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Supporting evidence · Indicator 8 of 13

08Environmental Benefits

The programme's environmental benefit takes the form of journeys that are not made: services come to the village, and clinical meetings are held remotely. The figures below are estimates derived from recorded activities, not emission measurements. The self-assessment scores for this aspect are deliberately low.

3 of 4 items open without an account Report figures as of 21 September 2026 JEJAK figures calculated when opened

Evidence items

Copied as they are from the indicator's evidence list. Click an item to go straight to its card; each card's address can be copied from the link at its foot.

  1. 8.1 Telehealth documentation Partly open
  2. 8.2 Data/evidence of reduced travel Partly open
  3. 8.3 Documentation of environment-related disease control Partly open
  4. 8.4 Evidence of clean water and sanitation at programme sites Restricted

Self-assessment of the environmental aspect

A 1 to 5 scale from the programme report, shown per item without averaging.

Fewer patient and referral journeys 2/5
Control of environment-related communicable diseases 2/5
Promotion of basic sanitation 1/5

Evidence per item

8.1

Telehealth documentation

Partly open

Telehealth is listed as a process indicator in the technical guidelines: remote consultation between facilities and with other health workers. The practice ran for years before a module for it existed, and its trail is in the logbook: students placed across scattered clinics and hospitals discuss real patient cases with preceptors and consultants in online meetings, and they themselves recorded the location as Zoom, Google Meet, or Daring (online) at the time.

Evidence

From the JEJAK logbook Remote meetings recorded in JEJAK

106attendances at case discussions held online
25students recorded them
136different places where in-person case discussions were held

Counted from the location field in the logbook, filled in by participants themselves at the time: rows whose location was written as Zoom, Google Meet, Daring (online), or Online. The records run from 28 Aug 2023 to 4 Nov 2026. For comparison: 460 attendances at in-person case discussions were spread across 136 different places — the distance that need not be travelled when the session is held remotely.

JEJAK's dedicated modules have not yet added anything to the figures above: scheduled Case-Based Discussion 181 sessions and remote Clinical Consultation 0 consultations, both opened only in September 2026. Their counters are kept here so they fill in on their own once the modules are used.

Context — not evidence for this claim

What is not yet available. What is recorded are case discussions between students and their supervisors, not remote patient consultations; the patients do not take part in those meetings. The meetings themselves take place on channels outside JEJAK, so only the location typed by participants is stored, not links or recordings. JEJAK's scheduled Case-Based Discussion and Clinical Consultation modules opened only in September 2026 and are not yet in use, and village doctors' consultations with Puskesmas happen outside JEJAK.

8.2

Data/evidence of reduced travel

Partly open

Journeys are avoided from two directions. Services are held where residents are — village doctor home visits, Posyandu, Posbindu, Prolanis — and academic meetings are held online, so students scattered across teaching sites do not need to gather. Only the journeys that truly disappear are counted, net of two deductions shown openly in the table: only some participants would actually have travelled had the activity not been held that way, and the journeys made by staff in their place are subtracted. Longcase home visits therefore count as zero — the journey moves to the student rather than disappearing.

Evidence

Estimate from JEJAK data Estimated travel and emissions avoided

Activity groupPresent without travellingShare who would actually travel (assumption)Staff journeysNet journeys
Village doctor home visits
One visit reaches several people in the same or neighbouring houses		 1,107 80%
Those visited are residents with complaints or conditions that need follow-up		 286 600
12 km return → 7,200 km
Community-site services — Posyandu
369 activities held in villages		 13,790 30%
Most toddler weighing would be skipped, not moved to another facility		 369 3,768
12 km return → 45,216 km
Community-site services — Posbindu
153 activities held in villages		 11,080 30%
Risk-factor screening; most would not come to a facility on their own		 153 3,171
12 km return → 38,052 km
Community-site services — Prolanis
60 activities held in villages		 3,135 80%
Participants with chronic disease have routine check-ups scheduled at a facility		 60 2,448
12 km return → 29,376 km
Remote clinical case discussions
Case-based discussions, case referats, and long cases held online; 25 students		 106 60%
Some participants are already at the teaching site where they are placed; travel by preceptors and consultants is not counted at all		 0 64
20 km return → 1,280 km
Online tutorials and expert sessions
Tutorials, expert sessions, and academic supervision without gathering participants in one room; 88 students		 350 50%
Some sessions fall on lecture days that would be attended anyway		 0 175
20 km return → 3,500 km
Online examinations and assessments
Assessments run remotely; 28 students		 104 50%
Some examinations fall on lecture days that would be attended anyway		 0 52
20 km return → 1,040 km
Longcase home visits
Deliberately zero: the journey moves rather than disappears. The benefit is residents' time (item 7.1)		 2,868 100%
The patient does need to be examined, but the journey moves to the student and preceptor		 2,868 0
12 km return → 0 km
Journeys that genuinely were not made 10,278
125,664 km
Distance scenarioTotal distanceFuel not burnedEmissions avoided
Conservative
Half of the assumed distance		 62,832 km 1,571 litres 3,629 kg CO₂
Central
Distances as written in the table above		 125,664 km 3,142 litres 7,257 kg CO₂
Upper
Twice those distances; remote villages and teaching sites		 251,328 km 6,283 litres 14,514 kg CO₂

