Advocacy and Outreach for RMNCH in Indonesia

Multi Country Workshop to develop roadmaps to translate the recommendations of the

COIA for women's and children's health Bangkok, September 26th, 2012

Asteria T. Aritonang World Vision Indonesia/Maternal and Child Health Movement

Indonesia: 13,466 islands -/+ 245,000,000 populations 33 provinces 500s districts/municipalities

3 Gerakan Kesehatan Ibu dan Anak

KOMISI PERLINDUNGAN

ANAK INDONESIA

Child Health Now Campaign started with 6 pilot countries (2010),

and now is implemented in 27 countries (2012), and will be in more countries up to 2015

1. Kenya 2. Uganda 3. Tanzania 4. Rwanda 5. Burundi 6. Ethiopia 7. Afghanistan 8. Armenia 9. Pakistan 10.India 11.Indonesia 12.Nepal 13.Philippines 14.Cambodia

15. Sierra Leone 16. Mali 17. Niger 18. Zambia 19. South Africa 20. Lesotho 21. Malawi 22. DRC 23. Honduras 24. El Salvador 25. Mexico 26. Bolivia 27. Brazil

www.childhealthnow.org

Outline:

1. Preparation of Coalition

2. Launch of Coalition at all levels

3. Quarterly Meeting at National Level

4. Joint Action at National Level

5. Parliament Engagement at all levels

6. Media Engagement

7. Limitation and Challenges

8. Plan of Actions

Preparation of Coalition

Minister of People’s Welfare Minister of Women

Empowerment & Child

Protection

Minister of Health President’s Special Envoy for MDGs

Indonesian Breastfeeding

Center

National Launch of the Movement Jakarta – June 23rd, 2010

Participated by more than 150

people (represent Government,

NGO/CSO, media) at national

level, and 10 provinces with

highest U5 mortality rate.

Steering Committee:

- Minister of People’s Welfare

- Minister of Health

- Minister of Women Empowerment and Child Protection

- Executive Secretary of AIDS Commission

- Head of Indonesia Breastfeeding Center

- National Director of World Vision Indonesia

Gerakan Kesehatan Ibu dan Anak

10 Focused Provinces with highest U5MR (IDHS, 2007)

Provincial Launch Maternal & Child Health Movement

East Nusa Tenggara – June 2010

North Moluccas – April 2011

Gerakan Kesehatan Ibu dan Anak

District Public Launch Maternal & Child Health Movement

10 Districts: Rote, Sikka, TTU, East Flores, East Sumba-West Sumba-Southwest Sumba-

Central Sumba, Manggarai, Alor (Sept – Dec 2010)

Rote Sikka TTU

Participated by representatives of national and local government, NGO, health service

providers, organization of public health professionals, community, mother and children.

Sumba

Gerakan Kesehatan Ibu dan Anak

Quarterly Meeting at National Level

(Feb 2011 – now)

Gerakan Kesehatan Ibu dan Anak

• Participated by 10-20 institutions • Agenda:

• Best Practices Discussion • Research Result Dissemination • Preparation for meeting with specific Government Offices : MoH, MoHA, MoFA, Special Envoy for MDGs • Preparation for a joint action

1st Joint Action – June and July 2011 June 2011 - Sent a joint letter for various ministers in the commemoration of National Midwives Day July 2011 – Meeting with former Minister of Health for an establishment of Indonesian Breastfeeding Counselor Association

Gerakan Kesehatan Ibu dan Anak

2nd Joint Action - August 16, 2011

Workshop on UN Global Strategy for Women’s & Children’s Health “Every Woman, Every Child”

Speakers: PMPK UGM (University) and FITRA (NGO on Budget Transparency) Participated by 31 people from 18 institutions: 1. MoH, 2. MoFA, 3. BKKBN/ Family Planning Body, 4. PKBI, 5. Care, 6. Save the Children,7. Seknas Fitra, 8. UNICEF, 9. UNFPA, 10. WHO, 11. World Vision, 12. PP IBI, 13. PP IDI, 14. PP IDAI, 15. PP PPNI, 16. PMPK – UGM, 17. Panja MDGs DPR RI, 18. KUKPRI MDGs

Gerakan Kesehatan Ibu dan Anak

1

3rd Joint Action – September 2011 Contribute on the drafting of Guideline for Integrated Service Post from National to District Level – with Ministry of Home Affairs

Participated by participants from National + 5 Provinces + 9 Districts/Municipalities Provinces: NTT, Kalbar, Jawa Barat, DKI Jakarta, NTB Districts/Municipalities: Beneur Meuriah (NAD), Sambas, Kota Pontianak, Dompu, Sikka, TTU, Bandung Barat, Bekasi, Karawang.

