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A Rights-based Strategy for Accelerating Access to Integrated Family Planning and Reproductive Health Services to Achieve Indonesia’s Development Goals

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A Rights-based Strategy for Accelerating Access to Integrated Family Planning and Reproductive Health

Services to Achieve Indonesia’s Development Goals

INDONESIA

A Rights-based Strategy for Accelerating Access to Integrated Family Planning and Reproductive Health

Services to Achieve Indonesia’s Development Goals

Developed by the Family Planning Strategy Working Group, with inputs from theRights and Empowerment Working Group, and technical assistance from UNFPA

2 A Rights-based Strategy for Accelerating Access to Integrated Family Planning and Reproductive Health Services to Achieve Indonesia’s Development Goals

FoRewoRD

The Family Planning program in Indonesia has been promoted as a success story. Prior to the introduction of the family planning programme in the 1970s, the total fertility rate (TFR) was 5.6. Over the subsequent period, the adoption of family planning services and changes in people’s perceptions regarding the ideal number of children and ideal age for marriage caused a dramatic decline in fertility levels. During this period, the contraceptive prevalence increased to 61.9 percent. However, progress has stalled over the last two decades.

The London Summit on Family Planning was held in 2012 to revitalize family planning commitments by countries to addressing unmet need for contraception. As a follow up of FP2020 Summit and its commitment, an FP2020 Country Committee was established in Indonesia. The Committee is co-chaired by BKKBN, UNFPA and formerly USAID, which has been more recently replaced by Canada. A working group on Rights-Based Family Planning Strategy and a working group on Rights and Empowerment were established to develop the rights based family planning strategy.

The strategy provides a rights based programming framework and an operational strategy in alignment to the National Medium Term Development Plan (Rencana Pembangunan Nasional Jangka Menengah/RPJMN). It should serve as an operational guide for all stakeholders in Indonesia for implementation of the family planning programme. The effort to develop the strategy was led by the National Planning Agency, involving the National Population and Family Planning Agency (BKKBN) and Ministry of Health, as well as various other related institutions.

The family planning programme efforts under the RPJMN are linked to government strategic directions, in which the Ministry of Health and BKKBN are the two main lead institutions. These efforts are based on the following principles: access to quality services, equity in access that ensures the needs of vulnerable population are met, transparency and accountability, and gender and cultural sensitivity.

This strategy document aims to comprehensively address the various facets and determinants of the family planning programme, and provides details of the priorities and steps involved for timely and effective implementation of the programme to achieve its goals. The document outlines four strategic areas of focus: sustaining equitable and high-quality family planning service delivery in public and private sectors; increasing demand for modern methods of contraception; enhancing stewardship at all levels and strengthened enabling environment for effective, equitable and sustainable family planning programming, and supporting innovations and operations research for improving efficiency and effectiveness of programmes through South-South Cooperation. The rights-based approach used in this strategy means that the strategic steps described in the document aim to ensure that human rights principles are met; thus providing the necessary access to family planning and reproductive health services and information for a healthy and safe reproductive life.


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Finally, we hope that this strategic framework on family planning can be used as a reference to guide the assurance of quality, stewardship and demand creation for rights based family planning in Indonesia, as well as fulfill the commitments made by the Government at the FP2020 Summit and consistent with the Sustainable Development Goals as well as aspirations for universal health coverage.

dr Surya Chandra Surapaty, MPH, Ph.DChairperson,

National Family Planning Coordinating Board (BKKBN)

Dr. Ir. Subandi, MScDeputy Minister for Human and Societal Development and Cultural Affairs,

Ministry of National Development Planning (Bappenas)

dr. Anung Sugihantono, M.KesDirector General of Community Health,

Ministry of Health

Dr. Annette Sachs RobertsonRepresentative,

United Nations Population Fund (UNFPA) Indonesia

Sharon Armstrong,Director/Counsellor (Development) for Indonesia and ASEAN,

Embassy of Canada


TAble oF ConTenTSForeword 2

1. Background 51.1 Introduction 5 1.2 Context 91.3 Issues related to human resources the family planning programme 161.4 Contraceptive Commodity Security

2. Rationale for revitalizing the family planning programme 182.1 Summary points 182.2 Basis for consideration 19

3. A rights-based strategy for accelerating access to integrated family planning and reproductive health services to achieve Indonesia’s development goals 22

3.1 Vision 223.2 Goal 223.3 Objective 223.4 Definition of family planning 233.5 Target group 233.6 Objective of strategy 233.7 Strategic outcomes 233.8 Demographic and geographic focus 243.9 Alignment with national strategies and action plans 24

3.9.1 Areas of alignment with the RPJMN strategic issues 243.9.2 Areas of alignment with the BKKBN strategic plan for 2015-2019 263.9.3 Area of alignment with MoH family planning action plan 2014-2015 26

3.10 Guiding principles 273.11 Outputs and activities 313.12 Proposed indicators 42

4. Costing of The Rights-based Strategy for Accelerating Access to Integrated Family Planning and Reproductive Health Services to Achieve Indonesia’s Development Goals 47

4.1 Methodology, Assumptions and Sources 474.2. Contraceptive commodity 474.3. Result 52

Annex 55Activities and sub-activities 55


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1. bACkGRounD1.1. Introduction

Indonesia is a signatory to the global development agenda of 2000 (Millennium Development Goals (MDGs) and Sustainable Development Goals (SDGs). The Rights-Based Family Planning Strategy was developed during the era of MDGs.

Family planning indicators are included in Goal 5b on achieving universal access to reproductive health by 2015. This goal consists of indicators such as the contraceptive prevalence rate (CPR), adolescent fertility rate, and unmet need for family planning. In 2015, the MDGs came to an end and the overall achievement of the MDG 5 targets in Indonesia was not satisfactory. Progress towards reducing maternal mortality, unmet need, and increasing CPR, has become stagnant over the past decade. Additionally, there have been significant geographical, rural/urban, and wealth index disparities within these indicators.

Since 2000, the implementation of the family planning program has been further challenged by decentralization, which changed the direct line of authority to the district rather than the central government. The need to revitalize the family planning programme in order to increase its effectiveness and efficiency in meeting women’s reproductive needs has been long recognized. In this regard, the National Population and Family Planning Board (BKKBN)—the lead agency for family planning—has initiated several efforts to revitalize the family planning program, among others by implementing the KB Kencana initiative. The initiatives aim to improve the mangement of population and family planning programs at the district and municipality levels by establishing a model for comprehensive management.

In 2012, Family Planning 2020 (FP2020), a global partnership on family planning was launched. FP2020 aims to support the rights of women and girls to decide, freely, and for themselves, whether, when, and how many children they want to have. FP2020 is working with governments, civil society, multi-lateral organizations, donors, the private sector, and the research and development community to enable 120 million more women and girls to use contraceptives by 2020.

In line with the global as well as national commitments, including the 2015-2019 National Medium Term Development Plan, two working groups were established under the FP 2020 Country Committee: (a) the Family Planning Strategy working group and (b) Rights and Empowerment working group. The primary purpose of establishing the working groups was to ensure that the national FP strategy and program is grounded in rights-based approaches, and that its implementation ensures the right of every woman to choose a family planning method that meets her fertility goals. The working group on the FP strategy specifically aimed to develop a framework for a rights-based national FP strategy, building on current policies and strategies. The main role of the Rights and Empowerment working group is to ensure that the strategy is right-based by overcoming barriers by identifying barriers, issues and opportunities to family planning programme. The group also has responsibility for monitoring the implementation of the strategy to ensure that rights are not violated.

The strategy was being developed in parallel with the preparation of the National Medium Term Development Plan for 2015-2019. The strategy will serve as a reference and


provide guidance for different programmes and sectors, as well as non-governmental organizations and the private sector, in contributing their efforts to implement the family planning programme in Indonesia. The strategy focuses on inter-sectoral and inter-program coordination. In developing the strategy, representatives from various sectors and professional organizations, as well as experts and academicians, were involved.

The rights-based strategy is an operational strategy that is built on the priorities of the 2015-2019 National Medium Term Development Plan (Rencana Pembangunan Jangka Menengah Nasional/RPJMN) and the elaboration of the document takes into account rights-based principles.

The family planning program has contributed in improving the quality of life of individuals. The family planning program efforts under RPJMN are linked to government strategic directions, in which the Ministry of Health and BKKBN are the two main lead institutions. These efforts are based on the following principles: access to quality services, equity in access that ensures the needs of vulnerable population are met, transparency and accountability, and gender and cultural sensitivity. Five inter-sectoral efforts in the family planning program that are part of the RPJMN include: 1. Improving family planning services.2. Strengthening advocacy and behavioural change communication.3. Strengthening family planning information and counselling/services for young people.4. Family development.5. Management (data and information, review, research, review, regulation and

institutionalisation).

The rights-based family planning strategy is a further elaboration of the family planning program efforts in the RPJMN. The strategy is focused on protecting the rights of individuals, both women and men, to voluntarily family planning services.

The Rights-based Approach:The rights-based approach used in this strategy means that the strategic steps

described in this document aims to ensure that human rights principles are met; thus providing the necessary access to family planning and reproductive health services and information for a healthy and safe reproductive life.

The guiding principles of the rights-based strategy include the following: 1. The right to access family planning information and the highest standards of care2. Equity in access3. Health system approach applicable to private and public sector:

• Integrationoffamilyplanningincontinuumofcareacrossthereproductivecycle.• Ethicalandprofessionalstandardsindeliveryoffamilyplanningservices.

4. Evidence-based programming 5. Transparency and accountability6. Gender sensitive services7. Cultural sensitivity8. Partnership

The four strategic outcomes of the rights-based family planning strategy are:1. Strategic outcome 1: Equitable and high-quality family planning service delivery system


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sustained in public and private sectors to enable all citizens to meet their reproductive goals

2. Strategic outcome 2: Increased demand for modern methods of contraception met with sustained use

3. Strategic outcome 3: Enhanced stewardship /governance at all levels and strengthened enabling environment for effective, equitable and sustainable family planning programming in the public and private sectors to enable all citizens to meet their reproductive goals

4. Strategic outcome 4: Fostered and applied innovations and operations research for improving efficiency and effectiveness of programmes and for sharing through South-South Cooperation

The strategic outcomes are built on the RPJMN strategic areas. The rights-based FP strategy activities, outputs and outcomes integrate human rights principles and public health-based approaches that are critical in achieving results for demographic goals. The relationship between RPJMN and the Rights-based Family Planning Strategy can be seen in Figures 1 and 2.

Figure 1: The relationship between the RPJMN and the Rights-based Family Planning Strategy

8 BASIC PUBLIC HEALTH RIGHTS:1. The right to access family planning

information and the highest standards of care

2. Equity in access3. Sistem Kesehatan terintegrasi4. Evidence-based programming5. Transparancy and accountability6. Gender-sensitive services7. Cultural sensitivity8. Partnership

RPJMN - FP POLICY DIRECTION:1. Improving family planning services2. Strengthening advocacy and

behavioural change communication3. Strengthening family planning

information and counseling/services for young people

4. Family development5. Management data and information,

research, review, regulation and institutionalization

RPJMN - HEALTH POLICY DIRECTION:1. Maternal, child, adolescent, and

geniatric health services Action Plan

RPJM

N

RIGHTS-BASED FP STRATEGYStrategic outcome 1:Equitable and quality family planning service delivery system sustained in public and private sectors to enable all to meet their reproductive goals.

Strategic outcome 2:Increased demand for modern methods of contraception met with sustained use.

Strategic outcome 3:Enhanced stewardship/governance at all levels and strengthened enabling environment for effective, equitable and sustainable family planning programming in public and private sector to enable all to meet their reproductive goals.

Strategic outcome 4:Fostered and applied innovations and evidence for improving efficiency and effectiveness of programmes and for sharing through South-South Cooperation

OUTPUTS, ACTIVITIES, SUB-ACTIVITIES


Figure 2

Medium Term Development Plan (RPJMN) 2015-2019Family planning and reproductive health

Improvement in FP services

Strategic outcome 1: An equitable and high-quality FP service delivery system sustained in public and private sectors to enable all to meet their reproductive goals

Output 1.1: Increased availability of FP services, with improved and equitable access in the public sector, to enable all to meet their reproductive goalsOutput 1.2: Private sector resources harnessed for equitable access to quality FP services, with attention to client rightsOutput 1.3: Improved contraceptive commodity security system Output 1.4: Improved capacity of human resources to deliver quality FP servicesOutput 1.5: Strengthened management information system ensuring quality, completeness and alignment integration with the health systemOutput 1.6: Improved quality of FP services with attention to client rights and integration of services across the continuum of the reproductive cycle.

Output 2.1: Increased availability of a comprehensive BCC strategy Output 2.2: Increased involvement of health workers, women’s groups and religious leaders in mobilizing support for FP and addressing barriers to FP, as well as the issue of equityOutput 2.3: Increase community’s knowledge and understanding about family planning program

Output 3.1: Enhanced capacity for stewardship within and between sectors at BKKBN at the central and provincial levels for efficient and sustainable programmingOutput 3.2: Strengthened coordination with MoH at the central, provincial and district levels to strengthen the health system’s contribution to FP at appropriate points in the reproductive cycle Output 3.3: Enhanced leadership and capacity of the SKPD KB Directors and District Health Managers to effectively manage the FP programmeOutput 3.4: Enhanced capacity for evidence-based advocacy at all levels of Government and the community, focusing on the centrality of FP in achieving development goals, for increased visibility of FP programmes and leveraging resourcesOutput 3.5: Strengthened capacity for evidence-based policies that improve the effectiveness of the FP programme while ensuring equity and sustainability Output 3.6: Functional accountability systems in place that involve civil society

GUIDING PRINCIPLES - Human rights approach and public health approach

Output 4.1: Best practices and models available for promoting South-South CooperationOutput 4.2: Operations research for improving efficiency and effectiveness of FP programmes are applied, evaluated and scaled up as indicated

Strategic outcome 2: Increased demand for modern methods of contraception met, with sustained use

Strategic outcome 3: Enhanced stewardship/governance at all levels and a strengthened enabling environment for effective, equitable and sustainable FP programming in the public and private sectors to enable all to meet their reproductive goals

Strategic outcome 4: Innovations and operations research fostered and applied to improve the efficiency and effectiveness of programmes, and for sharing through

Strengthening information and counselling services to young people

Family developmentManagementAdvocacy and BCC


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1.2 Context1.2.1 Fertility and Contraceptive Use

Indonesia has gone through a demographic transition, signified by a decline in fertility and mortality rates. Prior to the introduction of the family planning program in Indonesia in the late 1960s, the total fertility rate (TFR) was 5.6. Over the subsequent period, the adoption of contraception along with changes in people’s perceptions regarding the ideal number of children and ideal age for marriage caused a dramatic decline in fertility levels. During this period, the TFR decreased by approximately 50% from 5.6 births per woman in 1968 to 2.6 in 2012.

In 2012, the national CPR showed a rate of 61.9 percent for all methods, a rate that has remained relatively stagnant over the past two decades. In fact, some provinces have even experienced a decrease in contraceptive use.

Figure 3. Trends in the Total Fertility Rate and Contraceptive Use in Indonesia, 1964-2012

Source: Population Census 1980, 2000; Indonesian Demographic and Health Surveys 1991, 1994, 1997, 1997, 2002/3, 2007, 2012

Between 1991 and 2012, CPR increased from 49% to 62%. During this period, there was a major shift in the contraceptive method mix, with a dramatic increase in the proportion of women using injectables and a decrease in the use of long-acting methods such as IUDs and implants. The use of permanent methods such as sterilization (male and female) remains low, as is case with condoms. Besides modern methods, traditional methods were used by around 4 percent of currently married women in 2012 (Figure 4).


Figure 4. Contraceptive method mix among currently married women 15-49 years in Indonesia, 1991 to 2012

Source: Indonesian Demographic and Health Surveys 1991, 1994, 1997, 1997, 2002/3, 2007, 2012

Figure 5 shows age-specific use of contraceptive methods. The contraceptive use does not change significantly over the span of 20 years, with only a slight increase in the 25-29 and 40-44 age groups. The use of injectables increased in every age group, while the use of other contraceptive methods decreased.


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Figure 5. Contraceptive use by age group

Source: Indonesian Demographic and Health Survey 1997, 2002/03, 2007, 2012



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Figure 6: Method mix among currently married women aged 30-49 years

Source: Indonesia Demographic and Health Survey 2002/3, 2007, 2012

Figure 6 shows that even among older women who may have completed their reproductive goals and want to limit the number of children, the use of short-acting contraceptive methods such as pills and injectables are still high. The finding is further confirmed by Figure 7, which demonstrates a high proportion of women aged 30-49 years who do not want to have any more children, but among whom very few are using a long-acting or permanent method of contraception.

Figure 7: Use of long-acting (LA) and permanent methods (PM) among currently married women aged 30-49 years who do not want any more children

Source: Source: Indonesia Demographic and Health Survey 2002/3, 2007, 2012

The 2012 Indonesian Demographic and Health Survey (IDHS) reported a total contraceptive discontinuation rate of 27%, with the highest rates for short-acting methods (pills: 41%; male condoms: 31%; and injectables: 25%). An analysis of Demographic and Health Survey data from several countries, including Indonesia, on contraceptive failure rates and abortions showed that the proportion of unintended live births/pregnancies in Indonesia was 19.8%, predominantly due to non-use of contraceptives, followed by use of short-acting methods. The analysis also showed that 15.8% of unintended pregnancies in Indonesia could be avoided by switching to long-acting or permanent methods of


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contraception. In addition to the cost-saving benefits to the family planning programme, the potential to avoid unwanted births or unwanted pregnancies ending in abortions is a key consideration.

On the providers’ side, there have been notable shifts concerning sources of modern methods of contraception. Over the years, reliance on private medical providers as suppliers of contraceptive needs has increased. While data from the 1997 IDHS indicated that the share of government and private medical providers of contraceptive services was virtually equal (43% and 40%), by 2012 the share of private medical providers had sharply increased to 73% as the government share fell to 22%.

1.2.2 Unmet need

In 2012, eleven percent of currently married women who either did not want to have any more children or wanted to delay pregnancy were not using any contraceptive method. A wide variation of unmet need for family planning was found among the provinces. The lowest rate of unmet need was found in Central Kalimantan (Kalimantan Tengah), at 7.6 %, and the highest in Papua, at 23.8 %.

Figure 8: Family Planning unmet need by province in 2012

Source: Indonesian Demographic and Health Survey 2007

12 A rights-based strategy for accelerating access to family planning services to achieve Indonesia’s development goals

On the providers’ side, there were further notable shifts concerning sources of modern methods of contraception. Over the years, reliance on private medical providers as suppliers of contraceptive needs has increased. While data from the 1997 IDHS indicated that the share of government and private medical providers of contraceptive services was virtually equal (43% and 40%), by 2012 the share of private medical providers had sharply increased to 73 percent as the government share fell to 22 percent.

1.2.3 Unmet needIn 2012, eleven percent of currently married women who either did not want to have

any more children or wanted to delay pregnancy were not using any contraceptive method. A wide variation of unmet need for family planning was found among the provinces. The lowest rate of unmet need was found in Central Kalimantan (Kalimantan Tengah), at 7.6 %, and the highest in Papua, at 23.8 %.

Figure 9: Family Planning unmet need by province in 2012

Source: Indonesian Demographic and Health Survey 2012

Figure 10 shows the contraceptive prevalence (all methods), unmet need and proportion of demand satisfied, which are FP2020 core indicators. As seen in the figure, the unmet need has been declining over the years. The percentage of demand satisfied has increased slightly, although the CPR has been stagnant.


Figure 9 shows the contraceptive prevalence (all methods), unmet need, and proportion of demand satisfied, which are FP2020 core indicators. As seen in the figure, the unmet need has been declining over the years. The percentage of demand satisfied has increased slightly, although the CPR has remained stagnant.

Figure 9 Unmet need, CPR and Demand Satisfied 1991-2012

Source: Indonesian Demographic Health Survey 1991, 1994, 1997, 2002/03, 2007, 2012

While the majority of births (80%) were wanted/planned, Figure 10 shows that on average approximately 18% of births are either wanted later or not wanted at all. The proportion of those who ‘wanted no more births’ was 7.1 in 2012 and has remained stagnant since 1991. The proportion of those who ‘wanted later births’ has shown a significant decrease since 1991.

Figure 10. Births in the five years preceding the survey by planning status in Indonesia, 1991-2012

Source: Indonesian Demographic Health Survey 1991, 1994, 1997, 2002/03, 2007, 2012

The explanations and findings discussed above show that while the family planning program has expanded in Indonesia, prevailing data suggests that unintended pregnancies do still occur. The unintended pregnancies may be due to the unmet need for family planning, as well as the shift in the choices of contraceptives from long-acting IUDs to short-acting injectables that require routine injection every one to three months.


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1.2.3. Adolescent fertility and age of marriage

The age at first marriage has generally increased, with the median age of first marriage increasing from 17.1 in 1991 to 20.1 in 2012, although the proportion of early marriage and early childbearing remains high. The 2012 IDHS reported that 9.5% of women age 15-19 years had begun childbearing or are currently pregnant.

Figure 11. Trend in Median Age of First Marriage of Ever Married Women, 25-49 years

Source: Indonesian Demographic and Health Survey 1991, 1994, 1997, 2002, 2007, 2012

Marriage is universal in Indonesia, and pre-marital pregnancy is not considered to be socially acceptable. As people are delaying marriage, they are become increasingly exposed to premarital sex, which can have big implications, especially for young and unmarried adolescents, such as unwanted pregnancy, abortion and childbirth at a young age (children who have children).

There are a few legal gaps that do not protect children and adolescents, such as Law No. 1 of 1974 on marriage. This law sets the permissible minimum age of marriage at 19 years for men and 16 years for women. The international definition of a child refers to all individuals up to the age of 18 years. Therefore, the Indonesian law on marriage is not inline with the international regulations concerning the elimination of child marriage, which states that marriage under the age of 18 and teen pregnancy are practices that are harmful and dangerous to women, both medically and psychologically.

Knowledge of reproductive health among adolescents is also limited. The Adolescent Reproductive Health Survey (ARHS) shows that knowledge among adolescents about reproductive health and sexuality is low. For example, only about half of unmarried women and men aged 15-24 years know that pregnancy can occur after sexual intercourse. The 2012 ARHS also reported that about 0.7% of women and 4.5% of men aged 15-19 years had ever experienced sexual intercourse. There were only slight differences in sexual experience by age and place of residence; however, there was a significant difference by education. Unmarried women who had not completed primary school were four times as likely to have had sex than those who had continued to higher education.


Figure 12. Trend in Age-Specific Fertility Rate at 15-19 years of age, and percentage of adolescents who have started childbearing

Source: IDHS (Suharti, Bappenas 2014)

Figure 12 shows that Indonesia could not achieve the MDG target on adolescent fertility. The figure also shows an increase in the percentage of 15-19 year-olds who have begun childbearing after 2007, which is further validated by Figure 13. Trend analysis shown in Figure 13 illustrates that in all age groups, except at the age of 18 years, the percentage that has begun childbearing has increased. This has serious implications for maternal and newborn

Figure 13. Distribution of women aged 15-19 years who have begun childbearing or are pregnant

Source: IDHS 1991, IDHS 1994, IDHS 1997, IDHS 2002/03, IDHS 2007, IDHS 2012

1.3 Issues Related to Human Resources in the Family Planning ProgramAn assessment conducted by UNFPA in 2012 (UNFPA, 2012) shows the many

challenges faced by districts authorities in implementing the family planning programme. These include the lack of family planning health workers (Petugas Lapangan Keluarga


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Berencana/PLKB), low capacity of the programme staff and limited funding for the family planning programme. The low capacity and capability of the staff responsible for family planning activities at the district level has been pointed out as a major challenge, even in districts with a fully functional, independent family planning office (Badan Kependudukan dan Keluarga Berencana Daerah/BKKBD). The low presence of PLKB is another key challenge noted by many observers. One PLKB should be responsible for a maximum of two villages. However, the number currently varies, with a very low ratio in some districts, particularly in the eastern part of Indonesia. On average, one PLKB currently serves 3.6 villages.

The ability and capacity of the regional family planning work units (Satuan Kerja Perangkat Daerah keluarga Berencana/SKPD KB) to advocate to budget decision-makers in a district, such as the Mayor, the Regional Development Planning Agency (Bappeda) or the Regional House of People’s Representatives, is also limited, as reported by the assessment. The high turnover of staff and rate of transfer to other positions, unmatched educational background, and lack of work experience in the family planning programme, are some of the main problems repeatedly found in many districts. These problems have contributed to the low allocation of funds for the family planning programme.

Another important issue is the availability of health personnel such as midwives in the field. Midwives are the main providers of the family planning programme in Indonesia While the number and distribution of midwives are reported to be better compared to other health personnel, such as general practitioners and medical specialiststhe distribution remains uneven and tends to be concentrated in big cities. The ratio of the different health professionals by population can be seen in Table 1.

Table 1. Ratio of Health Professionals to Population in 2013

Source: Indonesian Health Profile 2014, MOH

1.4 Contraceptive Commodity SecurityA recent evaluation conducted by BKKBN and UNFPA in 2013 showed a range of

complex issues and challenges in the logistic management of contraceptives as follows: Determining the need for contraceptives is based on targets as opposed to actual

contraceptive use, which often causes overestimation of the family planning program coverage.

In terms of warehousing of family planning commodities, the recommended standard for storage of contraceptives is not more than 25 degrees Celsius. It was observed that in the vast majority of storage facilities the temperatures recorded were 30 degrees or higher.

The limited capacity of the warehouses, and the lack of experience and skills among logistics staff were found to be the underlying reasons for the above findings.

Problems were found in the distribution of contraceptives to Service Delivery Points (SDPs). The assessment reported a stock-out rate at 42 percent among SDPs.


2. RATIonAle FoR RevITAlIzInG THe FAmIly PlAnnInG PRoGRAmme 2.1 Summary points

Based on the situational analysis above, a revitalization plan is needed in order to address the following key issues plaguing the family planning program:

Stagnating fertility rate and continued gap between wanted and actual fertility. The TFR has been stagnant at 2.6 over the past two decades, and there is a gap between wanted and actual fertility rate, with the wanted fertility 23% lower than the actual rate.

Coverage gaps: Stagnating trends in CPR for modern methods and unmet needs. Contraceptive method-mix in favour of short-term spacing methods and low use of

long-acting and permanent methods by women who do not want to have any more children and are over 30 years old.

Equity gaps: Disparity between the rich and poor. Slow progress in improving family planning indicators in selected provinces since

1994 (geographical disparities). Service provision gaps: Gaps in the supply chain management of contraceptives. Gaps in the quality assurance of contraceptive commodities. Quality gaps related to information, informed choice, access to services, lack of

integration with other services, continuity of care, lack of skills of providers, supervision and inadequate supplies and infrastructure.

Gaps in data quality and accuracy. Gaps in financing at the central, provincial and district levels, as well as utilization of

the limited budget. System gaps: The impact of decentralization with weakened administrative capacity to manage

and advocate for family planning programs. Issues related to the capacity and capability of BKKBN at all levels in managing and

implementing various elements of the national family planning program. Weak coordination of family planning activities with the MoH at the national, provincial

and district levels such as reporting on family planning, training, and supervision. Early age at marriage in some districts as well as an increased proportion getting married

between the ages of 16-18 years.

The above concerns and the issues identified below call for a revitalization of the current family planning program.


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2.2 basis for considerationDemographic dividend

Indonesia is in the middle of a demographic window of opportunity. The government is striving to reap the full benefits of the demographic dividend through supportive economic and labour policies. However, unless the family programme is strengthened to achieve fertility reduction, it will not be possible to achieve the full potential of this demographic opportunity.

Maternal mortality reduction

Indonesia was unable to achieve its MDG target on maternal mortality reduction, with recent estimates indicating an exceptionally high maternal mortality rate. Family planning is one of the critical interventions for reducing maternal mortality, and contributes to reducing approximately one-third of maternal deaths. As indicated in an earlier section, unintended pregnancies in Indonesia are about 20% (among married women), predominantly due to non-use of contraception or inconsistent use of short-acting methods. The consequences of unintended pregnancies, such as abortions and related complications, are well known; thus reducing unintended pregnancies through quality family planning services can contribute to improved maternal health.

Universal health coverage

A major advancement in the provision of health services in Indonesia is the 2014 enactment of the National Health Insurance scheme (Jaminan Kesehatan Nasional/JKN). JKN is part of the Social Security Scheme enacted through Law No. 40 of 2004 and aims to achieve universal health coverage by the end of 2019.

The introduction of JKN under the National Health Insurance Agency (Badan Pengelola Jaminan Sosial Kesehatan/BPJS Kesehatan) scheme provides an opportunity to deliver equitable and high-quality family planning services, and aim for higher coverage of modern methods in the family planning services. Family Planning is part of the benefit package of JKN and provision of contraceptives, equipment and supplies, including educational materials, is the responsibility of BKKBN. The service charge is covered by BPJS and is reimbursed to first and referral health facilities. However, there are still unresolved issues related to female sterilization. The utilization of family planning services under JKN is reported to be low.

Law No. 23 of 2014 on Local Government

The Law No. 23 of 2014 on Local Government defines the role of provincial and district administrative structures as well as the roles of district’ health and family planning services. In the law, it states that health is a compulsory basic service while family planning is a compulsory non-basic service. However, implementation of the law with regard to the family planning programme is dependent upon local regulations, and therefore the family planning institutions may differ between districts.

Law no 6 of 2014 on Village

In 2014, the Law on Village was enacted which strengthens the legal status of villages and increases their authority and responsibilities with increased fiscal transfers for administration, development and community empowerment. The law requires districts to transfer around 10% of the fund received from the central government to villages and the


national government to transfer an additional 10% directly to villages. The law establishes a new institutional framework for community development in indonesia. Taking advantage of the law, BKKBN has recently launched Kampung KB (initiative for family planning promotion at village level).

National Medium Term Development Plan Rencana Pembangunan Jangka Menengah Nasional/RPJMN) for 2015-2019

Efforts to increase the quality of life of individuals is done through four sub-agenda priorities: (1) population development and family planning; (2) educational development; (3) health development, particularly Program Indonesia Sehat; (4) improving the wellbeing of marginalized communities through the implementation of Program Indonesia Kerja.

Recognizing the importance of family planning in improving the quality of life of individuals, in the RPJMN, the family planning program is linked with the direction and strategic outcomes of the health sector and the population and family planning sector, as well as other relevant sectors.

Population Development and Family Planning

One of the development indicators of the population and family planning sector is to reduce the total fertility rate, which requires an equitable and quality family planning program. In the 2015-2019 RPJMN, the family planning program falls within the following policy directions:

1. Strengthening and integrating policy of equitable and quality family planning and reproductive health services between sectors and between central and regional institutions organizing and providing family planning services, particularly in the Social Security System for Health.

2. Provision of infrastructure and facilities and ensuring adequate availability of contraceptives at each facility (distribution of health facilities for family planning, static and mobile services).

3. Improving family planning services with increase in use of long-acting methods to reduce the risks of drop-out and increasing the use of short-term methods with provision of continued information for sustainability of family planning by considering the principles of rationale, effectiveness and efficiency. In addition, effort to promote and manage post-partum and post-abortion family planning s well as management of complication and side effects should also be promoted.

4. Increasing the number and strengthening capacity of family planning field workers and health personnel for provision of quality family planning services, as well as strengthening the capacity of institution at the community level to support mobilization and counseling on family planning.

5. Advocacy program on population, family planning, and family development to policy makers, as well as promotion and mobilization to the community in utilization contraceptives, both long-acting and short-acting methods while maintaining continuation of contraceptive use.

6. Increasing knowledge and understanding on reproductive health for the adolescents through education and socialization on the importance of compulsory education to 12 years in order increase age of marriage, and increasing the focus of family planning services for couples young couples to prevent adolescent pregnancy.


21

7. Fostering resilience and family empowerment through facilitation of family development to sustain family’s participation in family planning program and influence prospective family planning users. In addition, strengthening of family function in forming small, happy and prosperous family.

8. Strengthening the legal, institutional, as well as data and information on population and family planning.

Health Development

Health development and community nutrition is meant to increase the health and nutritional status of the community at every life stage, including at the individual, family, and community level.

Efforts that are related to family planning are included in the acceleration plan to provide access to maternal, child, adolescent, and geriatric-quality health services through:

Improving access and quality of continuum of care for maternal and child health services, including prenatal visits, births attended by skilled health personnel at a health facility, and a decrease in maternal deaths at hospitals.

