PROPOSAL

2021
PROGRAM PROPOSAL
Ambulance Safety Mobile
For Covid-19 patients

Delivered to:
PT. Bumi Resources Tbk

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 Organization Profile

Name of the Organization

Concerned with humanitarian tragedy that took place between
1997 to 1999, a group of young people took social actions to give
Legal Formal
hope to this country. Following their action along with the
awareness of philanthropy potential in Indonesia and to optimize The Human Initiative is a National
under privileged community to be empowered, the PKPU Humanitarian Agency legitimized as follow:
Foundation was established in December 10, 1999. On October 8,
PKPU was established as the National Amil Zakat Agency Decree of the MORA of the Republic of
(LAZNAS) based on the Decree of the Minister of Religious Indonesia: 041/2001
Affairs No. 441.

On July 22, 2008, the PKPU was registered as an NEGO with

“Special Consultative Status with the Economic Social Council”. Decree of the : No.
On January 29, the PKPU was officially registered as a National MOSA of the 08/HUK/2010
Social Organization based on the Ministry of the Republic of Republic of
United Nations : NGO in Special
Indonesia No. 08/Huk/2010, and on October 8, 2010 it was Indonesia Consultative Status
registered with the registration number EuropeAid ID No. 2010- with the Economic
CSD-1203198618. After a spin off in the beginning of 2016, the Social Council in
PKPU has focused on managing humanitarian fund, and by the August 2008
end of 2016, it changed its name to the PKPU Human Initiative.
On its 20th anniversary in 2019, it changed its name to the
Human Initiative. This name stays until today. ISO : Management
9001 System 2018

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Program Work Area
To achieve its vision and mission to be able to “Present
Solution Show Care”, we focus on four work area covering
the economy, health, education and emergency response.
Geography Work Area
The Human Initiative headquarter is domiciled in
Jakarta and it has its branches in several big cities in
Indonesia and offshore:
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 1. Project Title
Title Safety Mobile for Covid-19 patients

Target of Beneficiaries Employee of PT Bumi Resources Tbk

Location Jabodetabek
Duration 3 months

Amount Proposed 3,000,000

2. Program Description

Human Initiative has taken the initiative to play a role in preventing the transmission of diseases caused
by the COVID-19 virus, one of which is through the procurement of an ambulance for Covid-19 patients needing
to be isolated in an independent isolation area managed by the government called Safety Mobile.
Safety Mobile can operate every day equipped with standard medical equipment needed by patients such
as oxygen cylinders. Special officers are ready constantly to receive calls for community needs for pickup to the
patient's house and delivery to the intended self-isolation location.
To prevent the increasing of Covid-19 cases, predicted by Indonesian Government after Christmas
and NYE holiday season. Human Initiative is offering a safety mobile service to PT Bumi Resources Tbk

3. Target of the Project

Target Group Criteria

Employee of PT Bumi 1. 24-Hour Emergency Call Service
Resources Tbk 2. Service in Jabodetabek
3. Patients fill the following data
4. Patients provide a soft file document required for the
service: PCR test result or antigen test showing a positive
result, ID card, and Family Card

4. Risk Management

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 Risk Probability Potential impact Steps to manage risk
Risk of transmission from High Transmission from the Full PPE and the presence of a
the patients to the patients to the ambulance barrier between the ambulance
ambulance staff staff staff and the patient.
Facilities and High Oxygen supply runs out Check oxygen supply regularly
infrastructure are not on the way and have additional supply ready
adequate

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 4. Goal Framework
Safety Mobile Program

GOAL Covid-19 affected employee has access to Safety Mobile services

OUTCOME Prevention of transmission in high risk groups & people in general

OUTPUT Availability of vehicles to take Covid-19 patients to isolation shelter

Covid-19 patients of PT Bumi Resources Tbk get access for help to be taken to hospital or
isolation shelter

Figure 1. Result Framework of Safety Mobile Program

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 5. Program Budget

No. Description Total Frek Unit cost Sub Total Total

1 Program Execution 2,200,000

Mobilization Cost 1 Package 1 Times 350,000 350,000
Driver Fee 1 Person 1 Times 200,000 200,000
Volunteer Fee 1 Person 1 Times 150,000 150,000
Mobile Doctor 1 Person 1 Times 500,000 500,000
Nurse 1 Person 1 Times 300,000 300,000
PPE 1 Package 1 Times 350,000 350,000
Ambulance Medical Equipment 1 Package 1 Times 350,000 350,000
2 Program Operational 800,000
Project officer 1 Person 1 Times 500,000 500,000
Management Fee 1 Package 1 Times 300,000 300,000
Total 3,000,000

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 6 Monitoring &
Reporting
Project monitoring and evaluation process with different programs in terms of scopes of work but
intersecting Project monitoring and evaluation are done based on the scope of work of the project
management, viz. fund, time and scope

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 7 Closing
Herewith we submit our proposal of collaboration and we are eager to follow-up any
discussion. Human Initiative is open for collaboration for other programs other than the above
specified. We thank you for the time and attention given.

Jakarta,

Andjar Radite
Vice President of Operations Human Initiative
Contact Person: Annisa Zulhaida (+62 898-0865-504)

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Lampiran 1

Logical Framework Program

  TUJUAN (GOAL)      
  Covid-19 affected employee has access to Safety Mobile services
  HASIL (OUTCOME)  Indikator MoV Asumsi
Prevention of transmission in high 100% of the target group gets the fulfillment of 1. Program The vehicle operating
risk groups & people in general health assistance needs in the form of documentation permit has been approved.
1
delivering Covid-19 patients with mobile 2. Final report
safety
  KELUARAN (OUTPUT)      
1.1 Availability of vehicles to take 1 mobile safety unit that can be used to deliver 1. Procurement The vehicle operating
Covid-19 patients to isolation shelter Covid-19 patients Documents permit has been approved.

1.2 Availability of Emergency Call Covid-19 patients PT Bumi Resources Tbk get 1. Beneficiary data The vehicle operating
Services for Covid-19 Patients PT access to assistance to be taken to the nearest 2. Activity permit has been approved.
Bumi Resources Tbk hospital or isolation shelter documentation