Minute of Last Meeting
Bob Caiola opened the meeting with Vivi Maria taking the minutes, and introduced Vivi and Michael to the group. Michael passed out 50 brochures for counseling at BIMC.

New Members and Organisations
New members introduced themselves

Sub Committees
The Group then split into the following sub-committees:

1. Education
2. Financial / Family Assistance
3. Counseling
4. Medical Immediate
5. Medical Long Term
6. Environment
7. Economic Recovery
8. General Public Awareness

Each committee then reported back. Their minutes are below and form an integral part of these minutes.
The next meeting will be held January 7^th at the Radisson Hotel at 6 pm

1. Education Sub Committees
   At pre BRG meeting on 11^th December with KIDS and YKIP-BCF, Mark Propert of Rotary put the proposal that there should be one bank account to collect funds and both KIDS and YKIP-BCF agreed. Rotary has potential to get matching funds for accumulated funds in one account.

   At the regular committee meeting and the supplementary meeting on 13^th December, the following was agreed:

   • All parties (YKIP-BCF, KIDS, BIWA, Adopta, Rotary) agreed to work together towards the scholarship for education for the children of deceased, missing or permanently disabled victims of Legian bomb blast.
   • Donated funds will accumulated in one account:
     
     Lippo Bank - Kuta Graha Branch,
     
     
     Bali, Indonesia
     
     
     Account name : YKIP BCF
     
     
     Rupiah Account No. : 534-30-05908-5
     
     
     USD Account No. : 789-30-71857-7
   • This account will have a number of signatories required for disbursement of funds. We are to consult with an auditor for the number required. These will come from the "trustees" of these funds. The trustees will represent Rotary, YKIP, KIDS, BIWA, Adopta, BIS, AIS, Dyatmika.
   • KIDS will co-ordinate the outreach program to the children. They will be assisted by all other parties under KIDS direction.
   • KIDS will supply a budget proposal when they require funds. These funds will be transferred to the Yayasan KIDS account and in due course, before the next disbursement, will be accounted for by KIDS.
   • It was agreed that there should be a MOU between YKIP-BCF and KIDS.
   • It was agreed that joint promotion of the common effort should be carried out. Websites should complement each other and meetings will be held to co-ordinate this.
   • It was agreed that all parties would continue to actively support the BRG database.


2. Family Assistance Sub Committees
   Bali Hati is continuing to provide financial assistance to victims and their families. There are still 123 families that have not been approached and now six field workers have been employed to take on this task. Within the next three months this should be accomplished as well as identifying new people that need assistance. A new survey tool is also implemented for assessing vocational training possibilities and the possibility of assisting a start up business plan for self employment. Working with BH is JRKB (Jaringan Relawan Kemanusiaan Bali or Humanitarian Volunteers Networking for Bali), doing assessments and home visits. Christian City Churches are also working with victims and families doing distribution of food parcels and giving financial assistance as well. BIWA is also looking into assisting self employment methods for victims. An example would be the purchase of a sewing machine and material for one person. Adopta Bali is still working in the norther regions providing assistance to families financially, assessing needs and is also looking at vocational training possibilities. Adopta is also assisting families in the Kuta area.



3. Counseling Sub Committees
   IMC has began to implement the first two months activities which include :
   • Counseling
   • Support group therapy for the bomb victim at dr.Robert's venue.
   • YKIP and IMC plan to produce the 2nd video of Wayang Kulit production for children that will be showed around banjar and schools.


4. Medical Immediate Sub Committees



5. Medical Long Term Sub Committees

   Decisions and Actions

   New items and progress are added to the last minute in Italics.

   Discussion

   1. Red Cross (contributed by phone)
      The Australian Red Cross and PMI are working together. A rapid response team has been deployed to assess need and two Australian Red Cross officials will be located in Bali for 6 months (Lyn and one other). The following projects will be undertaken.
      
      
      1. Emergency Services and response capabilities
         • A mid stage disaster recovery plan will be created for the 9 branches of PMI in Bali to create a Rapid Response Team.
         • There will be a Community Based Disaster program to increase public awareness
         • Three Ambulances will be purchased for PMI.
         • The Australian Red Cross has been meeting with the Indonesian Red Cross in Jakarta and Bali so as to finalise their program.
      
      
      2. Improvements To Sanglah Medical Facilities
         • The Blood Bank at Sanglah will be upgraded.
         • The Australian Red Cross met with David Kuper (who was the technical officer on the Rotary Blood Bank Project). The minute is appended. As a consequence of this meeting and others it is agreed that the Sanglah Blood is of a high standard and that only minor improvements are required.
      
      
      3. Community Health
         • Red Cross may fund a TB eradication program through the John Fawcett Foundation (using the dots system).
         • Red Cross is considering the funding of HIV and life skills awareness programs and is talking with the relevant Government agencies).
   