Improving reproductive health services for adolescents Strengthening school health efforts (Usaha Kesehatan Sekolah) Improving health services for the working-age and geriatric population

Legal Basis

1. Law No. 29 of 2004 concerning Medical Practice and strengthened by the Regulation of the Minister of Health No. 512/Menkes/Per/IV/2007 concerning Medical Licence and Medical Practice.

2. Law No. 40 of 2004 concerning the National Social Security System.3. Law No 36 o 2009 concerning Health.4. Law No. 52 of 2009 concerning Population and Family Development.5. Law No. 24 of 2011 concerning the Social Security Administrator.6. Law No. 23 of 2014 concerning Local Government.7. Law No. 35 of 2014 concerning the amendment to Law No. 23 of 2002 concerning Child

Protection.8. Law No. 38 of 2014 concerning Nursing.9. Law No. 61 of 2014 concerning Reproductive Health. 10. Regulation of the Minister of Health No. 1464 of 2010 concerning Midwife License and

Practice.11. Regulation of the Minister of Health No. 5 of 2014 concerning Clinical Practice Guidelines

for Doctors at Primary Health Facilities. 12. Regulation of the Minister No. 75 of 2014 concerning Puskesmas.13. Regulation of the Minister of Health No. 97 of 2014 concerning Antenatal, Childbirth,

Postnatal, Contraceptive and Reproductive Health Services.


3. A RIGHTS-bASeD STRATeGy FoR ACCeleRATInG ACCeSS To InTeGRATeD FAmIly PlAnnInG AnD RePRoDuCTIve HeAlTH SeRvICeS To ACHIeve InDoneSIA’S DeveloPmenT GoAlS3.1 vision

The rights-based strategy is in line with the Nawacita1 vision. It is also aligned with the 2015-2019 RPJMN and is built on the Strategic Plans (Rencana Strategis, Renstra) of BKKBN, MoH, and other relevant ministries as it relates to family planning.

3.2 GoalTo catalyse collective action by BKKBN, Ministry of Health, Ministry of Home Affairs,

Ministry of Education; Ministry of Religious Affairs, Ministry of Women Empowerment and Child Protection, Ministry of Village, Underdeveloped area and Transmigration, Ministry of Communication and Information, Central Bureau of Statistics, NGOs, private sector partners, professional associations, development partners, and local governments to achieve universal access to high-quality family planning services, according to the needs of individuals and couples, and to support their reproductive intentions.

3.3 objectiveTo contribute to reduction of maternal mortality, population growth and fertility rates

by addressing unmet needs, removing barriers to access and improving the quality of services to provide modern methods of contraception to be used voluntarily by the women and men of Indonesia.

RPJMN 2015-2019

MOH Strategic Plan

BKKBNStrategic Plan

FPStrategy

BPJS, Ministries of Home Affairs,Education, Religious Affairs, WomenEmpowerment and Child Protection,

Information; BAPPEDA; SKPD KB

1 Nawacita refers to the nine priority agendas of the Indonesian government, directed by the President and the Vice President, Mr. Joko Widodo and Jusuf Kalla.


23

2015-2019 RPJMN Targets

3.4 Definition of family Planning The definition of family planning used in the strategic framework is based on the

international definition of family planning and adheres to the definition used in the International Conference on Population and Development (ICPD) Programme of Action (PoA) and its principles and actions on family planning and adolescents.

The family planning program enables couples and individuals to decide freely and responsibly the number of and spacing between their children and to have the means to do so and to ensure informed choice and make available a full range of safe and effective methods (ICPD POA 1994). It is achieved through use of contraceptive methods and the treatment of involuntary infertility (WHO). However, in the case of adolescents, the strategic framework focuses on providing information.

3.5 Target groupWomen, men, and adolescents, reproductive-age group between 15-49.

3.6 objective of the strategyTo serve as a supporting document in translating the RPJMN in family planning services

and provide guidance for quality FP services, stewardship and governance, and demand creation to help translate the national development goals and global commitments made by the Government at the Sustainable Development Goals summit, ICPD at 20, and the FP 2020 Summit.

3.7 Strategic outcomesThe strategic plan seeks to establish a coherent and rights-based framework building

on past successful programme elements and innovations introduced under BKKBN’s KB Kencana and MoH’s family planning action plan. It tries to comprehensively address the various facets of determinants of family planning utilization. It provides details of the priorities and steps involved for timely and effective implementation of the programme to achieve the stated goals. The strategic objectives focus on four main synergistic areas, to create an enabling environment, and support inter-dependent supply and demand and operations research/innovations that can enable couples and individuals to meet their reproductive intentions.


Strategic outcome 1: Equitable and quality family planning service delivery system sustained in public and private sectors to enable all individuals and couples to meet their reproductive goals.

Strategic outcome 2: Increased demand for modern methods of contraception, met with sustained use.

Strategic outcome 3: Enhanced stewardship/governance at all levels, and a strengthened enabling environment for effective, equitable and sustainable family planning programming in public and private sectors to enable all individuals and couples to meet their reproductive goals.

Strategic outcome 4: Fostered and applied innovations and evidence for improving efficiency and effectiveness of programmes, and for sharing via South-South Cooperation.

The plan is expected to provide guidance for quality assurance and rights-based approaches.

3.8 Demographic and geographic focus Improve CPR and reduce unmet need through improved method mix with differential

strategies for different age groups according to their reproductive intentions. The strategy will be implemented in phases, with the first phase to cover a limited

number of provinces, while the second phase will cover all provinces, incorporating changes from lessons learned in the implementation of the first phase.

3.9 Alignment with national policies and action plansThis strategy is in line with the strategic issues of the RPJMN and the BKKBN and MOH

action plans.

3.9.1 Areas of alignment with RPJMN strategic issues

Population Development and Family Planning

Strategic Issues of RPJMN:Population Development and Family Planning Rights-based family planning strategy

1. Strengthening and integrating policy of equitable and quality family planning and reproductive health services between sectors and between central and regional institutions organizing and providing family planning services, particularly in the Social Security System for Health.

Strategic outcome 3: Enhanced stewardship /governance at all levels and strengthened enabling environment for effective, equitable and sustainable family planning programming in the public and private sectors to enable all citizens to meet their reproductive goalsStrategic outcome 2: Increased demand for modern methods of contraception met with sustained use.

2. Provision of infrastructure and facilities and ensuring adequate availability of contraceptives at each facility (distribution of health facilities for family planning, static and mobile services).

Strategic outcome 1: Equitable and high-quality family planning service delivery system sustained in public and private sectors to enable all citizens to meet their reproductive goals


25

3. Improving family planning services with increase in use of long-acting methods to reduce the risks of drop-out and increasing the use of short-term methods with provision of continued information for sustainability of family planning by considering the principles of rationale, effectiveness and efficiency. In addition, effort to promote and manage post-partum and post-abortion family planning s well as management of complication and side effects should also be promoted.

Strategic outcome 1: Equitable and high-quality family planning service delivery system sustained in public and private sectors to enable al l citizens to meet their reproductive goals

4. Increasing the number and strengthening capacity of family planning field workers and health personnel for provision of quality family planning services, as well as strengthening the capacity of institution at the community level to support mobilization and counseling on family planning.

Strategic outcome 2: Increased demand for modern methods of contraception met with sustained use.

5. Advocacy program on population, family planning, and family development to policy makers, as well as promotion and mobilization to the community in utilization contraceptives, both long-acting and short-acting methods while maintaining continuation of contraceptive use.


6. Increasing knowledge and understanding on reproductive health for the adolescents through education and socialization on the importance of compulsory education to 12 years in order increase age of marriage, and increasing the focus of family planning services for couples young couples to prevent adolescent pregnancy.

Strategic outcome 3: Enhanced stewardship /governance at all levels and strengthened enabling environment for effective, equitable and sustainable family planning programming in the public and private sectors to enable all citizens to meet their reproductive goals.

7. Fostering resilience and family empowerment through facilitation of family development to sustain family's participation in family planning program and influence prospective family planning users. In addition, strengthening of family function in forming small, happy and prosperous family

8. Strengthening the legal, institutional, as well as data and information on population and family planning.

Strategic outcome 4: Fostered and applied innovations and operations research for improving efficiency and effectiveness of programmes and for sharing through South-South Cooperation.

Health Development

Health Development Policy Direction and Strategy Rights-based family planning strategy

a. Improving access and quality of continuum of care for maternal and child health services, including prenatal visits, births attended by skilled health personnel at a health facility, and a decrease in maternal deaths at hospitals.

b. Improving reproductive health services for adolescentsc. Strengthening school health efforts (Usaha Kesehatan

Sekolahd. Strengthening occupational health and sports services e. Improving health services for the working-age and

geriatric populationf. Increasing the scope of timely immunization for

newborns and infants. g. Increase the role of community-based health efforts,

including posyandu and other integrated services in health education, and maternal, child, adolescent, and geriatric services.




Strategic outcome 4: Fostered and applied innovations and operations research for improving efficiency and effectiveness of programmes and for sharing through South-South Cooperation.


Education Development

Education Development Policy Direction and Strategy Rights-based Family Planning Strategy

Strengthening the curriculum on self care including: clean and healthy lifestyle, environmental awareness, reproductive health, balanced and nutritious diet, and physical activity; while at the same time prioritizing the social norms in Indonesia. Also, strengthening the curriculum on entrepreneurship.



3.9.2 Areas of alignment with the BKKBN strategic plan for 2015-2019

BKKBN policy direction and strategy Rights-based family planning strategy

Policy direction and strategy 1: Improving equitable and high family planning access and services within the national health insurance scheme.


Policy direction and strategy 2: Improving the understanding of adolescents on reproductive health and preparation of family life

Strategic outcome 2: Increased demand for modern methods of contraception met with sustained use

Policy direction and strategy 3: Strengthening advocacy and IEC on family planning and reproductive health

Policy direction and strategy 6: Arranging, strengthening and improving the institutional capacity for population and family planning programme at the central and regional level

Strategic outcome 3: Enhanced stewardship /governance at all levels and strengthened enabling environment for effective, equitable and sustainable family planning programming in the public and private sectors to enable all citizens to meet their reproductive goals

Policy direction and strategy 7: Increasing availability and quality of population data and information that are adequate, accurate and timely

Strategic outcome 4: Fostered and applied innovations and operations research for improving efficiency and effectiveness of programmes and for sharing through South-South CooperationPolicy direction and strategy 8: Strengthening research and

development in Population and family planning program

Targets and indicators as specified under each strategic issue

M&E: Indicators for each output

Framework: Regulatory framework, financing framework, institutional framework

3.9.3 Areas of alignment with the MoH family planning action plan 2014-2015

MoH family planning action plan Rights-based Family Planning Strategy

Strategy 1: To strengthen the commitment of stakeholders, both the government and non-government stakeholders, in organizing family planning services

Strategic outcome 3: Enhanced stewardship /governance at all levels and strengthened enabling environment for effective, equitable and sustainable family planning programming in public and private sector to enable all to meet their reproductive goals

Strategy 2: To increase availability, affordability, and quality of family planning services, including IEC and counselling services

Strategic outcome 1: Equitable and quality FP service delivery system sustained in public and private sector to enable all to meet their reproductive goals


27

Strategy 3: To increase the demand for family planning services due to changes in values regarding he ideal number of children in the family


Strategy 4: To reduce the unmet need by improving access, counseling, and to strengthen post-partum use of contraceptives as well as decreasing the reluctance to continually use contraceptives through increased use of long acting and permanent methods (MKJP) and family planning coaching


Strategy 5: To lower the rate of pregnancy among teens aged 15-19 years old by encouraging them to get married at older age and improving their knowledge of adolescent reproductive health.


M&E – Indicators for activities M&E: Indicators for each output

3.10 Guiding principlesIndonesia is a signatory to various human rights instruments and the ICPD PoA. The

guiding principles listed below are in the context of the commitments made. While it is recognized that socio-cultural and economic issues are determinants of universal access to family planning FP, national policies, strategies and guidelines determine how family planning FP programmes are implemented and whether they address rights of individuals and families (rights-holders). The stagnation of CPR and unmet need is an indication that women, men and adolescents are not able to exercise their rights (particularly women and young girls). The continuing differences in CPR and unmet need among districts is an indication of the inability of the population to exercise their rights. Low funding levels and frequent stock-outs affect the availability of contraceptives and services, and also increase the cost of services. The implications of the above can lead to unwanted pregnancies and clandestine abortions (as abortion is not legal), particularly among unmarried adolescents. Indonesia is committed to reduce unmet need by 2019, both through its commitment to the ICPD PoA as well as the MDGs and post-development agenda.

The strategy is guided by the following principles of human rights and public health programming:

The right to access family planning information and the highest standard of care: The right to family planning is based on human rights standards for health, as also enunciated in the ICPD PoA. It rests on the basic rights of all couples and individuals to decide freely and responsibly on the number, timing and spacing of their children. Everyone has the right to access comprehensive contraceptive information that is unbiased, the right to make an autonomous decision on the type of contraceptive used (without being influenced by a provider or spouse), in an environment that is private and confidential (with full information accessibility).

Equity in access: Overcoming barriers to differential levels of access to services between geographical areas and financial barriers is critical for ensuring equity and overcoming disparities in access and utilization. Considering the huge population of young population, particularly those who are unmarried and whose access to information and services is limited due to legal, social, religious and cultural restrictions, the implications of denying their rights is huge. To improve access for young people, in addition to enabling policies, the provision of services is critical.


Health systems approach applicable to the public and private sector. Integration of family planning continuum of care across reproductive cycle: Family

planning services play a key role throughout the reproductive cycle, enabling couples to have the number of children they want to have, at the age they want to have them, ensuring the elimination of unwanted pregnancies and births, as well as the need for abortions and their consequences, and the prevention of STIs and HIV via sexual transmission. The contribution of family planning services across the continuum of maternal and child care to reducing mortality and improving health among mothers and children is well documented. The integration of family planning with maternal and child health services in particular is proven to be cost-efficient for clients and the health system.

Ethical and professional standards in the delivery of family planning services: Although this point is part of the right to the highest standard of care, it is presented as a separate point here to highlight the responsibility of duty bearers and institutions that provide family planning services. Duty bearers also have the responsibility to ensure responsible, voluntary and informed consent, and avoid bias towards specific methods. A related key principle is the removal of unnecessary legal, medical, clinical and regulatory barriers to information and access1.

Evidence-based programming: Designing new approaches and advocacy-based messages based on formative research, operations research and data, including from monitoring and evaluation constitute one of the ten elements of a successful family planning programme.

Transparency and accountability: These are critical attributes to the leadership and management of programmes, particularly in decentralized settings, and contribute to creating an enabling environment. Accountability is one of the core principles under human rights. Commitment to transparency and accountability is critical for implementing rights-based approaches, and for ensuring equity in access.

Gender-sensitive services: Enabling women, particularly young women, to decide on whether to use contraceptives, as well as decide on the type of contraceptives used, is important not only from a health perspective but also from the perspective of empowerment. Increasing male involvement by informing men about various methods of contraception, and particularly male methods, is another critical element of creating an enabling environment. Male involvement is also critical for supporting female spouses/partners in their decisions and sustained use of contraceptives.

Cultural sensitivity: Cultural acceptance of methods, the procedures involved and service delivery approaches are important for acceptance and continuation of contraceptive use. Needs to define cultural sensitivity better to avoid the use of cultural issue as barriers to health.

Partnership: Public-private partnership among health institutions is critical for improving access to services and also to ensure that the highest quality standards are being implemented. Partnership among and between community groups, particularly women’s groups, civil society organizations including faith-based organizations, parliamentarians, and so on are critical for improving access, particularly for disadvantaged groups, as well as building community support and the accountability of the health system to the people it serves.1

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Medium Term Development Plan (RPJMN) 2015-2019Family planning and reproductive health

Improvement in FP services

Strategic outcome 1: An equitable and high-quality FP service delivery system sustained in public and private sectors to enable all to meet their reproductive goals

Output 1.1: Increased availability of FP services, with improved and equitable access in the public sector, to enable all to meet their reproductive goalsOutput 1.2: Private sector resources harnessed for equitable access to quality FP services, with attention to client rightsOutput 1.3: Improved contraceptive commodity security system Output 1.4: Improved capacity of human resources to deliver quality FP servicesOutput 1.5: Strengthened management information system ensuring quality, completeness and alignment integration with the health systemOutput 1.6: Improved quality of FP services with attention to client rights and integration of services across the continuum of the reproductive cycle.

Output 2.1: Increased availability of a comprehensive BCC strategy Output 2.2: Increased involvement of health workers, women’s groups and religious leaders in mobilizing support for FP and addressing barriers to FP, as well as the issue of equityOutput 2.3: Increase community’s knowledge and understanding about family planning program

Output 3.1: Enhanced capacity for stewardship within and between sectors at BKKBN at the central and provincial levels for efficient and sustainable programmingOutput 3.2: Strengthened coordination with MoH at the central, provincial and district levels to strengthen the health system’s contribution to FP at appropriate points in the reproductive cycle Output 3.3: Enhanced leadership and capacity of the SKPD KB Directors and District Health Managers to effectively manage the FP programmeOutput 3.4: Enhanced capacity for evidence-based advocacy at all levels of Government and the community, focusing on the centrality of FP in achieving development goals, for increased visibility of FP programmes and leveraging resourcesOutput 3.5: Strengthened capacity for evidence-based policies that improve the effectiveness of the FP programme while ensuring equity and sustainability Output 3.6: Functional accountability systems in place that involve civil society

GUIDING PRINCIPLES - Human rights approach and public health approach

Output 4.1: Best practices and models available for promoting South-South CooperationOutput 4.2: Operations research for improving efficiency and effectiveness of FP programmes are applied, evaluated and scaled up as indicated

Strategic outcome 2: Increased demand for modern methods of contraception met, with sustained use

Strategic outcome 3: Enhanced stewardship/governance at all levels and a strengthened enabling environment for effective, equitable and sustainable FP programming in the public and private sectors to enable all to meet their reproductive goals

Strategic outcome 4: Innovations and operations research fostered and applied to improve the efficiency and effectiveness of programmes, and for sharing through

Strengthening information and counselling services to young people

Family developmentManagementAdvocacy and BCC


31

3.11 outputs and activitiesIndicators specific to the strategic objectives and outputs are presented in the log

frame matrix.

Strategic outcome 1: Equitable and quality family planning service delivery system sustained in public and private sectors to enable all to meet their reproductive goals.

The strategic objective is built from the building blocks of the health system. There are six outputs, which are interlinked.

The proposed package of services includes (a) Non-clinical services (Sexual and Reproductive Health/SRH information for adolescents, pre-marital counseling for couples, STI and HIV prevention counseling, post-partum and post-abortion counseling); (b) Clinical provision of modern methods of contraception at various levels of service, referral services, follow-up and complications management.

Output 1: Output 1.1: Increased availability of family planning services, with improved and equitable

access in the public sector, to enable all to meet their reproductive goals.Output 1.2: Increased use of private sector resources to ensure equitable access to quality

family planning services with attention to client rights.Output 1.3: Improved contraceptive commodity security system.Output 1.4: Improved capacity and availability of human resources to deliver quality

family planning services.Output 1.5: Strengthened management information system ensuring quality,

completeness and alignment integration with the health system.Output 1.6: Improved quality of family planning services with attention to client rights

and integration of services across the continuum of the reproductive cycle.

Output 1.1: Increased availability of family planning services, with improved and equitable access in the public sector, to enable all to meet their reproductive goals.

Key activities:

1.1.1. Review and revise the current facility standards and guidelines for integrated FP services by considering stratification of clients according to age, parity, reproductive events, etc., ensuring that rights are not violated.

The output of this activity is a MOU between MOH and BKKBN.1.1.2. Reach a consensus among BKKBN, MOH, and BPJS on family planning facility

standards. 1.1.3. District-wise mapping of family planning facilities (public and private sectors) based

on the agreed upon criteria, including the availability of mobile services in remote, border, and island regions, and details of their functionality.

1.1.4. Based on the mapping, undertake the following: Strengthening of facilities based on the gaps identified from the mapping to

achieve equitable access to short-term and long-term methods. Upgrading selected facilities as referral facilities based on the mapping to ensure

equitable access. Strengthening mobile services to provide quality services, including follow-up

and management of side effects at regular intervals.


1.1.5. Accreditation of health facilities: review and expand the scope of current puskesmas (primary health center) accreditation standards, developed by the Directorate General of Health Services of MOH (Bina Upaya Kesehatan/BUK), to include family planning services for eligibility to be registered with BPJS (the National Health Insurance Agency). This output is linked to Output 3.2.

1.1.6. Youth friendly reproductive health services1.1.6.1. Revise/develop a strategy for the introduction of YFS, which will be

introduced in a phased manner starting with areas with high adolescent fertility rates.

1.1.6.2. Establish a link between Centre for Information and Counseling for Adolescent (Pusat Informasi dan Konseling Remaja/PIK remaja) with Adolescent Friendly Health Centre (Puskesmas PKPR), and other youth services to conduct the above strategy.

1.1.6.3. Revise/develop guidelines on the handling of referrals by peer educators and health workers under the coordination of MOH.

1.1.6.4. Training of providers, including referrals for specialist services. 1.1.6.5. Organization of a public campaign about the YFS.1.1.6.6. Introduce and promote non-governmental youth friendly reproductive

health services.1.1.7. Provision of family planning services during humanitarian crises as part of the

Minimum Initial Services Package (MISP) to improve access to all spacing methods and emergency contraception. The guidelines will also include provision of contraception to victims of gender-based violence (GBV).

Output 1.2: Increased use of private sector resources to ensure equitable access to quality family planning services with attention to client rights. The private sector in this context refers to all organizations and individuals who are not under the direct authority of the government when providing family planning services.

Key activities:

1.2.1. Development of a sustainable business model of public-private partnership through a network of standardized private-sector family planning services model, focusing on increased access to equitable, affordable and quality services. The network of private-sector family planning services model will include a full- and partial model. The roles and responsibilities of this network will be defined further. Standardization of the private sector family planning services model by MOH.

Develop a reporting mechanism based on puskesmas service area. Formulate a regulation on the fixed fee structure for family planning services. Development of accreditation criteria for registering with BPJS (mandatory

reporting as part of the accreditation). This is linked to Output 3. Partnership with the Private Medical Association of Indonesia and/Indonesian

Midwives Association (IBI) to develop a QA system dan ensure adherence to the standards through routine monitoring, etc. This is linked to Output 1.6.

1.2.2. Social marketing of contraceptives (private sector/NGO) to increase access to quality family planning services in the private sector, either by building on existing programmes or starting new ones, ensuring confidentiality and reduced costs (linked to Output 1.1).


33

Output 1.3: Improved contraceptive commodity security system

Key activities:

1.3.1. Quality assured procurement of contraceptives, including developing a system of e-procurement (linked to Output 3.1 )

1.3.2. Quality assured contraceptive commodity security system: 1.3.2.1. Revision of the current strategy for contraceptive commodity security that

reflects quality assured procurement.1.3.2.2. Ensuring the availability of family planning commodities based on the

forecasting of contraceptive needs of clients. 1.3.2.3. Review of manufacturer’s standards for various contraceptives and its

implementation.1.3.2.4. Improving warehousing:

i. Review and update current BKKBN warehousing standards of BKKBNii. Review of current management and distribution of FP commodities,

including mapping of provincial/district health offices and provincial BKKBN and district FP offices against MOH functionality standards for warehouses.

iii. Supporting/facilitating inputs to improve facilities as per standards.iv. Develop a guideline on storing contraceptives in hospitals, puskesmas

and facilities below the puskesmas.v. Training for the various levels of warehouse managers, including

pharmacists at the lower level institutions (pharmacists/storekeepers of private facilities that provide family planning services will be included in the training).

vi. Monitoring adherence to standards at all levels, including the private sector by central-level staff (provincial-level monitoring), provincial-level staff (district-level monitoring, public and private sector major facilities), district-level staff (monitoring puskesmas and other public sector facilities, private sector facilities and other service providers).

1.3.3. Strengthening supply chain management: Evaluation of the three models currently being implemented in terms of its efficiency, cost-effectiveness and sustainability (the three models are improved current distribution systems of BKKBN, integrated system with MoH and using postal services for distribution).

1.3.4. Strengthening Logistics Management Information System (LMIS) and forecasting: 1.3.4.1. Review current LMIS and assess its effectiveness in being able to predict

stock-outs and modify as needed. 1.3.4.2. Enhancing the capacity to forecast at the national, provincial and district

levels as well as in hospitals and puskesmas (linked to Output 1.4).

Output 1.4: Improved capacity and availability of human resources to deliver quality family planning services

Key activities:

1.4.1. Family planning services1.4.1.1. Ensure the availability of health providers for family planning services. 1.4.1.2. Conduct pre-service training in family planning:


i. Review the current curriculum and strengthen the family planning training during postings in Obstetrics and Gynaecology (O&G) and during internships.

ii. Expansion of family planning content in the basic training curriculum for midwives.

1.4.1.3. Inservice family planning training for midwives, doctors and other health workers according to their capacity: i. Assessment of the quality of current trainings at the district level,

including skill-level of trainers, certification process at the field level and involvement of the training division of MOH, training management information system, analysis of allocation of funds at various levels for training and follow-up.

ii. Formulation of a training development strategy based on the new regulation related to in-service training and certification including follow-up training at the district level (for continuous professional development) and quality assurance of training.

iii. Revision of the current training module as needed based on the assessment above.

iv. Improving the management information system training to be followed up by training institutions and for reporting to BKKBN and in-service training division of MOH/PPSDM (this should be linked to health providers’ information systems, both private and public).

v. Training on FP services for health workers using the revised training module (including the provision of counseling services) which integrates post-training follow-up (linked to Outputs 1.1, 3.2).

1.4.1.4. Development of a consensus on the role of nurses in family planning and expanding the scope of family planning services by midwives:i. Development of a consensus and strategy on implant training for nurses

and expanding the scope of FP services by midwives. ii. Development of regulations that support implant training for nurses

and expanding the scope of FP services by midwives (linked to Output 3.1).

1.4.2. Management of programmes1.4.2.1. Conduct training on management information systems (linked to Output

1.5). 1.4.2.2. Conduct training on FP program management (including planning,

budgeting and monitoring and evaluation), including leadership for provincial/district managers of SKPD KB and provincial/district health offices (linked to Output 3.3).

1.4.2.3. Conduct training on Quality Assurance (QA) for supervisors and managers (linked to Output 1.6).

1.4.2.4. Conduct training on warehousing, LMIS and forecasting (linked to Output 1.3).


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Output 1.5: Strengthened management information system for ensuring quality, completeness and aligned integration with the health system.

Key activities:

1.5.1. Review of current recording and reporting system. Joint review between BKKBN and MOH on the recording and reporting system for

FP services at the district level includ the reporting format, reporting mechanism, data collection system, and data validation.

1.5.2. Development of an integrated family planning reporting system from health facilities, including private sector health facilities.

1.5.3. Enhance the capacity of supervisors to review and analyse the management information system (linked to Output 1.4).

1.5.4. Development of a client tracking system through tickler files and alert systems that are built into the computerized recording system (linked to Strategic Objective 4).

1.5.5. Introduction of the pilot projects for computerized reporting (linked to Strategic Objective 4).

Output 1.6: Improved quality of family planning services with attention to client rights and integration of services across the continuum of reproductive cycle.

Key activities:

1.6.1. Review current FP services standards (counseling – for general and specific methods, instructions on use of a method, procedures, referrals, follow-up, STI/HIV screening, and dual protection) and revise as needed (linked to Output 3.2). Premarital counseling, youth friendly services (providers collaborate with faith-

based organizations and follow MOH guidelines), referral to youth friendly services and follow-up.

Post-partum and post-abortion services for clients. Promote long-acting and permanent contraceptive methods for clients.

1.6.2. Establishment of a quality assurance/quality improvement (QA/QI) system:1.6.2.1. Review current Quality Assurance system (QA) for family planning services –

guideline, implementation, efficiency, and effectiveness.1.6.2.2. Improve the QA system for FP and integration with maternal health services

and establishing QA circles at various levels of the health and family planning system

1.6.2.3. Review job description of the supervisors in the district health system as well as in the SKPD KB to ensure that it includes supervisory responsibility and amendment of the job description to fill the gaps.

1.6.2.4. Capacity-building of supervisors (Midwife Coordinators and others) in supportive supervision and QA (linked to Output 1.4).

1.6.2.5. Create an enabling environment to ensure that supervisory activities are supported.

1.6.2.6. Establish a continuous quality monitoring system and take action.1.6.3. Engagement of community-based organizations to ensure quality assurance.



Outputs

Output 2.1: Availability of a comprehensive Behavior Change Communication (BCC) strategy.

Output 2.2: Increased involvement of health workers, women’s groups and religious leaders in mobilizing support for family planning and addressing barriers to family planning.

Output 2.1: Availability of a comprehensive Behavior Change Communication (BCC) strategy.

Key activities:

2.1.1 Update/develop a new communication, information, and education strategy aimed at adolescents for a comprehensive behavior change that includes: monitoring and evaluation elements specific strategies for sustaining performance in districts with good performance

and improving performance in districts with poor performance a focus on male involement a focus in adolescents

2.1.2 Enhancing the capacity of officials responsible at provincial and district level to deliver BCC strategy.

2.1.3 Development and dissemination of locally specific materials using strategic communication channels with maximum reach: Core message includes addressing cultural and religious barriers and

misconceptions about contraceptives. Messages are gender-sensitive and are targetted to specific groups.

Integration of FP messages with maternal and child health care messages as well as HIV and STI prevention messages.

2.1.4 Printing and distribution of family planning posters and booklets and ensuring its availability in puskesmas, polindes, podes and hospitals.

2.1.5 Development of a routine review system on the reach of the channels and the impact of the developed messages.

2.1.6 Developing a mobile Family Planning (m-FP) messaging system(linked to Output 1.6)2.1.6.1 Development of a plan to use mobile messaging as a reminder to receive

family planning services and other information.2.1.7 Incorporation of reproductive health and family planning messages in health

education sessions during the provision of antenatal and child health services and during STI and HIV treatment through SKPD KB coordination with DHO.

Output 2.2: Increased involvement of health workers, women’s groups and religious leaders in mobilizing support for family planning and addressing barriers to family planning

Key activities:

2.2.1. Support faith-based and community-based organizations to promote family planning during religious discourses and use opportunities such as pre-marital counseling.


37

2.2.2. Strengthening family planning component at the posyandu: Activation of FP services at Table 5 in the Posyandu Health workers to promote family planning while registering mothers, weighing

children, etc.2.2.3. Review and develop performance-based incentives/rewards for health workers in

order to increase male, youth, and community involvement (linked to Output 3.5)2.2.3.1 Providing materials to increase male involvement through education and

discussions at the village level.2.2.3.2 Development of performance-based incentives/rewards for health workers

to increase male, youth, and community involvement.2.2.4. Enhancing the capacity of youth leaders to become peer educators on family

planning information and services for adolescents and young people.2.2.5. Development of strategies to revitalize previously successful community-based

efforts by conducting in-depth evaluation of the movements, identifying gaps, and developing a plan to address those gaps as it pertains to the current situation.

2.2.6. Ensuring the availability and building capacity of FP field workers (PLKB) to increase demand generation.

Output 2.3: Increased community’s knowledge and understanding about family planning program

Key activities:

2.3.1. Conduct advocacy to various stakeholders through media, audiences and through other forums and activities

2.3.2. Conduct promotional and IEC program for family planning through various media (print, electronic, outdoor media and below the line)

2.3.3. Conduct promotional and IEC program for family planning through frontline providers)

Strategic outcome 3: Enhanced stewardship/governance at all levels and strengthened enabling environment for effective, equitable and sustainable family planning programming in public and private sector to enable all to meet their reproductive goals

Outputs

Output 3.1: Enhanced capacity for stewardship/governance within and between sectors at BKKBN at the central and provincial levels for efficient and sustainable programming

Output 3.2: Strengthened coordination between MOH at the central, provincial and district levels to increase the health system’s contribution to family planning at appropriate points in the reproductive cycle.

Output 3.3: Enhanced leadership and capacity of the Directors of SKPD-KB and District Health Offices to effectively manage the family planning programme.

Output 3.4: Enhanced capacity for evidence-based advocacy at all levels of the government and community focusing on the centrality of family planning in achieving development goals, for increased visibility of family planning programmes and leveraging resources.


Output 3.5: Strengthened capacity for evidence-based policies that can improve the effectiveness of the family planning programme while ensuring equity and sustainability.

