As of November 2008, the health clinic continued to be used and maintained well by women of the Family Health group in Ensem Village with limited government support. The village is trying to get the local government health office to provide a full-time doctor and medicine at the site. The conservation area remains protected, and the Ensem Environmental Group monitors the forest regularly. Their report of erosion earlier in the year resulted in a community effort to plant 5,000 tree seedlings and bring two people to justice for illegally cutting trees in the protected area.

The building has been completed, and an opening ceremony was held in December 2007. The building has two inpatient rooms, a medical supply room, exam room, admin room, emergency room, waiting room, guest room, kitchen, and two bathrooms. The building was under budget, so they used the extra funds to build a fence, a storm drain, and the kitchen, and to purchase mattresses, pillows, linens, curtains, and a flagstaff and flag. The organization running the project, BirdLife Indonesia, is moving out of the area and focusing on North Sulawesi in early 2008, but will arrange for a local leader to keep in contact with Seacology Field Representative Arnaz Mehta to provide updates.

As of October 2007 the building was 75% complete with plans for November and December to complete fencing, a storm drain, a kitchen space and to install electricity. The village is currently working with the department of health to ask that a health worker stay in the village. Both Ensem and Niampak villagers are working with the forestry department on a national forest rehabilitation project as well as with a conservation group to develop a long term plan with the local government for future growth and management of the protected areas and the communities’ needs for economic well-being.