 Success Story

14 Challenges

15 Sustainability

17 Financial Report

20 Acknowledgement C O

N T

E N

T

ANNUAL REPORT 2018

YAYASAN RAMA SESANA Creating a healthy generation through women

We are a non-profit, non-government organization. We were founded in 1999 and have provided free education

programs and donation-based health services focusing on sexual and reproductive health since 2004. We work in Bali’s

traditional markets because they are the centre of Balinese community life.

Our Vision:

To create a healthy generation through women’s empowerment. We want the disadvantaged women of Bali to become

empowered through knowledge and take control of their sexual and reproductive health. Then we want them to share

their knowledge with others, especially their daughters, their family and their friends to extend that empowerment. We

also want to improve the immediate health outcomes of these women so we will provide clinical services focussing on

sexual and reproductive health.

WHO WE ARE

1

Dear Friends and Supporters,

I am very glad to share with you Yayasan Rama Sesana (YRS ) Annual Report 2017-2018, which

provides the summary of our achievements during the year through our challenges in the

temporary office at temporary traditional market. This year will be remembered as a year of

challenges, struggle and development.

YRS supported women in increase the awareness, knowledge, empowerment and access for

health services particularly low income women work in traditional market and women live in

the villages

The achievement of our program in this year bigger that the estimation and the projection

number we had. This happen because massive of promotion and increasingly of frequency of

services through the mobile clinic. The interesting part was also some of our repeat client felt

loss their clinic after the fire of Pasar Badung, they was find our temporary clinic at temporary

traditional market, and come again to our clinic with introduce the services to their friend and

the neighbor and bring them for the services.

We conducted the services in the two based clinic around traditional market and twenty times

of mobile clinic to the villages around Bali.

All of our achievement was not out from support of people, communities, organization, donors

and government as a part of our stakeholders.

We are very grateful to all our partners, donors and associates, who have constantly supported

us in all our endeavours, in particularly for Inspirasia Foundation to support us from the

beginning of YRS project more than money to develop YRS become the sustainable organization

in the future.

Thank you for continuing support us, I wish God bless you all

Letter from the Director Dr. Luh Putu Upadisari

2

3

PROGRAM ACHIEVEMENT

4

To echo and instill reproductive health knowledge in people who work in traditional markets, we disseminate

information about reproductive health devices, STIs, HIV / AIDS, cervical cancer and breast cancer. The most important

thing besides disseminating information is educating them to be able to understand and prevent or treat existing

complaints and disseminate information obtained to their immediate family. Thus it can increase awareness of

reproductive health and slowly reduce the incidence of disease.

1591

363

955

174

Brochure PapSmear and See &

Treat

BrochureVoluntary

Counseling Test(VCT)

Brochure BreastSelf - Examination

Brochure YRSServices

4933

3487

2512

685 607

CervicalCancer

Breast Cancer Sexual &Reproductive

Health

HIV SexualTransmitted

Infection

EDUCATION PROGRAM Spreading Sexual & Reproductive Health information in Traditional Market

PROGRAM BACKGROUND

EDUCATION TOPIC SPREADING

EDUCATION BROCHURES DISTRIBUTION

We educated 4933 people about cervical cancer prevention test especially Pap

test and See & Treat, 3487 people received breast cancer and breast check

examination and 3804 people received sexual reproductive health include HIV.

We delivered 1591 cervical cancer brochures, 955 breast cancer brochures and 363

HIV test brochures

5

LOCATION Tiara Grosir Market

Intaran Market

Kreneng Market

Kumbasari Market

Abiantimbul Market

Gunung Agung Market

Pemecutan Market

Sanglah Market

Satria Market

Wisata Market

Sindu Market

PEOPLE REACHED

6492 1626 161 204 42 65 76 126 64 52 30

PEOPLE EDUCATED IN TRADITIONAL MARKET

93%

Outreach is informal, face-to-face interaction where our

staffs deliver sexual and reproductive health information.

Outreach is the most convenient way for the women of

the traditional market communities’ method to get

information. Our staff approaches the beneficiaries with

light and friendly conversation before they start talking

about a variety of health topics. This ensures the women

are engaged and receptive.

7%

OUTREACH

Small group discussions (SGD) usually include just 3 to 5

people so the participants feel comfortable enough to

share experiences and discuss sensitive issues. A staff

member guides the discussion and delivers information

according to the experiences and stories shared. The

discussions provide the opportunity for more complex

sexual and reproductive health issues to be explored

and explained. The discussions are conducted there are

enough people who are interested in a topic, most

commonly in the market.

