Our previous medical records study in Yogyakarta, Indonesia [3] found that 3 years event-free survival (EFS) of pediatric patients with ALL was 20%. Causes of treatment failure were: treatment abandonment (35%), treatment-related death (23%), and progressive or relapsed leukemia (22%) [3]. Significant differences in EFS-rates existed between poor and prosperous patients and between patients with different levels of parental education. Poor families received less individualized attention and information from oncologists. Most poor patients could not afford treatment and access to donated chemotherapy was inadequate [3]. To improve compliance, decrease abandonment and subsequently improve the survival rate, a program was instituted in January 2004 at Dr. Sardjito Hospital, Yogyakarta. It consisted of a structured parental education program and donation of chemotherapy for all new pediatric patients with ALL.