Turning great ideas into healthier communities


The Partnership of PT Dewhirst, Yayasan Kusuma Buana, Marks & Spencer, and Medika Pratama

2009 | Download

Working Together to Improve the Health of Workers, Their Families, and the Community in Indonesia

Indonesia has experienced significant improvements in its health system over the last thirty years, but, according to the World Bank, “is unlikely to achieve several of its health-related MDGs.” Significant challenges include the maternal death rate, which remains one of the highest in East Asia; child malnutrition rates that have changed little since 2000, even increasing in some areas despite dramatic declines in infant and child mortality; low female literacy; limited access to clean water and sanitation among the poor; geographic health disparities; and poor access to skilled health care, especially in remote rural areas.

In 2003, the UK-owned clothing manufacturer PT Dewhirst (PTD) and the Indonesian health organization Yayasan Kusuma Buana (YKB) established a clinic in Bandung Indonesia to improve worker and community health. Started with seed money provided by Marks and Spencer (M&S), the sole customer of PTD, the clinic reached the breakeven point within two years and continues to be self-sustaining.

As of 2008, the clinic was serving over 7,400 workers, family members, and individuals from nearby communities. Key factors in this success include how PTD implements the government-mandated health insurance for its workers, and the quality of YKB services, as well as the willingness of the private health insurance company used by PTD, Medika Pratama (MP), to cover health education. 

The company partner has experienced reduced absenteeism and labor turnover, increased production, and improved health among its workers. The NGO partner is expanding the range of services it offers, most recently adding TB treatment, and plans additional high-quality services. Both partners are committed to helping others replicate their approach to ensuring sustainable health care for workers and communities in Indonesia.

Learn more about the partnership and its impacts.


This is one in a series of case studies based on presentations by partners at sessions of the Health and Business Roundtable Indonesia (HBRI). HBRI is an activity of Company-Community Partnerships for Health in Indonesia (CCPHI), a project led by the Public Health Institute, implemented in partnership with The Fund for Peace, and funded by the Ford Foundation. This study is based on presentations by Debby Sanderson, PTD factory manager, and Dr. Adi Sasongko, Medical Director of YKB, at the 1st HBRI Session. Dr. Alene Gelbard, CCPHI project director, prepared the study in consultation with the presenters and Muriel Johnson, former M&S compliance manager.