SMALL GROUP DISCUSSION

EDUCATION METHOD

60% 35% 5% VISITORS TRADERS WORKERS

6

MEDICAL PROGRAM Sexual & Reproductive Health Screening and Treatment in Traditional Market

Creating a healthy generation starts with a healthy

mother. Based on WHO data, the highest cause of

female mortality in the world is women cancer

which increases during years. In line with the

organization's mission, we provide reproductive

health services of cervical cancer screening, breast

cancer and STI to help decrease female mortality

rate in cancer.

150

200

250

300

350

Jan Feb Mar Apr Mei Jun Jul Aug Sep Oct Nov Dec

TOTAL CLIENT VISITS AT BASE CLINICS

0

50

100

150

200

250

300

Jan Feb Mar Apr Mei Jun Jul Aug Sep Oct Nov Dec

Tiara Grosir Market Intaran Market

The program activities are carried out in base clinic

in traditional markets in Denpasar, Tiara Grosir and

Sanur Market. From both clinic we serve cervical

cancer screening; breast cancer screening through

breast check; HIV test through VCT; STI test, family

planning and general health care. The graphic show

medical program achievement in base clinics.

7

3 5 42

773

Susp. Cancer Mastitis FAM Normal

7 20

116

254 217

155

NGO Trichomonas NGI Candida BacterialVaginosis

Normal

Cervical Cancer Screening We screen cervical cancer by Pap test and See & Treat.

This year is the second year we provide see and treat

optimal services method at both base clinic. Client with

suspicious cancer result in Pap test and See &Treat cure

with cryotheraphy and refer to higher health facilities.

Breast Cancer Screening Screening by ultrasound only conduct at Tiara Grosir

market clinic and mobile clinic. With this machine, mass

suspected from palpation can be allowed to more

specific diagnostic. Screened with ultrasound can help

women in the market and also low income women to

cut the burden on examination fees compared to if they

went to the hospital. Suspicious breast cancer result in

our USG test refer to the Prima Medika Hospital.

STI Test Sexual Transmitted Infection (STI) do not occur in high

risk community like sex worker but can be in low risk

community like housewife and traders. Our target in low

risk community aim to increase their sexual reprudcitive

health status by screened, cured and counseling of STI

problem.

CERVICAL CANCER SCREENING RESULT

36 14 60

207

Squamous CellAbnormal

Unsatisfaction OrganismInfection

Normal

PAP TEST

8

432

Positive Negative

SEE & TREAT

BREAST CANCER SCREENING RESULT

1 4 31

132

Breast Cancer Mastitis FAM Normal

BREAST USG BREAST CHECK BY PALPATION

STI TEST RESULT

8

WOMEN EMPOWERMENT

Community participation in YRS

program was very high, as evidenced

by the involvement of beneficiaries

become volunteer as Peer educators

(PEs). Those who are PEs are workers,

traders, housewives who are around

traditional markets and have been

trained by YRS staff so that they have

the capacity to help their friends in

raising awareness about sexual and

reproductive health.

PEs activities include training and

education about health from YRS

staff, PEs monthly meeting and

outreach in Tiara Grosir market,

brochure and condom distribution

and also as active participated in

various themes health campaign

every month. We had 12 PEs

actively join our peer activities and

reach 835 people educated by PEs

65

91

69 58 59

86 82

59

74

47 49

96

JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC

The intents promotion of PEs activities in

social media interest other women to

join as new members of PEs. PEs

activities this year are more varied and

creative than before. Not only the

material refreshment and approach by

the PEs themselves, but also there are

games, gymnastics and beauty class.

With this new method of PEs activities,

we expected more women join as YRS

cadres to disseminate sexual and

reproductive information

NUMBER OF PEOPLE EDUCATED BY PEERS

Women Empowerment & Gender Equality

9

PEERS WORKSHOP

PEERS OUTREACH

10

LOCATION CLIENT VISIT

EDUCATION DELIVERED

Gunung Agung Market 118 55

Glagahlinggah Village 101 50

Giri Emas Village 153 77

Landih Village 70 35

Bungaya Village 56 28

Sekumpul Village 83 42

Tiyingtali Village 152 90

Peninjoan Village 74 37

Annika Linden Center 83 42

Sindu Market 80 40

Tribuana Village 134 67

Banjar Village 177 80

Kumbasari Market 163 79

Kreneng Market 155 72

Anyarsari Market 171 85

Mengwi Market 148 74

Ban Village) 150 75

Banyupoh Village 136 85

Bangbang Village 78 38

MOBILE CLINIC Sexual & Reproductive Health Education and Services in Remote Area

Thousands of Balinese women living in rural areas of the island have

extremely limited access to reproductive and sexual health services.