Gerakan Kesehatan Ibu dan Anak

4th Joint Action – December 2011 Meeting with the new General Director of Maternal & Child Health and Nutrition – Ministry of Health

Agenda: 1. Updated the progress of GKIA from June 2010 - November 2011 2. Share the GKIA’s plan of action 3. Call for Government

Gerakan Kesehatan Ibu dan Anak

5th Joint Action – February 2012 Advocate for the revision of draft of Government Regulations towards Exclusive Breastfeeding

Gerakan Kesehatan Ibu dan Anak

6th Joint Action – April 2012 Meeting with Director of Nutrition – Ministry of Health for Scaling Up Nutrition Movement in Indonesia

Gerakan Kesehatan Ibu dan Anak

Participated by INGOs that support SUN at the Global Level, such as: Care, Helen Keller, Child Fund, Micronutrient Initiative, Plan, Save the Children, World Relief, and World Vision

7th Joint Action - May 24th, 2012 Workshop on 10 Recommendations – COIA

Speakers: 1. MoH 2. National Development Planning Body 3. World Health Organization Participants: 34 people from Government, UN Agencies, I/ NGOs, and Professional Organizations

Gerakan Kesehatan Ibu dan Anak

8th Joint Action – June 2012 Meeting with Ministry of Home Affair on Integrated Service Post + Participate on the National Coordination Meeting held by MoHA

Gerakan Kesehatan Ibu dan Anak

9th Joint Action – July 24th , 2012 Meeting with Ministry of Foreign Affairs for COIA’s follow up in Indonesia

Participated by: 1. MoH, 2. WHO, 3. UNICEF, 4. UNFPA, 5. Micronutrient Initiative, 5. World Vision, 6. PPNI. 7. IPEMI, 8. ACF, 9. Save the Children

Gerakan Kesehatan Ibu dan Anak

10th Joint Action - Sept 12th , 2012 National Multi Stakeholder COIA’s Workshop

Speakers & Moderator: 1. MoH 2. MoFA 3. National

Development Planning Body

4. University 5. Office of

Special Envoy for MDGs

6. Ministry of People’s Welfare

7. Indonesian Child Protection Commission

Gerakan Kesehatan Ibu dan Anak

11th Joint Action – Sept 19th, 2012 World Breastfeeding Week 2012

•Actively engaged on drafting of the Exclusive Breastfeeding Acceleration Plan for 2012 – 2015 • Advocate MoH for have no conflict interest with milk formula company

Gerakan Kesehatan Ibu dan Anak

Parliament Engagement

1. Send letters of call for Parliament prior to Inter Parliamentarian Union

2. Invited national parliament and senate members as the participants of several workshops held by GKIA

3. Facilitate dialogue on RMNCH issues between community and district parliament members at some districts

Media Engagement

1. Printed Media at national, provincial, and district level

Gerakan Kesehatan Ibu dan Anak

2. Interactive Dialogue at Radio - at Provincial and District level

Media Engagement

3. Website on Maternal & Child Health (in cooperation with University of Gajah Mada) 2010 - 2011

Gerakan Kesehatan Ibu dan Anak

4. Social Media Twitter, Facebook, Microsite, Youtube

Strength and Opportunities

1. Greater willingness of I/NGOs, Professional Organization, and Government to work together

2. Wider opportunities to work together and to advocate at all levels (district, provincial, national, regional, and global)

Limitation and Challenges

1. I/NGOs mostly work in few provinces with small scope of areas and interventions

2. I/NGO’s mostly have short-term projects on health and nutrition (staff rotation / termination)

3. Few staff at provincial and district/ municipal level to work for advocacy

4. Limited capacity for advocacy, resource tracking, and policy analysis at all levels

Map of some I/NGOs areas

Save the children Wahana Visi Indonesia / World Vision Child Fund

Plan Indonesia CARE Mercy Corps

Action Plans

1. Hold the Gov of Indonesia accountable for:

a) EWEC’s commitment and COIA’s action plan

b) Scaling Up Nutrition & other Action Plan on Food and Nutrition

c) Government Regulations towards RMNCH and Nutrition at all levels

2. Have more intensive engagement with Parliament and Senate at national

level, and Parliament at provincial and district/municipal level

3. Have more intensive engagement with Media at national, provincial, and

district/municipal level

4. Continuously build NGOs’ capacity towards Policy Analysis & Resource Tracking

5. Regularly update the I/NGOs mapping at provincial and district / municipalities

TERIMAKASIH !