Output 3.6 Functional accountability systems in place that involve civil society

Output 3.1: Enhanced capacity for stewardship/governance within and between sectors at BKKBN at the central and provincial levels for efficient and sustainable programming

Key activities:

3.1.1. Overseeing and guiding the overall provision of family planning services (public and private) in the interest of protecting the reproductive rights of the public.3.1.1.1. Development of guidelines on the following:

i. Collaboration and coalition building across sectors, including civil society to influence factors that determine family planning at the national, provincial and district levels.

ii. Guideline for SKPD KB on advocating for family planning programmes and collaborating with MOH to monitor provision of FP services.

iii. Role of the private sector in the provision of family planning services and its responsibilities.

iv. Regulations related to the design of performance measures that are rights-based.

v. Setting targets for provinces and districts based on trends in family planning use, focusing on equity (using the recent district-wise data analyzed by BKKBN).

vi. Mobilization of community to utilize family planning.3.1.1.2. Orientation for relevant officials on the above-listed guidelines.3.1.1.3. Monitoring of adherence to guidelines and systems.

3.1.2. Procurement of contraceptives.3.1.2.1. Implementation of the regulation related to the procurement of quality-

assured commodities (commodities that meet WHO pre-qualification standards).

3.1.2.2. Establishing a e-procurement system.

3.1.3. Systems development 3.1.3.1. Developing a system of performance-based disbursements to districts

on meeting pre-defined benchmarks related to the family planning programme (transfer of funds from BKKBN to districts for achieving results in family planning).

3.1.4. Strengthening cross-sector collaborations 3.1.4.1. Review the MoU signed by relevant ministries (i.e., MOH, Ministry of Religious

Affairs, Ministry of Home Affairs, etc.), to promote, expand, and sustain the family planning program, and update as needed.


39

3.1.5. Capacity development3.1.5.1. Enhance the capacity of provincial BKKBN staff to undertake analysis of

district level budgets for family planning from various sources, annually, to ensure allocation of funds are adequate according to the minimum standards.


Key activities:

3.2.1. Based on the MoU signed with MoH for strengthening the health system’s contribution to family planning:3.2.1.1. Review and revise the current standards and guideline for integrated family

planning services.3.2.1.2. Review and update the family planning services standards under the

leadership of MOH in collaboration with professional organizations to ensure that there are no health system barriers as well as proper integration with other health services across the continuum of reproductive healthcare (linked to Output 1.6).

3.2.1.3. Development of the family planning training certification mechanism, integrated management information system (MIS), commodity security, and supervision (linked to Outputs 1.5, 1.3).

3.2.2. Development of a strategy to strengthen post-partum and post-abortion family planning.

3.2.3. Development of accreditation criteria for family planning facilities in the public and private sectors - developed for eligibility for registration under BPJS (linked to Outputs 1.1, 1.2)

3.2.4. Coordination between SKPD KB and DHO on the district-level family planning training since the planning stage.

3.2.5. Planning of routine joint supervisory visits by PLKB and midwive coordinators, and create an enabling environment, such as approval of the activity by DHO, allocation of adequate funds for travel, etc.


Key activities:

3.3.1 Review of the current roles and responsibilities of the DHO and SKPD KB to identify potential areas of collaboration.

3.3.2 Enhancing the capacity of the SKPD-KB and District Health Offices Directors in:3.3.2.1. Planning and developing workplans, analyzing budgets, and advocating to

increase financial and human resources for the family planning program.3.3.2.2. Advocating to religious leaders, community leaders and women’s groups to

discuss the importance of family planning for socio-economic development and the importance of adequate allocation for services and operational budget.

3.3.2.3. Establishing QA/QI mechanisms (linked to Output 1.6).


3.3.3. Monitoring the implementation of minimum standards.3.3.4. Support the SKPD-KB and District Health Office Directors to hold routine meetings

with religious leaders, community leaders and women’s groups for advocacy.

Output 3.4: Enhanced capacity for evidence-based advocacy at all levels of the government and community focusing on the centrality of family planning in achieving development goals, for increased visibility of family planning programmes and leveraging resources.t

Key activities:

3.4.1. Developing a district comprehensive strategy for advocacy for family planning (based on the national strategy) with a road map for implementation of the strategy at all levels, including the community level, and a checklist for monitoring the implementation of the strategy.

3.4.2. Developing training materials for media personnel and parliamentarians to advocate for family planning.

3.4.3. Monitoring the implementation of advocacy efforts.


Key activities:

3.5.1. Undertaking province-specific studies on the contribution of family planning towards socio-economic development and achievement of the development goals.

3.5.2. Supporting district family planning officials on yearly analysis of budget allocations for family planning services, particularly for tracking operational budgets.

3.5.3. Development of local human resources policies that support effective, equitable and sustainable programming. Some examples are: job description and selection of Director of SKPD KB, equitable distribution of midwives, rotation policies, matching jobs and qualifications, performance-based incentives for health workers, etc. A new area of policy that needs to be developed includes job descriptions of PLKBs, recruitment mechanisms, distribution (at what level of district organization), monitoring performance, etc.

3.5.4. Review transportation cost for clients who are seeking sterilization services but do not live in close proximity to a hospital (linked to output 1.1 and Strategic Objective 4).

3.5.5. Orientation of District Heads/Mayors and parliamentarians about the importance of family planning in improving maternal health and socio-economic development and the need for adequate budget allocation for services and programme management

3.5.6. Enhancing the capacity of BAPPEDA to include family planning in local plans.

Output 3.6: Functional accountability systems in place that involve civil societyKey activities:

3.6.1. Building the capacity of women’s groups (rights and empowerment groups) and other civil society organizations to be ‘watchdogs’ and monitor violation of the client rights, adolescent access to services, etc. (linked to Output 1.6).


41

3.6.2. Establishment of new committees at the puskesmas and hospitals and building their capacity to ensure that client rights are protected.

Strategic Outcome 4: Fostered and applied innovations and evidence for improving efficiency and effectiveness of programmes and for sharing through South-South Cooperation

Outputs:

Output 4.1: Best practices and models available for promoting South-South Cooperation Key activities:

4.1.1. Evaluation and documentation of domestic FP program innovations (including donor assisted projects) for replicability.

4.1.2. Identification of models for replication and promotion under South-South Cooperation.

Output 4.2: is Operations research for improving efficiency and effectiveness of family planning programs is applied, evaluated and scaled up

Key activities:

4.2.1. Undertaking operations research for improving efficiency and effectiveness of family planning programmes and conducting evaluations of the same.

4.2.2. Identification of operations research that is effective and has the potential for promotion under South-South Cooperation.


3.12 Proposed list of indicatorsThe rights-based family planning strategy for acceleration of access to family planning

services refers to impact indicators explained to the Midterm Development Plan Document. One indicator is proposed for each output that can be used to monitor progress. Other indicators that can be used to monitor the activities can be found in the annex.

Results and Outputs Indicators Definisi Operational Source of Data Responsible Institution

Goal (as the Medium Term Development Plan 2015-2019 )

Maternal Mortality Rate (MMR)

Number of maternal deaths due to pregnancy, delivery and within 42 days post partum per 100,000 live births in a period of time. MMR measure the risks death related to pregnancy.

IDHSSUPASCENSUS

Central: BKKBN, MOH, Kemendagri, BAPPENAS, Kemendesa, MenegPP, BPS, professional organizations, NGOs, development partners

Province: Provincial BKKBN, PHO, Provincial Bappeda, Professional Organization, NGOS

District: District FP Services, DHO, District Bappeda, Professional Organization, NGOS

Total Fertility Rate (TFR)

The average number of children a woman will have by the end of her reproductive period if her fertility pattern is the same with current fertility.

IDHSSUPASCENSUS

Adolescent Fertility Rate

The number of births among women aged 15-19 among women aged 15-19 during a certain period of time among female population aged 15-19, expressed in 1000 women 15-19 years.

IDHS

CPR (all methods)CPR (modern methods)

Number of reproductive age couple who are using a contraceptive method compared to the number of eligible couple in a given period, multiplied by 100.

IDHSSUSENAS

Unmet needs The number of women of childbearing age who do not wish to have children or want to delay the birth of the next child but not using contraceptive methods compared to the number of reproductive age women in a given period, multiplied by 100.

IDHS

Proportion of couples using a long acting and permanent contraceptive methods

Number of couple of reproductive age using a long-acting and permanent contraceptive methods compared to the number of reproductive health couples in a given period, multiplied by 100.

IDHSSusenas

Proportion of demand satisfied for modern FP program

Number of reproductive age couple using a modern contraceptive method compared to the total of number of eliglible couple using a modern contraceptive method and number of unment need, multiplied by 100.

IDHS Central: BKKBN, MOHProvince: Provincial BKKBN, PHODistrict: District FP Services, DHO

Discontinuation rate for contraceptive method

The number of contraceptive discontinuation for each month compared with the total number of months of use.

IDHS Central: BKKBN, MOH, BPJS, Professional Organization, NGOSProvince: Provincial BKKBN, PHO, BPJS, Professional Organization, NGOSDistrict: District FP Services, DHO, BPJS, Professional Organization, NGOS

The number of dropouts each month is then calculated cumulatively to obtain an annual number.


43


Strategic outcome 1: Equitable and quality FP service delivery system sustained in public and private sectors to enable all to meet their reproductive goals

Output 1.1: Increased availability of family planning services, with improved and equitable access in the public sector, to enable all to meet their reproductive goals.

Number of government health facilities certified to provide family planning services

Number of government health facilities certified to provide family planning services, in a given period

Report of BKKBN, MOH, BPJS and its subordinates

Central: MOH, BPJS, BKKBN, Private facilities association Province: PHO, BPJS, Provincial BKKBN, Private facilities associationDistrict: DHO, BPJS, District FP Services, Private facilities association

Output 1.2: Increased use of private sector resources to ensure equitable access to quality family planning services with attention to client rights.

Number of private health facilities registered in BPJS that provide at least 5 methods of family planning

Number of private health facilities registered in BPJS that provide at least 5 methods of family planning, in a given period

Report of MOH, BKKBN, BPJS and its subordinates

Central: MOH, BPJS, BKKBN, Private facilities associationProvince: PHO, BPJS, Provincial BKKBN, Private facilities associationDistrict: DHO, BPJS, District FP Services, Private facilities association

Output 1.3: Improved contraceptive commodity security system

Percentage of facilities experiencing stockout according to type of contraceptives

Percentage of facilities that experienced stock-out for certain types of contraceptive during the time of assessment, in a given period

Report of BKKBN and its subordinates

Central: BKKBNProvince: Provincial BKKBN, PHO,District: District FP Services, DHO, BPJS

Output 1.4: Increased capacity and availability of human resources to deliver quality family planning services

Ratio between FP human resources (health personnel and FP field workers) per population, according to the standard

Number of human resources for family planning compared to the number of community in a working area in a given period

Report of BKKBN, MOH, BPJS and its subordinates

Central: BKKBNProvince: Provincial BKKBN, PHO,District: District FP Services , DHO, BPJS

Proportion of health facilities with providers who are competent in providing family planning services

Number of of health workers who have competency to provide contraceptive services (specify long acting )compared to the total number of health workers, in a given period

Report of MOH and its subordinates

Central: MOH, Professional OrganizationProvince: PHO, Professional OrganizationDistrict: DHO, Professional Organization

Output 1.5: Strengthened management information system for ensuring quality, completeness and aligned integration with the health system.

An integrated family planning report that integrates data from health offices and family planning offices

Availability of an integrated family planning report that integrates data from the health offices and FP offices, in a given period

Report of BKKBN, MOH and its subordinates

Central: Bappenas, MOH, BKKBNProvince: BAPPEDA, PHO, Provincial BKKBNDistrict: BAPPEDA, DHO, District FP Services



Output 1.6: Improved quality of family planning services with attention to client rights and integration of services across the continuum of reproductive cycle.

Proportion of contraceptive users who were gave informed consent

Number of contraceptive users who gave informed consent compared to all users of contraception, in a given period, multiplied by 100

IDHS Central: BPS, MOH, BKKBNProvince: PHO, Provincial BKKBNDistrict: DHO, District FP Services

Proportion of post partum contraception Number of post-partum clients given FP counselling/service (this indicator from the old version is better)

Number of postpartum contraceptive users who received FP counselling/services, compared to all postpartum clients, in a given period, multiplied by 100

Report of MOH and its subordinates

Central: MOH, BPJS, BKKBNProvince: PHO, BPJS, Provincial BKKBNDistrict: DHO, District FP Services


Output 2.1: Availability of a comprehensive Behavior Change Communication (BCC) strategy

Availability of local specific behavior change communication strategy

Availability of behavior change communication strategy that is appropriate for local conditions a specific region


Central: BKKBN Province: Provincial BKKBNDistrict: District FP Services

Output 2.2: Increased involvement of health workers, women’s groups and religious leaders in mobilizing support for family planning and addressing barriers to family planning

The number of community mobilization activities in family planning programs conducted by various community groups, New indicator

The number of community mobilization activities in family planning programs conducted by various community groups, in a given period


Central: BKKBNProvince: Provincial BKKBNDistrict: District FP Services

Output 2.3: Increased community’s knowledge and understanding about family planning program (see comments in main text about this output)

Proportion of people aged 15-49 years, both men or women who have knowledge on family planning methods

Comparison of the number of people aged 15-49 years, both men and women who have knowledge of family planning methods compared to the total number of people aged 15-49 years

IDHS Central: BKKBNProvince: Provincial BKKBNDistrict: District FP Services

Strategic outcome 3: Enhanced stewardship /governance at all levels and strengthened enabling environment for effective, equitable and sustainable FP programming in public and private sector to enable all to meet their reproductive goals outcome indicators missing

Output 3.1: Enhanced capacity for stewardship/governance within and between sectors at BKKBN at the central and provincial levels for efficient and sustainable programming.

Avaialability of a medium term development planning document that include integrated family planning program

Avaialability of a medium term development planning document that include integrated family planning program, in a given period

Report of Kementerian Kesehatan, BKKBN and its subordinates

Central: MOH, BKKBN, BAPPENASProvince: PHO, Provincial BKKBN, BAPPEDADistrict: DHO, District FP Services , BAPPEDA


45



A functioning coordination forum for family planning program at the central, provincial and district level

Availability of a cross-sector coordination forums for functioning family planning program.

Criteria for functioning should be further agreed


Central: BAPPENAS, MOH, BKKBNProvince: BAPPEDA, PHO, Provincial BKKBNDistrict: BAPPEDA, DHO, District FP Services


Increase in budget allocation for family planning program (in family planning and health sector)

Increased in budget allocations for family planning programs, both in the health sector and the family planning sector compared to the same period in a given period.


Central: BAPPENAS, MOH, BKKBNProvince: BAPPEDA, PHO, Provincial BKKBNDistrict: BAPPEDA, DHO, District FP Services

Output 3.4: Enhanced capacity for evidence-based advocacy at all levels of the government and community focusing on the centrality of family planning in achieving development goals, for increased visibility of family planning programmes and leveraging resources.

The existence of evidence-based advocacy strategies for family planning programs at various levels of family planning programs

The existence of evidence-based advocacy strategies for family planning programs at various levels of family planning programs


Central: MOH, BKKBN, BAPPEDAProvince: PHO, Provincial BKKBN, BAPPEDADistrict: DHO, District FP Services , BAPPEDA


Availability of policy documents of family planning programs that are evidence-based and rights-based oriented in all government levels

Availability of policy documents of family planning programs that are evidence-based and rights-based oriented in all government levels


Central: MOH, BKKBN, BAPPEDAProvince: PHO, Provincial BKKBN, BAPPEDADistrict: DHO, District FP Services , BAPPEDA

Output 3.6: Functional accountability systems in place that involve civil society.

Number of districts where various community groups are involved in reporting violations of client rights, access for adolescents and young people

Number of districts where various community groups are involved in reporting violations of client rights in a given period


Central: MOH, BKKBN, NGOS dan organisasi masyarakat lainnyaProvince: PHO, Provincial BKKBN, NGOS dan organisasi masyarakat lainnyaDistrict: DHO, District FP Services, NGOS dan organisasi masyarakat lainnya



Strategic outcome 4: Fostered and applied innovations and evidence for improving efficiency and effectiveness of programmes and for sharing through South-South Cooperation

Output 4.1: Best practice and models available for promoting South-South Collaboration.

Number of innovations from within the country documented and/or evaluated for replicability

Number of innovations from within the country documented and/or evaluated for replicability in a given period


Central: MOH, BKKBNProvince: PHO, Provincial BKKBNDistrict: DHO, District FP Services

Output 4.2: Operations research for improving efficiency and effectiveness of family planning programs is applied, evaluated and scaled up.

Number and type of operation researched conducted and evaluated for improving efficiency and effectiveness of FP program

Number and type of operation researchconducted and evaluated for improving efficiency and effectiveness of FP program in a given period


Central: MOH, BKKBNProvince: PHO, Provincial BKKBNDistrict: DHO, District FP Services


47

4. Costing of The Rights-based Strategy for Accelerating Access to Integrated Family Planning and Reproductive Health Services to Achieve Indonesia’s Development Goals 4.1 methodology, Assumptions and Sources

Resource requirements included in this study fall into two main categories – contraceptive commodities and resources required to carry out the interventions and activities as outlined in the implementation road map (meetings, training workshops, IEC/BCC, monitoring and supervisory activities). Cost data were collected in the spring of 2016 through interviews and discussions with the Indonesia Country Committee as well as relevant experts at the BKKBN and Ministry of Health, UNFPA and USAID in Jakarta.

The interventions and activities in the plan designed to improve the quality of family planning service delivery, create demand, enhance governance and share knowledge among partners were costed using an activity-based, bottom-up costing approach. For each activity, unit costs were determined which were then multiplied by the number of units involved in the activity.

The following table shows the number of provinces, districts, hospitals, Puskesmas, and health staff used in the costing.

Number of Provinces, Districts, Gov. Hospital, PHC, Posyandu and Health Staff

Number Provinces 34 MOHA District Profile 2016Districts 514 MOHA District Profile 2016Hospitals 1,593 MOH Hospital Facilities 2015, http://sirs.yankes.kemkes.go.id/rsonline/report/Puskesmas 9,754 MOH Number of Puskesmas 2015SKPD KB 514 MOHA District Profile 2016DHO 514 MOHA District Profile 2016Posyandu 289,635 MOH Health Profile 2014Public facilities 11,347 MOH Health Facilities 2015Doctors 94,747 Indonesian Health Profile 2014, MOHNurses 288,405 Indonesian Health Profile 2014, MOHMidwives 137,110 Indonesian Health Profile 2014, MOHFP Field Workers 15,777 BKKBN Website 2017

4.2. Contraceptive commodityContraceptive commodity needs were projected starting in 2016 through the year

2020 using the FP2020 projection model, modified to reflect circumstances specific to Indonesia. The specific interventions and activities contained in the implementation road map were costed using an activity-based, bottom-up costing methodology.

The cost of procuring and distributing contraceptive commodities and supplies was calculated using contraceptive prevalence data, targets as well as unit costs provided by BKKBN. A current total contraceptive prevalence rate for married women of 61.9% was assumed for 2016, increasing to the FP2020 goal of 66.0%, with long-term methods accounting for 23.5% of all method use in the final year. The contraceptive method mix used for the commodity cost estimates was based on the 2012 DHS survey and is shown to the right.

The following table shows the specific assumptions used in the calculations as well as their sources.


Assumptions and Data Sources for FP Projections

Values Source/Comment

Women of Reproductive Age (15-49):

69.2 million in 2015, increasing to 71.6 million in 2016.

Total population:Central Statistics Office (BPS)Projection of Indonesia Population by Province, 2010-2035 (in thousand) Proyeksi Penduduk menurut Provinsi, 2010-2035 (Ribuan)Use of 2015 and 2020 values, interpolation for values in the years in-between. Women Aged 15-49:Based on BPS data, women between 15-49 represent approximately 27% of that total population. For detailed annual values see Table 1 in Results Section.

% of Women Married: 59.2% 2015 data applied across the entire period (2016-2020) as data only available for 2015.BPS website, July 2016.

CPR Married Women and Method Mix (2016):

61.9% in 2016 IDHS 2012.

CPR Married Women and Method Mix (2019):

Based on FP2020 goal of 66% CPR, modern CPR of 62%

Assumption that the entire 4.1% increase in CPR would go to long-term methods (50% to IUD, 50% to implant), all other methods would stay the same (e.g. pill 13.6% of total in 2016 and 2020).IUD going from 3.9% to 6.0%Implant from 3.3% to 5.4%

CYP per method: Short-term methods:Pills: 13 cycles per CYPInjectable: 4 injections per CYPCondom: 72 condoms per CYPLong-term methods:Implant: 3.2 CYPIUD: 4.6 CYPMale and female sterilization: 13 CYP

Long-term method assumptions based on FP2020 model

Commodity Cost per Method: Short-term methods:Pills: IDR 2,200 per cycleInjectable: IDR 6,500 per injectionCondom: 400 per condomLong-term methods:Implant: IDR 250,000IUD: IDR 18,895Male and female sterilization: --

BKKBN Standard Cost 2017

Other drugs and supplies required per Method:

Short-term methods:Pills: --Injectable: IDR 1,500 per injectionCondom: --Long-term methods:Implant: IDR 46,500IUD: IDR 8,100Male and female sterilization: IDR 23,000 and 65,000, respectively

Calculated using UNFPA Costing Tool, prices provided by BKKBN and, where not available, international supply prices from UNICEF supply catalogue 2016

Transportation Cost of Commodities

a) From Central Level to Province

b) From Province to District

c) From District to Facility

Assumed to be 40% on top of commodity cost a) 50% of total costb) 25%c) 25%


49

The following tables estimate the number of women requiring contraceptives under the scale-up plan as well as the number and cost of contraceptives required, exclusive and inclusive of the cost of transportation (assumed to be 40% on top of the commodity costs). It also includes the cost of other drugs and supplies required (e.g. supplies required for male and female sterilization and syringes, gloves and other consumables required for the other long-term methods).

Total Number of Contraceptive Users

2017 2018 2019

1. Population

WRA 70,250,500 70,715,500 71,149,900

Married WRA 42,226,072 42,505,573 42,766,682

Unmarried WRA 28,024,428 28,209,927 28,383,218

Sexually Active Unmarried WRA 0 0 0

2. Married WRA - MCPR and Method Mix

Total CPR 63.3% 64.6% 66.0%

Modern CPR 59.1% 60.2% 62.0%

Male sterilizations 0.2% 0.2% 0.2%

Female sterilizations 3.2% 3.2% 3.2%

IUDs 4.6% 5.3% 6.0%

Implants 4.0% 4.7% 5.4%

Injectables 31.9% 31.9% 31.9%

Pills 13.6% 13.6% 13.6%

Male condoms 1.8% 1.8% 1.8%

Female condoms 0.0% 0.0% 0.0%

Traditional Methods 4.0% 4.0% 4.0%

3. Total Users (Married)

Male sterilizations 84,452 85,011 85,533

Female sterilizations 1,351,234 1,360,178 1,368,534

IUDs 1,935,362 2,238,627 2,544,618

Implants 1,682,005 1,983,593 2,288,017

Injectables 13,470,117 13,559,278 13,642,572

Pills 5,742,746 5,780,758 5,816,269

Male condoms 760,069 765,100 769,800

Traditional Methods 1,689,043 1,700,223 1,710,667

TOTAL 26,715,028 27,472,769 28,226,010

4. Total Users to be Provided with Commodities/Services Each Year

Male sterilizations 7,064 7,055 7,062

Female sterilizations 113,021 112,885 112,985

IUDs 655,931 723,996 792,649

Implants 730,975 827,215 924,297

Injectables 13,470,117 13,559,278 13,642,572

Pills 5,742,746 5,780,758 5,816,269

Male condoms 760,069 765,100 769,800

Traditional 1,689,043 1,700,223 1,710,667

TOTAL 23,168,965 23,476,511 23,776,300


Total Number of Commodities Required and Commodity Costs

Total Commodities Needed 2017 2018 2019 2017-2019

Male sterilizations 7,064 7,055 7,062 21,181

Female sterilizations 113,021 112,885 112,985 338,891

IUDs 655,931 723,996 792,649 2,172,575

Implants 730,975 827,215 924,297 2,482,487

Injectables 53,880,468 54,237,112 54,570,286 162,687,865

Pills 74,655,695 75,149,854 75,611,494 225,417,042

Male condoms 54,724,989 55,087,223 55,425,620 165,237,832

Traditional Methods 1,689,043 1,700,223 1,710,667 5,099,933

TOTAL

Total Commodity Cost (Mio IDR)

Male sterilizations 0 0 0 0

Female sterilizations 0 0 0 0

IUDs 12,394 13,680 14,977 41,051

Implants 182,744 206,804 231,074 620,622

Injectables 350,223 352,541 354,707 1,057,471

Pills 164,243 165,330 166,345 495,917

Male condoms 21,890 22,035 22,170 66,095

Traditional Methods 0 0 0 0

TOTAL 731,493 760,389 789,274 2,281,156

Total Commodity Cost (US$)

Male sterilizations $0 $0 $0 $0

Female sterilizations $0 $0 $0 $0

IUDs $918,060 $1,013,326 $1,109,415 $3,040,801

Implants $13,536,577 $15,318,794 $17,116,611 $45,971,981

Injectables $25,942,447 $26,114,165 $26,274,582 $78,331,194

Pills $12,166,113 $12,246,643 $12,321,873 $36,734,629

Male condoms $1,621,481 $1,632,214 $1,642,241 $4,895,936

Traditional Methods $0 $0 $0 $0

TOTAL $54,184,678 $56,325,142 $58,464,722 $168,974,542


51

2017 2018 2019 2017-2019

IDR (Million) US$ IDR

(Million) US$ IDR (Million) US$ IDR

(Million) US$

Male sterilizations 163 $12,074 163 $12,074 163 $12,074 488 $36,148

Female sterilizations 7,305 $541,111 7,297 $540,519 7,303 $540,963 21,905 $1,622,593

IUDs 5,313 $393,556 5,864 $434,370 6,420 $475,556 17,598 $1,303,556

Implants 33,990 $2,517,778 38,465 $2,849,259 42,980 $3,183,704 115,436 $8,550,815

Injectables 80,012 $5,926,815 80,542 $5,966,074 81,037 $6,002,741 241,591 $17,895,630

Pills 0 $0 0 $0 0 $0 0 $0

Male condoms 0 $0 0 $0 0 $0 0 $0

Traditional Methods 0 $0 0 $0 0 $0 0 $0

TOTAL 126,784 $9,391,407 132,331 $9,802,296 137,903 $10,215,037 397,019 $29,408,815

Total Cost of Commodities and Supplies

2017 2018 2019 2017-2019



(Million) US$

Male sterilizations 163 $12,065 163 $12,050 163 $12,061 24,604 $36,177

Female sterilizations 7,305 $541,144 7,297 $540,494 7,327 $540,970 1,103,544 $1,622,609

IUDs 17,707 $1,311,618 19,544 $1,447,724 15,339 $1,585,004 2,625,434 $4,344,346

Implants 216,734 $16,054,380 245,269 $18,168,089 216,009 $20,300,301 32,751,784 $54,522,770

Injectables 430,236 $31,869,299 433,083 $32,080,247 438,320 $32,277,314 65,248,609 $96,226,860

Pills 164,243 $12,166,113 165,330 $12,246,643 167,329 $12,321,873 24,908,674 $36,734,629

Male condoms 21,890 $1,621,481 22,035 $1,632,214 22,301 $1,642,241 3,319,790 $4,895,936


TOTAL 858,277 $63,576,101 892,721 $66,127,462 866,789 $68,679,763 129,982,438 $198,383,326

Total Cost of Commodities and Supplies including Transportation

2017 2018 2019 2017-2019



(Million) US$

Male sterilizations 228 $16,891 228 $16,871 228 $16,886 684 $50,647

Female sterilizations 10,228 $757,602 10,215 $756,692 10,224 $757,358 30,667 $2,271,652

IUDs 24,790 $1,836,266 27,362 $2,026,813 29,957 $2,219,005 82,108 $6,082,084

Implants 303,428 $22,476,132 343,377 $25,435,325 383,676 $28,420,421 1,030,480 $76,331,878

Injectables 602,330 $44,617,018 606,317 $44,912,346 610,041 $45,188,239 1,818,688 $134,717,604

Pills 229,940 $17,032,559 231,462 $17,145,300 232,883 $17,250,622 694,284 $51,428,481

Male condoms 30,646 $2,270,074 30,849 $2,285,100 31,038 $2,299,137 92,533 $6,854,310


TOTAL 1,201,588 $89,006,541 1,249,809 $92,578,446 1,298,048 $96,151,669 3,749,445 $277,736,656

Cost of Other Drugs and Supplies Needed


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5.9%

TOTA

L O

utco

me

2:

1,48

2.8

Billi

on$1

09,8

38,9

2116

.6%

Stra

tegi

c O

utco

me

3: E

nhan

ced

stew

ards

hip/

gove

rnan

ce a

t all

leve

ls a

nd s

tren

gthe

ned

enab

ling

envi

ronm

ent f

or e

ffec

tive

, equ

itab

le a

nd s

usta

inab

le fa

mily

pla

nnin

g pr

o-gr

amm

ing

in p

ublic

and

pri

vate

sec

tor t

o en

able

all

to m

eet t

heir

repr

oduc

tive

goa

ls

Out

put 3

.1En

hanc

ed c

apac

ity fo

r ste

war

dshi

p/go

vern

ance

with

in a

nd b

etw

een

sect

ors

at B

KKBN

at t

he c

en-

tral

and

pro

vinc

ial l

evel

s fo

r effi

cien

t and

sus

tain

able

pro

gram

min

g49

3.2

Billi

on$3

6,53

3,35

45.

5%

Out

put 3

.2St

reng

then

ed c

oord

inat

ion

betw

een

with

MoH

at c

entr

al, p

rovi

ncia

l and

dis

tric

t lev

els

for s

tren

gth-

enin

g th

e he

alth

sys

tem

’s co

ntrib

utio

n to

fam

ily p

lann

ing

at a

ppro

pria

te p

oint

s in

the

repr

oduc

tive

cycl

e.

341.

1 Bi

llion

$25,

266,

396

3.8%

Out

put 3

.3En

hanc

ed le

ader

ship

and

cap

acity

of t

he D

irect

ors

of S

KPD

-KB

and

Dis

tric

t Hea

lth O

ffice

s to

effe

c-tiv

ely

man

age

the

fam

ily p

lann

ing

prog

ram

me.

236.

0 Bi

llion

$17,

478,

806

2.6%

Out

put 3

.4 E

nhan

ced

capa

city

for e

vide

nce-

base

d ad

voca

cy a

t all

leve

ls o

f Gov

ernm

ent a

nd c

omm

unity

fo-

cusi

ng o

n th

e ce

ntra

lity

of fa

mily

pla

nnin

g in

ach

ievi

ng d

evel

opm

ent g

oals

, for

incr

ease

d vi

sibi

lity

of fa

mily

pla

nnin

g pr

ogra

mm

es a

nd le

vera

ging

reso

urce

s.

111.

8 Bi

llion

$8,2

83,3

371.

3%


53

Out

put

Cost

(Mill

ion

IDR)

(Cos

t (U

S$)

% o

f Tot

al

Out

put 3

.5St

reng

then

ed c

apac

ity fo

r evi

denc

e-ba

sed

polic

ies

that

can

impr

ove

the

effec

tiven

ess

of th

e fa

mily

pl

anni

ng p

rogr

amm

e w

hile

ens

urin

g eq

uity

and

sus

tain

abili

ty.

85.9

Bill

ion

$6,3

59,6

591.

0%

Out

put 3

.6Fu

nctio

nal a

ccou

ntab

ility

sys

tem

s in

pla

ce th

at in

volv

e ci

vil s

ocie

ty38

.6 B

illio

n$2

,859

,420

0.4%

TOTA

L O

utco

me

3:

1,30

6.5

Billi

on$9

6,78

0,97

114

.6%

Stra

tegi

c O

utco

me

4: F

oste

red

and

appl

ied

inno

vati

ons

and

evid

ence

for i

mpr

ovin

g effi

cien

cy a

nd e

ffec

tive

ness

of p

rogr

amm

es a

nd fo

r sha

ring

thro

ugh

Sout

h-So

uth

Coop

erat

ion

Out

put 4

.1Be

st p

ract

ices

and

mod

els

avai

labl

e fo

r pro

mot

ing

Sout

h-So

uth

Coop

erat

ion

70.4

Bill

ion

$5,2

15,0

100.