In order to increase their access and to improve their lives and

communities we travel to these areas to conduct a mobile clinic.

The mobile clinic services are for the entire community, not only for

women (though women of reproductive age are the demographic

accessing the services the most). The day before a mobile clinic our

staff prepares the equipment, supplies, medicines, forms, brochures

and information materials.

DENPASAR

BULELENG

BANGLI KARANGASEM

Medical activities An ad hoc‟ clinic is set up in the available space, and medical

services are provided from 07:30 am to noon. Services include

general health checks, breast self-examination, VCT consults and

Pap tests.

Educational activities At every mobile clinic a Big Group Discussion is conducted, as well

as outreach activities with clients who are waiting to be assessed

by staff.

Mobile Clinic Area

Mobile Clinic Achievement

11

1 5 20

436

SUSP. CANCER MASTITIS FAM NORMAL

8

610

POSITIF NEGATIF

0

38 8 23

135

0 5 18

78

CA MAMAE MASTITIS BREAST FAM BREAST NORMAL

0 8

130 220 254

304

PAP TEST SEE & TREAT

BREAST CHECK BY PALPATION

STI TEST

USG BREAST

Sexual and Reproductive Health Services Result in Mobile Clinic

12

SUCCESS STORY

Komang Suartono and his wife received counseling from our staff

Impact of Education Program

YRS educates traders and visitors about reproductive health every day in Tiara Grosir

Market both male and female. One of them is a fried rice seller named Mr Komang

Suartono. Mr. Komang suartono sells fried rice every day from morning to noon and he also often

checks his health to YRS. After educated by YRS specifically about women's reproductive

health, Mr. Nyoman Suartono recalled that his wife had a problem with her reproductive

organs.

"Arriving at home I told my wife to immediately examine herself related to her complaints,

because it is very dangerous if left silent and afraid become cancer, that's the explanation

that I got from YRS"

After routine visits to YRS, now her wife has not experienced complaints about the

reproductive organs and able to daily activity without any fear of complaints that were felt

before.

“I am very grateful to know YRS. YRS has provided information, does not burden the costs

and helps with the treatment that I complain about in the reproductive organs so that now I

feel healthy and know the importance of maintaining reproductive health. If my husband

does not get information about reproductive health from YRS and my husband does not

continuously persuade me to go to YRS, maybe my illness is now very severe"

Mr. Nyoman Hartono’s wife was one of the patients who had complaints about the

reproductive organs that were successfully treated by YRS. There are still many more

women who have the same complaints that YRS has managed to treat.

13

CHALLENGES

The bigger concern of YRS after the accident the fire in PasarBadung is, we have no permanent space for the

based clinic, and uncertain information related the new Pasar Badung after the renovation. To address this

issues and while waiting the certain information about the Pasar Badung movement to the new building, we

also consider the suggestion of Inspirasia Board member to provide the services in ALC, and approach the

Market Management and Government to provide the space for YRS when the the re-build Pasar Badung has

been complete and the market back again to Pasar Badung.

We conduct the feasibility studies to support the analysis that the potential space will be feasible for YRS

project. One of feasibility studies we conduct in ALC for the community around of ALC location. The result of

this study will use for the baseline data and recommendation to YRS base clinic and office.

The new Pasar Badung design

14

SUSTAINABILITY

15

Staff Capacity Building Increase staff capacity for strengthening organization sustainability

Fundraising

16

Funding resources support and wide partnership through promotion from various side