   
   2. AusAid (Note the text below was contributed by Rani)
      The Australian government's response to the Bali Bombing in health programs is as follows:
      1. A$300,000 immediate response package. The package was for:
         • The provision of medical supplies to treat the victims including the provision of a pharmacist/medical supplies inventory and management specialist tasked to do an inventory of the donation of medical supplies arrived in Bali and set up of a protocol of medical supplies donation and utilization. The protocol implementation is carried out by a task force set up by the Governor of Bali which members includes the head of Dinas Kesehatan and Sanglah hospital;
         • supports to the Indonesian Red Cross (PMI) activities to replenish its stocks, some new equipment and training to improve the capacity of PMI to respond to crisis; and
         • A support to IMC (International Medical Corps) to conduct a two month's psycho-social trauma counseling program for both expatriate and locals.
      
      
      2. A$2 million for health assistance package. AusAID deployed Ross Sutton, a health management specialist, in the first week of November to do a scoping mission for the health assistance package. His report may be available on a restricted distribution basis. Among other things, main items being considered for assistance under this package is the following:
         • Improvement to Sanglah Medical Facilities details are being finalized but the design team will look at upgrading the burns/trauma and other facilities.
         • Training for Sanglah hospital medical staff
         • Referral system from districts to Sanglah hospital
         • Overall health assistance linked with other donors' activities in Bali.
         
         A design team will be mobilised toward the end of December or early January to recommend suitable use of this health package. In preparation to the design team and bridging the gap between the scoping mission and the design team, a Hospital Management Specialist will be seconded to Sanglah for 3-6 months. The terms of reference for this assignment are still being finalized but this is likely to start in late December early January. Nicole confirmed that both the Design team and the Hospital Management Specialist would now most likely arrive in January. AusAid very kindly shared on a restricted distribution basis a copy of Ross Sutton's paper and the position description for the Hospital Management Specialist.
   
   
   3. BIWA
      Biwa is concerned about the status and treatment of October 12th Victims discharged into the community. From this they have conceived the following long-term medical goal.
      1. Improvement To Rehabilitation Services
         • BIWA wishes to place this on the agenda of the sub-committee and intend to be active in this area.
         • BIWA is continuing to supply direct treatment to victims. However they now are exploring the feasibility of a permanent rehabilitation centre to be either standalone or attached to an existing hospital.
   
   
   4. YKIP
      A group of Rotarians, business people, senior members of the Bali Medical fraternity and most of the foreign consular officials created YKIP in the aftermath of October 12th. YKIP's mission is to improve the medical and hospital facilities in Bali as a tribute to the victims of the tragedy. YKIP will work with any group to do this and has so far been active in the handling of donated medicines (with AusAid and IMC) and in trauma counseling (wayang kulit) with IMC. YKIP has raised $88,000 in donations including $25,000 from USAid. Areas of interest to YKIP are as follows:
      1. Emergency Services and response capabilities
         • A YKIP representative (Kim Patra) reported back to the main NGO group (from the immediate medical sub-committee) on initiatives being taken to train volunteers in first aid and on the deployment of first aid kits. MCVT (Mass Casualty Volunteer Teams) are being formed and emergency kits prepared - the first kits are now available at the Bali International School.
      
      
      2. Training of Medical Personnel
         • YKIP are planning a program of work in this area with the Dean of the Medical School and the Director of Sanglah. A first proposal is expected to be ready by the end of January.
      
      
      3. Improvements to Sanglah Medical Facilities
         • YKIP wished to be active in this area would like to keep in contact with the AusAid teams to see if there are any projects identified to which they might contribute.
      
      
      4. Trauma Counseling - see minute from this committee
      
      
      
      5. The handling and distribution of medical donations.
         • YKIP has been very involved in this project which is mentioned above by AusAid. Elizabeth Magson one of our members became (through the crisis centre) the main contact person for the receipt of donated medicine in the immediate aftermath of the bomb. That has lead to a position where we represent the Donors on a committee established by the Governor of Bali to ensure their proper distribution. YKIP's direct involvement has been to fund the establishment of a 3 warehouses at Sanglah hospital, the development of an inventory control system, supply of a computer and operator (a trained pharmasist) until June 2003, to fund the labeling and data entry (43,000 distinct items). Other apart from YKIP and AusAid which have been involved; IMC (International Medical Corps) who paid for the drug testing plus of course all the donors
   5. IDEP
      Yayasan IDEP has been active in community projects for some years and has skills to offer in train the trainer and media. As a consequence of the experience of members during the crisis they wished to be further involved in long-term medical improvements as follows.
      1. Emergency Services and response capabilities
         • Graeme distributed a concept paper (attached previously) on crisis response centers.
   
   
   6. OTHER ISSUES
      It was noted that the Government might be planning to build a new hospital. Also that additional private hospital facilities may be under consideration. AusAid advised that they were funding a consultant to work for 12 months in Bali to look at health needs at the district level through the ADB's Decentralized Health Program. The consultant is due to begin work in Bali in January.
   