8%

Out

put 4

.2O

pera

tions

rese

arch

for i

mpr

ovin

g effi

cien

cy a

nd e

ffect

iven

ess

of fa

mily

pla

nnin

g pr

ogra

mm

es a

re

appl

ied,

eva

luat

ed a

nd s

cale

d up

as

indi

cate

d.31

.4 B

illio

n$2

,323

,750

0.4%

TOTA

L O

utco

me

4:

101.

8 Bi

llion

$7,5

38,7

601.

1%

OV

ERA

LL T

OTA

L

8,92

2.9

Billi

on$6

60,9

55,2

2110

0.0%


Anne

X: A

CTIv

ITIe

S AnD

Sub-

ACTI

vITI

eSN

oA

ctiv

itie

sCe

ntra

lPr

ovin

cial

Dis

tric

tVi

llage

Com

mun

ity

Hea

lth

faci

lity

Lead

in

stit

utio

nSt

akeh

olde

rsTi

mel

ine

Out

put 1

.1: I

ncre

ased

ava

ilabi

lity

of fa

mily

pla

nnin

g se

rvic

es, w

ith

impr

oved

and

equ

itab

le a

cces

s in

the

publ

ic s

ecto

r, to

ena

ble

all t

o m

eet t

heir

repr

oduc

tive

goa

ls.

1.1.

1Re

view

and

revi

se th

e cu

rrent

faci

lity

stan

dard

s and

gu

idel

ines

for i

nteg

rate

d FP

se

rvic

es b

y co

nsid

erin

g st

rat-

ifica

tion

of c

lient

s acc

ordi

ng

to a

ge, p

arity

, rep

rodu

ctiv

e ev

ents

, etc

., ens

urin

g th

at

right

s are

not

vio

late

d.

1. R

ecru

it a

cons

ult t

o fa

cilit

ate

the

revi

ew.

2. W

orks

hops

with

re

pres

enta

tives

from

se

lect

ed p

rovi

nces

/di

stric

ts to

obt

ain

inpu

ts

and

reac

h an

agr

eem

ent

on th

e st

anda

rds a

nd

guid

elin

es.

3. P

rintin

g an

d di

strib

utio

n of

the

stan

dard

s and

gu

idel

ines

.

1. S

take

hold

er m

eetin

gs

at th

e pr

ovin

cial

leve

l.2.

Dist

ribut

ion

of

the

stan

dard

s and

gu

idel

ines

.

1. S

take

hold

er m

eetin

gs

at th

e di

stric

t lev

el.

2. D

istrib

utio

n of

th

e st

anda

rds a

nd

guid

elin

es.

1.M

OH

1. B

KKBN

2. B

PJS

3. P

rofe

ssio

nal

orga

niza

tion

4. D

evel

opm

ent

part

ners

2017

1.1.

2Re

ach

a co

nsen

sus a

mon

g BK

KBN

, MO

H, a

nd B

PJS

on fa

mily

pla

nnin

g fa

cilit

y st

anda

rds.

1. Te

chni

cal m

eetin

gs a

t th

e ce

ntra

l lev

el.

2. D

evel

opm

ent o

f gu

idel

ines

on

the

fam

ily p

lann

ing

serv

ices

st

anda

rds.

3. P

rintin

g an

d di

strb

utio

n.

1. P

rintin

g an

d di

strib

utio

n1.

Dist

ribut

ion

1.M

OH

1. B

KKBN

2. B

PJS

3. P

rofe

ssio

nal

orga

niza

tion

4. D

evel

opm

ent

part

ners

2017

1.1.

3D

istric

t-wise

map

ping

of

fam

ily p

lann

ing

faci

litie

s (p

ublic

and

priv

ate

sect

ors)

ba

sed

on th

e ag

reed

upo

n cr

iteria

, inc

ludi

ng th

e av

aila

bilit

y of

mob

ile se

rvic

es

in re

mot

e, b

orde

r, an

d isl

and

regi

ons,

and

deta

ils o

f the

ir fu

nctio

nalit

y.

1. C

ontr

act a

n in

stiti

ton

(dev

elop

men

t of t

ools

to

mea

sure

the

func

tiona

ility

of

the

faci

lity

and

map

the

publ

ic a

nd p

rivat

e se

ctor

he

alth

faci

litie

s. Sa

mpl

ing

will

con

sider

equ

al

dist

ribut

uion

).

2. S

ocia

lizat

ion

at th

e ce

ntra

l lev

el o

n th

e m

appi

ng o

f hea

lth fa

cilit

ies

at th

e di

stric

t lev

el.

1. Te

chni

cal m

eetin

gs to

pr

ovid

e in

puts

for t

he

impl

emen

tatio

n of

the

map

ping

at t

he d

istric

t le

vel.

1.M

OH

2.BK

KBN

1.BA

PPEN

AS2.

BPJS

3. P

HO

4. D

HO

5. D

evel

opm

ent

part

ners

2017


55

No

Act

ivit

ies

Cent

ral

Prov

inci

alD

istr

ict

Villa

geCo

mm

unit

yH

ealt

h fa

cilit

yLe

ad

inst

itut

ion

Stak

ehol

ders

Tim

elin

e

1.1.

4Ba

sed

on th

e m

appi

ng,

unde

rtak

e th

e fo

llow

ing:

-Str

engt

heni

ng o

f fac

ilitie

s ba

sed

on th

e ga

ps id

entifi

ed

from

the

map

ping

to

achi

eve

equi

tabl

e ac

cess

to

shor

t-te

rm a

nd lo

ng-t

erm

m

etho

ds.

-Upg

radi

ng se

lect

ed fa

cilit

ies

as re

ferr

al fa

cilit

ies b

ased

on

the

map

ping

to e

nsur

e eq

uita

ble

acce

ss.

-Str

engt

heni

ng m

obile

se

rvic

es to

pro

vide

qua

lity

serv

ices

, inc

ludi

ng fo

llow

-up

and

man

agem

ent o

f sid

e eff

ects

at r

egul

ar in

terv

als.

1. C

oord

inat

ion

mee

tings

at

the

prov

inci

al le

vel

to d

iscus

s the

pla

ns to

st

reng

then

the

heal

th

faci

litie

s. 2.

Mon

itor t

he

impl

emen

tatio

n of

faci

lity

stre

ngth

enin

g.

1. C

oord

inat

ion

mee

tin

gs

to d

evel

op a

pla

n to

st

rent

hen

the

heal

th

faci

liliti

es.

2. T

rain

ing

of h

eath

w

orke

rs.

3. M

onito

r the

im

plem

enta

tion

of

faci

lity

stre

ngth

enin

g.

1.M

OH

2.BK

KBN

1.BA

PPEN

AS

2.BA

PPED

A3.

BPJS

4.PH

O5.

DH

O

2017

1.1.

5Ac

cred

itatio

n of

hea

lth

faci

litie

s: re

view

and

exp

and

the

scop

e of

cur

rent

pu

skes

mas

(prim

ary

heal

th

cent

er) a

ccre

dita

tion

stan

dard

s, de

velo

ped

by th

e D

irect

orat

e G

ener

al o

f Hea

lth

Serv

ices

of M

OH

(Bin

a U

paya

Ke

seha

tan/

BUK)

, to

incl

ude

fam

ily p

lann

ing

serv

ices

for

elig

ibili

ty to

be

regi

ster

ed

with

BPJ

S (th

e N

atio

nal

Hea

lth In

sura

nce

Agen

cy).

This

outp

ut is

link

ed to

O

utpu

t 3.2

.

1. S

take

hold

ers m

eetin

gs/

wor

ksho

ps w

ith

repr

esen

tativ

es fr

om P

HO

, D

HO

, and

SKP

D K

B to

re

view

and

upd

ate

curre

nt

accr

edic

atio

n ac

cred

itatio

n st

anda

rds f

or p

uske

smas

.

1.M

OH

1.BK

KBN

2. B

PJS

3.PH

O4.

DH

O5.

SKPD

KB

2017

1.1.

6Yo

uth

frien

dly

repr

oduc

tive

heal

th se

rvic

es

1.1.

6.1

Revi

se/d

evel

op a

stra

tegy

fo

r the

intr

oduc

tion

of Y

FS,

whi

ch w

ill b

e in

trod

uced

in a

ph

ased

man

ner s

tart

ing

with

ar

eas w

ith h

igh

adol

esce

nt

fert

ility

rate

s.

1. D

evel

opm

ent o

f str

ateg

y on

YFS

(con

sulta

nt).

2. S

take

hold

er m

eetin

gs/

wor

ksho

ps w

ith p

rovi

ncia

l an

d di

stric

t rep

rese

ntat

ives

on

YFS

. 3.

Prin

ting

and

dist

ribut

ion

of th

e st

rate

gy.

1. D

evel

opm

ent o

f the

YF

S ac

tion

plan

at t

he

prov

inci

al le

vel.

2.

Dist

ribut

ion

of th

e st

rate

gy.

3. M

onito

ring

of th

e im

plem

enta

tion.

1.D

evel

opm

ent o

f the

YF

S ac

tion

plan

at t

he

dist

rict l

evel

. 2.

Dist

ribut

ion

of th

e st

rate

gy.

3. M

onito

ring

of th

e im

plem

enta

tion.

1.M

OH

2.BK

KBN

1.BA

PPEN

AS2.

Min

of

Educ

atio

n3.

Min

of R

eigi

on

4. P

HO

5. D

HO

6.SK

PD K

B7.

Dev

elop

men

t pa

rtne

rs

2017

20

18

2019


No

Act

ivit

ies

Cent

ral

Prov

inci

alD

istr

ict

Villa

geCo

mm

unit

yH

ealt

h fa

cilit

yLe

ad

inst

itut

ion

Stak

ehol

ders

Tim

elin

e

1.1.

6.2

Esta

blish

a li

nk b

etw

een

PIK

rem

aja

with

Pus

kesm

as P

KPR,

an

d ot

her y

outh

serv

ices

to

cond

uct t

he a

bove

stra

tegy

.

1. S

take

hold

er m

eetin

gs.

2. D

evel

opm

ent o

f a M

oU

on Y

FS.

1. S

take

hold

er m

eetin

gs.

1. S

take

hold

er m

eetin

gs.

1.M

OH

2.BK

KBN

1.BP

JS2.

BAPP

ENAS

3.N

GO

4.PH

O5.

DH

O6.

SKPD

KB

7. E

duca

tion

Offi

ces (

Din

as

Pend

idik

an)

2017

20

18

2019

1.1.

6.3

Revi

se/d

evel

op g

uide

lines

on

the

hand

ling

of re

ferr

als

by p

eer e

duca

tors

and

he

alth

wor

kers

und

er th

e co

ordi

natio

n of

MO

H.

1. D

evel

opm

ent o

f YFS

gu

idel

ine

(con

sulta

nt).

2.

Sta

keho

lder

mee

tings

/w

orks

hops

on

the

YFS

guid

elin

e.

3. P

rintin

g an

d di

strib

utio

n of

YFS

gui

delin

e.

1. P

artic

ipat

ion

of

sele

cted

pro

vinc

es a

t m

eetin

gs/w

orks

hops

to

disc

uss,

revi

ew a

nd re

vise

th

e YF

S gu

idel

ine.

2.

Dist

ribut

ion

of th

e YF

S gu

idel

ine.

1. D

istrib

utio

n of

the

YFS

guid

elin

e.Im

plem

enta

tion

of th

e gu

idel

ine.

1.

MO

H2.

BKKB

N1.

NG

O2.

PHO

3.D

HO

4.SK

PD K

B5.

Dev

elop

men

t pa

rtne

rs

2017

20

18

2019

1.1.

6.4

Trai

ning

of p

rovi

ders

, in

clud

ing

refe

rral

s for

sp

ecia

list s

ervi

ces.

1. S

take

hold

er m

eetin

gs

on Y

FS.

2.Tr

aini

ng o

f tra

iner

s on

YFS.

3.

Mon

itorin

g an

d su

perv

ision

.

1. S

take

hold

er m

eetin

gs

at th

e pr

ovin

cial

leve

l. 2.

Trai

ning

of t

rain

ers o

n YF

S.

3. M

onito

ring

and

supe

rvisi

on.

1. S

take

hold

er m

eetin

gs

at th

e di

stric

t lev

el.

2. T

rain

ing

of tr

aine

rs

on Y

FS.

3. T

rain

ing

of h

ealth

w

orke

rs o

n YF

S.

4. P

ost-

trai

ning

follo

w-u

p.

5. M

onito

ring

and

supe

rvisi

on.

1.M

OH

2.BK

KBN

1.N

GO

2.PH

O3.

DH

O4.

SKPD

KB

2017

20

18

2019

1.1.

6.5

Org

aniz

atio

n of

a p

ublic

ca

mpa

ign

abou

t the

YFS

.1.

Soc

ializ

atio

n at

the

cent

ral l

evel

. 2.

Med

ia c

ampa

ign.

1. S

ocia

lizat

ion

at th

e pr

ovin

cial

leve

l.2.

Med

ia c

ampa

ign.

1. S

ocia

lizat

ion

at th

e di

stric

t lev

el.

2. M

edia

cam

paig

n.

1.BK

KBN

2.M

OH

MO

H, B

KKBN

, BPJ

S,

, BAP

PEN

ASre

-se

arch

inst

itutio

ns,

prof

essio

nal o

rga-

niza

tions

, NG

Os,

Min

istry

of H

ome

Affai

rs, B

APPE

DA

2017

20

18

2019

1.1.

6.6

Intr

oduc

e an

d pr

omot

e no

n-go

vern

men

tal y

outh

frie

ndly

re

prod

uctiv

e he

alth

serv

ices

.

1. D

evel

opm

eny

of so

cial

m

arke

ting

prog

ram

mes

(c

onsu

ltant

) 2.

Sta

keho

lder

s mee

tings

3.

Soc

ializ

atio

n at

the

cent

ral l

evel

1. S

ocia

lizat

ion

at th

e pr

ovin

cial

leve

l 2.

Impl

emen

tatio

n of

so

cial

mar

ketin

g pr

ogra

m

1. S

ocia

lizat

ion

at th

e di

stric

t lev

el

2. Im

plem

enta

tion

of so

cial

mar

ketin

g pr

ogra

m

1.BK

KBN

1.N

GO

2.PH

O3.

DH

O4.

SKP

D K

B

2017

20

18

2019


57

No

Act

ivit

ies

Cent

ral

Prov

inci

alD

istr

ict

Villa

geCo

mm

unit

yH

ealt

h fa

cilit

yLe

ad

inst

itut

ion

Stak

ehol

ders

Tim

elin

e

1.1.

7Pr

ovisi

on o

f fam

ily

plan

ning

serv

ices

dur

ing

hum

anita

rian

crise

s as p

art

of th

e M

inim

um In

itial

Se

rvic

es P

acka

ge (M

ISP)

to

impr

ove

acce

ss to

all

spac

ing

met

hods

and

em

erge

ncy

cont

race

ptio

n. T

he

guid

elin

es w

ill a

lso in

clud

e pr

ovisi

on o

f con

trac

eptio

n to

vic

tims o

f gen

der-b

ased

vi

olen

ce (G

BV).

1. D

evel

opm

ent o

f a

plan

that

is in

tegr

ated

in

to th

e M

OH

act

ion

plan

to

pro

vide

FP

serv

ices

du

ring

hum

anita

rian

crise

s (c

onsu

ltant

) 2.

Mee

tings

/wor

ksho

ps

for t

he d

evel

opm

ent o

f a

plan

to p

rovi

de F

P se

rvic

es

durin

g hu

man

itaria

n cr

ises

at th

e ce

ntra

l lev

el

3. L

ogist

ic p

rocu

rem

ent

1. M

eetin

gs/w

orks

hops

fo

r the

dev

elop

men

t of

a p

lan

to p

rovi

de

of F

P se

rvic

es d

urin

g hu

man

itaria

n cr

ises a

t th

e pr

ovin

cial

leve

l 2.

Log

istic

pro

cure

men

t

1. M

eetin

gs/w

orks

hops

fo

r the

dev

elop

men

t of

a p

lan

to p

rovi

de

FP se

rvic

es d

urin

g hu

man

itaria

n cr

ises a

t di

stric

t lev

el

2. L

ogist

ic p

rocu

rem

ent

1.

MO

H1.

BKKB

N2.

BN

PB3.

PHO

4.D

HO

5. N

GO

2017

20

18

2019

Out

put 1

.2: I

ncre

ased

use

of p

riva

te s

ecto

r res

ourc

es to

ens

ure

equi

tabl

e ac

cess

to q

ualit

y fa

mily

pla

nnin

g se

rvic

es w

ith

atte

ntio

n to

clie

nt ri

ghts

.

Key

activ

ities

:

1.2.

1D

evel

opm

ent o

f a

sust

aina

ble

busin

ess m

odel

of

pub

lic-p

rivat

e pa

rtne

rshi

p th

roug

h a

netw

ork

of

stan

dard

ized

priv

ate-

sect

or fa

mily

pla

nnin

g se

rvic

es m

odel

, foc

usin

g on

incr

ease

d ac

cess

to

equi

tabl

e, a

fford

able

and

qu

ality

serv

ices

.

1. S

tand

ardi

zatio

n of

th

e pr

ivat

e se

ctor

fam

ily

plan

ning

serv

ices

mod

el b

y M

OH

. Dev

elop

a re

port

ing

mec

hani

sm b

ased

on

pusk

esm

as se

rvic

e ar

ea.

2. F

orm

ulat

e a

regu

latio

n on

the

fixed

fee

stru

ctur

e fo

r fam

ily p

lann

ing

serv

ices

. 3.

Dev

elop

men

t of

accr

edita

tion

crite

ria fo

r re

gist

erin

g w

ith B

PJS

(man

dato

ry re

port

ing

as

part

of t

he a

ccre

dita

tion)

. Th

is is

linke

d to

Out

put 3

. 4.

Par

tner

ship

with

th

e Pr

ivat

e M

edic

al

Asso

ciat

ion

of In

done

sia

and/

Indo

nesia

n M

idw

ives

As

soci

atio

n (IB

I) to

de

velo

p a

QA

syst

em d

an

ensu

re a

dher

ence

to th

e st

anda

rds t

hrou

gh ro

utin

e m

onito

ring,

etc

. Thi

s is

linke

d to

Out

put 1

.6.

1. S

ocia

lizat

ion

of th

e pu

blic

-priv

ate

busin

ess

mod

el a

t the

pro

vinc

ial

leve

l

1. S

ocia

lizat

ion

of th

e pu

blic

-priv

ate

busin

ess

mod

el a

t the

dist

rict l

evel

1.

Impl

emen

tatio

n of

the

publ

ic-

priv

ate

busin

ess

mod

el a

t the

he

alth

faci

lity

leve

l

1. M

OH

2.

Pro

fes-

siona

l org

a-ni

zatio

ns

3. P

rivat

e he

alth

fa

cilit

y as

so-

ciat

ion

1. B

KKBN

2.

BPJ

S 3.

Dev

elop

men

t pa

rtne

rs

4. P

ersi

5. A

adin

kes

6. P

KFI

7. A

sklin

8.

PH

O

9. D

HO

10

. SKP

D K

B (D

istric

t FP

office

s)

2017

20

18

2019


No

Act

ivit

ies

Cent

ral

Prov

inci

alD

istr

ict

Villa

geCo

mm

unit

yH

ealt

h fa

cilit

yLe

ad

inst

itut

ion

Stak

ehol

ders

Tim

elin

e

1.2.

2So

cial

mar

ketin

g of

co

ntra

cept

ives

to im

prov

e ac

cess

for a

dole

scen

ts,

eith

er b

uild

ing

on e

xist

ing

prog

ram

mes

or s

tart

ing

new

one

s, en

surin

g co

nfide

ntia

lity

and

redu

ced

cost

s (lin

ked

to O

utpu

t 1.1

).

1. D

evel

opm

ent o

f a so

cial

m

arke

ting

prog

ram

of

cont

race

ptiv

es to

impr

ove

acce

ss fo

r ado

lesc

ents

(c

onsu

ltant

)

2. S

take

hold

ers m

eetin

gs

3. S

ocia

lizat

ion

at th

e ce

ntra

l lev

el

4. Im

plem

enta

tion

of

soci

al m

arke

ting

of

cont

race

ptiv

es

1. S

ocia

lizat

ion

at th

e pr

ovin

cial

leve

l 2.

Impl

emen

tatio

n of

so

cial

mar

ketin

g of

co

ntra

cept

ives

1. S

ocia

lizat

ion

at th

e di

stric

t lev

el

2. Im

plem

enta

tion

of

soci

al m

arke

ting

of

cont

race

ptiv

es

1.

BKK

BN1.

MO

H

2. D

evel

opm

ent

part

ners

3.

Priv

ate

sect

or

4. N

GO

2017

20

18

2019

Out

put 1

.3: I

mpr

oved

con

trac

epti

ve c

omm

odit

y se

curi

ty s

yste

m

1.3.

1Q

ualit

y as

sure

d pr

ocur

emen

t of

con

trac

eptiv

es,

incl

udin

g de

velo

ping

an

e-pr

ocur

emen

t sys

tem

(li

nked

to O

utpu

t 3.1

)

1. R

evie

w th

e cu

rrent

pr

ocur

emen

t pro

cess

an

d de

velo

p a

link

to e

-pro

cure

men

t (c

onsu

ltant

) 2.

Dev

elop

men

t of a

gu

idel

ine

3. S

take

hold

er m

eetin

gs

4. P

rintin

g an

dist

ribut

ion

of g

uide

line

5 So

cial

izat

ion

at th

e ce

ntra

l lev

el

1. S

ocia

lizat

ion

at th

e pr

ovin

cial

leve

l 2.

Dist

ribut

ion

of th

e gu

idel

ine

1. S

ocia

lizat

ion

at th

e di

stric

t lev

el

2. D

istrib

utio

n of

the

guid

elin

e

1.

BKK

BN

2. M

OH

1. B

PJS

2. K

PAN

3.

LKP

P 4.

Dev

elop

men

t pa

rtne

rs

2017

1.3.

2Q

ualit

y as

sure

d co

ntra

cept

ive

com

mod

ity se

curit

y sy

stem

:

1.3.

2.1

Revi

sion

of th

e cu

rrent

st

rate

gy o

n co

ntra

cept

ive

com

mod

ity se

curit

y th

at

refle

cts q

ualit

y as

sure

d pr

ocur

emen

t.

1. C

onsu

ltant

to re

vise

cu

rrent

stra

tegy

on

cont

race

ptiv

e co

mm

odity

se

curit

y 2.

Sta

keho

lder

mee

tings

3.

Soc

ializ

atio

n at

the

cent

ral l

evel

1. S

ocia

lizat

ion

at th

e pr

ovin

cial

leve

l1.

Soc

ializ

atio

n at

the

dist

rict l

evel

1.

BKK

BN1.

MO

H

2. P

rovi

ncia

l BK

KBN

3.

SKP

D K

B 4.

PH

O

5. D

HO

6.

Dev

elop

men

t pa

rtne

rs

2017

1.3.

2.2

Ensu

ring

the

avai

labi

lity

of fa

mily

pla

nnin

g co

mm

oditi

es b

ased

on

the

fore

cast

ing

of c

ontr

acep

tive

need

s of c

lient

s

1. P

rocu

rem

ent o

f FP

com

mod

ity a

ccor

ding

to

the

proj

ecte

d ta

rget

of F

P us

ers

2. D

istrib

utio

n of

FP

com

mod

ities

to th

e lo

wer

le

vel

1. P

rocu

rem

ent o

f FP

com

mod

ity a

t the

pr

ovin

cial

leve

l acc

ordi

ng

to th

e pr

ojec

ted

targ

et o

f FP

use

rs

2. D

istrib

utio

n of

FP

com

mod

ities

to th

e lo

wer

leve

l

1. P

rocu

rem

ent o

f FP

com

mod

ity a

t the

dist

rict

leve

l acc

ordi

ng to

the

proj

ecte

d ta

rget

of F

P us

ers

2. D

istrib

utio

n of

FP

com

mod

ities

to th

e lo

wer

leve

l

1. I

mpl

emen

-ta

tion

of F

P co

mm

odity

m

anag

emen

t at

the

heal

th fa

cilit

y le

vel a

ccor

ding

to

stan

dard

s

1. M

OH

2.

BKK

BN1.

PH

O

2. D

HO

3.

Pro

vinc

ial

BKKB

N

4. S

KPD

KB

2017

20

18

2019


59

No

Act

ivit

ies

Cent

ral

Prov

inci

alD

istr

ict

Villa

geCo

mm

unit

yH

ealt

h fa

cilit

yLe

ad

inst

itut

ion

Stak

ehol

ders

Tim

elin

e

1.3.

2.3

Revi

ew o

f man

ufac

ture

r’s

stan

dard

s for

var

ious

co

ntra

cept

ives

and

its

impl

emen

tatio

n.

1. Im

plem

enta

tion

of a

trac

ing

stud

y (fr

om m

anuf

actu

rer-

proc

urem

ent-

dist

ribut

ion-

stor

age-

cons

umpt

ion)

. 2.

Rev

iew

of m

anuf

actu

rer’s

st

anda

rds f

or v

ario

us

cont

race

ptiv

es (c

onsu

ltant

) 3.

Tech

nica

l mee

tings

with

st

akeh

olde

rs to

disc

uss t

he

resu

lts o

f the

revi

ew

1.

BPO

M

2. M

OH

1.

BKK

BN

2. D

evel

opm

ent

part

ners

2017

1.3.

2.4

Impr

ovin

g w

areh

ousin

g:

i. Re

view

and

upd

ate

curre

nt B

KKBN

war

ehou

sing

stan

dard

s.

1. R

evie

w c

urre

nt

war

ehou

sing

stan

dard

s (c

onsu

ltant

) 2.

Upd

ate

war

ehou

sing

stan

dard

s 3.

Sta

keho

lder

mee

tings

4.

Prin

ting

and

dist

ribut

ion

5. S

ocia

lizat

ion

at th

e ce

ntra

l lev

el

1. D

istrib

utio

n of

gu

idel

ine

2. S

ocia

lizat

ion

at th

e pr

ovin

cial

leve

l

1. D

istrib

utio

n of

gu

idel

ine

2. S

ocia

lizat

ion

at th

e di

stric

t lev

el

1.

BKK

BN1.

MO

H

2. D

evel

opm

ent

part

ners

2017

ii. Re

view

of c

urre

nt

man

agem

ent a

nd

dist

ribut

ion

of F

P co

mm

oditi

es, i

nclu

ding

m

appi

ng o

f pro

vinc

ial/

dist

rict h

ealth

offi

ces a

nd

prov

inci

al B

KKBN

and

dist

rict

FP o

ffice

s aga

inst

MO

H

func

tiona

lity

stan

dard

s for

w

areh

ouse

s.

1. R

evie

w o

f of c

urre

nt

man

agem

ent a

nd

dist

ribut

ion

of F

P co

mm

oditi

es (c

onsu

ltant

) 2.

Sta

keho

lder

mee

tings

3.

Soc

ializ

atio

n at

the

cent

ral l

evel

1. S

ocia

lizat

ion

at th

e pr

ovin

cial

leve

l1.

Soc

ializ

atio

n at

the

dist

rict l

evel

1.

BKK

BN

2. M

OH

1. D

evel

opm

ent

part

ners

2017

iii. S

uppo

rtin

g/fa

cilit

atin

g in

puts

to im

prov

e fa

cilit

ies a

s pe

r sta

ndar

ds

1. S

take

hold

ers m

eetin

gs

2. A

lloca

tion

of o

pera

tiona

l fu

nds t

o im

prov

e fa

cilit

ies

as p

er st

anda

rds

1. S

ocia

lizat

ion

at th

e pr

ovin

cial

leve

l 2.

Allo

catio

n of

op

erat

iona

l fun

ds to

im

prov

e fa

cilit

ies a

s per

st

anda

rds

1. S

ocia

lizat

ion

at th

e di

stric

t lev

el

2. A

lloca

tion

of

oper

atio

nal f

unds

to

impr

ove

faci

litie

s as p

er

stan

dard

s

1. Im

prov

emen

t of

iden

tified

fa

cilit

ies a

s per

st

anda

rds

1. B

KKBN

2.

MO

H1.

Dev

elop

men

t pa

rtne

rs

2. P

rovi

ncia

l BK

KBN

3.

Dist

rict F

P se

rvic

es (S

KPD

KB)

4.

PH

O

5. D

HO

2017

20

18

2019


No

Act

ivit

ies

Cent

ral

Prov

inci

alD

istr

ict

Villa

geCo

mm

unit

yH

ealt

h fa

cilit

yLe

ad

inst

itut

ion

Stak

ehol

ders

Tim

elin

e

iv

. Dev

elop

a g

uide

line

on st

orin

g co

ntra

cept

ives

in

hos

pita

ls, p

uske

smas

an

d fa

cilit

ies b

elow

the

pusk

esm

as

1.Re

view

gui

delin

e on

st

orin

g co

ntra

cept

ives

in

hos

pita

ls, p

uske

smas

an

d fa

cilit

ies b

elow

the

pusk

esm

as (c

onsu

ltant

) 2.

Sta

keho

lder

s mee

tings

3.

Prin

ting

and

dist

ribut

ion

4. S

ocia

lizat

ion

at th

e ce

ntra

l lev

el

1. S

ocia

lizat

ion

at th

e pr

ovin

cial

leve

l 2.

Dist

ribut

ion

of

guid

elin

e

1. S

ocia

lizat

ion

at th

e di

stric

t lev

el

2. D

istrib

utio

n of

gu

idel

ine

1.

Impl

emen

tatio

n of

the

guid

elin

e on

stor

ing

cont

race

ptiv

es a

t th

e he

alth

faci

lity

leve

l

1. B

KKBN

2.

MO

H1.

Dev

elop

men

t pa

rtne

rs

2. P

rovi

ncia

l BK

KBN

3.

Dist

rict F

P se

rvic

es (S

KPD

KB)

4.

PH

O

5. D

HO

2017

v. Tr

aini

ng fo

r the

var

ious

le

vels

of w

areh

ouse

m

anag

ers,

incl

udin

g ph

arm

acist

s at t

he

low

er le

vel i

nstit

utio

ns

(pha

rmac

ists/

stor

ekee

pers

of

priv

ate

faci

litie

s tha

t pro

vide

fa

mily

pla

nnin

g se

rvic

es w

ill

be in

clud

ed in

the

trai

ning

)

1. D

evel

opm

ent o

f a

guid

elin

e on

qua

lity

assu

ranc

e of

supe

rviso

rs

and

man

ager

s (co

nsul

tant

) 2.

Sta

keho

lder

mee

tings

/w

orks

hops

3.

Tra

inin

g of

trai

ners

at t

he

cent

ral l

evel

1. T

rain

ing

of tr

aine

rs a

t th

e pr

ovin

cial

leve

l1.

Tra

inin

g at

the

dist

rict

leve

l

1.

Tra

inin

g of

w

areh

ouse

m

anag

ers

incl

udin

g ph

arm

acist

s at

the

heal

th fa

cilit

y le

vel

1. B

KKBN

2.

MO

H1.

Dev

elop

men

t pa

rtne

rs

2. P

rovi

ncia

l BK

KBN

3.

Dist

rict F

P se

rvic

es (S

KPD

KB)

4.

PH

O

5. D

HO

2017

20

18

vi.

Mon

itorin

g ad

here

nce

to st

anda

rds a

t all

leve

ls,

incl

udin

g th

e pr

ivat

e se

ctor

by

cent

ral-l

evel

staff

(p

rovi

ncia

l-lev

el m

onito

ring)

, pr

ovin

cial

-leve

l sta

ff (d

istric

t-le

vel m

onito

ring,

pub

lic

and

priv

ate

sect

or m

ajor

fa

cilit

ies)

, dist

rict-

leve

l sta

ff (m

onito

ring

pusk

esm

as a

nd

othe

r pub

lic se

ctor

faci

litie

s, pr

ivat

e se

ctor

faci

litie

s and

ot

her s

ervi

ce p

rovi

ders

)

1.St

akeh

olde

r mee

tings

at

the

cent

ral l

evel

2.

Mon

itorin

g ad

here

nce

to

the

stan

dard

s

1.St

akeh

olde

r mee

tings

at

the

prov

inci

al le

vel

2. M

onito

ring

adhe

renc

e to

the

stan

dard

s

1.St

akeh

olde

r mee

tings

at

the

dist

rict l

evel

2.

Mon

itorin

g ad

here

nce

to th

e st

anda

rds

1. R

outin

e co

ordi

natio

n m

eetin

gs a

t the

he

alth

faci

lity

leve

l

1. B

KKBN

2.

MO

H1.