In short: 10,278 return journeys were not made, about 125,664 kilometres, which in the central scenario equals 7,257 kg CO₂ not released. Basis of calculation: a motorcycle doing 40 km per litre and the IPCC 2006 default emission factor for petrol, 2.31 kg CO₂ per litre — equal to 58 grams of CO₂ per kilometre. Return distances are assumed to be 12 km for residents travelling to the nearest facility and 20 km for students travelling to campus or to wherever a session is held. This figure moves with JEJAK data.

Context — not evidence for this claim

JEJAK today Field activities by type of service

Type of serviceTarget group according to the programme reportActivitiesParticipants recorded
Integrated health post (Posyandu) Pregnant women, infants, and toddlers (maternal and child health, family planning, nutrition) 369 13,790
NCD screening post (Posbindu) Adults and older people — screening for non-communicable diseases 153 11,080
Chronic disease management (Prolanis) People with hypertension and diabetes mellitus 60 3,135
Home visit Special cases: high-risk pregnant women, people with severe mental illness, older people 286 1,107
Health education The general public and adolescents 307 14,574
Outpatient care Clinic services in the village, Poskesdes, and Posyandu 939 13,923

Participants are summed per activity and not yet deduplicated across activities. The breakdown per location is in the field activity summary.

Social media What travel distances look like in focus villages — 1 post

The top five are chosen from different villages (the largest target group per village); the rest are in date order. Post titles are shown in their original Indonesian.

What is not yet available. Two things are still assumptions, not data: the return distance for each group (village-to-facility and student-to-session distances are not recorded in JEJAK, so one figure per group is used with three scaling scenarios) and the share of participants who would actually have travelled. Online activities that do not replace travel — self-study, reflection, goal setting — are deliberately not counted. Emissions are calculated, not measured.

8.3

Documentation of environment-related disease control

Partly open

Documentation of climate-ready village activities and clean and healthy living behaviour in focus villages and partner villages.

Evidence

Social media Village doctors' posts — 4 posts

The top five are chosen from different villages (the largest target group per village); the rest are in date order. Post titles are shown in their original Indonesian.

Community Project Community Projects on clean and healthy living — 6 activities

  • Report CERIA (Cegah Diare dengan Perilaku Hidup Bersih dan Sehat) Klinik Madani Pratama Tasikmalaya · 30 May 2026 · Report
  • Report GEBRAK (Gerakan Bersama Berantas Jentik) Klinik Taruma · 30 May 2026 · Report · Video
  • Report Operasi Jentik Gandok 2 - Kelompok 6.3 Klinik Avicenna · 5 Dec 2025 · Report · Video
  • Report Escape Room: Kabur dari Kuman Jahat Edukasi Perilaku Hidup Bersih dan Sehat Guna Menghindari Demam Tifoid Klinik Pratama Az-Ziva · 5 Dec 2025 · Report
  • Report HEBAT (Hidup Bersih dan Sehat dengan Mencuci Tangan) (Wahana tidak disebutkan) · 19 Dec 2024 · Report
  • Report CERIA: CEGAH DAN ERADIKASI PAROTITIS BERSAMA DOKTER KECIL MELALUI PRAKTIK PERILAKU HIDUP BERSIH DAN SEHAT (PHBS) (Wahana tidak disebutkan) · 13 Dec 2024 · Report · Video

What is not yet available. The impact on environment-related diseases has not been measured.

8.4

Evidence of clean water and sanitation at programme sites

Restricted

The technical guidelines require village doctors' housing to have access to clean water and decent sanitation. Clean water and sanitation conditions in the focus villages themselves are not yet recorded.

Evidence

  • Kept separately Technical Guidelines of the West Java Provincial Village Doctor Program — standards for village doctors' housing A supporting document from the programme document archive (Appendix C of the programme report), not yet published here.

What is not yet available. Clean water and sanitation conditions in focus villages have not been measured; the self-assessment score for promoting basic sanitation is 1 out of 5.