   Minutes taken by David Magson

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   Attachment - Minutes of Meeting with Australian Red Cross Delegation and YKIP on December 4th, 2002
   

   Venue	Wednesday, December 4, 2002 at 6:00pm at the Radisson Hotel Sanur
   Attending	Lyn Mclennan, Norma McRae (both Australian Red Cross) David Küper (Ykip and Rotary Bali Blood Bank Project)
   Distribution	Attendees / David Magson, Ykip / Freddy Subiyanto, Chairman Rotary Bali Blood Bank Project / Prof. Dr. Sudewa, Director Bali Blood Bank

   1. Bali Blood Bank
      On two different occasions the impression was given that Australian institutions were not happy with the quality of Bali's blood transfusion services and an upgrading of the Bali blood bank was considered. Fortunately, before the meeting, the two delegates of the Australian Red Cross visited the Bali Red Cross blood bank. They returned with a favorable impression, what the building, equipment, blood screening and typing, cleanliness, know-how and motivation were concerned. There was agreement that the quality of the Bali blood bank at the Sanglah hospital is comparable to provincial blood banks in developed countries. However, the lessons learned in the aftermath of the bomb attack revealed some room for improvement, which David Küper as Technical Advisor for the Rotary Bali Blood Bank Project fully supports. The following improvements were recommended: A generator (recently Sanglah is plagued by power outages caused by additional equipment and air conditioners installed after the bomb attack); stretchers to accommodate additional donors and an ice cube machine and blue ice to transport larger numbers of blood bags in future emergencies. Already before the bomb attack there were two areas of concern, of which the Rotary Blood Bank Committee and Prof. Dr. Sudewa, the Blood Bank Director are fully aware. First, the training at the 6 satellite blood banks in various districts of Bali, which are already properly equipped, is not yet sufficient. Second, the Rotary support for the Bali blood bank is time-limited and now being reduced, after considerable investment into building and equipment. In 2002, the blood bank received only two thirds of the cross-matching reagents and blood bags that were actually required. In 2003, this will be only one third and zero in 2004. A support of the Australian Red Cross for training of the 6 blood bank satellites would bring them to the standard of developed countries. Also, increased funding of cross-matching reagents and (400ml!) blood bags would assure the continued quality of the Bali transfusion services on an international level. It would be a pity to see the Rotary efforts being jeopardized by a lak of consumables until the economy of Bali and Indonesia recovers. Eventually, the Bali blood bank must be able to stand on its own legs.
   
   
   
   2. HIV Prevention
      Efforts in HIV-prevention have been presented by David Küper from his limited angle. The Rotary Club of Bali Ubud HIV-prevention campaign in cooperation with Bob Monkhouse's YAKEBA was given as example and the campaign of the Rotary Club of Bali Nusa Dua was mentioned. The Red Cross delegates were encouraged to consider also backing NOG activities and not limit support to Government agencies with their inherent risk of seepage.

   
   David Küper / December 5, 2002

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6. Environment Sub Committees
   The group agreed on the following:
   • There is a water crisis - this will affect Bali's ability to recover.
   • Environment NGO’s should form an umbrella group to present a united front.
   • Banjar / Adat organizations need to be involved and better informed.
   • Agama Bali is a good vehicle to run environment issues.
   • ‘Green Globe’ org. should be involved in some way.
   • Political empowerment essential to progress on the environment.
   • Can funds be found to build an example of sustainable sewage and waste-water treatment in one hotel, as an example.
   • To send a letter – to Bapedal – seeking information regarding sewage laws, inspection, enforcement and who to report infringements to.
   It was also noted that a newspaper story says the National Government wants to hold a conference on sustainable development in 2003 in Bali. This was seen as a potential opportunity to influence national leaders - if we are ready.



7. Economic Recovery Sub Committees
   Attended by:
   Nick Mawdasley - UNDP
   Harry Bleckert - Bali SOS
   Monica Tanohandoro - JRKB / Suara Ibu Peduli
   Jeff Anderson - YKIP / Project Bali
   
   Focus on short term (6months). This will be the most difficult period
   1. Vocational training
   2. Poll embassies, so as to better understand what we’re up against
   3. Look into OXFAM
   4. Look into Community Recovery Program ( Made Darma Setiawan – 08123640071 )
   5. Work together with Bali Hotel Association
   6. Encourage Individual Industried to lobby specific media to promote Bali
   7. Encourage journalist that reported on bomb to return and report on recovery.


8. General Public Awarness Sub Committees
   Discussed the importance of Media for all the groups present ,to socialize activities ,help Balis recovery effort ,and as an educational tool.
   We also discussed the launching of a CLEAN AIR campaign This campaign has big benefits for the health of everyone in Bali and having no specific political, religious or other group as the beneficiaries is a potentially very unifying campaign.
   Strategies would involve a cross section of society including Government,Police,N.G.O.,Civil society ,etc. with the emphasis on Media to inform eveyone.
   A short concept paper is available on request.
   

NEXT MEETING - TUESDAY 7^TH JANUARY 6PM RADISSON