Dev

elop

men

t pa

rtne

rs

2. P

rovi

ncia

l BK

KBN

3.

Dist

rict F

P se

rvic

es (S

KPD

KB)

4.

PH

O

5. D

HO

2017

20

18

2019

1.3.

3St

reng

then

ing

supp

ly c

hain

m

anag

emen

t: Ev

alua

tion

of

the

thre

e m

odel

s cur

rent

ly

bein

g im

plem

ente

d in

te

rms o

f its

effi

cien

cy,

cost

-effe

ctiv

enes

s and

su

stai

nabi

lity

(the

thre

e m

odel

s are

impr

oved

cur

rent

di

strib

utio

n sy

stem

s of

BKKB

N, i

nteg

rate

d sy

stem

w

ith M

oH a

nd u

sing

post

al

serv

ices

for d

istrib

utio

n).

1. C

onsu

ltant

to

eval

uate

the

thre

e m

odel

s cur

rent

ly b

eing

im

plem

ente

d, in

clud

ing

in te

rms o

f its

effi

cien

cy,

cost

-effe

ctiv

enes

s and

su

stai

nabi

lity

2.

Sta

keho

lder

mee

tings

3.

Soc

ializ

atio

n at

the

cent

ral l

evel

1. S

ocia

lizat

ion

at th

e pr

ovin

cial

leve

l1.

Soc

ializ

atio

n at

the

dist

rict l

evel

1.

BKK

BN1.

MO

H

2. R

esea

rch

inst

itutio

ns

3. P

rofe

ssio

nal

orga

niza

tions

4.

Dev

elop

men

t pa

rtne

rs

2017


61

No

Act

ivit

ies

Cent

ral

Prov

inci

alD

istr

ict

Villa

geCo

mm

unit

yH

ealt

h fa

cilit

yLe

ad

inst

itut

ion

Stak

ehol

ders

Tim

elin

e

1.3.

4St

reng

then

ing

Logi

stic

s Man

agem

ent I

nfor

mat

ion

Syst

em (L

MIS

) and

fore

cast

ing:

1.3.

4.1

Revi

ew c

urre

nt L

MIS

and

as

sess

its e

ffect

iven

ess i

n be

ing

able

to p

redi

ct st

ock-

outs

and

mod

ify a

s nee

ded.

1. C

onsu

ltant

to r

evie

w

curre

nt L

MIS

and

ass

ess i

ts

effec

tiven

ess i

n be

ing

able

to

pre

dict

stoc

k-ou

ts

2. S

take

hold

er m

eetin

gs

3. S

ocia

lizat

ion

at th

e ce

ntra

l lev

el

1. S

ocia

lizat

ion

at th

e pr

ovin

cial

leve

l1.

Soc

ializ

atio

n at

the

dist

rict l

evel

1.

BKK

BN

2. M

OH

1. P

HO

2.

DH

O

3. P

rovi

ncia

l BK

KBN

4.

Dist

rict F

P se

rvic

es (S

KPD

KB)

5.

Dev

elop

men

t pa

rtne

rs

2017

1.3.

4.2

Enha

ncin

g th

e ca

paci

ty

to fo

reca

st a

t the

nat

iona

l, pr

ovin

cial

and

dist

rict l

evel

s as

wel

l as i

n ho

spita

ls an

d pu

skes

mas

(lin

ked

to O

utpu

t 1.

4).

1. S

take

hold

er m

eetin

gs/

wor

ksho

ps

2. T

rain

ing

of tr

aine

rs a

t the

ce

ntra

l lev

el

1. S

take

hold

er m

eetin

gs/

wor

ksho

ps

2. T

rain

ing

of tr

aine

rs a

t th

e pr

ovin

cial

leve

l

1. S

take

hold

er m

eetin

gs/

wor

ksho

ps

2. T

rain

ings

at t

he d

istric

t le

vel

1. T

rain

ings

at

the

heal

th fa

cilit

y le

vel

1. B

KKBN

2.

MO

H1.

PH

O

2. D

HO

3.

Pro

vinc

ial

BKKB

N

4. D

istric

t FP

serv

ices

(SKP

D K

B)

5. D

evel

opm

ent

part

ners

2017

20

18

Out

put 1

.4: I

ncre

ased

cap

acit

y a

nd a

vaila

bilit

y of

hum

an re

sour

ces

to d

eliv

er q

ualit

y fa

mily

pla

nnin

g se

rvic

es

1.4.

1Fa

mily

pla

nnin

g se

rvic

es

1.4.

1.1

Ensu

re th

e av

aila

bilit

y of

he

alth

pro

vide

rs fo

r fam

ily

plan

ning

serv

ices

.

1. M

appi

ng o

f hea

lth

pers

onne

l at v

ario

us le

vels

(con

sulta

nt/r

esea

rch

inst

itutio

n)

2. S

take

hold

er m

eetin

gs a

t th

e ce

ntra

l lev

el to

dev

elop

a

hum

an re

sour

ces p

lan

for

heal

th

1. S

take

hold

er m

eetin

gs

at th

e pr

ovin

cial

leve

l to

dev

elop

a h

uman

re

sour

ces p

lan

for h

ealth

1. S

take

hold

ers m

eetin

g at

the

dist

rict l

evel

to

dev

elop

a h

uman

re

sour

ces p

lan

for h

ealth

2.

Ass

ignm

ent o

f hea

lth

pers

onne

l at t

he fa

cilit

y le

vel

1.

MO

H1.

BKK

BN

2. B

APPE

DA

3. P

HO

4.

DH

O

2017

20

18

2019

1.4.

1.2

Cond

uct p

re-s

ervi

ce fa

mily

pla

nnin

g tr

aini

ng:

i. Re

view

the

curre

nt

curr

icul

um a

nd st

reng

then

th

e fa

mily

pla

nnin

g tr

aini

ng

durin

g po

stin

gs in

Obs

tetr

ics

and

Gyn

aeco

logy

(O&G

) and

du

ring

inte

rnsh

ips.

1. R

evie

w th

e cu

rrent

cu

rric

ulum

and

st

reng

then

the

fam

ily

plan

ning

trai

ning

dur

ing

post

ings

in O

bste

tric

s an

d G

ynae

colo

gy (O

&G)

and

durin

g in

tern

ship

s (c

onsu

ltant

) 2.

Sta

keho

lder

mee

tings

/w

orks

hops

to st

rent

hen

the

trai

ning

cur

ricul

um

3. S

ocia

lizat

ion

at th

e ce

ntra

l lev

el

1. S

ocia

lizat

ion

at th

e pr

ovin

cial

leve

l1.

Soc

ializ

atio

n at

the

dist

rict l

evel

1.

Min

of

Rese

arch

, Te

chno

logy

, an

d H

ighe

r Ed

ucat

ion

2.

Indo

nesia

n M

edic

al

Coun

cil

1. M

OH

2.

BKK

BN

3. U

nive

rsiti

es

4. P

rofe

ssio

nal

orga

niza

tions

5.

Dev

elop

men

t pa

rtne

rs

2017


No

Act

ivit

ies

Cent

ral

Prov

inci

alD

istr

ict

Villa

geCo

mm

unit

yH

ealt

h fa

cilit

yLe

ad

inst

itut

ion

Stak

ehol

ders

Tim

elin

e

ii. E

xpan

sion

of fa

mily

pl

anni

ng c

onte

nt in

the

basic

trai

ning

cur

ricul

um fo

r m

idw

ives

.

1.Ex

pans

ion

of fa

mily

pl

anni

ng c

onte

nt in

the

curr

icul

um o

f bas

ic tr

aini

ng

of m

idw

ives

(con

sulta

nt)

2. S

take

hold

ers m

eetin

gs/

wor

ksho

ps a

t the

cen

tral

le

vel

3.Tr

aini

ng o

f tra

iner

s at t

he

cent

ral l

evel

1. S

ocia

lizat

ion

of th

e up

date

d co

nten

ts o

n fa

mily

pla

nnin

g in

the

curr

icul

um o

f bas

ic

trai

ning

of m

idw

ives

2.

Trai

ning

of t

rain

ers a

t th

e pr

ovin

cial

leve

l

1. S

ocia

lizat

ion

of th

e up

date

d co

nten

ts o

n fa

mily

pla

nnin

g in

the

curr

icul

um o

f bas

ic

trai

ning

of m

idw

ives

2.

Trai

ning

of m

idw

ives

w

ith th

e up

date

d co

nten

ts o

n FP

1.Tr

aini

ng

of m

idw

ives

w

ith th

e up

date

d co

nten

ts

on F

P

1. M

in o

f Re

seac

h,

Tech

olog

y, an

d H

ighe

r Ed

ucat

ion,

1. M

OH

2.

BKK

BN

3. U

nive

rsiti

es

4. P

rofe

ssio

nal

orga

niza

tions

2017

20

18

2019

1.4.

1.3

Inse

rvic

e fa

mily

pla

nnin

g tr

aini

ng fo

r mid

wiv

es, d

octo

rs a

nd o

ther

hea

lth w

orke

rs a

ccor

ding

to th

eir c

apac

ity

i. As

sess

men

t of t

he q

ualit

y of

cur

rent

trai

ning

s at t

he

dist

rict l

evel

, inc

ludi

ng sk

ill-

leve

l of t

rain

ers,

cert

ifica

tion

proc

ess a

t the

fiel

d le

vel a

nd

invo

lvem

ent o

f the

trai

ning

di

visio

n of

MO

H, t

rain

ing

man

agem

ent i

nfor

mat

ion

syst

em, a

naly

sis o

f allo

catio

n of

fund

s at v

ario

us le

vels

for

trai

ning

and

follo

w-u

p.

1. A

sses

smen

t of t

he

qual

ity o

f cur

rent

trai

ning

s at

the

dist

rict l

evel

(c

onsu

ltant

) 2.

Soc

ializ

atio

n at

the

cent

ral l

evel

on

the

resu

lts

of th

e as

sess

men

t

1. S

ocia

lizat

ion

on th

e re

sults

of t

he a

sses

smen

t1.

Soc

ializ

atio

n on

the

resu

lts o

f the

ass

essm

ent

1.

MO

H1.

BKK

BN

2. R

esea

rch

inst

itutio

ns

3. P

rofe

ssio

nal

orga

niza

tions

4.

Dev

elop

men

t pa

rtne

rs

2017

ii. Fo

rmul

atio

n of

a tr

aini

ng

deve

lopm

ent s

trat

egy

base

d on

the

new

regu

latio

n re

late

d to

in-s

ervi

ce tr

aini

ng

and

cert

ifica

tion

incl

udin

g fo

llow

-up

trai

ning

at t

he

dist

rict l

evel

(for

con

tinuo

us

prof

essio

nal d

evel

opm

ent)

and

qual

ity a

ssur

ance

of

trai

ning

.

1. S

take

hold

er m

eetin

gs/

wor

ksho

ps to

dev

elop

a

trai

ning

stra

tegy

bas

ed o

n th

e ne

w re

gula

tion

rela

ted

to in

-ser

vice

trai

ning

and

ce

rtifi

catio

n in

clud

ing

follo

w-u

p tr

aini

ng a

t the

di

stric

t lev

el

1. S

take

hold

er m

eetin

gs/

wor

ksho

ps to

dev

elop

a

trai

ning

pla

n at

the

prov

inci

al le

vel

1. S

take

hold

er m

eetin

gs/

wor

ksho

ps to

dev

elop

a

trai

ning

pla

n at

the

dist

rict l

evel

1.

MO

H1.

BKK

BN

2. P

rofe

ssio

nal

orga

niza

tions

3.

Priv

ate

Med

ical

As

soci

atio

n

2017

iii. R

evisi

on o

f th

e cu

rrent

tr

aini

ng m

odul

e as

nee

ded

base

d on

the

asse

ssm

ent

abov

e.

1. R

evisi

on to

the

curre

nt

trai

ning

mod

ule

base

d on

th

e as

sess

men

t 2.

Sta

keho

lder

mee

tings

/w

orks

hops

to d

iscus

s cu

rrent

trai

ning

mod

ule

base

d on

the

asse

ssm

ent

1. S

ocia

lizat

ion

of th

e re

vise

d tr

aini

ng m

odul

e 1.

Soc

ializ

atio

n of

the

revi

sed

trai

ning

mod

ule

1. Im

ple-

men

tatio

n of

the

revi

sed

trai

ning

m

odul

e

1. M

OH

1. B

KKBN

2.

Pro

fess

iona

l or

gani

zatio

ns

3. P

rivat

e M

edic

al

Asso

ciat

ion

2018


63

No

Act

ivit

ies

Cent

ral

Prov

inci

alD

istr

ict

Villa

geCo

mm

unit

yH

ealt

h fa

cilit

yLe

ad

inst

itut

ion

Stak

ehol

ders

Tim

elin

e

iv

. Im

prov

ing

the

man

agem

ent i

nfor

mat

ion

syst

em tr

aini

ng to

be

follo

wed

up

by tr

aini

ng

inst

itutio

ns a

nd fo

r rep

ortin

g to

BKK

BN a

nd in

-ser

vice

tr

aini

ng d

ivisi

on o

f MO

H/

PPSD

M (t

his s

houl

d be

lin

ked

to h

ealth

pro

vide

rs’

info

rmat

ion

syst

ems,

both

pr

ivat

e an

d pu

blic

).

1. C

onsu

ltant

to d

evel

op

trai

ning

man

agem

ent

info

rmat

ion

syst

em

2. S

take

hold

er m

eetin

gs/

wor

ksho

ps to

disc

uss

curre

nt tr

aini

ng

man

agem

ent i

nfor

mat

ion

syst

em

1. S

ocia

lizat

ion

of th

e re

sults

of t

he a

sses

smen

t1.

Soc

ializ

atio

n of

the

resu

lts o

f the

ass

essm

ent

1. Im

ple-

men

tatio

n of

the

man

-ag

emen

t in

form

atio

n sy

sten

tr

aini

ng

1. B

KKBN

1. M

OH

2.

BAP

PEN

AS

3. P

rofe

ssio

nal

orga

niza

tions

4.

Priv

ate

Med

ical

As

soci

atio

n 5.

Uni

vers

ities

2017

20

18

2019

v. Tr

aini

ng o

n FP

serv

ices

fo

r hea

lth w

orke

rs u

sing

the

revi

sed

trai

ning

mod

ule

(in

clud

ing

the

prov

ision

of

coun

selin

g se

rvic

es) w

hich

in

tegr

ates

pos

t-tr

aini

ng

follo

w-u

p (li

nked

to O

utpu

ts

1.1,

3.2

).

1. T

rain

ing

of tr

aine

rs a

t the

ce

ntra

l lev

el1.

Tra

inin

g of

trai

ners

at

the

prov

inci

al le

vel

1. T

rain

ing

of h

ealth

w

orke

rs

1. M

OH

2.

BKK

BN1.

PH

O

2. D

HO

3.

Pro

vinc

ial

BKKB

N

4. S

KPD

KB

2017

20

18

2019

1.4.

1.4

Dev

elop

men

t of a

con

sens

us o

n th

e ro

le o

f nur

ses i

n fa

mily

pla

nnin

g an

d ex

pand

ing

the

scop

e of

fam

ily p

lann

ing

serv

ices

by

mid

wiv

es

i. D

evel

opm

ent o

f a

cons

ensu

s and

stra

tegy

on

impl

ant t

rain

ing

for n

urse

s an

d ex

pand

ing

the

scop

e of

FP

serv

ices

by

mid

wiv

es.

1.St

akeh

olde

r mee

tings

/w

orks

hops

to a

chie

ve a

co

ncen

sus o

n im

plan

t tr

aini

ng fo

r nur

ses a

nd

expa

ndin

g th

e sc

ope

of F

P se

rvic

es b

y m

idw

ives

1. S

ocia

lizat

ion

of th

e co

ncen

sus a

nd st

rate

gy

on im

plan

t tra

inin

g fo

r nu

rses

and

exp

andi

ng

the

scop

e of

FP

serv

ices

by

mid

wiv

es

1. S

ocia

lizat

ion

of th

e co

ncen

sus a

nd st

rate

gy

on im

plan

t tra

inin

g fo

r nu

rses

and

exp

andi

ng

the

scop

e of

FP

serv

ices

by

mid

wiv

es

1.

MO

H1.

BKK

BN

2. P

rofe

ssio

nal

orga

niza

tions

2017

20

18

ii. D

evel

opm

ent o

f re

gula

tions

that

supp

ort

impl

ant t

rain

ing

for n

urse

s an

d ex

pand

ing

the

scop

e of

FP

serv

ices

by

mid

wiv

es

(link

ed to

Out

put 3

.1).

1.St

akeh

olde

r mee

tings

/w

orks

hops

to d

evel

op

regu

latio

ns th

at su

ppor

t im

plan

t tra

inin

g fo

r nur

ses

and

expa

ndin

g th

e sc

ope

of fa

mily

pla

nnin

g se

rvic

es

by m

idw

ives

1. S

ocia

lizat

ion

of th

e re

gula

tions

that

supp

ort

impl

ant t

rain

ing

for

nurs

es a

nd e

xpan

ding

th

e sc

ope

of fa

mily

pl

anni

ng se

rvic

es b

y m

idw

ives

1. S

ocia

lizat

ion

of th

e re

gula

tions

that

supp

ort

impl

ant t

rain

ing

for

nurs

es a

nd e

xpan

ding

th

e sc

ope

of fa

mily

pl

anni

ng se

rvic

es b

y m

idw

ives

1.

MO

H1.

BKK

BN

2. P

rofe

ssio

nal

orga

niza

tions

2017

20

18

1.4.

2Pr

ogra

m m

anag

emen

t

1.4.

2.1

Cond

uct t

rain

ing

on

man

agem

ent i

nfor

mat

ion

syst

ems (

linke

d to

Out

put

1.5)

.

1. D

evel

opm

ent o

f a

trai

ning

mod

ule

in

man

agem

ent i

nfor

mat

ion

syst

em (c

onsu

ltant

) 2.

Sta

keho

lder

mee

tings

/w

orks

hops

3.

Tra

inin

g of

trai

ners

at t

he

cent

ral l

evel

1. S

ocia

lizat

ion

of

the

man

agem

ent

info

rmat

ion

syst

em

mod

ule

at th

e pr

ovin

cial

le

vel

2. T

rain

ing

of tr

aine

rs a

t th

e pr

ovin

cial

leve

l

1. S

ocia

lizat

ion

of

the

man

agem

ent

info

rmat

ion

syst

em

mod

ule

at th

e di

stric

t le

vel

2. T

rain

ing

of tr

aine

rs a

t th

e di

stric

t lev

el

1.

BKK

BN

2. M

OH

1. P

HO

2.

DH

O

3. P

rovi

ncia

l BK

KBN

4.

SKP

D K

B

2017

20

18

2019


No

Act

ivit

ies

Cent

ral

Prov

inci

alD

istr

ict

Villa

geCo

mm

unit

yH

ealt

h fa

cilit

yLe

ad

inst

itut

ion

Stak

ehol

ders

Tim

elin

e

1.4.

2.2

Cond

uct t

rain

ing

on F

P pr

ogra

m m

anag

emen

t (in

clud

ing

plan

ning

, bu

dget

ing

and

mon

itorin

g an

d ev

alua

tion)

, inc

ludi

ng

lead

ersh

ip fo

r pro

vinc

ial/

dist

rict m

anag

ers o

f SKP

D K

B an

d pr

ovin

cial

/dist

rict h

ealth

offi

ces (

linke

d to

Out

put 3

.3).

1. D

evel

opm

ent o

f a

trai

ning

mod

ule

on F

P pr

ogra

m m

anag

emen

t 2.

Sta

keho

lder

mee

tings

/w

orks

hops

to d

iscus

s the

tr

aini

ng m

odul

e on

FP

prog

ram

man

agem

ent

3. T

rain

ing

of tr

aine

rs a

t the

ce

ntra

l lev

el

1. S

ocia

lizat

ion

of th

e tr

aini

ng m

odul

e on

FP

prog

ram

man

agem

ent

2. T

rain

ing

of tr

aine

rs a

t th

e pr

ovin

cial

leve

l

1. S

ocia

lizat

ion

of th

e tr

aini

ng m

odul

e on

FP

prog

ram

man

agem

ent

2. T

rain

ing

of tr

aine

rs a

t th

e di

stric

t lev

el

1.

BKK

BN

2. M

OH

1. P

HO

2.

DH

O

3. P

rovi

ncia

l BK

KBN

4.

SKP

D K

B

2017

20

18

2019

1.4.

2.3

Cond

uct t

rain

ing

on

Qua

lity

Assu

ranc

e (Q

A) fo

r su

perv

isors

and

man

ager

s (li

nked

to O

utpu

t 1.6

).

1. D

evel

opm

ent o

f a

trai

ning

mod

ule

on q

ualit

y as

sura

nce

for s

uper

viso

rs

and

man

ager

s (co

nsul

tant

) 2.

Sta

keho

lder

s mee

tings

/ w

orks

hops

to d

evel

op

guid

elin

es o

n qu

ality

as

sura

nce

for s

uper

viso

rs

and

man

ager

s 3.

Tra

inin

g of

trai

ners

at t

he

cent

ral l

evel

1. S

ocia

lizat

ion

of th

e tr

aini

ng m

odul

e on

qu

ality

ass

uran

ce fo

r su

perv

isors

and

man

ager

at

the

prov

inci

al le

vel

2. T

rain

ing

of tr

aine

rs a

t th

e pr

ovin

cial

leve

l

1. S

ocia

lizat

ion

of th

e tr

aini

ng m

odul

e on

qu

ality

ass

uran

ce fo

r su

perv

isors

and

man

ager

at

the

dist

rict l

evel

2.

Tra

inin

g at

the

dist

rict

leve

l

1.

MO

H1.

PH

O

2. D

HO

3.

BKK

BN

4. P

rovi

ncia

l BK

KBN

5.

SKP

D K

B

2017

20

18

1.4.

2.4

Cond

uct t

rain

ing

on

war

ehou

sing,

LM

IS a

nd

fore

cast

ing

(link

ed to

Out

put

1.3)

.

1. D

evel

opm

ent o

f a

trai

ning

mod

ule

for

war

ehou

sing,

LM

IS a

nd

fore

cast

ing

(con

sulta

nt)

2. S

take

hold

er m

eetin

gs/

wor

ksho

ps to

dev

elop

th

e tr

aini

ng g

uide

line

for

war

ehou

sing,

LM

IS a

nd

fore

cast

ing

3. T

rain

ing

of tr

aine

rs a

t the

ce

ntra

l lev

el

1. S

ocia

lizat

ion

of th

e tr

aini

ng m

odul

e fo

r w

areh

ousin

g, L

MIS

an

d fo

reca

stin

g at

the

prov

inci

al le

vel

2. T

rain

ing

of tr

aine

rs a

t th

e pr

ovin

cial

leve

l

1. S

ocia

lizat

ion

of th

e tr

aini

ng m

odul

e fo

r w

areh

ousin

g, L

MIS

an

d fo

reca

stin

g at

the

prov

inci

al le

vel

2. T

rain

ing

at th

e di

stric

t le

vel

1.

BKK

BN

2. M

OH

1. P

HO

2.

DH

O

3. P

rovi

ncia

l BK

KBN

4.

SKP

D K

B

2017

20

18

2019

1.4.

2.3

Cond

uct t

rain

ing

on

Qua

lity

Assu

ranc

e (Q

A) fo

r su

perv

isors

and

man

ager

s (li

nked

to O

utpu

t 1.6

).

1. D

evel

opm

ent o

f a

trai

ning

mod

ule

on q

ualit

y as

sura

nce

for s

uper

viso

rs

and

man

ager

s (co

nsul

tant

) 2.

Sta

keho

lder

s mee

tings

/ w

orks

hops

to d

evel

op

guid

elin

es o

n qu

ality

as

sura

nce

for s

uper

viso

rs

and

man

ager

s 3.

Tra

inin

g of

trai

ners

at t

he

cent

ral l

evel

1. S

ocia

lizat

ion

of th

e tr

aini

ng m

odul

e on

qu

ality

ass

uran

ce fo

r su

perv

isors

and

man

ager

at

the

prov

inci

al le

vel

2. T

rain

ing

of tr

aine

rs a

t th

e pr

ovin

cial

leve

l

1. S

ocia

lizat

ion

of th

e tr

aini

ng m

odul

e on

qu

ality

ass

uran

ce fo

r su

perv

isors

and

man

ager

at

the

dist

rict l

evel

2.

Tra

inin

g at

the

dist

rict

leve

l

1.

MO

H1.

PH

O

2. D

HO

3.

BKK

BN

4. P

rovi

ncia

l BK

KBN

5.

SKP

D K

B

2017

20

18


65

No

Act

ivit

ies

Cent

ral

Prov

inci

alD

istr

ict

Villa

geCo

mm

unit

yH

ealt

h fa

cilit

yLe

ad

inst

itut

ion

Stak

ehol

ders

Tim

elin

e

1.4.

2.4

Cond

uct t

rain

ing

on

war

ehou

sing,

LM

IS a

nd

fore

cast

ing

(link

ed to

Out

put

1.3)

.

1. D

evel

opm

ent o

f a

trai

ning

mod

ule

for

war

ehou

sing,

LM

IS a

nd

fore

cast

ing

(con

sulta

nt)

2. S

take

hold

er m

eetin

gs/

wor

ksho

ps to

dev

elop

th

e tr

aini

ng g

uide

line

for

war

ehou

sing,

LM

IS a

nd

fore

cast

ing

3. T

rain

ing

of tr

aine

rs a

t the

ce

ntra

l lev

el

1. S

ocia

lizat

ion

of th

e tr

aini

ng m

odul

e fo

r w

areh

ousin

g, L

MIS

an

d fo

reca

stin

g at

the

prov

inci

al le

vel

2. T

rain

ing

of tr

aine

rs a

t th

e pr

ovin

cial

leve

l

1. S

ocia

lizat

ion

of th

e tr

aini

ng m

odul

e fo

r w

areh

ousin

g, L

MIS

an

d fo

reca

stin

g at

the

prov

inci

al le

vel

2. T

rain

ing

at th

e di

stric

t le

vel

1.

BKK

BN

2. M

OH

1. P

HO

2.

DH

O

3. P

rovi

ncia

l BK

KBN

4.

SKP

D K

B

2017

20

18

2019

Out

put 1

.5: S

tren

gthe

ned

man

agem

ent i

nfor

mat

ion

syst

em fo

r ens

urin

g qu

alit

y, c

ompl

eten

ess

and

alig

ned

inte

grat

ion

wit

h th

e he

alth

sys

tem

.

1.5.

1Re

view

the

curre

nt re

cord

ing

and

repo

rtin

g sy

stem

: -J

oint

revi

ew b

etw

een

BKKB

N a

nd M

OH

on

the

reco

rdin

g an

d re

port

ing

syst

em fo

r FP

serv

ices

at

the

dist

rict l

evel

incl

ud th

e re

port

ing

form

at, r

epor

ting

mec

hani

sm, d

ata

colle

ctio

n sy

stem

, and

dat

a va

lidat

ion.

1. C

onsu

ltant

to re

view

th

e cu

rrent

reco

rdin

g an

d re

port

ing

syst

em a

nd

deve

lop

a gu

idel

ine

for a

n in

tegr

ated

reco

rdin

g an

d re

port

ing

syst

em fo

r FP

2. S

take

hold

ers m

eetin

g at

th

e ce

ntra

l lev

el to

disc

uss

the

resu

lts o

f the

revi

ew

3. S

ocia

lizat

ion

of th

e re

sults

of t

he re

view

at t

he

cent

ral l

evel

1. S

ocia

lizat

ion

of th

e re

cord

ing

and

repo

rtin

g gu

idel

ine

at th

e pr

ovin

cial

leve

l 2.

Alig

nmen

t of d

ata

1. S

ocia

lizat

ion

of th

e re

cord

ing

and

repo

rtin

g gu

idel

ine

at th

e di

stric

t le

vel

2. A

lignm

ent o

f dat

a

1. A

lignm

ent o

f da

ta1.

MO

H

2. B

KKBN

1. P

HO

2.

DH

O

3. P

rovi

ncia

l BK

KBN

4.

SKP

D K

B

2017

1.5.

2D

evel

opm

ent o

f an

inte

grat

ed fa

mily

pla

nnin

g re

port

ing

syst

em fr

om h

ealth

fa

cilit

ies,

incl

udin

g pr

ivat

e se

ctor

hea

lth fa

cilit

ies.

1. C

onsu

ltant

to d

evel

op a

n in

tegr

ated

fam

ily p

lann

ing

reco

rdin

g an

d re

port

ing

guid

elin

e 2.

Sta

keho

lder

s mee

ting

at

the

cent

ral l

evel

3.

Prin

ting

and

dist

ribut

ion

4.

Soc

ializ

atio

n at

the

cent

ral l

evel

1. S

ocia

lizat

ion

at th

e pr

ovin

cial

leve

l 2.

Sta

keho

lder

mee

tings

at

the

prov

inci

al le

vel

3. D

istrib

utio

n of

the

guid

elin

e

1. S

ocia

lizat

ion

at th

e di

stric

t lev

el

2. S

take

hold

er m

eetin

gs

at th

e di

stric

t lev

el

3. D

istrib

utio

n of

the

guid

elin

e

1.

MO

H

2. B

KKBN

1. P

HO

2.

DH

O

3. P

rovi

ncia

l BK

KBN

4.

SKP

D K

B

2017

20

18

2019

1.5.

3En

hanc

e th

e ca

paci

ty o

f su

perv

isors

to re

view

and

an

alys

e th

e m

anag

emen

t in

form

atio

n sy

stem

(lin

ked

to O

utpu

t 1.4

).

1. D

evel

opm

ent o

f a

trai

ning

mod

ule

on

man

agem

ent i

nfor

mat

ion

syst

em (c

onsu

ltant

) 2.

Sta

keho

lder

mee

tings

/w

orks

hops

3.

Tra

inin

g of

trai

ners

at t

he

cent

ral l

evel

1. S

ocia

lizat

ion

of

the

man

agem

ent

info

rmat

ion

syst

em a

t the

pr

ovin

cial

leve

l 2.

Tra

inin

g of

trai

ners

at

the

prov

inci

al le

vel

1. S

ocia

lizat

ion

of

the

man

agem

ent

info

rmat

ion

syst

em a

t th

e di

stric

t lev

el

2. T

rain

ing

of tr

aine

rs a

t th

e di

stric

t lev

el

1.

MO

H

2. B

KKBN

1. P

HO

2.

DH

O

3. P

rovi

ncia

l BK

KBN

4.

SKP

D K

B

2017

20

18


No

Act

ivit

ies

Cent

ral

Prov

inci

alD

istr

ict

Villa

geCo

mm

unit

yH

ealt

h fa

cilit

yLe

ad

inst

itut

ion

Stak

ehol

ders

Tim

elin

e

1.5.

4D

evel

opm

ent o

f a c

lient

tr

acki

ng sy

stem

thro

ugh

tickl

er fi

les a

nd a

lert

syst

ems

that

are

bui

lt in

to th

e co

mpu

teriz

ed re

cord

ing

syst

em (l

inke

d to

Str

ateg

ic

Obj

ectiv

e 4)

.

1. D

evel

opm

ent o

f a c

lient

tr

acki

ng sy

stem

thro

ugh

tickl

er fi

les a

nd a

lert

syst

em

(con

sulta

nt)

2. S

take

hold

er m

eetin

gs/

wor

ksho

ps to

dev

elop

a

clie

nt tr

acki

ng sy

stem

and

pl

an th

e im

plem

enta

tion

of p

ilot p

roje

cts i

n se

lect

ed

area

s

1. S

ocia

lizat

ion

of th

e cl

ient

trac

king

syst

em

and

plan

to im

plem

ent

the

pilo

t pro

ject

in

sele

cted

pro

vinc

es

1. S

ocia

lizat

ion

of th

e cl

ient

trac

king

syst

em

and

plan

to im

plem

ent

the

pilo

t pro

ject

in

sele

cted

dist

ricts

1.

Impl

emen

tatio

n of

the

clie

nt

trac

king

syst

em

in th

e he

alth

fa

cilit

ies i

n pi

lot

proj

ect a

reas

1. M

OH

2.

BKK

BN1.

PH

O

2. D

HO

3.

Pro

vinc

ial

BKKB

N

4. S

KPD

KB

2017

20

18

1.5.

5In

trod

uctio

n of

the

pilo

t pr

ojec

ts fo

r com

pute

rized

re

port

ing

(link

ed to

Str

ateg

ic

Obj

ectiv

e 4)

.