STATEMENT OF COMPREHENSIVE INCOME

FOR THE YEAR ENDED 31 DECEMBER 2018

IDR IDR

2017 2018

Revenues and Other Income

Restricted Donations (Inspirasia) 1,188,620,279 764,400,686

Unrestricted Donations 601,524,760 200,754,758

Other Income 27,408,391 24,550,201

Total Revenues and Other Income 1,817,553,430 989,705,645

Less Expenses

Capital Expenditure - -

Medications & Treatment 244,917,592 241,098,975

Write / Workshops & Orientations 7,165,195 10,438,800

Other Direct Project Expenditure 57,026,460 65,256,141

Employee Expenditures 580,217,862 678,918,511

Facilities Expenditures 42,580,209 54,879,532

Outside Service 40,254,972 48,234,627

Depreciation & Amortization 111,903,348 147,892,416

Bank and Tax Charges 5,008,398 4,382,920

Other Operating Expenses 21,125,001 -3,469,644

Total Expenses 1,110,199,037 1,247,632,278

Profit / (Loss) for the Year 707,354,393 -257,926,633

Total Comprehensive Income for the Year 707,354,393 -257,926,633

FINANCIAL REPORT

17

STATEMENT OF FINANCIAL POSITION AS AT 31 DECEMBER 2018

IDR IDR

2017 2018

Current Assets

Cash and Cash Equivalents 1,574,539,641 1,390,378,336

Receivable - 37,975,279

Prepayments 19,340,479 27,558,466

Inventories 11.470,875 29,510,920

Fixed Assets Net Of Depreciation 632,112,729 542,174,313

Total Assets 2,241,463,724 2,027,597,314

Current Liabilities

Provisions 5,499,099 49,847,711

Total Liabilities 5,499,099 49,847,711

Net Assets 2,235,964,625 1,977,749,603

Equity

Unrestricted 1,447,693,740 1,373,461,981

Temporary Restricted 778,270,885 594,287,622

Permanent Restricted 10,000,000 10,000,000

Total Equity 2,235,964,625 1,977,749,603

Capital Management Policy

Our objectives when managing capital are to safeguard our ability to continue operations for

the benefit of the women of Bali. We manage our capital through a budgeting and strategic

planning process to ensure adequate funds and maintained to meet our current and future

objectives.

Capital Reserve

Central to our strategy is the awareness that we are dependent on restricted and unrestricted

donations. There is a constant risk that anticipated donations may not materialize and to

manage this risk we have in place a capital reserve. The purpose of this reserve is to make sure

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we have sufficient cash to pay all liabilities including staff entitlements. The reserve is also

intended to fund operations for as long as possible in any period unsupported by donors.

Restricted Donation Reserves

Our major donor is Inspirasia Foundation and the grants that provided are tied to agreed

activities and projects. To ensure we are able to acquit the grants transparently we maintain

separate reserve accounts for major restricted donations.

FUNDING SOURCE FUNDS AT 31.12.18

COMMENTS

Inspirasia Foundation On deposit at Mandiri Bank Cash TOTAL

512,055,626

4,279,670 516,335,296

In 2018, some programs have been running in accordance with the proposed budget. The remaining funds will be accumulated with the 2020 budget.

Client Donations On deposit at Bank BRI Cash TOTAL

442,489,780

5,304,450 447,790,130

This fund is provided as a reserve fund if it is not listed in the budget proposal.

YRS Fundraising On deposit at Mandiri Bank Cash Underposite Fund TOTAL

274,446,339

1,059,450 (1,320,000)

274,185,789

These funds will be used to fund 2018 programs such: purchase of medical material, Peer Educator activity, purchase of education material and workshops.

Sanur Community Funds On deposit at KSU SANUR Cash TOTAL

151,687,121

380,000 152,067,121

These funds are provided by the Sanur community and are restricted for use on Sanur clinic needs such as medicine, medical Supplies, Salary Doctor, space rental, and other needs.

TOTAL 1,390,378,336

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Thank You to our Donors, Friends & Supporters

We are deeply grateful for the support from the following foundations, organizations and

Individuals who continue to believe in us and help us serve the community:

INSPIRASIA FOUNDATION

AUSTRALIAN CONSULATE GENERAL’S Global Giving

DIRECT AID PROGRAM Flash Charity Bali

Australian Volunteers for International Development National University of Singapore

Bali International Women’s Association Perkawinan Campuran (PerCa) Bali

Pemerintah Kota Denpasar Anne Bendt

PD Pasar Kota Denpasar Eliot Jay Cohen

PD Pasar Unit Pasar Badung Melly St. Ange

Dinas Kesehatan Provinsi Bali Bali Cashew

Dinas Kesehatan Kota Denpasar Duty Free Shop (DFS)

BKKBN Kota Denpasar & Provinsi Bali Green School

Dinas Sosial Kota Denpasar Bali Adventure

Komisi Penanggulangan AIDS (KPA) Kota Denpasar YRS Peer Educators

KSU Dhana Sanur Pemdes Desa Sekumpul

Koppas Kumbasari Pemdes Desa Peninjoan

Kelompok Mahasiswa Hindu Dharma Indonesia (KMHDI) Pemdes Desa Tiying Tali

Community Service Program (Universitas Udayana) Pemdes Desa Tribuana

Community Service Program (Unidiksa) Pemdes Desa Ban

Pemdes Desa Glagalinggah Pemdes Desa Banyupoh

Pemdes Desa Giriemas Pemdes Desa Bangbang

Pemdes Desa Landih Pemdes Desa Bungaya

Special Thanks to:

Our Major Donor Yayasan Rama Sesana

Jalan Cokroaminoto, Denpasar Phone: +6281 236 790 126

Email: [email protected] Web: www.yrsbali.org

Facebook: YayasanRamaSesana

ACKNOWLEDGEMENT

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