Community Health Centres

Groups of community health volunteers (kaders) work together with the local health department to deliver health messages on nutrition, hygiene and sanitation to their neighbours, focusing on at-risk households. They are our frontline, receiving ongoing training and support from SurfAid staff.

Community Health Clinics are an integral part of all our Mother and Child Health programs.


Our practical support is to ensure all materials are available to monitor the health of mothers and children: weighing scales, measuring tapes, books to write the measurements in, materials for teaching … And of course clean water, seeds and equipment for nutrition gardens, plus treated malaria nets.

Indonesia has a system where the health of mothers and children under five is monitored by health volunteers (kader) supported by the local health department. This happens once a month during the community based health care service (Posyandu) in the community.

We provide training and support for community members in the following areas:

Practical Support

Basic hygiene

A 42%-47% reduction in diarrhoea can occur when handwashing with soap and water is introduced into a community. (Source)

Antenatal care

Knowledge about healthy pregnancy, pregnancy complications, safe birth and taking care of the newborn can reduce maternal mortality.

Recognising diseases

Pneumonia and diarrhoea are the two leading causes of death among children under five. Early recognition and help-seeking can prevent deaths. (Source)


Immediate and exclusive breastfeeding is the best source of nutrition for newborns, reduces the incidence and severity of infectious diseases, provides physical warmth and reinforces the immune system.

Clean birthing

Knowledge of infections and what causes them is very low, and women often give birth without trained assistance, and at times alone. We train traditional birth attendants, or midwives, and strive to ensure that they are available in remote communities.

Birth spacing

When births are spaced 2½ to three years apart there is less risk of infant death, lower risk of the baby being underweight, less risk of bleeding in pregnancy, and less risk of maternal death. Birth spacing can reduce infant mortality by up to 20%.