1. Te

chni

cal m

eetin

gs a

t th

e ce

ntra

l lev

el

2. W

orks

hops

to so

cial

ize

the

pilo

t pro

ject

s for

co

mpu

teriz

ed re

port

ing

3. M

onito

ring

and

supe

rvisi

on fr

om th

e ce

ntra

l lev

el

4. E

valu

atio

n

1. S

ocia

lizat

ion

of

the

pilo

t pro

ject

s for

co

mpu

teriz

ed re

port

ing

at th

e pr

ovin

cial

leve

l 2.

Mon

itorin

g an

d su

perv

ision

1. S

ocia

lizat

ion

of o

f th

e pi

lot p

roje

cts f

or

com

pute

rized

repo

rtin

g at

the

prov

inci

al le

vel a

t th

e di

stric

t lev

el

2. M

onth

ly c

oord

inat

ion

mee

ting

to tr

ack

prog

ress

of a

ctiv

ities

3.

‘Mon

itorin

g an

d su

perv

ision

1.

Impl

emen

tatio

n of

pilo

t pro

ject

fo

r com

pute

rized

re

port

ing

1. M

OH

2.

BKK

BN1.

PH

O

2. D

HO

3.

Pro

vinc

ial

BKKB

N

4. S

KPD

KB

2017

Out

put 1

.6: I

mpr

oved

qua

lity

of fa

mily

pla

nnin

g se

rvic

es w

ith

atte

ntio

n to

clie

nt ri

ghts

and

inte

grat

ion

of s

ervi

ces

acro

ss th

e co

ntin

uum

of r

epro

duct

ive

cycl

e.

Key

act

iviti

es:

1.6.

1Re

view

cur

rent

FP

serv

ices

st

anda

rds (

coun

selin

g –

for g

ener

al a

nd sp

ecifi

c m

etho

ds, i

nstr

uctio

ns o

n us

e of

a m

etho

d, p

roce

dure

s, re

ferr

als,

follo

w-u

p, S

TI/

HIV

scre

enin

g, a

nd d

ual

prot

ectio

n) a

nd re

vise

as

need

ed (l

inke

d to

Out

put

3.2)

.

1. R

evie

w o

f cur

rent

FP

serv

ices

stan

dard

s (in

clud

ing

coun

selin

g pr

oced

ures

, ref

erra

ls,

follo

w-u

p, S

TI/H

IV

scre

enin

g, a

nd d

ual

prot

ectio

n) (c

onsu

ltant

) 2.

Sta

keho

lder

mee

tings

be

twee

n M

OH

(Bin

kesm

as,

BUK)

, BKK

BN a

nd

prof

esio

nal o

rgan

izat

ions

to

revi

ew c

urre

nt F

P se

rvic

es st

anda

rds

3. W

orks

hops

with

pr

ofes

siona

l org

aniz

atio

ns

and

prov

inci

al a

nd d

istric

t re

pres

enta

tives

to o

btai

n in

puts

and

reac

h an

ag

reem

ent o

n th

e FP

se

rvic

es st

anda

rds

4. P

rintin

g a

nd d

istrib

utio

n of

the

stan

dard

s

1. W

orks

hops

to so

cial

ize

the

FP se

rvic

es st

anda

rds

at th

e pr

ovin

cial

leve

l 2.

Sta

keho

lder

mee

tings

at

the

prov

inci

al le

vel

3. D

istrib

utio

n of

the

stan

dard

s

1. S

ocia

lizat

ion

of th

e FP

se

rvic

es st

anda

rds a

t the

di

stric

t lev

el

2. S

take

hold

er m

eetin

gs

at th

e di

stric

t lev

el

3. D

istrib

utio

n of

the

stan

dard

s to

the

heal

th

faci

litie

s

1.

MO

H1.

BKK

BN

2. B

PJS

3. P

rofe

ssio

nal

orga

niza

tions

4.

Pro

vinc

ial

BKKB

N

5. S

KPD

KB

6. P

HO

7.

DH

O

2017


67

No

Act

ivit

ies

Cent

ral

Prov

inci

alD

istr

ict

Villa

geCo

mm

unit

yH

ealt

h fa

cilit

yLe

ad

inst

itut

ion

Stak

ehol

ders

Tim

elin

e

1.6.

2Es

tabl

ishm

ent o

f a q

ualit

y as

sura

nce/

qual

ity im

prov

emen

t (Q

A/Q

I) sy

stem

:

1.6.

2.1

Revi

ew c

urre

nt Q

ualit

y As

sura

nce

syst

em (Q

A) fo

r fa

mily

pla

nnin

g se

rvic

es –

gu

idel

ine,

impl

emen

tatio

n,

effici

ency

, and

effe

ctiv

enes

s

1. R

evie

w sy

stem

and

de

velo

p a

guid

elin

e on

QA

for F

P (c

onsu

ltant

). 2.

Sta

keho

lder

mee

tings

be

twee

n M

OH

(Bin

kesm

as,

BUK)

, BKK

BN a

nd

prof

esio

nal o

rgan

izat

ions

to

revi

ew Q

A sy

stem

for F

P. 3.

Wor

ksho

ps to

obt

ain

inpu

ts a

nd re

ach

an

agre

emen

t on

the

QA

syst

em fo

r FP.

4. P

rintin

g an

d di

strib

utio

n of

the

guid

elin

e.

5. S

ocia

lizat

ion

at th

e ce

ntra

l lev

el.

1. S

ocia

lizat

ion

of th

e Q

A sy

stem

for F

P at

the

prov

inci

al le

vel.

2. S

take

hold

er m

eetin

gs

at th

e pr

ovin

cial

leve

l. 3.

Prin

ting

and

dist

ribut

ion

of th

e gu

idel

ine.

1. S

ocia

lizat

ion

of th

e Q

A sy

stem

for F

P at

the

dist

rict l

evel

. 2.

Sta

keho

lder

mee

tings

at

the

dist

rict l

evel

. 3.

Prin

ting

and

dist

ribut

ion

of th

e gu

idel

ine.

1. S

ocia

lizat

ion

of Q

A sy

stem

for

FP a

t the

hea

lth

facu

lity

leve

l.

1. M

OH

1. B

KKBN

2.

BPJ

S 3.

Pro

fess

iona

l or

gani

zatio

ns

4. P

rovi

ncia

l BK

KBN

5.

SKP

D K

B 6.

PH

O

7. D

HO

2017

20

18

1.6.

2.2

Impr

ove

the

QA

syst

em

for F

P an

d in

tegr

atio

n w

ith

mat

erna

l hea

lth se

rvic

es a

nd

esta

blish

ing

QA

circ

les a

t va

rious

leve

ls of

the

heal

th

and

fam

ily p

lann

ing

syst

em

1. Im

plem

enta

tion

of

impr

oved

QA

syst

em fo

r FP

inte

grat

ed w

ith m

ater

nal

heal

th se

rvic

es a

nd

esta

blish

ing

QA

circ

les a

t th

e ce

ntra

l lev

els.

1. Im

plem

enta

tion

of Q

A sy

stem

for F

P in

tegr

ated

w

ith m

ater

nal h

ealth

se

rvic

es a

nd e

stab

lishi

ng

QA

circ

les a

t the

pr

ovin

cial

leve

ls.

1. Im

plem

enta

tion

of Q

A sy

stem

for F

P in

tegr

ated

w

ith m

ater

nal h

ealth

se

rvic

es a

nd e

stab

lishi

ng

QA

circ

les a

t the

dist

rict

leve

ls.

1.

Impl

emen

tatio

n of

QA

syst

em

with

FP

inte

grat

ed w

ith

mat

erna

l hea

lth

serv

ices

and

es

tabl

ishin

g Q

A ci

rcle

s at t

he

faci

lity

leve

ls.

1. M

OH

1. B

KKBN

2.

BPJ

S 3.

Pro

fess

iona

l or

gani

zatio

ns

4. P

rovi

ncia

l BK

KBN

5.

SKP

D K

B 6.

PH

O

7. D

HO

201

8

1.6.

2.3

Revi

ew o

f job

des

crip

tion

of th

e su

perv

isors

in th

e di

stric

t hea

lth sy

stem

as

wel

l as i

n th

e SK

PD K

B to

en

sure

that

it in

clud

es

supe

rviso

ry re

spon

sibili

ty

and

amen

dmen

t of t

he jo

b de

scrip

tion

to fi

ll th

e ga

ps

1.

Tech

nica

l ass

istan

ce/

reso

urce

per

sons

from

re

leva

nt p

rovi

ncia

l offi

cial

s to

revi

ew j

ob

desc

riptio

n of

the

supe

rviso

rs in

the

dist

rict

heal

th sy

stem

as w

ell a

s in

the

SKPD

KB.

1. R

evie

w o

f job

de

scrip

tion

of th

e su

perv

isors

in th

e di

stric

t he

alth

syst

em a

s wel

l as

in th

e SK

PD K

B.

1.

MO

H

2. B

KKBN

1. P

rovi

ncia

l BK

KBN

2.

SKP

D K

B 3.

PH

O

4. D

HO

2017

1.6.

2.4

Capa

city

-bui

ldin

g of

su

perv

isors

(Mid

wife

Co

ordi

nato

rs a

nd o

ther

s) in

su

ppor

tive

supe

rvisi

on a

nd

QA

(link

ed to

Out

put 1

.4).

1. S

take

hold

er m

eetin

gs o

n su

ppor

tive

supe

rvisi

on a

t th

e ce

ntra

l lev

el.

2.Tr

aini

ng o

f tra

iner

s on

supp

ortiv

e su

perv

ision

.

1. S

take

hold

er

mee

tings

on

supp

ortiv

e su

perv

ision

at t

he

prov

inci

al le

vel.

2.Tr

aini

ng o

f tra

iner

s on

supp

ortiv

e su

perv

ision

.

1. S

take

hold

er

mee

tings

on

supp

ortiv

e su

perv

ision

at t

he d

istric

t le

vel.

2. T

rain

ing

of tr

aine

rs o

n su

ppor

tive

supr

evisi

on.

1.

Tra

inin

g of

mid

wiv

e co

ordi

nato

rs

on su

ppor

tive

supe

rvisi

on.

1. M

OH

1. P

rovi

ncia

l BK

KBN

2.

SKP

D K

B 3.

PH

O

4. D

HO

2017

20

18

2019

1.6.

2.5

Crea

te a

n en

ablin

g en

viro

nmen

t to

ensu

re th

at

supe

rviso

ry a

ctiv

ities

are

su

ppor

ted.

1. C

oord

inat

ion

mee

tings

to

ens

ure

impl

emen

tatio

n of

supp

ortiv

e su

ppor

tive

supe

rvisi

on a

t the

cen

tral

le

vel

1. C

oord

inat

ion

mee

tings

.1.

Coo

rdin

atio

n m

eetin

gs.

1. C

oord

inat

ion

mee

tings

.1.

MO

H1.

Pro

vinc

ial

BKKB

N

2. S

KPD

KB

3. P

HO

4.

DH

O

2017

20

18

2019


No

Act

ivit

ies

Cent

ral

Prov

inci

alD

istr

ict

Villa

geCo

mm

unit

yH

ealt

h fa

cilit

yLe

ad

inst

itut

ion

Stak

ehol

ders

Tim

elin

e

1.6.

2.6

Esta

blish

a c

ontin

uous

qu

ality

mon

itorin

g sy

stem

an

d ta

ke a

ctio

n

1. E

stab

lishm

ent f

orum

at

the

cent

ral l

evel

to

con

duct

rout

ine

mon

itorin

g an

d fo

llow

up.

1. E

stab

lishm

ent f

orum

at

the

prov

inci

al le

vel

to c

ondu

ct ro

utin

e m

onito

ring

and

follo

w

up.

1. E

stab

lishm

ent f

orum

at

the

dist

rict l

evel

to

con

duct

rout

ine

mon

itorin

g an

d fo

llow

up

.

1. E

stab

lish

a fo

rum

at t

he

heal

th fa

cilit

y le

vel t

o ro

utin

ely

mon

itor a

nd

follo

w-u

p.

1. M

OH

2.

PH

O

3. D

HO

1. P

rovi

ncia

l BK

KBN

2.

SKP

D K

B

2017

20

18

2019

1.6.

3.En

gage

men

t of c

omm

unity

-ba

sed

orga

niza

tions

to

ensu

re q

ualit

y as

sura

nce.

1. S

take

hold

er m

eetin

gs/

sem

inar

s/w

orks

hops

in

volv

ing

com

mun

ity-

base

d or

gani

zatio

ns a

t the

ce

ntra

l lev

el.

1. S

take

hold

er m

eetin

gs/

sem

inar

s/w

orks

hops

in

volv

ing

com

mun

ity-

base

d or

gani

zatio

ns a

t th

e pr

ovin

cial

leve

l.

1. S

take

hold

er m

eetin

gs/

sem

inar

s/w

orks

hops

in

volv

ing

com

mun

ity-

base

d or

gani

zatio

ns a

t th

e di

stric

t lev

el.

1. C

om-

mun

ity

mee

tings

at

the

villa

ge

leve

l. 2.

Allo

catio

n of

vill

age

fund

for

com

mun

i-ty

-bas

ed

mee

tings

to

ens

ure

qual

ity

assu

ranc

e.

1. N

GO

m

eetin

gs

to m

onito

r qu

ality

of F

P se

rvic

es.

1.

MO

H

2. B

KKBN

1. P

rovi

ncia

l BK

KBN

2.

SKP

D K

B 3.

PH

O

4. D

HO

5.

Pro

fess

iona

l or

gani

zatio

n 6.

NG

O

2017

20

18

2019

Out

put 2

.1: A

vaila

bilit

y of

a c

ompr

ehen

sive

Beh

avio

r Cha

nge

Com

mun

icat

ion

(BCC

) str

ateg

y

2.1.

1U

pdat

e/de

velo

p a

new

co

mm

unic

atio

n, in

form

atio

n,

and

educ

atio

n st

rate

gy

aim

ed a

t ado

lesc

ents

for a

co

mpr

ehen

sive

beha

vior

ch

ange

that

incl

udes

: - m

onito

ring

and

eval

uatio

n el

emen

ts

- spe

cific

stra

tegi

es fo

r su

stai

ning

per

form

ance

in

dist

ricts

with

goo

d pe

rform

ance

and

impr

ovin

g pe

rform

ance

in d

istric

ts w

ith

poor

per

form

ance

- a

focu

s on

mal

e in

vole

men

t - a

focu

s in

adol

esce

nts

1. C

ondu

ct a

nee

ds

asse

ssm

ent t

o id

entif

y th

e ne

eds o

f the

com

mun

ity

2. R

evie

w a

nd u

pdat

e st

rate

gy fo

r BCC

whi

ch

incl

udse

mon

itorin

g an

d ev

alua

tion

elem

ents

, sp

ecifi

c st

rate

gies

for

dist

ricts

, foc

us o

n m

ale

and

adol

esce

nt in

vole

men

t (c

onsu

ltant

) 3.

Mee

tings

bet

wee

n BK

KBN

and

oth

er

stak

ehol

ders

to d

iscus

s the

st

rate

gy fo

r BCC

4.

Wor

ksho

ps to

obt

ain

inpu

ts a

nd re

ach

an

agre

emen

t on

the

star

tegy

fo

r BCC

5.

Tra

inin

g of

trai

ners

on

BCC

6. F

acili

tate

regu

latio

ns

to im

plem

ent t

he B

CC

stra

tegy

1. S

take

hold

er m

eetin

gs

at th

e pr

ovin

cial

leve

l 2.

Tra

inin

g of

per

sonn

el

3. Im

plem

enta

tion

of th

e BC

C st

rate

gy

4.M

onito

ring

and

supe

rvisi

on

1.St

akeh

olde

r mee

tings

at

the

dist

rict l

evel

2.

Tra

inin

g of

per

sonn

el

3. Im

plem

enta

tion

of th

e BC

C st

rate

gy

4. M

onito

ring

and

supe

rvisi

on

1. Im

ple-

men

tatio

n of

the

BCC

stra

tegy

at

the

villa

ge le

vel

thro

ugh

Ka

mpu

ng

Siag

a an

d Ka

mpu

ng

Kenc

ana

activ

ities

1. B

KKBN

1. M

OH

2.

Pro

fess

iona

l or

gani

zatio

ns

3. N

GO

4.

Rel

igio

us

lead

ers

5. C

omm

unity

le

adae

rs

6. D

evel

opm

ent

part

ners

2017

20

18

2019


69

No

Act

ivit

ies

Cent

ral

Prov

inci

alD

istr

ict

Villa

geCo

mm

unit

yH

ealt

h fa

cilit

yLe

ad

inst

itut

ion

Stak

ehol

ders

Tim

elin

e

2.1.

2En

hanc

ing

the

capa

city

of

rela

ted

offici

als t

o de

liver

BC

C st

rate

gy

1. S

ocia

lizat

ion

of th

e BC

C st

rate

gy a

t the

cen

tral

leve

l 2.

TO

T at

the

cent

ral l

evel

1. S

ocia

lizat

ion

of th

e BC

C st

rate

gy a

t the

pro

vinc

ial

leve

l 2.

TO

T at

the

prov

inci

al

leve

l

1. S

ocia

lizat

ion

of th

e BC

C st

rate

gy a

t the

di

stric

t lev

el

2. T

rain

ing

1. O

rient

atio

n on

FP

mes

sage

s at

the

heal

th fa

cilit

y le

vel l

evel

1. B

KKBN

1. M

OH

2.

PH

O

3. D

HO

4.

NG

O

5. M

in o

f Hom

e Aff

airs

6.

Pro

vinc

ial

BKKB

N

7. S

KPD

KB

2017

20

18

2019

2.1.

3D

evel

opm

ent a

nd

diss

emin

atio

n of

loc

ally

sp

ecifi

c m

ater

ials

usin

g st

rate

gic

com

mun

icat

ion

chan

nels

with

max

imum

re

ach:

- C

ore

mes

sage

incl

udes

ad

dres

sing

cultu

ral a

nd

relig

ious

bar

riers

and

m

iscon

cept

ions

abo

ut

cont

race

ptiv

es. M

essa

ges

are

gend

er-s

ensit

ive

and

are

targ

ette

d to

spec

ific

grou

ps.

- Int

egra

tion

of F

P m

essa

ges

with

mat

erna

l and

chi

ld

heal

th c

are

mes

sage

s as w

ell

as H

IV a

nd S

TI p

reve

ntio

n m

essa

ges.

1.D

evel

opm

ent o

f SRH

R m

essa

ges w

ith lo

cally

sp

ecifi

c m

ater

ials

incl

udin

g co

re m

essa

ges a

ddre

ssin

g re

ligio

us b

arrie

rs a

nd

inte

grat

ion

of F

P, m

ater

nal

and

child

hea

lth, a

nd

HIV

/AID

S/ST

I pre

vent

ion

mes

sage

s (co

nsul

tant

). 2.

Mee

tings

bet

wee

n BK

KBN

and

oth

er

stak

ehol

ders

. 3.

Doc

umen

tatio

n of

le

sson

s lea

rned

for

deve

lopm

engt

loca

lly

spec

ific

SRH

R m

ater

ials.

1.D

evel

opm

ent o

f SR

HR

mes

sage

s with

lo

cal s

peci

fic m

ater

ials

incl

udin

g co

re m

essa

ges

addr

essin

g re

ligio

us

barr

iers

and

inte

grat

ion

of F

P, m

ater

nal a

nd c

hild

he

alth

, and

HIV

/AID

S/ST

I pre

vent

ion

mes

sage

s (c

onsu

ltant

) 2.

Mee

tings

bet

wee

n BK

KBN

and

oth

er

stak

ehol

ders

on

to

disc

uss t

he B

CC st

rate

gy.

3. W

orks

hops

to o

btai

n in

puts

and

reac

h an

ag

reem

ent o

n th

e BC

C st

rate

gy.

4. O

pera

tiona

l cos

t.

1.D

evel

opm

ent o

f SR

HR

mes

sage

s with

lo

cal s

peci

fic m

ater

ials

incl

udin

g co

re m

essa

ges

addr

essin

g re

ligio

us

barr

iers

and

inte

grat

ion

of F

P, m

ater

nal a

nd c

hild

he

alth

, and

HIV

/AID

S/ST

I pre

vent

ion

mes

sage

s (c

onsu

ltant

). 2.

Mee

tings

bet

wee

n BK

KBN

and

oth

er

stak

ehol

ders

on

to

disc

uss t

he B

CC st

rate

gy.

3. W

orks

hops

to o

btai

n in

puts

and

reac

h an

ag

reem

ent o

n th

e BC

C st

rate

gy.

4. O

pera

tiona

l cos

t.

1.

BKK

BN

2. P

rovi

ncia

l BK

KBN

3.

SKP

D K

B

1. M

OH

2.

BPJS

3.

BAP

PEN

AS

4. N

GO

5.

Min

of H

ome

Affai

rs

6. B

APPE

DA

2017

20

18

2019

2.1.

4Pr

intin

g an

d di

strib

utio

n of

fa

mily

pla

nnin

g po

ster

s and

bo

okle

ts a

nd e

nsur

ing

its

avai

labi

lity

in p

uske

smas

, po

linde

s, po

des a

nd

hosp

itals.

1. D

esig

n, p

rint a

nd

dist

ribut

e fa

mily

pla

nnin

g po

ster

s and

boo

klet

s at t

he

cent

ral l

evel

‘1. D

esig

n, p

rint a

nd

dist

ribut

e fa

mily

pla

nnin

g po

ster

s and

boo

klet

s at

the

prov

inci

al le

vel

‘1. D

esig

n, p

rint a

nd

dist

ribut

e fa

mily

pl

anni

ng p

oste

rs a

nd

book

lets

at t

he d

istric

t le

vel

1.

BKK

BN1.

Pro

vinc

ial

BKKB

N

2. S

KPD

KB

2017

20

18

2019

2.1.

5D

evel

opm

ent o

f a ro

utin

e re

view

syst

em o

n th

e re

ach

of th

e ch

anne

ls an

d th

e im

pact

of t

he d

evel

oped

m

essa

ges.

1. D

evel

opm

ent o

f the

sy

stem

(con

sulta

nt/t

hird

pa

rty)

2.

For

um to

rout

inel

y re

view

the

impa

ct o

f the

de

velo

ped

mes

sage

s.

1. F

orum

to ro

utin

ely

revi

ew th

e im

pact

of t

he

deve

lope

d m

essa

ges a

t th

e pr

ovin

cial

leve

l

1. F

orum

to ro

utin

ely

revi

ew th

e im

pact

of t

he

deve

lope

d m

essa

ges a

t th

e di

stric

t lev

el

1.

BKK

BN1.

Pro

vinc

ial

BKKB

N

2. S

KPD

KB

3. M

OH

4.

PH

O

5. D

HO

2017

20

18

2019


No

Act

ivit

ies

Cent

ral

Prov

inci

alD

istr

ict

Villa

geCo

mm

unit

yH

ealt

h fa

cilit

yLe

ad

inst

itut

ion

Stak

ehol

ders

Tim

elin

e

2.1.

6D

evel

opin

g a

mob

ile F

amily

Pla

nnin

g (m

-FP)

mes

sagi

ng sy

stem

(link

ed to

Out

put 1

.6)

2.1.

6.1

Dev

elop

men

t of a

pla

n to

us

e m

obile

mes

sagi

ng a

s a

rem

inde

r to

rece

ive

fam

ily

plan

ning

serv

ices

and

oth

er

info

rmat

ion.

1. S

take

hold

er m

eetin

g 2.

Est

ablis

h a

MO

U w

ith

a m

obil

prov

ider

on

the

impl

emen

tatio

n of

a

mob

ile-F

P m

essa

ging

sy

stem

3.

Impl

emen

tatio

n of

a

mob

ile-F

P m

essa

ging

sy

stem

(ass

ign

a th

ird p

arty

to

man

age

the

syst

em)

1. P

rom

otio

n on

the

use

of th

e m

obile

-FP

mes

sagi

ng sy

stem

at t

he

prov

inci

al le

vel

1. P

rom

otio

n on

the

use

of th

e m

obile

-FP

mes

sagi

ng sy

stem

at t

he

dist

rict l

evel

1. P

rom

otio

n on

the

use

of

the

mob

ile-F

P m

essa

ging

sy

stem

at t

he

heal

th fa

cilit

y le

vel

1. B

KKBN

2.

MO

H

3. M

in o

f Co

mm

uni-

catio

n an

d In

form

atio

n

1. P

rivat

e se

ctor

2.

PH

O

3. D

HO

4.

Pro

vinc

ial

BKKB

N

5. S

KPD

KB

6. D

evop

men

t pa

rtne

rs

7. N

GO

2017

20

18

2019

2.1.

7In

corp

orat

ion

of

repr

oduc

tive

heal

th a

nd

fam

ily p

lann

ing

mes

sage

s in

hea

lth e

duca

tion

sess

ions

du

ring

the

prov

ision

of

ante

nata

l and

chi

ld h

ealth

se

rvic

es a

nd d

urin

g ST

I and

H

IV tr

eatm

ent t

hrou

gh S

KPD

KB

coo

rdin

atio

n w

ith D

HO

.

1.Co

nsul

tant

to re

view

an

d in

tegr

ate

FP, m

ater

nal

and

child

hea

lth, a

nd H

IV/

AID

S an

d ST

I pre

vent

ion

mes

sage

s at t

he c

entr

al

leve

l 2.

Sta

keho

lder

mee

tings

be

twee

n BK

KBN

and

oth

er

stak

ehol

ders

.

1. S

ocia

lizat

ion

of th

e in

tegr

ated

FP,

mat

erna

l an

d ch

ild h

ealth

, an

d H

IV/A

IDS

and

STI

prev

entio

n m

essa

ges a

t th

e pr

ovin

cial

leve

l

1. S

ocia

lizat

ion

of th

e in

tegr

ated

FP,

mat

erna

l an

d ch

ild h

ealth

, an

d H

IV/A

IDS

and

STI

prev

entio

n m

essa

ges a

t th

e di

stric

t lev

el

1.

MO

H1.

BKK

BN

2. B

PJS

3. B

APPE

NAS

4.

NG

O

5. M

in o

f Hom

e Aff

airs

6.

BAP

PED

A

2017

20

18

2019

Out

put 2

.2: I

ncre

ased

invo

lvem

ent o

f hea

lth

wor

kers

, wom

en’s

grou

ps a

nd re

ligio

us le

ader

s in

mob

ilizi

ng s

uppo

rt fo

r fam

ily p

lann

ing

and

addr

essi

ng b

arri

ers

to fa

mily

pla

nnin

g

2.2.

1Su

ppor

t fai

th-b

ased

an

d co

mm

unity

-bas

ed

orga

niza

tions

to p

rom

ote

fam

ily p

lann

ing

durin

g re

ligio

us d

iscou

rses

and

use

op

port

uniti

es su

ch a

s pre

-m

arita

l cou

nsel

ing.

1. S

take

hold

er m

eetin

gs

to p

rom

ote

FP d

urin

g re

ligio

us d

iscou

rses

(e.g

. pr

e-m

arita

l cou

nsel

ing)

at

the

cent

ral l

evel

2.

Con

sulta

nt to

upd

ate

the

guid

elin

e on

FP

prom

otio

n du

ring

relig

ious

disc

ours

es

3. P

rintin

g an

d di

strib

utio

n 4.

Soc

ializ

atio

n at

the

cent

ral l

evel

1. S

take

hold

er m

eetin

gs

at th

e pr

ovin

cial

leve

l 2.

Soc

ializ

atio

n at

the

prov

inci

al le

vel

3. P

rintin

g an

d di

strib

utio

n

1. S

take

hold

er m

eetin

gs

at th

e di

stric

t lev

el

2. S

ocia

lizat

ion/

orie

ntat

ion

at th

e di

stric

t le

vel

3. P

rintin

g an

d di

strib

utio

n

1. C

omm

u-ni

ty m

eet-

ings

for F

P pr

omot

ion

by r

elig

ious

le

ader

s ut

ilizi

ng th

e vi

llage

fund

or

oth

er

exist

ing

fund

s

1. N

GO

/co

mm

unity

m

eetin

gs

for F

P pr

omot

ion

by re

ligio

us

lead

ers

utili

zing

vi

llage

fund

or

oth

er

exist

ing

fund

s

1.

BKK

BN

2. M

in o

f Re

ligio

us

Affai

rs

1. N

GO

s 2.

Min

of H

ome

Affai

rs

3. M

in o

f Vill

ages

4.

Pro

vinc

ial

BKKB

N

5. S

KPD

KB

2017

20

18

2019


71

No

Act

ivit

ies

Cent

ral

Prov

inci

alD

istr

ict

Villa

geCo

mm

unit

yH

ealt

h fa

cilit

yLe

ad

inst

itut

ion

Stak

ehol

ders

Tim

elin

e

2.2.

2St

reng

then

ing

the

fam

ily

plan

ning

com

pone

nt a

t the

po

syan

du:

-Act

ivat

ion

of F

P se

rvic

es a

t Ta

ble

5 in

the

Posy

andu

-H

ealth

wor

kers

to p

rom

ote

fam

ily p

lann

ing

whi

le

regi

ster

ing

mot

hers

, w

eigh

ing

child

ren,

etc

.

1. M

eetin

gs b

etw

een

BKKB

N a

nd o

ther

st

akeh

olde

rs

2. M

OU

bet

wee

n BK

KBn

and

Min

istry

of H

ome

Affai

rs

3. C

onsu

ltant

to d

evel

op

a gu

idel

ine

on F

P se

rvic

es

at Ta

ble

5 in

the

Posy

andu

an

d m

odul

e fo

r PKK

cad

res

4. P

rintin

g an

d di

strib

utio

n 5.

Soc

ializ

atio

n/or

ient

atio

n at

the

cent

ral l

evel

1. S

take

hold

er m

eetin

gs

at th

e pr

ovin

cial

leve

l 2.

Soc

ializ

atio

n/or

ient

atio

n at

the

prov

inci

al le

vel

3. P

rintin

g an

d di

strib

utio

n

1. S

take

hold

er m

eetin

gs

at th

e di

stric

t lev

el

2. S

ocia

lizat

ion/

orie

ntat

ion

at th

e di

stric

t le

vel

3. P

rintin

g an

d di

strib

utio

n

1. Im

ple-

men

tatio

n of

the

Po-

syan

du w

ith

a st

reng

th-

ened

FP

com

pone

nt

utili

zing

the

villa

ge fu

nd

or o

ther

ex

istin

g fu

nds

1.

Soc

ializ

atio

n/or

ient

atio

n at

the

heal

th fa

cilit

ies

leve

l

1. B

KKBN

2.

MO

H

3. P

KK

1. P

HO

2.

DH

O

3. N

GO

4.

Min

of W

omen

Em

pow

erm

ent

and

Child

Pr

otec

tion

5. M

in o

f Vill

age

6. P

rovi

ncia

l BK

KBN

7.

SKP

D K

B

2017

20

18

2019

2.2.

3Re

view

and

dev

elop

per

form

ance

-bas

ed in

cent

ives

/rew

ards

for h

ealth

wor

kers

in o

rder

to in

crea

se m

ale,

you

th, a

nd c

omm

unity

in

volv

emen

t (lin

ked

to O

utpu

t 3.5

)

2.2.

3.1

Prov

idin

g m

ater

ials

to

incr

ease

mal

e in

volv

emen

t th

roug

h ed

ucat

ion

and

disc

ussio

ns a

t the

vill

age

leve

l

1. D

evel

opm

ent o

f m

ater

ials

to in

crea

se m

ale

invo

lvem

ent t

hrou

gh

educ

catio

n an

d di

scus

sions

at

the

villa

ge le

vel

(con

sulta

nt)

2. P

rintin

g an

d di

strib

utio

n of

mat

eria

ls to

incr

ease

m

ale

invo

lvem

ent t

hrou

gh

educ

atio

n an

d di

scus

sions

at

the

villa

ge le

vel

3. S

ocia

lizat

ion/

orie

ntat

ion

1. P

rintin

g an

d di

strib

utio

n of

mat

eria

ls to

incr

ease

mal

e in

volv

emen

t thr

ough

ed

ucat

ion

at th

e pr

ovin

cial

leve

l 2.

Tra

inin

g at

the

prov

inci

al le

vel

1. P

rintin

g an

d di

strib

utio

n of

FP

post

ers

and

book

lets

at t

he

dist

rict l

evel

2.

Tra

inin

g at

the

dist

rict

leve

l

1. D

istrib

u-tio

n of

FP

post

ers a

nd

book

lets

at

the

villa

ge

leve

l 2.

Com

-m

unity

m

eetin

gs a

t th

e vi

llage

le

vel t

o in

-cr

ease

mal

e in

volv

emen

t

1. T

rain

ing

of N

GO

s on

incr

easin

g m

ale

invo

lvem

ent

1. T

rain

ing

of h

ealth

w

prke

rss o

n in

crea

sing

mal

e in

volv

emen

t

1. B

KKBN

2.

MO

H

3. N

GO

1. P

rovi

ncia

l BK

KBN

2.

SKP

D K

B 3.

PH

O

4. D

HO

5.

Min

of V

illag

e 6.

PKK

2017

20

18

2019

2.2.

3.2

Dev

elop

men

t of

perfo

rman

ce-b

ased

in

cent

ives

/rew

ards

for h

ealth

w

orke

rs to

incr

ease

mal

e,

yout

h, a

nd c

omm

unity

in

volv

emen

t

1. D

evel

opm

ent o

f pe

rform

ance

-bas

ed

ince

ntiv

e/re

war

d sy

stem

fo

r hea

lth w

orke

rs to

in

crea

se m

ale

invo

lvem

ent

1. D

evel

opm

ent o

f cr

iteria

for i

ncen

tive/

rew

ards

1. D

evel

opm

ent

of c

riter

ia fo

r the

pe

rform

ance

-bas

ed

ince

ntiv

e/re

war

d 2.

Impl

emen

tatio

n of

the

perfo

rman

ce-

base

d in

cent

ive/

rew

ard

(sel

ectio

n)

1.

Impl

emen

tatio

n of

the

perfo

rman

ce-

base

d in

cent

ive/

rew

ard

(sel

ectio

n)

1. B

KKBN

2.

MO

H1.

Pro

vinc

ial

BKKB

N

2. S

KPD

KB

3.PH

O

4. D

HO

2017

20

18

2019


No

Act

ivit

ies

Cent

ral

Prov

inci

alD

istr

ict

Villa

geCo

mm

unit

yH

ealt

h fa

cilit

yLe

ad

inst

itut

ion

Stak

ehol

ders

Tim

elin

e

2.2.

4En

hanc

ing

the

capa

city

of

yout

h le

ader

s to

beco

me

peer

edu

cato

rs o

n fa

mily

pl

anni

ng in

form

atio

n an

d se

rvic

es fo

r ado

lesc

ents

and

yo

ung

peop

le.

1. S

take

hold

er m

eetin

gs a

t th

e ce

ntra

l lev

el

2. P

eer e

duca

tor t

rain

ing

of

trai

ners

on

fam

ily p

lann

ing

info

rmat

ion

and

serv

ices

fo

r ado

lesc

ents

and

you

ng

peop

le

1. S

take

hold

er m

eetin

gs

at th

e pr

ovin

cial

leve

l 2.

Pee

r edu

cato

r tra

inin

g of

trai

ners

on

fam

ily

plan

ning

info

rmat

ion

and

serv

ices

for a

dole

scen

ts

and

youn

g pe

ople

at t

he

prov

inci

al le

vel

1. S

take

hold

er m

eetin

gs

at th

e di

stric

t lev

el

2. P

eer e

duca

tor t

rain

ing

of tr

aine

rs o

n fa

mily

pl

anni

ng in

form

atio

n an

d se

rvic

es fo

r ad

oles

cent

s and

you

ng

peop

le a

t the

dist

rict

leve

l

1.

Tra

inin

g of

pee

r ed

ucat

ors

on fa

mily

pl

anni

ng

info

rmat

ion

and

serv

ices

1.

BKK

BN

2. M

in o

f Ed

ucat

ion

3. N

GO

1. P

rovi

ncia

l BK

KBN

2.

SKP

D K

B 3.

MO

H

4. P

HO

5.

DH

O

6. M

in o

f Vill

age

7. P

KK

2017

20

18

2019

2.2.

5D

evel

opm

ent o

f str

ateg

ies

to re

vita

lize

prev

ious

ly

succ

essf

ul c

omm

unity

-ba

sed

effor

ts b

y co

nduc

ting

in-d

epth

eva

luat

ion

of th

e m

ovem

ents

, ide

ntify

ing

gaps

, and

dev

elop

ing

a pl

an to

add

ress

thos

e ga

ps

as it

per

tain

s to

the

curre

nt

situa

tion.

1.Re

view

les

sons

le

arne

d fro

m c

omm

unity

-ba

sed

mov

emen

ts o

n Fa

mily

Pla

nnin

g in

clud

ing

Siag

a an

d Ka

mpu

ng

Kenc

ana

and

deve

lop

an u

pdat

ed v

illag

e-le

vel

inte

rven

tion

(con

sulta

nt)

2. D

evel

opm

ent o

f an

oper

atio

nal g

uide

line

for

Kam

pung

KB

3. M

eetin

gs b

etw

een

BKKB

N a

nd o

ther

st

akeh

olde

rs

4. S

ocia

lizat

ion

at th

e ce

ntra

l lev

el

1. S

take

hold

er m

eetin

gs

at th

e pr

ovin

cial

leve

l 2.

Soc

ializ

atio

n at

the

prov

inci

al le

vel

1. S

take

hold

er m

eetin

gs

at th

e di

stric

t lev

el

2. S

ocia

lizat

ion

at th

e di

stric

t lev

el

1. Im

ple-

men

tatio

n of

Kam

pung

Ke

ncan

a ut

ilizi

ting

the

villa

ge

fund

1. B

KKBN

2.

Pro

vinc

ial

BKKB

N

3. S

KPD

KB

1. M

OH

2.

PH

O

3. D

HO

4.

Min

of W

omen

Em

pow

erm

ent

and

Child

Pr

otec

tion

5. M

in o

f Vill

age

2017

20

18

2019

2.2.

6En

surin

g th

e av

aila

bilit

y of

FP

fiel

d w

orke

rs (P

LKB)

to

incr

ease

dem

and

gene

ratio

n.

1. M

appi

ng o

f FP

field

w

orke

r ava

ilabi

lity

at a

ll le

vels

(con

sulta

nt/r

esea

rch

inst

itutio

n)

2. S

take

hold

er m

eetin

gs a

t th

e ce

ntra

l lev

el to

dev

elop

a

FP fi

eld

wor

kers

wor

kpla

n 3.

Rec

ruitm

ent o

f new

FP

field

wor

kers

4.

Tra

inin

g of

the

new

FP

field

wor

kers

1. S

take

hold

er m

eetin

gs

at th

e pr

ovin

cial

leve

l to

deve

lop

a FP

fiel

d w

orke

r w

orkp

lan

2. R

ecru

itmen

t of n

ew F

P fie

ld w

orke

rs

3. T

rain

ing

of th

e ne

w F

P fie

ld w

orke

rs

1. S

take

hold

er m

eetin

gs

at th

e di

stric

t lev

el to

de

velo

p FP

fiel

d w

orke

rs

wor

kpla

n 2.

Rec

ruitm

ent o

f new

FP

field

wor

kers

3.

Tra

inin

g of

the

new

FP

field

wor

kers

1.

BKK

BN

2. P

rovi

ncia

l BK

KBN

3.

SKP

D K

B

1. B

APPE

NAS

2.

BAP

PED

A20

17

2018

20

19

Out

put 2

.3: I

ncre

ased

com

mun

ity’

s kn

owle

dge

and

unde

rsta

ndin

g ab

out f

amily

pla

nnin

g pr

ogra

m

2.3.

1Co

nduc

t adv

ocac

y to

var

ious

st

akeh

olde

rs t

hrou

gh m

edia

, au

dien

ces a

nd th

roug

h ot

her

foru

ms a

nd a

ctiv

ities

1. A

dvoc

acy

to v

ario

us

stak

ehol

ders

at v

ario

us

foru

m a

t the

cen

tral

leve

l

1 Ad

voca

cy to

var

ious

st

akeh

olde

rs a

t var

ious

fo

rum

at t

he p

rovi

ncia

l le

vel

1 Ad

voca

cy to

var

ious

st

akeh

olde

rs a

t var

ious

fo

rum

at t

he d

istric

t lev

el

1. B

KKBN

2.

BKK

BN

Prov

insi

3. S

KPD

KB

2017

20

18

2019


73

No

Act

ivit

ies

Cent

ral

Prov

inci

alD

istr

ict

Villa

geCo

mm

unit

yH

ealt

h fa

cilit

yLe

ad

inst

itut

ion

Stak

ehol

ders

Tim

elin

e

2.3.

2.Co

nduc

t pr

omot

iona

l an

d IE

C

prog

ram

fo

r fa

mily

pl

anni

ng

thro

ugh

vario

us

med

ia

(prin

t, el

ectr

onic

, ou

tdoo

r m

edia

an

d be

low

th

e lin

e)

1. F

P pr

omot

iona

l and

IEC

pr

ogra

m th

roug

h pr

inte

d m

edia

FP

prom

otio

nal

and

IEC

2.FP

pro

mot

iona

l an

d IE

C pr

ogra

m th

roug

h el

ectr

onic

med

ia p

rogr

am

prog

ram

pro

gram

3.

FP p

rom

otio

nal a

nd IE

C pr

ogra

m th

roug

h ou

door

m

edia

4. F

P pr

omot

iona

l and

IEC

prog

ram

thro

ugh

belo

w

the

line

med

ia

1. F

P pr

omot

iona

l and

IE

C pr

ogra

m th

roug

h pr

inte

d m

edia

FP

prom

otio

nal a

nd IE

C 2.

FP p

rom

otio

nal a

nd

IEC

prog

ram

thro

ugh

elec

tron

ic m

edia

pr

ogra

m p

rogr

am

prog

ram

3.

FP p

rom

otio

nal a

nd IE

C pr

ogra

m th

roug

h ou

door

m

edia

4. F

P pr

omot

iona

l and

IEC

prog

ram

thro

ugh

belo

w

the

line

med

ia

1. F

P pr

omot

iona

l and

IE

C pr

ogra

m th

roug

h pr

inte

d m

edia

FP

prom

otio

nal a

nd IE

C 2.

FP p

rom

otio

nal a

nd

IEC

prog

ram

thro

ugh

elec

tron

ic m

edia

pr

ogra

m p

rogr

am

prog

ram

3.

FP p

rom

otio

nal a

nd IE

C pr

ogra

m th

roug

h ou

door

m

edia

4. F

P pr

omot

iona

l and

IE

C pr

ogra

m th

roug

h be

low

the

line

med

ia

1. B

KKBN

2.

BKK

BN

Prov

insi

3. S

KPD

KB

2017

20

18

2019

2.3.

3Co

nduc

t pr

omot

iona

l an

d IE

C pr

ogra

m

for

fam

ily

plan

ning

th

roug

h fro

ntlin

e pr

ovid

ers)

1. P

rovi

sion

of fa

cilit

ies

and

infra

stru

ctur

es fo

r op

erat

iona

lizat

ion

of F

P pl

anni

ng p

rogr

am th

roug

h fro

ntlin

e pr

ovid

ers

1. P

rovi

sion

of fa

cilit

ies

and

infra

stru

ctur

es fo

r op

erat

iona

lizat

ion

of

FP p

lann

ing

prog

ram

th

roug

h fro

ntlin

e pr

ovid

ers

1. P

rovi

sion

of fa

cilit

ies

and

infra

stru

ctur

es fo

r op

erat

iona

lizat

ion

of

FP p

lann

ing

prog

ram

th

roug

h fro

ntlin

e pr

ovid

ers

1. B

KKBN

2.

BKK

BN

Prov

insi

3. S

KPD

KB

2017

20

18

2019

Out

put 3

.1: E

nhan

ced

capa

city

for s

tew

ards

hip/

gove

rnan

ce w

ithi

n an

d be

twee

n se

ctor

s at

BKK

BN a

t the

cen

tral

and

pro

vinc

ial l

evel

s fo

r effi

cien

t and

sus

tain

able

pro

gram

min

g

3.1.

1O

vers

eein

g an

d gu

idin

g th

e ov

eral

l pro

visio

n of

fam

ily p

lann

ing

serv

ices

(pub

lic a

nd p

rivat

e) in

the

inte

rest

of p

rote

ctin

g th

e re

prod

uctiv

e rig

hts o

f the

pub

lic

3.1.

1.1

Dev

elop

men

t of g

uide

lines

on

the

follo

win

g:

i. Co

llabo

ratio

n an

d co

aliti

on

build

ing

acro

ss se

ctor

s, in

clud

ing

civi

l soc

iety

to

influ

ence

fact

ors t

hat

dete

rmin

e fa

mily

pla

nnin

g at

th

e na

tiona

l, pr

ovin

cial

and

di

stric

t lev

els.

1.W

orks

hops

for

colla

bora

tion

and

coal

ition

bu

idin

g at

the

cent

ral l

evel

.

1.W

orks

hop

for

colla

bora

tion

and

coal

ition

bui

ding

at t

he

prov

inci

al le

vel.

1.W

orks

hops

for

colla

bora

tion

and

coal

ition

bui

ding

at t

he

dist

rict l

evel

.

1.

BKK

BN1.

BAP

PEN

AS

2. M

OH

3.

BPJ

S 4.

Pro

fess

iona

l or

gani

zatio

ns

5. M

in o

f Rel

igio

us

Affai

rs

6. M

in o

f Vill

age

7. M

in o

f Hom

e Aff

airs

8.

Min

of

Educ

atio

n an

d Cu

lture

9.

Min

of

Info

rmat

ion

2017

20

18

2019


No

Act

ivit

ies

Cent

ral

Prov

inci

alD

istr

ict

Villa

geCo

mm

unit

yH

ealt

h fa

cilit

yLe

ad

inst

itut

ion

Stak

ehol

ders

Tim

elin

e

ii. G

uide

line

for S

KPD

KB

on a

dvoc

atin

g fo

r fam

ily

plan

ning

pro

gram

mes

and

co

llabo

ratin

g w

ith M

OH

to

mon

itor p

rovi

sion

of F

P se

rvic

es

1. C

onsu

ltant

to d

evel

op

the

guid

elin

e fo

r SKP

D K

B on

adv

ocat

ing

for t

he F

P pr

ogra

m a

nd m

onito

ring

the

prov

ision

of F

P se

rvic

es.

2. M

eetin

gs/w

orks

hops

to

disc

uss t

he g

uide

line.

3.

Prin

ting

and

dist

ribut

ion

of th

e gu

idel

ine.

1. P

artic

ipat

ion

of

sele

cted

pro

vinc

es a

t m

eetin

gs/w

orks

hops

to

disc

uss t

he g

uide

line.

2.

Prin

ting

and

dist

ribut

ion

of th

e gu

idel

ine

1. P

rintin

g an

d di

strib

utio

n of

the

guid

elin

e.

1.

BKK

BN2.

MO

H1.

Pro

vinc

ial

BKKB

N2.

SKP

D K

B3.

PH

O4.

DH

O

2017

20

18

2019

iii. R

ole

of th

e pr

ivat

e se

ctor

in

the

prov

ision

of f

amily

pl

anni

ng se

rvic

es a

nd it

s re

spon

sibili

ties.

1. C

onsu

ltant

to d

evel

op

guid

elin

e on

role

of p

rivat

e se

ctor

in th

e pr

ovisi

on o

f fa

mily

pla

nnin

g 2.

Sta

keho

lder

mee

tings

/w

orks

hops

to re

view

and

de

velo

p th

e gu

idel

ine.

3.

Prin

ting

and

dist

ribut

ion

of th

e gu

idel

ine.

1. S

ocia

lizat

ion

at th

e pr

ovin

cial

leve

l1.

Soc

ializ

atio

n at

the

dist

rict l

evel

1.

MO

H1.

BKK

BN2.

BPJ

S3.

Pro

fess

iona

l or

gani

zatio

ns4.

Priv

ate

Med

ical

As

soci

atio

n

2017

20

18

2019

iv.

Regu

latio

ns re

late

d to

th

e de

sign

of p

erfo

rman

ce

mea

sure

s tha

t are

righ

ts-

base

d.

1. C

onsu

ltant

to re

view

the

regu

latio

ns a

nd p

ropo

sed

perfo

rman

ce m

easu

res

that

are

righ

ts-b

ased

. 2.

Sta

keho

lder

mee

tings

/w

orks

hops

at t

he c

entr

al

leve

l.

1.

BKK

BN2.

MO

H1.

Pro

vinc

ial

BKKB

N2.

SKP

D K

B3.

PH

O4.

DH

O

2017

20

18

2019

v. S

ettin

g ta

rget

s for

pr

ovin

ces a

nd d

istric

ts

base

d on

tren

ds in

fam

ily

plan

ning

use

, foc

usin

g on

eq

uity

(usin

g th

e re

cent

di

stric

t-wise

dat

a an

alyz

ed

by B

KKBN

)

1.St

akeh

olde

r mee

tings

/w

orks

hops

to se

t tar

gets

at

the

prov

inci

al a

nd d

istric

t le

vel.

1.St

akeh

olde

r mee

tings

/w

orks

hops

to se

t tar

gets

at

the

dist

rict l

evel

.

1.St

akeh

olde

r mee

tings

/w

orks

hops

to se

t tar

gets

at

the

heal

th fa

cilit

y le

vel.

1.

BKK

BN2.

MO

H1.

Pro

vinc

ial

BKKB

N2.

SKP

D K

B3.

PH

O4.

DH

O

2017

20

18

2019


75

No

Act

ivit

ies

Cent

ral

Prov

inci

alD

istr

ict

Villa

geCo

mm

unit

yH

ealt

h fa

cilit

yLe

ad

inst

itut

ion

Stak

ehol

ders

Tim

elin

e

vi.

Mob

iliza

tion

of

com

mun

ity to

util

ize

fam

ily

plan

ning

1. C

onsu

ltant

to d

evel

op

guid

elin

es o

n m

obili

zatio

n of

com

mun

ity to

util

ize

fam

ily p

lann

ing

2. S

take

hold

er m

eetin

gs/

wor

ksho

ps to

revi

ew a

nd

deve

lop

the

guid

elin

e.

3. P

rintin

g an

d di

strib

utio

n of

the

guid

elin

e.

1.

BKK

BN1.

Pro

vinc

ial

BKKB

N2.

SKP

D K

B3.

PH

O4.

DH

O

2017

20

18

2019

vi.

Mob

iliza

tion

of

com

mun

ity to

util

ize

fam

ily

plan

ning

1. C

onsu

ltant

to d

evel

op

guid

elin

es o

n m

obili

zatio

n of

com

mun

ity to

util

ize

fam

ily p

lann

ing

2. S

take

hold

er m

eetin

gs/

wor

ksho

ps to

revi

ew a

nd

deve

lop

the

guid

elin

e.

3. P

rintin

g an

d di

strib

utio

n of

the

guid

elin

e.

1.

BKK

BN1.

Pro

vinc

ial

BKKB

N2.

SKP

D K

B3.

PH

O4.

DH

O

2017

20

18

2019

3.1.

1.2

Orie

ntat

ion

for r

elev

ant

offici

als o

n th

e ab

ove-

liste

d gu

idel

ines

.

1. O

rient

atio

n at

the

cent

ral

leve

l.1.

Orie

ntat

ion

at th

e pr

ovin

cial

leve

l.1.

Orie

ntat

ion

at th

e di

stric

t lev

el.

1.

BKK

BN1.

BAP

PEN

AS2.

MO

H3.

BPJ

S4.

Pro

fess

iona

l or

gani

zatio

ns5.

Min

of R

elig

ious

Aff

airs

6. M

in o

f Vill

age

7. M

in o

f of H

ome

Affai

rs8.

Min

of

Educ

atio

n9.

Min

of

Info

rmat

ion

10. P

rovi

ncia

l BK

KBN

11. P

HO

12. D

HO

2017

2018

2019

3.1.

1.3

Mon

itorin

g of

adh

eren

ce to

gu

idel

ines

and

syst

ems.

1. S

take

hold

er m

eetin

gs

to d

iscus

s les

sons

lear

ned

from

impl

emen

ting

supp

ortiv

e su

perv

ision

.

1. I

mpl

emen

tatio

n of

su

ppor

tive

supe

rvisi

on a

t th

e pr

ovin

cial

leve

l

1. Im

plem

enta

tion

of

supp

ortiv

e su

perv

ision

at

the

dist

rict l

evel

1. Im

plem

enta

-tio

n of

supp

ortiv

e su

perv

ision

at t

he

faci

lity

leve

l

1. M

OH

, 2.

BKK

BN 1

. Pro

vinc

ial

BKKB

N2.

SKP

D K

B3.

PH

O4.

DH

O

2017

2018

2019

3.1.

2Pr

ocur

emen

t of

cont

race

ptiv

esPr

ocur

emen

t of

cont

race

ptiv

ePr

ocur

emen

t of

cont

race

ptiv

ePr

ocur

emen

t of

cont

race

ptiv

e


No

Act

ivit

ies

Cent

ral

Prov

inci

alD

istr

ict

Villa

geCo

mm

unit

yH

ealt

h fa

cilit

yLe

ad

inst

itut

ion

Stak

ehol

ders

Tim

elin

e

3.1.

2.1

Impl

emen

tatio

n of

the

regu

latio

n re

late

d to

the

proc

urem

ent o

f qua

lity-

assu

red

com

mod

ities

(c

omm

oditi

es th

at m

eet

WH

O p

re-q

ualifi

catio

n st

anda

rds)

.

1. S

ocia

lizat

ion

of t

he

proc

urem

ent o

f qua

lity-

assu

red

com

mod

ities

ac

cord

ing

to W

HO

pre

-qu

alifi

catio

n st

anda

rds.

1. S

ocia

lizat

ion

of t

he

proc

urem

ent o

f qua

lity-

assu

red

com

mod

ities

ac

cord

ing

to W

HO

pre

-qu

alifi

catio

n st

anda

rds.

1. S

ocia

lizat

ion

of t

he

proc

urem

ent o

f qua

lity-

assu

red

com

mod

ities

ac

cord

ing

to W

HO

pre

-qu

alifi

catio

n st

anda

rds.

1.

BKK

BN 1

. Pro

vinc

ial

BKKB

N2.

SKP

D K

B

2017

2018

2019

3.1.

2.2

Esta

blish

ing

a e-

proc

urem

ent s

yste

m.

1. C

onsu

ltant

to re

view

/es

tabl

ish/in

tegr

ate

fam

ily p

lann

ing

supp

ly

and

com

mod

ities

in a

e-

proc

urem

ent s

yste

m.

2. S

take

hold

er m

eetin

gs.

3. S

ocia

lizat

ion

at th

e ce

ntra

l lev

el.

1. S

ocia

lizat

ion

at th

e pr

ovin

cial

leve

l.1.

Soc

ializ

atio

n at

the

dist

rict l

evel

.

1. M

OH

1. B

KKBN

2. B

PJS,

3. P

rofe

ssio

nal

orga

niza

tions

4. P

rivat

e M

edic

al

Asso

ciat

ion

2017

20

18

2019

3.1.

3Sy

stem

s dev

elop

men

t

3.1.

3.1

Dev

elop

ing

a sy

stem

of

per

form

ance

-bas

ed

disb

urse

men

ts to

dist

ricts

on

mee

ting

pre-

defin

ed

benc

hmar

ks re

late

d to

the

fam

ily p

lann

ing

prog

ram

me

(tran

sfer

of f

unds

from

BK

KBN

to d

istric

ts fo

r ac

hiev

ing

resu

lts in

fam

ily

plan

ning

).

1. C

onsu

ltant

to d

evel

op

a sy

stem

of p

erfo

rman

ce-

base

d di

sbur

sem

ents

to

dist

ricts

on

mee

ting

pre-

defin

ed b

ench

mar

ks

rela

ted

to th

e fa

mily

pl

anni

ng p

rogr

amm

e.

2. S

take

hold

er m

eetin

gs/

wor

ksho

ps to

disc

uss t

he

syst

em.

3. P

rintin

g an

d di

strib

utio

n of

the

gui

delin

e.

4. S

ocia

lizat

ion

at th

e ce

ntra

l lev

el.

1. S

ocia

lizat

ion

at th

e pr

ovin

cial

leve

l. 2

. Prin

ting

and

dist

ribut

ion

of th

e

guid

elin

e.

1. S

ocia

lizat

ion

at th

e di

stric

t lev

el.

2. P

rintin

g an

d di

strib

utio

n of

the

gu

idel

ine.

1.

BKK

BN, 2

. M

OH

, 1.

Pro

vinc

ial

BKKB

N2.

BPJ

S3.

Pro

fess

iona

l or

gani

zatio

ns4.

Priv

ate

Med

ical

As

soci

atio

n

2017

20

18

2019


77

No

Act

ivit

ies

Cent

ral

Prov

inci

alD

istr

ict

Villa

geCo

mm

unit

yH

ealt

h fa

cilit

yLe

ad

inst

itut

ion

Stak

ehol

ders

Tim

elin

e

3.1.

4St

reng

then

ing

cros

s-se

ctor

col

labo

ratio

ns

3.1.

4.1

Rev

iew

the

MoU

sign

ed b

y re

leva

nt m

inist

ries (

i.e., M

OH

, M

inist

ry o

f Rel

igio

us A

ffairs

, M

inist

ry o

f Hom

e Aff

airs

, et

c.),

to p

rom

ote,

exp

and,

an

d su

stai

n th

e fa

mily

pl

anni

ng p

rogr

am, a

nd

upda

te a

s nee

ded.

1. M

eetin

gs w

ith v

ario

us

stak

ehol

ders

. 2.

Dev

elop

men

t and

sig

ning

of t

he u

pdat

ed

MO

U,

1. M

eetin

gs w

ith v

ario

us

stak

ehol

ders

.1.

Mee

tings

with

var

ious

st

akeh

olde

rs.

1.

BKK

BN1.

BAP

PEN

AS2.

MO

H3.

BPJ

S4.

Min

of H

ome

Affai

rs5.

Min

of W

omen

Em

pow

erm

ent

and

Child

Pr

otec

tion

6. M

in o

f Rel

igio

us

Affai

rs7.

Min

of S

ocia

l Aff

airs

8. M

inist

ry o

f In

form

atio

n

201

720

1820

19

3.1.

5Ca

paci

ty d

evel

opm

ent

3.1.

5.1

Enha

nce

the

capa

city

of

prov

inci

al B

KKBN

staff

to

unde

rtak

e an

alys

is of

dist

rict

leve

l bud

gets

for f

amily

pl

anni

ng fr

om v

ario

us

sour

ces,

annu

ally

, to

ensu

re

allo

catio

n of

fund

s ar

e ad

equa

te a

ccor

ding

to th

e m

inim

um st

anda

rds.

1. C

onsu

ltant

to re

view

th

e ex

istin

g gu

idel

ine

on

anal

ysis

of d

istric

t lev

el

budg

etin

g fo

r FP.

2.

Sta

keho

lder

mee

tings

/w

orks

hops

to p

rovi

de

inpu

ts fo

r the

gui

delin

e.

3. P

rintin

g an

d di

strib

utio

n of

the

gui

delin

e.

4. S

ocia

lizat

ion

at th

e ce

ntra

l lev

el.

1. O

rient

atio

n or

trai

ning

at

the

prov

inci

al le

vel.

2. P

rintin

g an

d di

strib

utio

n of

the

gu

idel

ine.

1. O

rient

atio

n/tr

aini

ng a

t th

e di

stric

t lev

el.

2. P

rintin

g an

d di

strib

utio

n of

the

gu

idel

ine.

1.

BKK

BN1.

Pro

vinc

ial

BKKB

N2.

SKP

D K

B

2017

20

18

2019

Out

put 3

.2: S

tren

gthe

ned

coor

dina

tion

betw

een

MO

H a

t the

cen

tral

, pro

vinc

ial a

nd d

istr

ict l

evel

s to

incr

ease

the

heal

th s

yste

m’s

cont

ribu

tion

to fa

mily

pla

nnin

g at

app

ropr

iate

poi

nts

in th

e re

prod

uctiv

e cy

cle.

3.2.

1Ba

sed

on th

e M

oU si

gned

with

MoH

for s

tren

gthe

ning

the

heal

th sy

stem

’s co

ntrib

utio

n to

fam

ily p

lann

ing:

3.2.

1.1

Revi

ew a

nd re

vise

the

curre

nt st

anda

rds a

nd

guid

elin

e fo

r int

egra

ted

fam

ily p

lann

ing

serv

ices

1. R

ecru

it a

cons

ulta

nt to

fa

cilit

ate

the

revi

ew

2. W

orks

hops

with

re

pres

enta

tives

from

se

lect

ed p

rovi

nces

and

di

stric

ts to

obt

ain

inpu

ts

and

achi

eve

an a

gree

men

t on

the

stan

dard

s and

gu

idel

ine

3. D

evel

opm

ent a

nd

signi

ng o

f the

MoU

4.

Prin

ting

and

dist

ribut

ion

of th

e st

anda

rds a

nd

guid

elin

e

1. S

take

hold

er m

eetin

gs

to so

cial

ize

the

stan

dard

s an

d gu

idel

ine

at th

e pr

ovin

cial

leve

l 2.

Dist

ribut

ion

of th

e st

anda

rds a

nd g

uide

line

1. S

take

hold

er m

eetin

gs

to so

cial

ize

the

stan

dard

s an

d gu

idel

ine

at th

e di

stric

t lev

el

2. D

istrib

utio

n of

the

stan

dard

s and

gui

delin

e

1.

MO

H1.

BKK

BN

2. B

PJS

3. P

rofe

ssio

nal

orga

niza

tions

4.

Dev

elop

men

t pa

rtne

rs

2017

20

18


No

Act

ivit

ies

Cent

ral

Prov

inci

alD

istr

ict

Villa

geCo

mm

unit

yH

ealt

h fa

cilit

yLe

ad

inst

itut

ion

Stak

ehol

ders

Tim

elin

e

3.2.

1.2

Revi

ew a

nd u

pdat

e th

e fa

mily

pla

nnin

g se

rvic

es

stan

dard

s und

er th

e le

ader

ship

of M

OH

in

col

labo

ratio

n w

ith

prof

essio

nal o

rgan

izat

ions

to

ens

ure

that

ther

e ar

e no

he

alth

syst

em b

arrie

rs a

s w

ell a

s pro

per i

nteg

ratio

n w

ith o

ther

hea

lth se

rvic

es

acro

ss th

e co

ntin

uum

of

repr

oduc

tive

heal

thca

re

(link

ed to

Out

put 1

.6)

1. C

onsu

ltant

to re

view

cu

rrent

FP

serv

ices

st

anda

rds (

incl

udin

g co

unse

ling

proc

edur

es,

refe

rral

s, fo

llow

-up,

STI

/H

IV sc

reen

ing,

and

dua

l pr

otec

tion)

2.

Sta

keho

lder

mee

tings

be

twee

n M

OH

(Bin

kesm

as,

BUK)

, BKK

BN a

nd

prof

esio

nal o

rgan

izat

ions

to

revi

ew c

urre

nt F

P se

rvic

es st

anda

rds

3. W

orks

hops

with

pr

ofes

siona

l org

aniz

atio

ns

and

repr

esen

tativ

es fr

om

the

sele

cted

pro

vinc

es a

nd

dist

ricts

to o

btai

n in

puts

an

d re

ach

an a

gree

men

t on

FP

serv

ices

stan

dard

s 4.

Prin

ting

and

dist

ribut

ion

of th

e st

anda

rds

1. W

orks

hops

to so

cial

ize

the

FP se

rvic

es st

anda

rds

at th

e pr

ovin

cial

leve

l 2.

Sta

keho

lder

mee

tings

at

the

prov

inci

al le

vel

3. D

istrib

utio

n of

the

stan

dard

s

1. S

ocia

lizat

ion

of F

P se

rvic

es st

anda

rds a

t the

di

stric

t lev

el

2. S

take

hold

er m

eetin

gs

at th

e di

stric

t lev

el

3. D

istrib

utio

n of

the

stan

dard

s to

the

heal

th

faci

litie

s

1.

MO

H1.

BKK

BN

2. B

PJS

3. P

rofe

ssio

nal

orga

niza

tions

4.

Pro

vinc

ial

BKKB

N

5. S

KPD

KB

6. P

HO

7.

DH

O

2017

20

18

3.2.

1.3

Dev

elop

men

t of

the

fam

ily p

lann

ing

trai

ning

ce

rtifi

catio

n m

echa

nism

, in

tegr

ated

man

agem

ent

info

rmat

ion

syst

em (M

IS),

com

mod

ity se

curit

y, an

d su

perv

ision

(lin

ked

to

Out

puts

1.5

, 1.3

)

1. M

eetin

gs b

etw

een

MO

H a

nd B

KKBN

to re

view

an

d de

velo

p FP

trai

ning

ce

rtifi

catio

n, in

tegr

ated

m

anag

emen

t inf

orm

atio

n sy

stem

, com

mod

ity

secu

rity,

and

supe

rviso

n.

2. C

onsu

ltant

to d

evel

op

a tr

aini

ng c

ertifi

catio

n m

echa

nism

, com

mod

ity

secu

rity,

and

supe

rvisi

on

3. W

orks

hops

with

pr

ovin

cial

and

dist

rict

repr

esen

tativ

es to

ob

tain

inpu

ts a

nd re

ach

an a

gree

men

t on

the

stan

dard

s and

gui

delin

e in

vitin

g pr

ovin

cial

and

di

stric

ts

1. S

ocia

lizat

ion

at th

e pr

ovin

cial

leve

l1.

Soc

ializ

atio

n at

the

dist

rict l

evel

1.

MO

H

2. B

KKBN

1. P

rovi

ncia

l BK

KBN

2.

SKP

D K

B 3.

PH

O

4. D

HO

5.

Pro

fess

iona

l or

gani

zatio

ns

6. D

evel

opm

ent

part

ners

2017

20

18


79

No

Act

ivit

ies

Cent

ral

Prov

inci

alD

istr

ict

Villa

geCo

mm

unit

yH

ealt

h fa

cilit

yLe

ad

inst

itut

ion

Stak

ehol

ders

Tim

elin

e

3.2.

2D

evel

opm

ent o

f a st

rate

gy

to st

reng

then

pos

t-pa

rtum

an

d po

st-a

bort

ion

fam

ily

plan

ning

.

1. C

onsu

ltant

to re

view

and

up

date

exi

stin

g gu

idel

ines

on

pos

t-na

tal a

nd p

ost-

abor

tion

fam

ily p

lann

ing

2. M

eetin

gs/w

orks

hops

to

disc

uss,

revi

ew a

nd re

vise

th

e gu

idel

ine

3. P

rintin

g an

d di

strib

utio

n of

the

guid

elin

e

1. S

ocia

lizat

ion

at th

e pr

ovin

cial

leve

l 2.

Dist

ribut

ion

of th

e gu

idel

ine

1. S

ocia

lizat

ion

at th

e di

stric

t lev

el

2. D

istrib

utio

n of

the

guid

elin

e

1. S

ocia

lizat

ion

at

the

heal

th fa

cilit

y le

vel

2. D

istrib

utio

n of

th

e gu

idel

ine

1. M

OH

1. B

KKBN

2.

PH

O

3. D

HO

4.

Pro

fess

iona

l or

gani

zatio

ns

2017

20

18

3.2.

3D

evel

opm

ent o

f ac

cred

itatio

n cr

iteria

for

fam

ily p

lann

ing

faci

litie

s in

the

publ

ic a

nd p

rivat

e se

ctor

s - d

evel

oped

for

elig

ibili

ty fo

r reg

istra

tion

unde

r BPJ

S (li

nked

to

Out

puts

1.1

, 1.2

)

1. S

take

hold

er m

eetin

gs/

wor

ksho

ps to

revi

ew a

nd

stre

ngth

en th

e cu

rrent

ac

cred

itatio

n st

anda

rds

for t

he p

ublic

and

priv

ate

sect

ors

2. S

ocia

lizat

ion

of th

e up

date

d ac

cred

itatio

n st

anda

rds a

t the

cen

tral

le

vel

1. S

ocia

lizat

ion

of th

e up

date

d ac

cred

itatio

n st

anda

rds a

t the

pr

ovin

cial

leve

l

1. S

ocia

lizat

ion

of th

e up

date

d ac

cred

itatio

n st

anda

rds a

t the

dist

rict

leve

l

1. S

ocia

lizat

ion

of th

e up

date

d ac

cred

itatio

n st

anda

rds a

t the

he

alth

faci

lity

leve

l

1. M

OH

1. P

HO

2.

DH

O

3. P

rofe

ssio

nal

orga

niza

tions

4.

Aso

siasi

pela

yana

n ke

seha

tan

swas

ta

2017

3.2.

4Co

ordi

natio

n be

twee

n SK

PD

KB a

nd D

HO

on

the

dist

rict-

leve

l fam

ily p

lann

ing

trai

ning

sin

ce th

e pl

anni

ng st

age.

1. C

oord

inat

ion

mee

tings

at

cen

tral

leve

l bet

wee

n BK

KBN

and

MO

H

1. C

oord

inat

ion

mee

tings

at

the

prov

inci

al le

vel

betw

een

PHO

and

pr

ovin

cial

BKK

BN

1. C

oord

inat

ion

mee

tings

at

the

dist

rict l

evel

be

twee

n D

HO

and

SK

PD-K

B

1.

BKK

BN

2. M

OH

1. P

HO

2.

DH

O

3. P

rovi

ncia

l BK

KBN

4.

SKP

D K

B

2017

20

18

2019

3.2.

5Pl

anni

ng o

f rou

tine

join

t su

perv

isory

visi

ts b

y PL

KB

and

mid

wiv

e co

ordi

nato

rs,

and

crea

te a

n en

ablin

g en

viro

nmen

t, su

ch a

s ap

prov

al o

f the

act

ivity

by

DH

O, a

lloca

tion

of a

dequ

ate

fund

s for

trav

el, e

tc.

1. R

outin

e m

eetin

gs

2. O

pera

tiona

l cos

t for

join

t su

ppor

tive

supe

rvisi

on

1. R

outin

e m

eetin

gs

2. O

pera

tiona

l cos

t fo

r joi

nt su

ppor

tive

supe

rvisi

on

1. R

egul

ar m

eetin

g 2.

Ope

ratio

nal c

ost

for j

oint

supp

ortiv

e su

perv

ision

1. R

outin

e m

eetin

gs

2. O

pera

tiona

l co

st fo

r joi

nt

supp

ortiv

e su

perv

ision

1. M

OH

2.

BKK

BN1.

PH

O

2. D

HO

3.

Pro

vinc

ial

BKKB

N

4. S

KPD

KB

2017

20

18

2019

Out

put 3

.3: E

nhan

ced

lead

ersh

ip a

nd c

apac

ity

of th

e D

irec

tors

of S

KPD

-KB

and

Dis

tric

t Hea

lth

Offi

ces

to e

ffec

tive

ly m

anag

e th

e fa

mily

pla

nnin

g pr

ogra

mm

e.

3.3.

1Re

view

of t

he c

urre

nt ro

les

and

resp

onsib

ilitie

s of

the

DH

O a

nd S

KPD

KB

to

iden

tify

pote

ntia

l are

as o

f co

llabo

ratio

n.

1. C

onsu

ltant

to re

view

the

jo

b de

scrip

tion

of fa

mily

pl

anni

ng p

erso

nnel

at

the

DH

O a

nd S

KPD

KB

to

iden

tify

pote

ntia

l are

as o

f co

llabo

ratu

ion

2. S

take

hold

ers m

eetin

gs

3. S

ocia

lizat

ion

at th

e ce

ntra

l lev

el

1. S

ocia

lizat

ion

at th

e pr

ovin

cial

leve

l1.

Soc

ializ

atio

n at

the

dist

rict l

evel

1.

BKK

BN

2. M

OH

1. P

rovi

ncia

l BK

KBN

2.

SKP

D K

B 3.

PH

O

4. D

HO

5.

BAP

PED

A

2017

20

18

2019


No

Act

ivit

ies

Cent

ral

Prov

inci

alD

istr

ict

Villa

geCo

mm

unit

yH

ealt

h fa

cilit

yLe

ad

inst

itut

ion

Stak

ehol

ders

Tim

elin

e

3.3.

2En

hanc

ing

the

capa

city

of t

he S

KPD

-KB

and

Dist

rict H

ealth

Offi

ces D

irect

ors i

n:

3.3.

2.1

Plan

ning

and

dev

elop

ing

wor

kpla

ns, a

naly

zing

bu

dget

s, an

d ad

voca

ting

to in

crea

se fi

nanc

ial a

nd

hum

an re

sour

ces f

or th

e fa

mily

pla

nnin

g pr

ogra

m.

1. C

onsu

ltant

to d

evel

op

the

plan

ning

gui

delin

e fo

r the

fam

ily p

lann

ing

prog

ram

2.

Mee

tings

/wor

ksho

ps to

di

scus

s, re

view

and

revi

se

the

guid

elin

e 3.

Prin

ting

and

dist

ribut

ion

of th

e gu

idel

ine

1. D

istrib

utio

n of

the

guid

elin

e 2.

Soc

ializ

atio

n at

the

prov

inci

al le

vel

1. D

istrib

utio

n of

the

guid

elin

e 2.

Soc

ializ

atio

n at

the

dist

rict l

evel

1.

BKK

BN1.

Pro

vinc

ial

BKKB

N

2. S

KPD

KB

3. P

HO

4.

DH

O

5. B

APPE

DA

2017

20

18

2019

3.3.

2.2

Advo

catin

g to

relig

ious

le

ader

s, co

mm

unity

lead

ers

and

wom

en’s

grou

ps to

di

scus

s the

impo

rtan

ce o

f fa

mily

pla

nnin

g fo

r soc

io-

econ

omic

dev

elop

men

t and

th

e im

port

ance

of a

dequ

ate

allo

catio

n fo

r ser

vice

s and

op

erat

iona

l bud

get.

1. C

onsu

ltant

to d

evel

op

advo

cacy

mat

eria

ls on

fam

ily p

lann

ing

for r

elig

ious

lead

ers,

com

mun

ity le

ader

s and

w

omen

’s gr

oups

2.

Mee

tings

/wor

ksho

ps to

di

scus

s, re

view

and

revi

se

the

guid

elin

e 3.

Prin

ting

and

dist

ribut

ion

of th

e gu

idel

ine

1. D

istrib

utio

n of

the

guid

elin

e 2.

Soc

ializ

atio

n at

the

prov

inci

al le

vel

1. D

istrib

utio

n of

the

guid

elin

e 2.

Soc

ializ

atio

n at

the

dist

rict l

evel

1.

BKK

BN

2. M

in o

f Re

ligio

us

Affai

rs

1. M

OH

2.

PH

O

3. D

HO

4.

SKP

D K

B 5.

NG

O

6. M

in o

f Hom

e Aff

airs

2017

20

18

2019

3.3.

2.3

Esta

blish

ing

QA/

QI

mec

hani

sms (

linke

d to

O

utpu

t 1.6

).

1. R

evie

w Q

A sy

stem

for F

P (c

onsu

ltant

) 2.

Sta

keho

lder

mee

tings

be

twee

n M

OH

(Bin

kesm

as,

BUK)

, BKK

BN a

nd

prof

esio

nal o

rgan

izat

ions

to

revi

ew th

e Q

A sy

stem

fo

r FP

3. W

orks

hops

to o

btai

n in

puts

and

reac

h an

ag

reem

ent o

n th

e Q

A sy

stem

for F

P 4.

Prin

ting

and

dist

ribut

ion

5. S

ocia

lizat

io a

t the

cen

tral

le

vel

1. S

ocia

lizat

ion

of th

e Q

A sy

stem

for F

P at

the

prov

inci

al le

vel

2. S

take

hold

er m

eetin

gs

at th

e pr

ovin

cial

leve

l 3.

Prin

ting

and

dist

ribut

ion

1. S

ocia

lizat

ion

of th

e Q

A sy

stem

for F

P at

the

dist

rict l

evel

2.

Sta

keho

lder

mee

tings

at

the

dist

rict l

evel

3.

Prin

ting

and

dist

ribut

ion

1. S

ocia

lizat

ion

of

the

QA

syst

em fo

r FP

at t

he h

ealth

fa

cilit

y le

vel

1. M

OH

1. B

KKBN

2.

Pro

vinc

ial

BKKB

N

3. S

KPD

KB

4. P

HO

5.

DH

O

2017

20

18

3.3.

3M

onito

ring

the

impl

emen

tatio

n of

min

imum

st

anda

rds.

1. D

evel

opm

ent o

f too

ls to

mon

itor t

he m

inim

um

stan

dard

s 2.

Sta

keho

lder

mee

tings

at

the

cent

ral l

evel

to m

onito

r th

e m

inim

um st

anda

rds

1. S

take

hold

er m

eetin

gs

at th

e pr

ovin

cial

leve

l to

mon

itor t

he m

inim

um

stan

dard

s

1. S

take

hold

er m

eetin

gs

at th

e di

stric

t lev

el to

m

onito

r the

min

imum

st

anda

rds

1.

BKK

BN

2. M

OH

1. B

KKBN

2.

Pro

vinc

ial

BKKB

N

3. S

KPD

KB

4. P

HO

5.

DH

O

2017

20

18

2019


81

No

Act

ivit

ies

Cent

ral

Prov

inci

alD

istr

ict

Villa

geCo

mm

unit

yH

ealt

h fa

cilit

yLe

ad

inst

itut

ion

Stak

ehol

ders

Tim

elin

e

3.3.

4Su

ppor

t the

SKP

D-K

B an

d D

istric

t Hea

lth O

ffice

D

irect

ors t

o ho

ld ro

utin

e m

eetin

gs w

ith re

ligio

us

lead

ers,

com

mun

ity le

ader

s an

d w

omen

’s gr

oups

for

advo

cacy

.

1. R

outin

e m

eetin

gs

2. Jo

int s

uppo

rtiv

e su

perv

ision

1. R

outin

e m

eetin

gs

2. Jo

int s

uppo

rtiv

e su

perv

ision

1. R

outin

e m

eetin

gs

2. Jo

int s

uppo

rtiv

e su

perv

ision

1. R

outin

e m

eetin

gs a

t the

he

alth

faci

lity

leve

l

1. B

KKBN

2.

MO

H1.

BKK

BN

2. P

rovi

ncia

l BK

KBN

3.

SKP

D K

B 4.

PH

O

5.D

HO

2017

20

18

2019

Out

put 3

.4:

Enha

nced

cap

acit

y fo

r evi

denc

e-ba

sed

advo

cacy

at a

ll le

vels

of t

he g

over

nmen

t and

com

mun

ity

focu

sing

on

the

cent

ralit

y of

fam

ily p

lann

ing

in a

chie

ving

dev

elop

men

t goa

ls, f

or in

crea

sed

visi

bilit

y of

fam

ily p

lann

ing

prog

ram

mes

and

leve

ragi

ng re

sour

ces

3.4.

1.D

evel

opin

g a

dist

rict

com

preh

ensiv

e st

rate

gy fo

r fa

mily

pla

nnin

g ad

voca

cy

(bas

ed o

n th

e na

tiona

l st

rate

gy) w

ith a

road

map

to

impl

emen

t the

stra

tegy

at

all

leve

ls, in

clud

ing

the

com

mun

ity le

vel,

and

a ch

eckl

ist fo

r mon

itorin

g th

e im

plem

enta

tion

of th

e st

rate

gy.

1. S

take

hold

er m

eetin

gs a

t th

e ce

ntra

l lev

el

2. C

onsu

ltant

to d

evel

op

the

com

preh

ensiv

e st

rate

gy o

n fa

mily

pla

nnin

g ad

voca

cy

3. W

orks

hops

at t

he c

entr

al

leve

l on

com

preh

ensiv

e st

rate

gy fo

r fam

ily p

lann

ing

advo

cacy

1. S

take

hold

er m

eetin

gs

at th

e pr

ovin

cial

leve

l 2.

Wor

ksho

ps a

t the

pr

ovin

cial

leve

l on

com

preh

ensiv

e st

rate

gy

for f

amily

pla

nnin

g ad

voca

cy

1. S

take

hold

er m

eetin

gs

at th

e di

stric

t lev

el

2. W

orks

hops

at

the

dist

rict l

evel

on

com

preh

ensiv

e st

rate

gy

for f

amily

pla

nnin

g ad

voca

cy

1.

BKK

BN1.

BAP

PEN

AS

2. M

OH

3.

Min

of w

omen

em

pow

erm

ent

and

child

pr

otec

tion

4. P

HO

5.

DH

O

6. P

rovi

ncia

l BK

KBN

7.

SKP

D K

B

2017

20

18

2019

3.4.

2.D

evel

opin

g tr

aini

ng

mat

eria

ls fo

r med

ia

pers

onne

l and

pa

rliam

enta

rians

to a

dvoc

ate

for f

amily

pla

nnin

g.

1. C

onsu

ltant

to d

evel

op

advo

cacy

mat

eria

ls fo

r pa

rliem

enta

rians

2.

Prin

ting

and

dist

ribut

ion

of th

e gu

idel

ine

3. A

dvoc

acy

mee

ting

at th

e ce

ntra

l lev

el

1. A

dvoc

acy

mee

tings

at

the

prov

inci

al le

vel

1. A

dvoc

acy

mee

tings

at

the

dist

rict l

evel

1.

BKK

BN1.

MO

H

2. P

HO

3.

DH

O

4. P

rovi

ncia

l BK

KBN

5.

SKP

D K

B

2017

20

18

2019

3.4.

3.M

onito

ring

the

impl

emen

tatio

n of

adv

ocac

y eff

orts

.

1.D

evel

opm

ent o

f too

ls to

mon

itor m

inim

um

stan

dard

s 2.

Sta

keho

lder

mee

tings

at

the

cent

ral l

evel

3.

Impl

emen

tatio

n of

join

t m

onito

ring

1. S

take

hold

er m

eetin

gs

at th

e pr

ovin

cial

leve

l 2.

Impl

emen

tatio

n of

jo

int m

onito

ring

1. S

take

hold

er m

eetin

gs

at th

e di

stric

t lev

el

2. Im

plem

enta

tion

of

join

t mon

itorin

g

1.

BKK

BN1.

MO

H

2. P

HO

3.

DH

O

4. P

rovi

ncia

l BK

KBN

5.

SKP

D K

B

2017

20

18

2019


No

Act

ivit

ies

Cent

ral

Prov

inci

alD

istr

ict

Villa

geCo

mm

unit

yH

ealt

h fa

cilit

yLe

ad

inst

itut

ion

Stak

ehol

ders

Tim

elin

e

Out

put 3

.5: S

tren

gthe

ned

capa

city

for e

vide

nce-

base

d po

licie

s th

at c

an im

prov

e th

e eff

ecti

vene

ss o

f the

fam

ily p

lann

ing

prog

ram

me

whi

le e

nsur

ing

equi

ty a

nd s

usta

inab

ility

.

3.5.

1.U

nder

taki

ng p

rovi

nce-

spec

ific

stud

ies o

n th

e co

ntrib

utio

n of

fam

ily

plan

ning

tow

ards

soci

o-ec

onom

ic d

evel

opm

ent

and

achi

evem

ent o

f the

de

velo

pmen

t goa

ls.

1. C

onsu

ltant

/res

earc

h in

stitu

tion

to c

ondu

ct

prov

ince

-spe

cific

stud

ies

on th

e co

ntrib

utio

n of

fam

ily p

lann

ing

tow

ards

soci

o-ec

onom

ic

deve

lopm

ent a

nd

achi

evem

ent o

f de

velo

pmen

t goa

ls 2.

Mee

tings

/wor

ksho

ps

to d

iscus

s and

revi

ew th

e fin

ding

s of t

he st

udy

3. S

ocia

lizat

ion

at th

e ce

ntra

l lev

el

1. S

ocia

lizat

ion

at th

e pr

ovin

cial

leve

l1.

Soc

ializ

atio

n at

the

dist

rict l

evel

1.

BKK

BN1.

MO

H

2. B

PJS

3. B

APPE

NAS

4.

Res

earc

h in

stitu

tions

5.

Pro

fess

iona

l or

gani

zatio

ns

6. D

evel

opm

ent

part

ners

2017

20

18

2019

3.5.

2Su

ppor

ting

dist

rict f

amily

pl

anni

ng o

ffici

als o

n ye

arly

an

alys

is of

bud

get a

lloca

tion

for f

amily

pla

nnin

g se

rvic

es,

part

icul

arly

for t

rack

ing

oper

atio

nal b

udge

ts.

1. N

atio

nal p

lann

ing

and

anal

ysis

wor

ksho

ps1.

Pro

vinc

ial p

lann

ing

and

anal

ysis

wor

ksho

ps1.

Dist

rict p

lann

ing

and

anal

ysis

wor

ksho

ps

1. B

KKBN

1. M

OH

2.

BPJ

S 3.

BAP

PEN

AS

2017

20

18

2019

3.5.

3D

evel

opm

ent o

f loc

al

hum

an re

sour

ce p

olic

ies

that

supp

ort e

ffect

ive,

eq

uita

ble

and

sust

aina

ble

prog

ram

min

g.

Som

e ex

ampl

es in

clud

e: jo

b de

scrip

tion

and

sele

ctio

n of

SK

PD K

B D

irect

or, e

quita

ble

dist

ribut

ion

of m

idw

ives

, ro

tatio

n po

licie

s, ap

prop

riate

m

atch

ing

of jo

bs w

ith

qual

ifica

tions

, per

form

ance

-ba

sed

ince

ntiv

es fo

r hea

lth

wor

kers

, etc

. A n

ew p

olic

y th

at n

eeds

to b

e de

velo

ped

incl

udes

the

job

desc

riptio

n,

recr

uitm

ent m

echa

nism

, di

strib

utio

n (a

t wha

t lev

el

of d

istric

t org

aniz

atio

n),

mon

itorin

g pe

rform

ance

of

PLKB

s, et

c.

1. C

onsu

ltant

to d

evel

op

hum

an re

sour

ces p

olic

y fo

r fa

mily

pla

nnin

g 2.

Sta

keho

lder

mee

tings

to

disc

uss a

nd p

lan

hum

an

reso

urce

s pol

icy

1. S

take

hold

er m

eetin

gs

to d

iscus

s and

pla

n hu

man

reso

urce

pol

icy

at

the

prov

ince

leve

l

1. S

take

hold

er m

eetin

gs

to d

iscus

s and

pla

n hu

man

reso

urce

pol

icy

at

the

dist

rict l

evel

1.

BKK

BN1.

MO

H

2. B

PJS

3. B

APPE

NAS

4.

Res

earc

h in

stitu

tions

5.

Pro

fess

iona

l or

gani

zatio

ns

6.PH

O

7. D

HO

2017

20

18

2019


83

No

Act

ivit

ies

Cent

ral

Prov

inci

alD

istr

ict

Villa

geCo

mm

unit

yH

ealt

h fa

cilit

yLe

ad

inst

itut

ion

Stak

ehol

ders

Tim

elin

e

3.5.

4Re

view

tran

spor

tatio

n co

st

for c

lient

s who

are

seek

ing

ster

iliza

tion

serv

ices

but

do

not l

ive

in c

lose

pro

xim

ity to

a

hosp

ital (

linke

d to

out

put

1.1

and

Stra

tegi

c O

bjec

tive

4).

1. M

eetin

gs to

revi

ew

tran

spor

tatio

n al

low

ance

fo

r clie

nts t

hat u

se

perm

anen

t con

trac

eptiv

e m

etho

ds

1. A

lloca

tion

of

tran

spor

tatio

n al

low

ance

fo

r clie

nts t

hat u

se

perm

anen

t con

trac

eptiv

e m

etho

ds a

t the

pro

vinc

ial

leve

l

1. A

lloca

tion

of

tran

spor

tatio

n al

low

ance

fo

r clie

nts t

hat u

se lo

ng-

actin

g co

ntra

cept

ive

met

hods

at t

he d

istric

t le

vel

1.

BKK

BN1.

MO

H

2. P

HO

3.

DH

O

4. P

rovi

ncia

l BK

KBN

5.

SKP

D K

B 6.

NG

O

2017

20

18

2019

3.5.

5O

rient

atio

n of

Dist

rict H

eads

/M

ayor

s and

par

liam

enta

rians

ab

out t

he im

port

ance

of

fam

ily p

lann

ing

in im

prov

ing

mat

erna

l hea

lth a

nd so

cio-

econ

omic

dev

elop

men

t an

d th

e ne

ed fo

r ade

quat

e bu

dget

allo

catio

n fo

r se

rvic

es a

nd p

rogr

amm

e m

anag

emen

t

1. C

onsu

ltant

to d

evel

op

advo

cacy

mat

eria

ls fo

r pa

rliem

enta

rians

2.

Prin

ting

and

dist

ribut

ion

of th

e gu

idel

ine

3. A

dvoc

acy

mee

tings

at

the

cent

ral l

evel

1. A

dvoc

acy

mee

tings

at

the

prov

inci

al le

vel

1. A

dvoc

acy

mee

tings

at

the

dist

rict l

evel

1.

BKK

BN1.

MO

H

2. P

HO

3.

DH

O

4. P

rovi

ncia

l BK

KBN

5.

SKP

D K

B 6.

NG

O

2017

20

18

2019

3.5.

6En

hanc

ing

the

capa

city

of

BAPP

EDA

to in

clud

e fa

mily

pl

anni

ng in

loca

l pla

ns.

1. C

onsu

ltant

to d

evel

op

advo

cacy

mat

eria

ls an

d to

ols f

or B

APPE

DA

to

ensu

re th

e in

clus

ion

of

fam

ily p

lann

ing

in lo

cal

plan

s 2.

Prin

ting

and

dist

ribut

ion

of th

e gu

idel

ine

3. T

rain

ings

at t

he c

entr

al

leve

l

1. T

rain

ings

at t

he

prov

inci

al le

vel

1. T

rain

ings

at t

he d

istric

t le

vel

1.

BKK

BN1.

MO

H

2. P

HO

3.

DH

O

4. P

rovi

ncia

l BK

KBN

5.

SKP

D K

B 6.

NG

O

2017

20

18

2019

Out

put 3

.6: F

unct

iona

l acc

ount

abili

ty s

yste

ms

in p

lace

that

invo

lve

civi

l soc

iety

3.6.

1Bu

ildin

g th

e ca

paci

ty o

f w

omen

’s gr

oups

(rig

hts

and

empo

wer

men

t gr

oups

) and

oth

er c

ivil

soci

ety

orga

niza

tions

to b

e ‘w

atch

dogs

’ and

mon

itor

viol

atio

n of

the

clie

nt

right

s, ad

oles

cent

acc

ess

to se

rvic

es, e

tc.

(link

ed to

O

utpu

t 1.6

).

1. C

onsu

ltant

to d

evel

op

tool

s for

wom

en’s

grou

p an

d ci

vil s

ocie

ty

orga

niza

tions

to m

onito

r vi

olat

ion

of c

lient

s rig

hts

and

adol

esce

nt a

cces

s to

serv

ices

2.

Prin

ting

and

dist

ribut

ion

of th

e gu

idel

ine

3. S

ocia

lizat

ion

at th

e ce

ntra

l lev

el

1. S

ocia

lizat

ion

at th

e pr

ovin

cial

leve

l1.

Soc

ializ

atio

n at

the

dist

rict

leve

l1.

Cap

acity

bu

ildin

g at

the

com

mun

ity

leve

l

1.

BKK

BN1.

MO

H

2. B

APPE

NAS

3.

BAP

PED

A

4. N

GO

5.

Dev

elop

men

t pa

rtne

rs

2017

20

18

2019

3.6.

2Es

tabl

ishm

ent o

f new

co

mm

ittee

s at t

he

pusk

esm

as a

nd h

ospi

tals

and

build

ing

thei

r cap

acity

to

ensu

re th

at c

lient

righ

ts a

re

prot

ecte

d.

1. S

take

hold

er m

eetin

gs a

t th

e ce

ntra

l lev

el1.

Sta

keho

lder

mee

tings

at

the

prov

inci

al le

vel

1. S

take

hold

er m

eetin

gs

at th

e di

stric

t lev

el

2. E

stab

lishm

ent o

f co

mm

ittee

s at t

he

pusk

esm

as

1. R

outin

e m

eetin

g at

the

com

mun

ity

leve

l

1. R

outin

e m

eetin

g at

the

com

mun

ity

leve

l

1. R

outin

e m

eetin

g at

the

heal

th fa

cilit

y

1. M

OH

2.

BKK

BN1.

BAP

PEN

AS

2. B

APPE

DA

3.

NG

O

4. D

evel

opm

ent

part

ners

2017

20

18

2019


No

Act

ivit

ies

Cent

ral

Prov

inci

alD

istr

ict

Villa

geCo

mm

unit

yH

ealt

h fa

cilit

yLe

ad

inst

itut

ion

Stak

ehol

ders

Tim

elin

e

Out

put 4

.1: B

est p

ract

ices

and

mod

els

are

avai

labl

e fo

r pro

mot

ing

Sout

h-So

uth

Coop

erat

ion

4.1.

1Ev

alua

tion

and

docu

men

tatio

n of

dom

estic

FP

pro

gram

inno

vatio

ns

(incl

udin

g do

nor a

ssist

ed

proj

ects

) for

repl

icab

ility

.

1. E

valu

atio

n of

FP

prog

ram

inno

vatio

ns a

nd

docu

men

tatio

n of

bes

t pr

actic

es (c

onsu

ltant

) 2.

Soci

aliz

atio

n at

the

cent

ral l

evel

1. S

ocia

lizat

ion

at th

e pr

ovin

cial

leve

l1.

Soc

ializ

atio

n at

the

dist

rict l

evel

1.

BKK

BN

2. M

OH

3.

BA

PPEN

AS

1. B

PJS

2.

Min

of H

uman

D

evel

opm

ent a

nd

Cultu

re

3. R

esea

rch

inst

itutio

ns

4. P

rofe

ssio

nal

orga

niza

tions

5.

Min

istry

of

Hom

e Aff

airs

6.

BAP

PED

A

2018

4.1.

2Id

entifi

catio

n of

mod

els f

or

repl

icat

ion

and

prom

otio

n un

der S

outh

-Sou

th

Coop

erat

ion.

1. C

onsu

ltant

for

iden

tifica

tion

of m

odel

s for

pr

omot

ion

unde

r Sou

th-

Sout

h co

oper

atio

n 2.

Soc

ializ

atio

n at

the

cent

ral l

evel

1. S

ocia

lizat

ion

at th

e pr

ovin

cial

leve

l1.

Soc

ializ

atio

n at

the

dist

rict l

evel

1.

BKK

BN

2. M

OH

3.

BA

PPEN

AS

1. B

PJS

2.

Min

of H

uman

D

evel

opm

ent a

nd

Cultu

re

3. R

esea

rch

inst

itutio

ns

4. P

rofe

ssio

nal

orga

niza

tions

5.

Min

istry

of

Hom

e Aff

airs

6.

BAP

PED

A

2018

20

19

Out

put 4

.2: O

pera

tion

s re

sear

ch fo

r im

prov

ing

effici

ency

and

eff

ecti

vene

ss o

f fam

ily p

lann

ing

prog

ram

mes

4.2.

1U

nder

taki

ng o

pera

tions

re

sear

ch to

impr

ove

effici

ency

and

effe

ctiv

enes

s of

the

fam

ily p

lann

ing

prog

ram

and

con

duct

ing

eval

uatio

ns o

f the

sam

e.

1. R

esea

rch

inst

itutio

n to

con

duct

ope

ratio

ns

rese

arch

in o

rder

to

impr

ove

the

effici

eny

and

effec

tiven

ess o

f the

fam

ily

plan

ning

pro

gram

. 2.

Con

sulta

nt to

con

duct

an

eva

luat

ion.

3.

Soc

ializ

atio

n of

the

fin

ding

s of t

he o

pera

tions

re

sear

ch a

t the

cen

tral

le

vel.

1. S

ocia

lizat

ion

at th

e pr

ovin

cial

leve

l.1.

Soc

ializ

atio

n at

the

dist

rict l

evel

.

1. B

KKBN

2.

MO

H1.

BPJ

S 2.

Res

earc

h in

stitu

tions

3.

Pro

fess

iona

l or

gani

zatio

ns

2018

4.2.

2Id

entifi

catio

n of

ope

ratio

ns

rese

arch

that

are

effe

ctiv

e to

be

pro

mot

ed

unde

r Sou

th-

Sout

h Co

oper

atio

n.

1 .S

take

hold

er m

eetin

gs

to id

entif

y po

tent

ial t

opic

s fo

r ope

ratio

ns re

sear

ch fo

r pr

omot

ion

unde

r Sou

th-

Sout

h Co

oper

atio

n.

1.

BKK

BN

2. M

OH

1. B

PJS

2. R

esea

rch

inst

itutio

ns

3. P

rofe

ssio

nal

orga

niza

tions

2018


United Nations Population Fund Indonesia 7th Floor Menara ThamrinJl. M.H. Thamrin Kav. 3Jakarta 10250 IndonesiaTel: (62-21) 2980 2300Fax: (62-21) 3904914, 3192702Website: http://indonesia.unfpa.org

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